[1]李国欢.多层螺旋CT三维重建与X线评估老年股骨颈骨折分型、股骨颈移位程度价值的研究[J].医学信息,2024,37(21):161-164.[doi:10.3969/j.issn.1006-1959.2024.21.038]
　LI Guohuan.Study on the Value of Multi-slice Spiral CT Three-dimensional Reconstruction and X-ray in Evaluating the Classification of Femoral Neck Fracture and the Degree of Femoral Neck Displacement in the Elderly[J].Journal of Medical Information,2024,37(21):161-164.[doi:10.3969/j.issn.1006-1959.2024.21.038]
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多层螺旋CT三维重建与X线评估老年股骨颈骨折分型、股骨颈移位程度价值的研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年21期
页码:
161-164
栏目:
诊疗技术
出版日期:
2024-11-01

文章信息/Info

Title:
Study on the Value of Multi-slice Spiral CT Three-dimensional Reconstruction and X-ray in Evaluating the Classification of Femoral Neck Fracture and the Degree of Femoral Neck Displacement in the Elderly
文章编号:
1006-1959（2024）21-0161-04
作者:
李国欢
余干县中医院放射科，江西 余干 335100
Author(s):
LI Guohuan
Department of Radiology,Yugan County Hospital of Traditional Chinese Medicine,Yugan 335100,Jiangxi,China
关键词:
多层螺旋CT; 三维重建; X线; 股骨颈骨折分型
Keywords:
Multi-slice spiral CT; Three-dimensional reconstruction; X-ray; Classification of femoral neck fracture
分类号:
R445
DOI:
10.3969/j.issn.1006-1959.2024.21.038
文献标志码:
A
摘要:
目的 观察多层螺旋CT三维重建与X线评估老年股骨颈骨折分型、股骨颈移位程度的价值。方法 选取2021年7月-2023年4月我院诊治的63例老年股骨颈骨折患者为研究对象，均采用X线、多层螺旋CT三维重建技术，比较不同检查方法Garden分型符合率、FNF解剖分型符合率、Garden分型诊断效能（灵敏度、特异度、准确率、阳性预测值、阴性预测值）、股骨颈骨折Garden分型诊断准确率与术后病理结果的一致性。结果 多层螺旋CT三维重建诊断老年股骨颈骨折Garden分型符合率为96.83%，高于X线诊断符合率的80.95%（P＜0.05）；多层螺旋CT三维重建诊断老年股骨颈骨折FNF解剖分型符合率为95.24%，高于X线诊断符合率的69.84%（P＜0.05）；多层螺旋CT三维重建对股骨颈骨折Garden分型诊断灵敏度、特异度、准确率、阴性预测值均高于X线诊断患者（P＜0.05），但不同检查方法间阳性预测值比较，差异无统计学意义（P＞0.05）；多层螺旋CT三维重建诊断股骨颈骨折Garden分型准确率与术后病理结果具有高度一致性，且一致性高于X线检查患者（P＜0.05）。结论 多层螺旋CT三维重建诊断老年股骨颈骨折分型、股骨颈移位程度价值高于X线，可提高诊断效能，获得与手术病理诊断基本一致的结果，利于临床治疗方法的制定，值得临床加以应用。
Abstract:
Objective To observe the value of multi-slice spiral CT three-dimensional reconstruction and X-ray in evaluating the classification of femoral neck fracture and the degree of femoral neck displacement in the elderly.Methods A total of 63 elderly patients with femoral neck fracture diagnosed and treated in our hospital from July 2021 to April 2023 were selected as the research objects. All patients were examined by X-ray and multi-slice spiral CT three-dimensional reconstruction. The coincidence rate of Garden classification, the coincidence rate of FNF anatomical classification, the diagnostic efficacy (sensitivity, specificity, accuracy, positive predictive value, negative predictive value) of Garden classification, and the diagnostic accuracy of Garden classification of femoral neck fracture were compared with the postoperative pathological results.Results The coincidence rate of Garden classification of femoral neck fracture in the elderly diagnosed by multi-slice spiral CT three-dimensional reconstruction was 96.83%, which was higher than 80.95% of X-ray diagnosis (P<0.05). The coincidence rate of multi-slice spiral CT three-dimensional reconstruction in the diagnosis of FNF anatomical classification of femoral neck fracture in the elderly was 95.24%, which was higher than 69.84% of X-ray diagnosis (P<0.05). The sensitivity, specificity, accuracy and negative predictive value of Garden classification of femoral neck fracture diagnosed by multi-slice spiral CT three-dimensional reconstruction were higher than those diagnosed by X-ray (P<0.05), but there was no significant difference in positive predictive value between different examination methods (P>0.05). The accuracy of Garden classification of femoral neck fracture diagnosed by multi-slice spiral CT three-dimensional reconstruction was highly consistent with postoperative pathological results, and the consistency was higher than that of X-ray examination (P<0.05).Conclusion The value of multi-slice spiral CT three-dimensional reconstruction in the diagnosis of femoral neck fracture classification and femoral neck displacement in the elderly is higher than that of X-ray, which can improve the diagnostic efficiency and obtain the results basically consistent with the surgical pathological diagnosis. Meanwhile, it is conducive to the formulation of clinical treatment methods and is worthy of clinical application.

