股骨头坏死患者CT与磁共振临床诊断价值分析.docVIP

股骨头坏死患者CT与磁共振临床诊断价值分析 　　【摘要】 目的：分析并探讨股骨头坏死患者CT与磁共振的诊断的临床价值。方法：选取2014年3月-2017年3月笔者所在医院收治的股骨头坏死患者60例为研究对象，患者均经手术证实，对临床资料做回顾性分析，根据诊断方法分为观察组和对照组，对照组30例行CT诊断，观察组30例行磁共振诊断。观察比较两种诊断方式的检出率。结果：观察组和对照组的股骨头坏死病灶检出率分别为87.93%、57.14%，观察组的检出率显著高于对照组（P0.05）；且观察组诊断出合并关节积液的检出率显著高于对照组（P0.05）。结论：在股骨头坏死的临床诊断中，采用磁共振诊断较CT检出率更高，诊断早期股骨头坏死效果更好。 　　【关键词】 股骨头坏死； CT； 磁共振 　　doi：10.14033/j.cnki.cfmr.2017.35.028 文献标识码 B 文章编号 1674-6805（2017）35-0057-03 　　【Abstract】 Objective：To investigate the clinical value of CT and MRI in the diagnosis of osteonecrosis of the femoral head.Method：From March 2014 to March 2017，60 patients with osteonecrosis of the femoral head admitted in our hospital were selected as study subjects.All the patients were comfirmed by surgery.The clinical data were retrospectively analyzed.According to the diagnostic methods，the patients were divided into observation group and control group.30 cases in the control group were treated with CT diagnosis，30 cases in observation group underwent MRI diagnosis.The detection rates of the two diagnostic methods were observed and compared.Result：The detection rates of osteonecrosis of femoral head in the observation group and the control were 87.93% and 57.14%，the detection rate of the observation group was significantly higher than that of the control group，the difference was statistically significant（P0.05），and the detection rate of combined joint effusion in the observation was significantly higher than that in the control group（P0.05）.Conclusion：In the clinical diagnosis of osteonecrosis of the femoral head，the use of MRI is more effective than CT，the diagnosis of early osteonecrosis of the femoral head is better. 　　【Key words】 Osteonecrosis of the femoral head； CT； MRI 　　First-author’s address：Donghai County People’s Hospital，Donghai 222300，China 　　股骨?^坏死是临床上常见的一种骨关节疾病，属于病理发展的一个过程，股骨头坏死最初发生在股骨头负重区，在应力作用下发生骨小梁结构损伤（纤维骨折），然后对骨组织造成损伤[1]。对股骨头坏死进行早期的有效诊断并采取有效的治疗措施，能显著提高患者的预后效果[2]。本次研究以分析并探讨股骨头坏死患者CT与磁共振的诊断的临床价值为目的展开，现报道如下。 　　1 资料与方法