数字化X射线摄影与SPECT核素骨显像联合诊断股骨粗隆间骨折的价值  

Value of digital X-ray radiography and SPECT radionuclide bone imaging in diagnosing intertrochanteric fracture of femur

作　　者：郝学伟 武富明 苏敬阳 于海泉 Hao Xuewei;Wu Fuming;Su Jingyang;Yu Haiquan(Second Section of Orthopedics Department,Shijiazhuang People's Hospital,Shijiazhuang 050000,China;Third Section of Orthopedics Department,Shijiazhuang People's Hospital,Hebei Shijiazhuang 050000,China)

机构地区：[1]石家庄市人民医院骨二科,石家庄050000 [2]石家庄市人民医院骨三科,石家庄050000

出　　处：《中国医学装备》2024年第1期51-54,共4页China Medical Equipment

基　　金：河北省卫生健康委2020年度应用医学研究项目(20201419)。

摘　　要：目的:探讨数字化X射线摄影与单光子发射计算机体层扫描(SPECT)核素骨显像对股骨粗隆间骨折的应用价值。方法:选择2017年1月至2020年12月在石家庄市人民医院就诊并诊断为股骨粗隆间骨折的70例患者,按照随机数表法将其分为观察组和对照组,每组35例,观察组采用数字化X射线摄影联合SPECT核素骨显像进行诊断,对照组采用数字化X射线摄影进行诊断,对比两组诊断结果的准确性。结果:经影像学检测,观察组35例患者中确诊31例(占88.6%),对照组35例患者中确诊24例(占68.6%),观察组诊断准确率高于对照组,差异有统计学意义(x^(2)=4.158,P<0.05)。术前经影像诊断,观察组诊断的骨折块数为(3.57±0.50)块,对照组诊断的骨折块数为(2.67±0.40)块,观察组骨折诊断块数高于对照组,差异有统计学意义(t=8.315,P<0.05);观察组中骨质连续性5例,非连续性30例,对照组中骨质稳定性13例,非稳定性22例,观察组更接近术中骨质连续性和稳定性,两组连续性和稳定性比较差异有统计学意义(x^(2)=12.857、4.644,P<0.05)。结论:数字化X射线摄影联合SPECT核素骨显像对股骨粗隆间骨折具有较高的诊断价值,可为临床诊断提供重要的参考依据。Objective:To investigate the application value of digital X-ray radiotherapy and single photon emission computed tomography(SPECT)radionuclide bone imaging in the diagnosis of intertrochanteric fracture of femur.Methods:A total of 70 patients who were diagnosed as intertrochanteric fracture of femur in Shijiazhuang People’s hospital from January 2017 to December 2020 were selected,and they were divided into study group and control group according to random number method,with 35 cases in each group.Digital X-ray radiography combined with SPECT radionuclide bone imaging was used in the study group,and digital X-ray radiography was used in the control group.And then,the accuracy of the diagnostic results between the two groups were compared.Results:The radiographic examination indicated that 31 cases(88.6%)of 35 cases in the study group were confirmed,and 24 cases(68.6%)of 35 cases in the control group were confirmed.The diagnostic accuracy rate of the study group was significantly higher than that of the control group,and the difference was statistically significant(x^(2)=4.158,P<0.05).The preoperative imaging diagnosis indicated that diagnosed number of fracture blocks in the study group was(3.57±0.50),which was significantly higher than that(2.67±0.40)in the control group,and the difference of that between two groups was statistically significant(t=8.315,P<0.05).In the actual intraoperative examining for bone continuity,5 cases were continuity and 30 cases were non-continuity.In the bone stability,13 cases were stability and 22 cases were non-stability.The study group was closer to intraoperative bone continuity and bone stability,and the differences of them between two groups were statistically significant(x^(2)=12.857,4.644,P<0.05),respectively.Conclusion:The combination of digital X-ray radiography and SPECT radionuclide bone imaging has higher diagnostic value for intertrochanteric fracture of femur,which can provide important reference for clinical diagnosis.

关 键 词：股骨粗隆间骨折 数字化X射线摄影 SPECT核素骨显像 诊断价值 

分 类 号：R817.4[医药卫生—影像医学与核医学]