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评估计算机断层扫描方法测量青少年特发性脊柱侧凸椎体旋转:观察者内和观察者间分析

Evaluation of computed tomographic methods to measure vertebral rotation in adolescent idiopathic scoliosis: an intraobserver and interobserver analysis.

作者信息

Göçen S, Aksu M G, Baktiroğlu L, Ozcan O

机构信息

Department of Orthopedics and Traumatology, Dokuz Eylül University School of Medicine, Izmir, Turkey.

出版信息

J Spinal Disord. 1998 Jun;11(3):210-4.

PMID:9657545
Abstract

The purpose of this study was to compare three computed tomography (CT) measurement methods that have been described by Aaro-Dahlborn, Ho, and Krismer et al. The methods were based on clinical, intraobserver, and interobserver analysis. Twenty-five patients with adolescent idiopathic scoliosis were studied for clinical reliability of these methods. There was a significant correlation between Aaro-Dahlborn and Ho's methods (p < 0.02), and there was no correlation between Krismer's method and the other two (p > 0.05). Intraobserver analysis was performed by one observer at 20 different times, and interobserver analysis was performed by 20 orthopedic surgeons on the same CT scan. Intraobserver and interobserver analysis has shown that the method described by Ho is the most reliable one. Consequently, Ho's method is the most reliable and clinically the most useful method for measuring the vertebral rotation in adolescent idiopathic scoliosis.

摘要

本研究的目的是比较Aaro-Dahlborn、Ho以及Krismer等人描述的三种计算机断层扫描(CT)测量方法。这些方法基于临床、观察者内及观察者间分析。对25例青少年特发性脊柱侧凸患者研究了这些方法的临床可靠性。Aaro-Dahlborn法与Ho法之间存在显著相关性(p < 0.02),而Krismer法与其他两种方法之间无相关性(p > 0.05)。由一名观察者在20个不同时间进行观察者内分析,由20名骨科医生对同一CT扫描进行观察者间分析。观察者内和观察者间分析表明,Ho描述的方法是最可靠的。因此,Ho法是测量青少年特发性脊柱侧凸椎体旋转最可靠且临床上最有用的方法。

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