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  

Value of Multi-slice Spiral CT Three-dimensional Imaging and X-ray Examination in Differential Diagnosis of Femoral Neck Fracture

作　　者：张依琳 ZHANG Yi-lin(Department of Radiology,Baodi District People's Hospital,Tianjin 301899,China)

机构地区：[1]天津市宝坻区人民医院放射科,天津301899

出　　处：《医学信息》2023年第19期102-105,共4页Journal of Medical Information

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。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 effi

关 键 词：多层螺旋CT 三维成像 X线 股骨颈骨折 

分 类 号：R816.8[医药卫生—放射医学]