中国医学创新2024，Vol.21Issue(16)：161-165,5.DOI:10.3969/j.issn.1674-4985.2024.16.036
MRI单髋关节扫描诊断股骨头坏死的价值及在疾病分期中的优势
The Value of MRI Single Hip Joint Scanning in Diagnosing Femoral Head Necrosis and Its Advantages in Disease Staging
摘要
Abstract
Objective:To explore the value of magnetic resonance imaging(MRI)single hip joint scanning in diagnosing femoral head necrosis and its advantage in disease staging.Method:A total of 174 patients with suspected femoral head necrosis were included in Pingxiang People's Hospital from January 2019 to June 2023,all patients were diagnosed with MRI,and single hip joint scanning and conventional scanning were used,respectively.Image quality scores and examination costs of the two groups were recorded,and diagnostic sensitivity,specificity and accuracy were compared,the two methods were compared to detect different stages and MRI signs.Result:The image quality score of single hip joint scanning was higher than that of conventional scanning,the difference was statistically significant(P<0.05).The pathological diagnosis results showed 126 positive cases and 48 negative cases.123 positive and 51 negative cases on single hip joint scanning;and 108 positive and 66 negative cases on conventional hip joint scanning.The sensitivity and accuracy of MRI single hip joint scanning were 95.24%and 94.83%,respectively,and there were statistically significant differences compared with conventional diagnosis(P<0.05).The difference in diagnostic accuracy between the two scanning methods for phase Ⅰ was statistically significant(P<0.05).The coincidence rate of single hip joint scanning in detecting the signs of the hip joint's glenoid lip and articular cartilage damage were higher than those of conventional scanning,the differences were statistically significant(P<0.05).Conclusion:MRI single hip scanning has high sensitivity and accuracy in the diagnosis of femoral head necrosis,and can more accurately stage,detect the glenoid lip and articular cartilage signs of hip joint,which has high clinical value.关键词
磁共振成像/单髋关节扫描/股骨头坏死/分期/髋关节盂唇/敏感度Key words
Magnetic resonance imaging/Single hip joint scanning/Femoral head necrosis/Staging/Glenoid lip of hip joint/Sensitivity引用本文复制引用
廖晓慧,郭欣..MRI单髋关节扫描诊断股骨头坏死的价值及在疾病分期中的优势[J].中国医学创新,2024,21(16):161-165,5.基金项目
萍乡市科技局科研计划项目(2022PY021) （2022PY021）
