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CT、MRI诊断股骨头坏死的临床效果及准确性分析

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目的 分析CT、MRI诊断股骨头坏死的临床效果及准确性。方法 回顾性分析2023年1—12月在济南市第七人民医院进行治疗的50例股骨头坏死患者的临床资料。所有患者先进行CT检查,再进行MRI检查。对比CT检查、MRI检查2种方法的诊断准确率、误诊漏诊率、图像质量、有效放射剂量。结果 MRI检查的诊断准确率(98。00%)高于CT检查(82。00%),误诊漏诊率(2。00%)低于CT检查(18。00%),差异有统计学意义(P<0。05)。MRI检查的图像质量总优良率(96。00%)高于CT检查(80。00%),差异有统计学意义(P<0。05)。MRI检查的有效放射剂量为0 mSv,低于CT检查的(6。18±0。36)mSv,差异有统计学意义(P<0。05)。结论 MRI检查在股骨头坏死的诊断上具有比CT检查更高的图像质量、诊断准确性,同时其安全性也较高,因此临床应用价值更高。
Clinical Efficacy and Accuracy Analysis of CT and MRI in Diagnosing Femoral Head Necrosis
Objective To analyze the clinical efficacy and accuracy analysis of CT and MRI in diagnosing femoral head necrosis. Methods The clinical data of 50 patients with femoral head necrosis who were treated in Jinan Seventh People's Hospital from January to December 2023 were retrospectively analyzed. All patients were examined by CT and then by MRI. The diagnostic accuracy,misdiagnosis rate,image quality,and effective radiation dose of CT and MRI scans were compared. Results The diagnostic accuracy of MRI examination (98.00%) was higher than that of CT examination (82.00%),and the misdiagnosis and missed diagnosis rate (2.00%) was lower than that of CT examination (18.00%),the difference was statistically significant (P<0.05). The overall excellent rate of image quality in MRI examination (96.00%) was higher than that in CT examination (80.00%),and the difference was statistically significant (P<0.05). The effective radiation dose for MRI examination was 0 mSv,which was lower than (6.18±0.36) mSv for CT examination,and the difference was statistically significant (P<0.05). Conclusion MRI examination has higher image quality and diagnostic accuracy than CT examination in the diagnosis of femoral head necrosis,and its safety is also relatively high,therefore its clinical application value is higher.

CTMRIfemoral head necrosisimage qualityclinical valuediagnostic accuracy

安秀芝、肖圆圆、任观庆、李丹、孟颖、韩忠杰

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济南市第七人民医院医学影像科,山东济南 250000

CT MRI 股骨头坏死 图像质量 临床价值 诊断准确性

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(20)