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股骨头缺血坏死CT和MRI诊断的Meta分析
引用本文:宋维通,李忠,李旭明,杨献锋. 股骨头缺血坏死CT和MRI诊断的Meta分析[J]. 实用放射学杂志, 2010, 26(2). DOI: 10.3969/j.issn.1002-1671.2010.02.020
作者姓名:宋维通  李忠  李旭明  杨献锋
作者单位:1. 南京医科大学公共卫生学院,江苏,南京,210029;南京大学医学院附属鼓楼医院放射科
2. 南京医科大学公共卫生学院,江苏,南京,210029
3. 南京市妇幼保健院
4. 南京大学医学院附属鼓楼医院放射科
摘    要:目的 评价CT和MRI对股骨头缺血坏死(ANFH)的诊断效果.方法 通过检索收集近10年来国内外公开发表的关于股骨头缺血坏死的CT和MRI诊断的文献,按照一定的纳入标准进行筛选,对符合标准的21篇文献在诊断ANFH方面使用软件StataSE10.1进行Meta分析.结果 MRI对股骨头缺血坏死的诊断价值高于CT,两者差别有统计学意义[OR=0.13(95%CI,0.03~0.51)].结论 MRI是首选的股骨头缺血坏死诊断方法.

关 键 词:股骨头坏死  Meta分析  体层摄影术  X线计算机  磁共振成像

A Comparative Study between CT and MRI in Diagnosing the Avascular Necrosis of the Femoral Head with Meta-analysis
SONG Wei-tong,LI Zhong,LI Xu-ming,YANG Xian-feng. A Comparative Study between CT and MRI in Diagnosing the Avascular Necrosis of the Femoral Head with Meta-analysis[J]. Journal of Practical Radiology, 2010, 26(2). DOI: 10.3969/j.issn.1002-1671.2010.02.020
Authors:SONG Wei-tong  LI Zhong  LI Xu-ming  YANG Xian-feng
Abstract:Objective To evaluate the value of computed tomography(CT) and magnetic resonance imaging(MRI) in diagnosis of avascular necrosis of the femoral head(ANFH). Methods The literatures of ANFH diagnosed with CT and MR imaging published in the last ten years were collected by searching. Of that,21 literatures were correspond for the standards in this study and were select-ed. These literatures in diagnosing ANFH with CT and MR imaging were analysed with Meta-analysis by the sofeware of StataSE10.1. Results MRI was more effective than CT in diagnosing ANFH. There was significantly different in statistics between them [OR=0.13,95%CI(0.03~0.51)]. Conclusion In comparison with CT,MRI is the better method in diagnosing ANFH.
Keywords:avascular necrosis of the femoral head  Meta analysis  tomography,X-ray computed  MR imaging
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