QFS/FO/CCD值与股骨头坏死患者ARCO分期关系及诊断效能  

Relationship between QFS/FO/CCD value and ARCO stage in patients with femoral head necrosis and its diagnostic efficiency

作　　者：张洋 杨莹 唐文 ZHANG Yang;YANG Ying;TANG Wen(Department of Radiology,Wuxi Municipal Ninth People’s Hospital,Wuxi,Jiangsu 214000,China)

机构地区：[1]江苏省无锡市第九人民医院放射科,214000

出　　处：《重庆医学》2022年第16期2808-2811,2816,共5页Chongqing medicine

基　　金：江苏省无锡市科研计划项目(T202028)。

摘　　要：目的分析磁共振成像(MRI)测定股方肌间隙(QFS)、股骨偏心距(FO)、股骨颈干角(CCD)值与股骨头坏死患者ARCO分期的关系及对股骨头坏死塌陷的诊断效能。方法选取2020年1月至2021年12月该院收治的100例单侧股骨头缺血坏死患者作为观察组,选取同期100例健康体检者作为对照组;均行MRI扫描检查,评估QFS、FO、CCD值;利用spearman相关性检验分析QFS、FO、CCD值与ARCO分期的关系,以患者是否出现股骨头坏死塌陷作为“金标准”,绘制受试者工作特征曲线分析QFS、FO、CCD值对股骨头坏死塌陷的预测价值。结果观察组患者QFS、FO均明显低于对照组,CCD明显高于对照组,随ARCO分期升高,QFS、FO明显降低,CCD明显升高,差异均有统计学意义(P<0.05);股骨头坏死塌陷组患者QFS、FO水平均明显低于股骨头坏死未塌陷组,CCD水平明显高于股骨头坏死未塌陷组,差异均有统计学意义(P<0.05);男、女性患者QFS、FO与ARCO分期均呈明显正相关,CCD与ARCO分期呈明显负相关,差异均有统计学意义(P<0.05);QFS、FO、CCD预测患者股骨头坏死塌陷的灵敏度和特异度均大于90%,且曲线下面积均高于0.9。结论MRI测定QFS、FO、CCD值与股骨头坏死患者ARCO分期呈明显相关,且各指标对股骨头坏死塌陷的诊断效能均较高。Objective To analyze the relationship between the values of QFS,FO and CCD measured by MRI and the ARCO stage in the patients with femoral head necrosis and its diagnostic efficiency for the collapse of femoral head necrosis.Methods One hundred patients with ischemic necrosis of unilateral femoral head treated in this hospital from January 2020 to December 2021 were selected as the observation group and 100 healthy persons undergoing the physical examination served as the control group;the MRI scanning examination was performed on the patients to evaluate the QFS,FO and CCD values;the Spearman correlation test was used to analyze the relationship between the QFS,FO and CCD values with the ARCO stage.Taking the patient appearing femoral head necrosis and collapse as the gold standard,the receiver operating characteristic(ROC)curve was drawn to analyze the predictive value of QFS,FO and CCD values on femoral head necrosis and collapse.Results The levels of QFS and FO in the observation group were significantly lower than those in the control group,and the level of CCD was significantly higher than that in the control group(P<0.05);in the observation group,with the increase of ARCO stage,the levels of QFS and FO were decreased significantly,and the CCD level was increased significantly(P<0.05);the levels of QFS and FO in the femoral head necrosis and collapse group were significantly lower than those in the femoral head necrosis non collapse group,and the CCD level was significantly higher than that in the femoral head necrosis non collapse group,and the differences were statistically significant(P<0.05);in male and female patients,QFS and FO were significantly positively correlated with the ARCO stage,and CCD had significantly negative correlation with the ARCO stage,and the differences were statistically significant(P<0.05);the sensitivity and specificity of QFS,FO and CCD in predicting femoral head necrosis and collapse were greater than 90%,moreover the area under the curve(AUC)was higher than 0.9.Conclusion The

关 键 词：股方肌间隙 股骨偏心距 股骨颈干角 股骨头坏死 ARCO分期 股骨头坏死塌陷 

分 类 号：R684.1[医药卫生—骨科学]