探究髋关节置换术后并发肺栓塞的放射诊断

To explore the radiologic diagnosis of pulmonary embolism after hip arthroplasty

目的:探究髋关节置换术后并发肺栓塞的放射诊断。方法:对我院收治的髋关节置换术后并发肺栓塞患者44例分别行不同放射技术进行诊断,对不同放射诊断结果进行对比分析。结果:经X线检查后,26例确诊为肺栓塞,诊断准确率为59.09%;经C T检查后,35例确诊为肺栓塞,诊断准确率为79.55%;经彩色多普勒超声检查后,44例均确诊为肺栓塞,均显示肺动脉血流速度降低,诊断准确率为100.00%。彩色多普勒超声诊断准确率明显高于X线与C T,P<0.05。结论:采用彩色多普勒诊断髋关节置换术后并发肺栓塞较CT与X线诊断准确率更高,值得临床推广。

Objective To investigate the radiographic diagnosis of pulmonary embolism after hip arthroplasty. Methods 44 patients with pulmonary embolism were diagnosed after hip arthroplasty after hip arthroplasty in our hospital, and the results of different radiological diagnosis were compared and analyzed. Results After X-ray examination, 26 cases were diagnosed as pulmonary embolism, and the diagnostic accuracy was 59.09%. After CT examination, 35 cases were diagnosed with pulmonary embolism and the diagnostic accuracy was 79.55%. After the color doppler ultrasonography, all 44 cases were confirmed as pulmonary embolism, showing the pulmonary arterial blood flow rate decreased and the diagnosis accuracy was 100.00%. The diagnostic accuracy of color doppler ultrasound was significantly higher than that of X ray and CT,P < 0.05. Conclusion The diagnosis of postoperative pulmonary embolism after hip arthroplasty with color doppler is more accurate and is worthy of clinical promotion.