摘要
目的 分析肌骨超声与X线二者联合用于儿童腓骨远端骨骺损伤的临床诊断价值.方法 收集2021年10月至2023年12月在我院就诊的58例疑似腓骨远端骨骺损伤患儿的临床资料,并开展回顾性分析研究.全部患儿入院后均接受肌骨超声、X线及磁共振成像(MRI)检查.以MRI结果为金标准,分析肌骨超声、X线及二者联合用于儿童腓骨远端骨骺损伤的诊断价值,记录其诊断腓骨远端骨骺损伤的灵敏度、特异度、准确度、阳性预测值及阴性预测值.结果 所有患儿入院后均成功完成肌骨超声、X线及MRI检查.58例疑似腓骨远端骨骺损伤患儿中金标准诊断阳性37例,阴性21例.肌骨超声诊断阳性和阴性分别为33例和25例;X线诊断阳性和阴性各29例;肌骨超声联合X线诊断阳性和阴性分别为36例和22例.肌骨超声、X线诊断儿童腓骨远端骨骺损伤与金标准的一致性检验的Kappa值分别为0.785、0.655(P＜0.05);肌骨超声联合X线诊断儿童腓骨远端骨骺损伤与金标准的一致性检验的Kappa值为0.963(P＜0.05),联合诊断儿童腓骨远端骨骺损伤灵敏度、特异度及准确度分别为97.3％、100.0％及98.3％,阳性预测值和阴性预测值分别为100％和95.4％.结论 肌骨超声与X线二者联合对儿童腓骨远端骨骺损伤诊断的准确性高,有助于儿童腓骨远端骨骺损伤的早期筛查,值得在临床推广应用.
Abstract
Objective To analyze the clinical diagnostic value of the combination of muscle bone ultrasound and X-ray for distal fibular epiphyseal injury in children.Methods The clinical data of 58 children with suspected distal fibular epiphyseal injury who visited our hospital from October 2021 to December 2023 were collected,and a retrospective analysis study was conducted.All patients underwent musculoskeletal ultrasound,X-ray,and magnetic resonance imaging(MRI)examinations upon admission.The MRI results were as the gold standard,the diagnostic value of musculoskeletal ultrasound,X-ray,and their combined use for distal fibular epiphyseal injury in children were analyzed,the sensitivity,specificity,accuracy,positive predictive value,and negative predictive value of diagnosing distal fibular epiphyseal injury were recorded.Results All pediatric patients successfully completed musculoskeletal ultrasound,X-ray,and MRI examinations upon admission.There were 37 cases who were diagnosed as positive and 21 cases were diagnosed as negative,which accorded to the gold standard among the 58 children suspected of distal fibular epiphyseal injury.The positive and negative diagnoses of musculoskeletal ultrasound were 33 and 25 cases,respectively.There were 29 cases who were diagnosed as positive and 29 cases were diagnosed as negative by X-ray.The positive and negative diagnoses of muscle bone ultrasound combined with X-ray were 36 and 22 cases respectively.The Kappa values of the consistency test between muscle bone ultrasound and X-ray diagnosis of distal fibular epiphyseal injury in children and the gold standard were 0.785 and 0.655 respectively(P＜0.05).Thie Kappa value of the consistency test between muscle bone ultrasound combined with X-ray diagnosis of distal fibular epiphyseal injury in children and the gold standard was 0.963(P＜0.05),the sensitivity,specificity and accuracy of joint diagnosis of distal fibular epiphyseal injury in children were 97.3％,100％,and 98.3％respectively.The positive and negative predictive values were 100％and 95.4％,respectively.Conclusion The combination of muscle bone ultrasound and X-ray has high accuracy in the diagnosis of distal fibular epiphyseal injury in children,which is helpful for early screening of distal fibular epiphyseal injury in children and it's worth clinical promotion and application.
基金项目
东莞市社会发展科技面上项目(20211800900182)
维普
万方数据