CT在股骨头坏死手术指导及效果评估中的应用观察  

Application of CT in surgical guidance and efficacy evaluation of femoral head necrosis

作　　者：赖雪云 卢素文[1] 蒋静[1] LAI Xueyun;LU Suwen;JIANG Jing(Operating Room,Hainan Provincial People’s Hospital,Haikou 570311,China)

机构地区：[1]海南省人民医院手术室,海南海口570311

出　　处：《实用放射学杂志》2023年第11期1836-1838,共3页Journal of Practical Radiology

摘　　要：目的探讨CT在股骨头坏死手术指导以及疗效评估中应用价值。方法选择89例股骨头坏死患者资料进行回顾性分析,所有患者均接受CT检查,随后采用手术进行治疗,评价CT在患者手术指导以及疗效评价中应用效果。结果CT诊断股骨头损伤分期符合率与术中确定股骨头损伤分期比较无统计学意义(97.75%vs 100.00%;P>0.05),Spearman相关性分析显示,CT诊断与手术确定股骨头损伤分期相关性较高(r=0.823,P<0.05);CT评估优良率与手术评估优良率比较无统计学意义(P>0.05),Spearman相关性分析显示,CT评估与手术评估疗效相关性较高(r=0.718,P<0.05)。结论CT能够有效显示患者股骨头分期,可以为手术顺利进行及手术效果评估提供影像学参考。Objective To investigate the application value of CT in surgical guidance and efficacy evaluation of femoral head necrosis.Methods The data of 89 patients with femoral head necrosis who underwent surgery after CT examination were analyzed retrospectively.The application effect of CT in surgical guidance and efficacy evaluation was evaluated.Results The coincidence rate of CT in staging of femoral head injury was 97.75%.Compared with surgical results(100.00%),there was no statistically significant difference(P>0.05).Spearman correlation analysis showed that the stage of femoral head injury diagnosed by CT was highly correlated with the stage determined by surgery(r=0.823,P<0.05).The excellent and good rate evaluated by CT showed no significant difference from surgery(P>0.05).Spearman correlation analysis showed that CT evaluation result was highly correlated with surgery(r=0.718,P<0.05).Conclusion CT can effectively display the stage of femoral head,and provide imaging reference for surgery and surgical efficacy evaluation.

关 键 词：股骨头坏死 手术指导 效果评估 计算机体层成像 

分 类 号：R618.8[医药卫生—外科学] R814.42[医药卫生—临床医学]