[1]张依琳.多层螺旋CT三维成像与X线检查在股骨颈骨折分型鉴别诊断中的应用价值[J].医学信息,2023,36(19):102-105.[doi:10.3969/j.issn.1006-1959.2023.19.021]
　ZHANG Yi-lin.Value of Multi-slice Spiral CT Three-dimensional Imaging and X-ray Examination in Differential Diagnosis of Femoral Neck Fracture[J].Journal of Medical Information,2023,36(19):102-105.[doi:10.3969/j.issn.1006-1959.2023.19.021]
点击复制

多层螺旋CT三维成像与X线检查在股骨颈骨折分型鉴别诊断中的应用价值()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年19期
页码:
102-105
栏目:
论著
出版日期:
2023-10-01

文章信息/Info

Title:
Value of Multi-slice Spiral CT Three-dimensional Imaging and X-ray Examination in Differential Diagnosis of Femoral Neck Fracture
文章编号:
1006-1959（2023）19-0102-04
作者:
张依琳
（天津市宝坻区人民医院放射科，天津 301899）
Author(s):
ZHANG Yi-lin
(Department of Radiology,Baodi District People’s Hospital,Tianjin 301899,China)
关键词:
多层螺旋CT; 三维成像; X线; 股骨颈骨折
Keywords:
Multi-slice spiral CT; Three-dimensional imaging; X-ray; Femoral neck fracture
分类号:
R816.8
DOI:
10.3969/j.issn.1006-1959.2023.19.021
文献标志码:
A
摘要:
目的 观察多层螺旋CT三维成像与X线检查在股骨颈骨折分型鉴别诊断中的应用价值。方法 选取2020年10月-2022年12月在我院诊治的232例股骨颈骨折患者为研究对象，均行多层螺旋CT三维成像与X线检查，比较不同检查方法的诊断准确率、解剖分型诊断准确率、Garden分型诊断准确率、股骨颈骨折分型诊断效能（敏感度、特异度）、对股骨颈骨折诊断准确率与术后病理结果的一致性。结果 多层螺旋CT三维成像的诊断准确率为98.28%，高于X线检查的86.64%（P＜0.05）；多层螺旋CT三维成像解剖分型诊断准确率为93.97%，高于X线检查的82.75%（P＜0.05）；多层螺旋CT三维成像Garden分型诊断准确率为97.41%，高于X线检查 82.75%（P＜0.05）；多层螺旋CT三维成像对股骨颈骨折诊断分型的敏感度、特异度均高于X线检查（P＜0.05）；多层螺旋CT三维成像对股骨颈骨折解剖分型和Garden分型的诊断结果与术后病理结果具有高度一致性（Kappa=0.904、0.962，P=0.000、0.000），且一致性高于X线检查。结论 多层螺旋CT三维成像与X线检查在股骨颈骨折分型鉴别诊断中均具有一定的价值，但是相对而言多层螺旋CT三维成像诊断效能高，且可提高解剖分型和Garden分型诊断准确率，可为手术治疗提供更可靠的参考依据。
Abstract:
Objective To observe the application value of multi-slice spiral CT three-dimensional imaging and X-ray examination in the differential diagnosis of femoral neck fracture classification.Methods A total of 232 patients with femoral neck fracture diagnosed and treated in our hospital from October 2020 to December 2022 were selected as the research objects. All patients underwent multi-slice spiral CT three-dimensional imaging and X-ray examination. The diagnostic accuracy of different examination methods, the diagnostic accuracy of anatomical classification, the diagnostic accuracy of Garden classification, the diagnostic efficiency of femoral neck fracture classification (sensitivity, specificity), the diagnostic accuracy of femoral neck fracture and the consistency of postoperative pathological results were compared.Results The diagnostic accuracy of multi-slice spiral CT three-dimensional imaging was 98.28%, which was higher than 86.64% of X-ray examination (P<0.05). The diagnostic accuracy of anatomical classification of multi-slice spiral CT three-dimensional imaging was 93.97%, which was higher than 82.75% of X-ray examination (P<0.05). The diagnostic accuracy of Garden classification of multi-slice spiral CT three-dimensional imaging was 97.41%, which was higher than 82.75% of X-ray examination (P<0.05). The sensitivity and specificity of multi-slice spiral CT three-dimensional imaging in the diagnosis of femoral neck fracture were higher than those of X-ray examination (P<0.05). The diagnostic results of multi-slice spiral CT three-dimensional imaging for anatomical classification and Garden classification of femoral neck fractures were highly consistent with postoperative pathological results (Kappa=0.904, 0.962, P=0.000, 0.000), and the consistency was higher than that of X-ray examination.Conclusion Multi-slice spiral CT three-dimensional imaging and X-ray examination have certain value in the differential diagnosis of femoral neck fracture classification, but multi-slice spiral CT three-dimensional imaging has high diagnostic efficiency, and it can improve the diagnostic accuracy of anatomical classification and Garden classification, which can provide more reliable reference for surgical treatment.

