检索规则说明:AND代表“并且”;OR代表“或者”;NOT代表“不包含”;(注意必须大写,运算符两边需空一格)
检 索 范 例 :范例一: (K=图书馆学 OR K=情报学) AND A=范并思 范例二:J=计算机应用与软件 AND (U=C++ OR U=Basic) NOT M=Visual
作 者:徐大鹏[1] 张爱国[1] 沈濬[1] 王武愉[1]
出 处:《临床与病理杂志》2017年第10期2098-2101,共4页Journal of Clinical and Pathological Research
基 金:无锡市科技局重大项目(CSE31N1501)~~
摘 要:目的:比较股骨头发育延迟的髋关节发育不良(developmental dysplasia of the hip,DDH)儿童Tonnis分型和国际髋关节发育不良学会(International Hip Dysplasia Institute,IHDI)分型的一致性,并判断IHDI分型的可靠性。方法:选择2010年1月至2017年1月无锡市儿童医院入选的80例年龄在6~15个月的DDH患者(88髋)的X线片,分别由3名医生对X线片进行Tonnis分型和IHDI分型,使用Kappa法分析不同医生相同分类系统的差异性,判断IHDI分型的可靠性。结果:Tonnis分型和IHDI分型的平均kappa值分别为0.8475和0.9501。加权kappa值也表现出良好的一致性,但IHDI显示更好的一致性(0.9510 vs 0.8554),在无股骨头骨化核一组,IHDI显示出更好的一致性(0.9518 vs 0.8192)。结论:IHDI分型法一致性较Tonnis分型高,对股骨头骨化核发育延迟患儿有较好的实用性。Objective: To analyze the consistence of Tonnis classification and International Hip Dysplasia Institute (IHDI) classification in Developmental dysplasia of the hip (DDH) children with delayed development of femoral, and determine the reliability of IHDI classification. Methods: From January 2010 to January 2017 in Wuxi Children's Hospital Wuxi, a total of 80 cases of 6 months old to 15 months old DDH patients (88 hips) of the X-ray film, respectively, There X-ray films were evaluated by Tonnis classification and IHDI classification by 3 doctors. In order to determine the reliability of IHDI typing classification system, the Kappa method was used to analyze the differences in the same classification system of different doctors. Results: The mean kappa values of Tonnis classification system and IHDI classification system were 0.8475 and 0.9501, respectively. Weighted kappa values also showed good agreement, but IHDI showed better consistency (0.9510 vs 0.8554); in a group without femoral head ossification, IHDI showed better agreement (0.9518 vs 0.8192). Conclusion: The IHDI classification system is more consistent than the Tonnis classification, and has a better practicability for the children with delayed ossification of the femoral head.
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在链接到云南高校图书馆文献保障联盟下载...
云南高校图书馆联盟文献共享服务平台 版权所有©
您的IP:216.73.216.4