参考文献/References:

[1]Guyen O.Hemiarthroplasty or total hip arthroplasty in recent femoral neck fractures?[J].Orthop Traumatol Surg Res,2019,105(1S):S95-S101.[2]郭向荣,桂芬,郭美琴,等.多层螺旋CT三维成像与X线对老年股骨颈骨折分型的评估价值[J].中国老年学杂志,2020,40(17):3692-3694.[3]张明贵,李蔚君,吴寒松,等.多层螺旋CT灌注评估股骨颈骨折后股骨头血流动力学[J].实用放射学杂志,2020,36(5):780-783.[4]李学洪,佟恒博,刘敏.CT多平面三维重建技术和MRI扫描对腰椎间盘突出症诊断准确性的对比分析[J].影像科学与光化学,2020,38(4):713-717.[5]时兆曼,强敏菲,贾小阳,等.基于CT三维重建技术的骨质疏松性髋部骨折相关预测参数测量及临床意义[J].中华骨科杂志,2021,41(15):1025-1032.[6]Nandi S.Revisiting Pauwels’ classification of femoral neck fractures[J].World J Orthop,2021,12(11):811-815.[7]黄小金,方钧,赵枫,等.股骨颈动力交叉钉系统与动力髋螺旋刀系统治疗老年无移位股骨颈骨折的短期临床疗效比较[J].中国骨与关节损伤杂志,2023,38(8):835-837.[8]彭伟清,廖煜胜,黄鸣宇,等.MSCT三维重建与X线摄影检查老年股骨颈骨折应用分析[J].医学影像学杂志,2022,32(10):1843-1846.[9]陈海聪,林颢,吴夏蕾,等.179例老年股骨颈骨折临床特点及危险因素分析[J].广东医科大学学报,2020,38(5):569-572.[10]董晚亭,罗铧,潘小文,等.CT多平面重建在股骨颈骨折临床分型评估中的应用[J].川北医学院学报,2022,37(5):610-613.[11]马文龙,范克杰,陈洪干,等.股骨颈骨折闭合复位空心钉内固定术后采用CT三维重建技术复查80例[J].中国中医骨伤科杂志,2019,27(1):72-75.[12]廖彩虹,李青薛,胡贤铧.多层螺旋CT三维重建与X线评估老年股骨颈骨折分型的价值比较[J].创伤外科杂志,2019,21(6):473-474.[13]陈朝伟,黄耀平.不同骨折分型治疗方案对股骨颈骨折患者预后的影响[J].河南医学研究,2017,26(4):621-622.[14]赵传喜,陈国健,刘文刚,等.股骨颈骨折的影像诊断中应用数字化X线摄影的价值分析[J].中国数字医学,2019,14(6):54-56.[15]钱玉,杨春,吴伟,等.DR、螺旋CT重建技术在成人四肢骨折中的应用价值对比[J].中国CT和MRI杂志,2021,19(7):152-154.[16]郭大可.螺旋CT在股骨颈骨折临床诊断中应用价值分析[J].中国伤残医学,2021,29(20):31-32. [17]赵金国,史纪元.螺旋CT联合多平面重建技术对老年股骨颈骨折患者临床诊断价值研究[J].延安大学学报（医学科学版）,2022,20(1):47-50.[18]项志英.16排螺旋CT三维成像与X线对老年股骨颈骨折分型的价值比较[J].浙江创伤外科,2018,23(3):614-616.[19]张泽林.老年人股骨颈骨折Garden分型X线与CT对比[D].沈阳:沈阳医学院,2023.

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更新日期/Last Update: 1900-01-01