参考文献/References:

[1]朱献韶,陈富强,余立新.老年人股骨颈隐匿性骨折的多层螺旋CT和磁共振成像诊断分析[J].实用医学影像杂志,2017,18(3):227-229.[2]Vitalkar S,Manglunia AS,Kulkarni A,et al.Compression type stress fracture of femoral neck with equivocal X-ray features diagnosed on (99m)Tc-MDP SPECT/CT in a case of trivial hip pain[J].Indian J Nucl Med,2016,31(3):225-228.[3]钭伟峰,徐雷鸣.螺旋CT三维重建技术在股骨颈骨折中的应用[J].浙江创伤外科,2014(3):492-492,493.[4]张英剑,吕廷灼,王文志,等.螺旋CT三维重建对老年股骨颈骨折分型的价值[J].中国中西医结合外科杂志,2015,21(1):16-18.[5]乐建保.4例股骨干骨折合并同侧股骨颈骨折X线漏诊原因分析[J].湖北科技学院学报(医学版),2017,29(4):331-332.[6]宋海乔,强军.MSCT三维重建对股骨颈骨折的诊断价值研究[J].黑龙江医药科学,2021,44(1):168-169.[7]王晓韩,滕陈迪,陈淑超.CT三维重建对老年髋关节骨折的诊断价值研究[J].浙江创伤外科,2020,25(4):800-801.[8]蓝文新,李清华.X线和MSCT三维重建技术对于股骨颈骨折分型的价值比较[J].中外医学研究,2020,18(4):64-66.[9]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.[10]杜长岭,石辉,王建明,等.股骨颈骨折空间移位的三维重建研究及改良Garden分型的提出[J].滨州医学院学报,2018,41(3):161-164.[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三维图像与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,2019,35(6):473-474.[13]沈红雷,冯德宏,许宏俊,等.CT三维重建技术判断骨盆骨折Tile分型与二维CT及X线的对比研究[J].河北医学,2019,36(6):982-986.[14]姜宏宁,沈文婷.MSCT对老年桡骨远端骨折诊断分型的应用价值[J].中国临床医学影像杂志,2019,41(2):3-4.[15]张明贵,严宜飞,朱美茹,等.股骨颈骨折不同分型的股骨头血流动力学MSCT灌注评价[J].浙江临床医学,2020,22(5):730-731,734.[16]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.[17]刘以俊,芦浩,张殿英.不同OTA/AO分型股骨颈骨折内固定术后并发症特点及原因分析[J].中华创伤杂志,2021,37(4):333-338.[18]廖彩虹,李青薛,胡贤铧.多层螺旋CT三维图像与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.[19]强雅婷.不同骨折分型治疗方案对股骨颈骨折患者预后的影响分析[J].西北国防医学杂志,2017,38(4):251-253.[20]李飞,马剑雄,王兴博,等.股骨颈骨折闭合复位最佳X线投照方式的实验研究[J].中华骨科杂志,2017,37(12):735-745.[21]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.[22]张英剑,周治国,吕廷灼,等.三维CT在合并同侧股骨干骨折的股骨颈骨折诊断中的应用[J].实用放射学杂志,2018,34(2):309-310.

相似文献/References:

