磁共振成像定量分析对髋关节撞击综合征的诊断价值  

Diagnostic value of quantitative analysis of magnetic resonance imaging for hip impact syndrome

作　　者：李文峰[1] 邓秋云[1] 熊伟[1] 何斌 LI Wenfeng;DENG Qiuyun;XIONG Wei;HE Bin(Center of Imaging,Nanchang Hongdu Hospital of Traditional Chinese Medicine,Jiangxi Province,Nanchang330008,China)

机构地区：[1]江西省南昌市洪都中医院影像中心,江西南昌330008

出　　处：《中国当代医药》2024年第26期93-96,共4页China Modern Medicine

基　　金：江西省中医药管理局科技计划项目(2022B470)。

摘　　要：目的探讨磁共振成像(MRI)定量分析在髋关节撞击综合征(FAI)诊断中的应用价值。方法选取2020年1月至2022年12月江西省南昌市洪都中医院收治的70例疑似FAI患者为研究对象,根据患者最终诊断结果分为FAI组(41例)和非FAI组(29例)。比较两组MRI检查参数;绘制受试者工作特征曲线(ROC)分析MRI检查参数对FAI患者的诊断价值。结果FAI组α角(AA)、1点钟方向髋臼前倾角(AV1)、后方髋臼区域角(PASA)大于非FAI组,偏心距(FHNO)短于非FAI组,差异有统计学意义(P<0.05)。MRI影像检查参数联合指标对FAI诊断价值的敏感度为91.17%,特异度为86.25%,AUC为0.913。结论MRI影像检查对FAI的诊断具有较高价值,临床可根据实际情况采用MRI检查,以提高FAI诊断准确性。Objective To explore the application value of magnetic resonance imaging(MRI)quantitative analysis in the diagnosis of femoroacet abular impingement(FAI).Methods A total of 70 suspected FAI patients admitted to Hongdu Traditional Chinese Medicine Hospital in Nanchang from January 2020 to December 2022 were selected as the study objects.According to the final diagnosis of the patients,they were divided into FAI group(41 cases)and non FAI group(29 cases).The MRI parameters of the two groups were compared.The diagnostic value of MRI parameters in patients with FAI was analyzed by drawing the subject working characteristic curve(ROC).Results Theαangle(AA),1 o'clock acetabular anteversion angle(AV1),and posterior hip white area angle(PASA)of the FAI group were greater than those of the non FAI group,and the eccentricity(FHNO)of the FAI group was shorter than that of the non FAI group,and the differences were statistically significant(P<0.05).The sensitivity of MRI imaging parameters combined with indicators for the diagnostic value of FAI was 91.17%,specificity was 86.25%,and AUC was 0.913.Conclusion MRI imaging examination has high value in the diagnosis of FAI,and MRI examination can be used clinically according to the actual situation to improve the accuracy of FAI diagnosis.

关 键 词：磁共振成像 髋关节撞击综合征 定量分析 诊断价值 

分 类 号：R323.45[医药卫生—人体解剖和组织胚胎学]