股骨头缺血坏死诊断中CT与磁共振的临床应用效果比较
邓巍昆
（陕西省商南县医院放射科，陕西商洛，726300）
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摘要：
目的 分析股骨头缺血坏死诊断中CT与磁共振的临床应用效果。方法 回顾性分析我院2015年1月至2016年1月收治的184例股骨头缺血坏死患者的临床资料，按照临床检查诊断方式将所有患者分为两组，即CT检查(对照组)与磁共振检查(研究组)，两组各94例。比较两组的临床检查诊断准确率与关节积液检出率。结果 研究组的临床检查诊断准确率为97.8%(90/92)，高于对照组的84.8%(78/92)，差异有统计学意义(P<0.05);研究组的关节积液检出率为68.5%(63/92)，高于对照组的48.9%(45/92)，差异有统计学意义(P<0.05)。结论 磁共振在股骨头缺血坏死诊断中的临床应用效果明显优于CT，值得在临床检查诊断工作中推广运用。
关键词：磁共振；CT；股骨头缺血坏死
中图分类号：R445.2；R816.8文献标志码：A文章编号：2096-1413(2017)04-0134-02
The clinical efficacy of CT and MRI in the diagnosis of patients with femoral head osteonecrosis
DENG Wei-kun
(Department of Radiology, Shangnan County Hospital, Shangluo 726300, China)
ABSTRACT: Objective To analyze the clinical efficacy of CT and MRI in the diagnosis of patients with femoral head osteonecrosis. Methods One hundred and eighty-four cases of femoral head osteonecrosis patients in our hospital from January 2015 to January 2015 were retrospectively analyzed. All patients were divided into CT (control group) and magnetic resonance imaging (observation group) according to the inspection methods, with 90 cases in each group. The accuracy rate of clinical examination and detection rate of joint effusion were compared in two group. Results The accuracy rate of clinical examination of the observation group was 97.8% (90/92), which was higher than 84.8% (78/92) of the control group (P<0.05); the detection rate of joint effusion of the observation group was 68.5% (63/92), which was higher than 48.9%(45/92) of the control group (P<0.05). Conclusion For the diagnosis of patients with femoral head osteonecrosis,magnetic resonance imaging has a better clinic effect than CT, which is worth to be popularized and promoted in clinic.
KEYWORDS: magnetic resonance imaging; CT; avascular necrosis of the femoral head
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