骨关节疾病检查应用薄层CT价值分析  

Value Analysis of Thin-Slice CT in Osteoarticular Diseases

作　　者：王伟[1] 王占鳌 关健[1] WANG Wei;WANG Zhan-ao;Guan Jian(Department of Radiology,the Third People's Hospital of Dalian,Dalian 116091,Liaoning Province,China)

机构地区：[1]大连市第三人民医院放射科,辽宁大连116091

出　　处：《中国CT和MRI杂志》2022年第2期166-168,共3页Chinese Journal of CT and MRI

摘　　要：目的探究骨关节疾病应用薄层CT诊断应用价值。方法对我院2017年7月至2019年7月收治203例骨关节疾病患者相关资料予以回顾性分析,所有患者均接受薄层CT以及关节镜检查。分析骨关节疾病CT表现,薄层CT与关节镜诊断骨关节疾病以及薄层CT诊断骨关节疾病诊断价值。结果薄层CT可以清楚显示骨关节肿瘤、肿瘤样、强直以及内分泌性等病变。薄层CT检出骨关节肿瘤病变、肿瘤样病变、强直病变、内分泌性病变、退行性病变分别为62例(30.54%)、32例(15.76%)、19例(9.36%)、40例(19.70%)、50例(24.63%);关节镜检出骨关节肿瘤病变、肿瘤样病变、强直病变、内分泌性病变、退行性病变分别为63例(31.03%)、32例(15.76%)、18例(8.87%)、40例(19.70%)、50例(24.63%),诊断符合率为95.57%(194/203)。以关节镜为“金标准”,薄层CT诊断骨关节肿瘤病变、肿瘤样病变、强直病变、内分泌性病变、退行性病变的灵敏度、特异度以及准确度均高于90%,薄层CT诊断上述各种病变与关节镜诊断Kappa值分别为0.919、0.926、1.00、0.938、0.973。结论薄层CT可以有效检出各种骨关节病变,与关节镜诊断比较,薄层CT诊断价值与检出一致性均较好,临床应用价值高。Objective To explore application value of thin-slice CT in osteoarticular diseases(OAD).Methods A retrospective analysis was performed on related data of 203 osteoarthritis Disease patients who were admitted to the hospital from July 2017 to July 2019.All patients underwent thin-slice CT and arthroscopy.CT findings of OAD,diagnostic value of thin-slice CT combined with arthroscope and thinslice CT in diagnosis of OAD were analyzed.Results Thin-slice CT could clearly show bone joint tumors,tumor-like,tetanus and endocrine lesions.It was detected by thin-slice CT that there were 62 cases(30.54%),32 cases(15.76%),19 cases(9.36%),40 cases(19.70%)and 50 cases(24.63%)with bone joint tumor lesions,tumor-like lesions,tetanus lesions,endocrine lesions and degenerative lesions,respectively.It was detected by arthroscope that there were 63 cases(31.03%),32 cases(15.76%),18 cases(8.87%),40 cases(19.70%)and 50(24.63%)with bone joint tumor lesions,tumor-like lesions,tetanus lesions,endocrine lesions and degenerative lesions,respectively.The diagnostic coincidence rate was 95.57%(194/203).Taking arthroscope as"golden standard",sensitivity,specificity and accuracy of thin-layer CT for diagnosis of bone joint tumor lesions,tumor-like lesions,tetanus lesions,endocrine lesions and degenerative lesions were all higher than 90%.Kappa value between thin-layer CT and arthroscope for diagnosis of the above various lesions were 0.919,0.926,1.00,0.938 and 0.973,respectively.Conclusion Thin-slice CT can effectively detect various bone joint lesions.Compared with arthroscope diagnosis,its diagnostic value and detection consistency are good,and clinical application value is high.

关 键 词：薄层CT 骨关节疾病 应用价值 

分 类 号：R445.4[医药卫生—影像医学与核医学] R684[医药卫生—诊断学]