股骨头坏死患者分别采用CT与MRI诊断的临床价值探讨

The Clinical Value of CT and MRI Diagnosis in Patients with Femoral Head Necrosis

目的:探讨股骨头坏死患者分别采用CT与MRI诊断的临床价值。方法:选取2018年8月~2019年8月本院收治的82例股骨头坏死患者为研究对象,按照患者实施诊断检查方式不同,将其分为MRI组和CT组,各41例,对比患者诊断结果,指标选取病理分期诊断结果、诊断符合率及诊断满意度。结果:两组患者病历分期诊断结果对比差异有所不同,其中Ⅰ期和Ⅳ期对比有差异(χ^2=5.145,P=0.023),Ⅱ期和Ⅲ期对比无差异(χ^2=1.406,P=0.235),且MRI组的病理诊断符合率以及诊断满意度均好于CT组(χ^2=5.145,P=0.023)。结论:对于股骨头坏死患者诊断而言,CT和MRI诊断的结果是有所不同的,相比之下,MRI的诊断准确率要好于CT,所以在临床诊断中应该首选MRI。

Objective:To investigate the clinical value of CT and MRI diagnosis in patients with femoral head necrosis.Methods:82 cases of osteonecrosis of femoral head were selected from August 2018 to August 2019,according to the patient’s diagnosis,they were divided into MRI and CT groups,41 cases each,compare the patient’s diagnosis,the results of pathological stage diagnosis,diagnostic coincidence rate and diagnostic satisfaction were selected.Results:The difference between the two groups was different,there was a difference between I and IV(χ^2=5.145,P=0.023),there was no difference between the II and III periods(χ^2=1.406,P=0.235),the coincidence rate and satisfaction of pathological diagnosis in MRI group were better than those in CT group(χ^2=5.145,P=0.023).Conclusion:For the diagnosis of femoral head necrosis,the results of CT and MRI diagnoses are different,by contrast,MRI diagnostic accuracy is better CT,so MRI should be preferred in clinical diagnosis.