[1]那明娜.多层螺旋CT图像后处理技术在肺部结节鉴别诊断中的应用研究[J].医学信息,2022,35(11):169.[doi:10.3969/j.issn.1006-1959.2022.11.045]
　NA Ming-na.The Application of Multi-slice Spiral CT Image Post-processing Technology in the Differential Diagnosis of Pulmonary Nodules[J].Journal of Medical Information,2022,35(19):169.[doi:10.3969/j.issn.1006-1959.2022.11.045]
[2]袁 康,谭 伟.多层螺旋CT用于小细胞肺癌与肺鳞癌的鉴别诊断价值分析[J].医学信息,2018,31(16):148.[doi:10.3969/j.issn.1006-1959.2018.16.047]
　YUAN Kang,TAN Wei.Value of Multi-slice Spiral CT in Differential Diagnosis of Small Cell Lung Cancer and Lung Squamous Cell Carcinoma[J].Journal of Medical Information,2018,31(19):148.[doi:10.3969/j.issn.1006-1959.2018.16.047]
[3]柳登平,周国斌.高频超声联合多层螺旋CT在甲状腺癌诊断中的价值分析[J].医学信息,2022,35(14):141.[doi:10.3969/j.issn.1006-1959.2022.14.036]
　LIU Deng-ping,ZHOU Guo-bin.Value of High Frequency Ultrasound Combined with Multislice Spiral CT in Diagnosis of Thyroid Carcinoma[J].Journal of Medical Information,2022,35(19):141.[doi:10.3969/j.issn.1006-1959.2022.14.036]
[4]徐双武,王海燕.多层螺旋CT增强扫描鉴别肺癌的价值[J].医学信息,2019,32(22):168.[doi:10.3969/j.issn.1006-1959.2019.22.059]
　XU Shuang-wu,WANG Hai-yan.Multi-slice Spiral CT Enhanced Scan for the Value of Lung Cancer[J].Journal of Medical Information,2019,32(19):168.[doi:10.3969/j.issn.1006-1959.2019.22.059]
[5]王 迪.多层螺旋CT低剂量扫描鉴别诊断肺部小结节的价值[J].医学信息,2019,32(23):171.[doi:10.3969/j.issn.1006-1959.2019.23.055]
　WANG Di.The Value of Multi-Slice Spiral CT Low-Dose Scan in Differential Diagnosis of Pulmonary Nodules[J].Journal of Medical Information,2019,32(19):171.[doi:10.3969/j.issn.1006-1959.2019.23.055]
[6]杨 涝,高军军.多层螺旋CT在胆道恶性肿瘤诊断中的应用价值[J].医学信息,2022,35(19):145.[doi:10.3969/j.issn.1006-1959.2022.19.042]
　YANG Lao,GAO Jun-jun.Application Value of Multi-slice Spiral CT in Diagnosis of Biliary Tract Malignant Tumor[J].Journal of Medical Information,2022,35(19):145.[doi:10.3969/j.issn.1006-1959.2022.19.042]
[7]周强强.多层螺旋CT冠脉钙化积分对冠心病诊断及风险预测的意义[J].医学信息,2020,33(14):167.[doi:10.3969/j.issn.1006-1959.2020.14.055]
　ZHOU Qiang-qiang.Significance of Multi-slice Spiral CT Coronary Calcification Score in Diagnosis and Risk Prediction of Coronary Heart Disease[J].Journal of Medical Information,2020,33(19):167.[doi:10.3969/j.issn.1006-1959.2020.14.055]
[8]章友太.多层螺旋CT联合CPR在早期急性阑尾炎诊断中的应用价值[J].医学信息,2022,35(20):148.[doi:10.3969/j.issn.1006-1959.2022.20.041]
　ZHANG You-tai.Application Value of Multi-slice Spiral CT Combined with CPR in the Diagnosis of Early Acute Appendicitis[J].Journal of Medical Information,2022,35(19):148.[doi:10.3969/j.issn.1006-1959.2022.20.041]
[9]王淑颖,王运兰,陈耀康,等.肾实质型肾盂癌多层螺旋CT增强扫描的影像表现[J].医学信息,2020,33(24):97.[doi:10.3969/j.issn.1006-1959.2020.24.026]
　WANG Shu-ying,WANG Yun-lan,CHEN Yao-kang,et al.The Imaging Manifestations of Enhanced Multi-slice Spiral CT in Renal Parenchymal Renal Pelvis Carcinoma[J].Journal of Medical Information,2020,33(19):97.[doi:10.3969/j.issn.1006-1959.2020.24.026]
[10]曾会龙,谢 懿,肖凯敏,等.多层螺旋CT联合动态对比增强磁共振成像在脊柱结核患者诊断中的价值[J].医学信息,2023,36(13):115.[doi:10.3969/j.issn.1006-1959.2023.13.023]
　ZENG Hui-long,XIE Yi,XIAO Kai-min,et al.Value of Multi-slice Spiral CT Combined with Dynamic Contrast-enhanced Magnetic Resonance Imaging in the Diagnosis of Spinal Tuberculosis Patients[J].Journal of Medical Information,2023,36(19):115.[doi:10.3969/j.issn.1006-1959.2023.13.023]

更新日期/Last Update: 1900-01-01