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国际临床研究杂志

International Journal of Clinical Research

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International Journal of Clinical Research. 2022; 6: (8) ; 10.12208/j.ijcr.20220380 .

Clinical diagnostic value of CT and MRI in patients with femoral head necrosis
股骨头坏死患者CT与磁共振的临床诊断价值

作者： 李新立 *

大名县人民医院 河北邯郸

*通讯作者： 李新立,单位：大名县人民医院 河北邯郸；

收录截图（CNKI-Scholar）

引用本文: 李新立 股骨头坏死患者CT与磁共振的临床诊断价值[J]. 国际临床研究杂志, 2022; 6: (8) : 122-124.
Published: 2022/9/14 16:52:16

摘要

目的 研究股骨头坏死患者CT与磁共振的临床诊断价值。方法 选择2020年01月~2021年12月到本院治疗股骨头坏死患者32例，将病理诊断结果作为金标准，对全部患者实施CT诊断、磁共振诊断，分析两组诊断价值。结果 MRI组检查符合率30（93.75%）高于CT组19/32（59.38%），MRI组误诊1（3.13%）与漏诊概率1（3.13%）低于CT组，P＜0.05；将手术病理诊断结果作为金标准，MRI组各期诊断准确率均高于CT组，P＜0.05。结论 运用磁共振诊断方式，对股骨头坏死患者诊断，诊断符合率较高，可分期诊断，价值较高。

关键词： 股骨头坏死；CT；磁共振；误诊；漏诊

Abstract

Objective: To study the clinical diagnostic value of CT and MRI in patients with femoral head necrosis.
Methods: 32 patients with femoral head necrosis who were treated in our hospital from January 2020 to December 2021 were selected. Taking the pathological diagnosis results as the gold standard, CT diagnosis and magnetic resonance diagnosis were performed on all patients, and the diagnostic value of the two groups was analyzed.
Results: the coincidence rate of MRI group was 30 (93.75%) higher than that of CT group 19/32 (59.38%), and the misdiagnosis rate 1 (3.13%) and missed diagnosis rate 1 (3.13%) in MRI group were lower than that in CT group, P < 0.05; Taking the results of surgical and pathological diagnosis as the gold standard, the diagnostic accuracy of MRI group was higher than that of CT group (P < 0.05).
Conclusion  : the diagnostic accuracy of MRI in patients with femoral head necrosis is high, which can be diagnosed by stages and has high value.

Key words： Necrosis of Femoral Head; CT; Magnetic Resonance; Misdiagnosis; Missed Diagnosis

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