评价X线、CT及MRI对髋关节置换术后并发症的诊断意义  

Evaluation of Diagnostic Significance of X-ray,CT and MRI in Postoperative Complications of Hip Replacement

作　　者：宋伟兴[1] 张伯生[1] 赵凯丽 SONG Wei-xing;ZHANG Bo-sheng;ZHAO Kai-li(Radiation Department,Tianjin Port Hospital,Tianjin 300456,China)

机构地区：[1]天津港口医院放射科,天津300456

出　　处：《透析与人工器官》2020年第1期69-71,共3页Chinese Journal of Dialysis and Artificial Organs

摘　　要：目的分析髋关节置换术后并发症应用X线、CT及MRI诊断的意义。方法选择本院2019年2月至2020年1月间收治的行髋关节置换术后发生并发症的患者72例作为分析对象,分别接受X线、CT、MRI检查,比较观察X线、CT、MRI分别检查72例患者的并发症诊断效果。结果 72例患者无菌性松动发生率最高为45.83%。MRI诊断术后感染的诊断率明显高于X线、CT诊断术后感染的诊断率,数据差异存在统计学分析意义(P<0.05)。X线与CT检查术后感染诊断率差异无统计学意义(P>0.05),X线、CT、MRI检查在无菌性松动、骨溶解方面诊断率差异无统计学意义(P>0.05)。结论髋关节置换术后并发症选用X线、CT及MRI诊断均具有一定诊断价值,但在诊断术后感染方面MRI检查诊断准确率更高。Objective To analyze the significance of X-ray,CT and MRI diagnosis of complications after hip replacement.Methods Seventy-two patients with complications after hip replacement who were treated in our hospital from February 2019 to January 2020 were selected as the analysis objects. They were examined by X-ray,CT and MRI,respectively. MRI and MRI were used to examine the diagnosis of complications in 72 patients. Results The highest incidence of aseptic loosening in 72 patients was 45.83%. The diagnosis rate of infection after MRI diagnosis was significantly higher than the diagnosis rate of infection by X-ray and CT diagnosis. The difference in data was statistically significant( P<0.05). There was no significant difference in the diagnosis rate of infection after X-ray and CT examination( P>0.05),and there was no significant difference in the diagnosis rate of X-ray,CT,MRI in aseptic loosening and osteolysis( P>0.05).Conclusion X-ray,CT and MRI diagnosis of hip joint replacement complications have certain diagnostic value,but the accuracy of MRI diagnosis is higher in the diagnosis of postoperative infection.

关 键 词：髋关节置换术 并发症 CT X线 MRI 影像学诊断 

分 类 号：R445[医药卫生—影像医学与核医学] R687.4[医药卫生—诊断学]