Imaging Department, Yantai Mountain Hospital, Yantai, Shandong, China.
Emergency Department, Qingdao West Coast New Area Central Hospital, Qingdao, Shandong, China.
Biotechnol Genet Eng Rev. 2024 Apr;40(1):275-283. doi: 10.1080/02648725.2023.2183581. Epub 2023 Feb 27.
To explore the clinical value of quantitative parameters of multi-slice computer tomography (MSCT) in the diagnosis of occult femoral neck fractures.The clinical data of 94 patients with suspected occult femoral neck fractures admitted to our hospital from April 2021 to April 2022 were selected for retrospective analysis, and they were divided into group A (accurate diagnosis, = 63) and group B (non-occult femoral neck fractures, = 31) according to the results of pathological and surgical diagnosis as the gold standard. All patients received MSCT examination to obtain quantitative parameters related to imaging, and receiver operator characteristic (ROC) curves were used to comprehensively evaluate the clinical value of quantitative parameters of MSCT in the diagnosis of occult femoral neck fractures.The quantitative parameters of MSCT in group A were overtly lower than those in group B ( < 0.05). The AUC value, Youden index and sensitivity of the combined detection were higher than those of single detection.The use of quantitative parameters of MSCT effectively reduces the missed diagnosis rate of occult femoral neck fractures, which could make an accurate diagnosis of the fracture type, as a basis for the formulation of clinical treatment plans.
探讨多层螺旋 CT（MSCT）定量参数在隐匿性股骨颈骨折诊断中的临床价值。选取 2021 年 4 月至 2022 年 4 月我院收治的疑似隐匿性股骨颈骨折患者 94 例的临床资料进行回顾性分析，根据病理和手术诊断结果（金标准）分为 A 组（准确诊断，n=63）和 B 组（非隐匿性股骨颈骨折，n=31）。所有患者均接受 MSCT 检查，获得与影像学相关的定量参数，采用受试者工作特征（ROC）曲线综合评价 MSCT 定量参数对隐匿性股骨颈骨折的诊断价值。A 组 MSCT 定量参数明显低于 B 组（<0.05）。联合检测的 AUC 值、约登指数及敏感度均高于单项检测。MSCT 定量参数的使用有效降低了隐匿性股骨颈骨折的漏诊率，能对骨折类型做出准确诊断，为临床治疗方案的制定提供依据。
