- 고관절치환술 후 이완 및 감염에 대한 단순 X-선 촬영과 신티그라피의 비교분석
- ㆍ 저자명
- 박미숙
- ㆍ 간행물명
- 대한방사선의학회지
- ㆍ 권/호정보
- 1987년|23권 5호|pp.830-837 (8 pages)
- ㆍ 발행정보
- 대한영상의학회
- ㆍ 파일정보
- 정기간행물| PDF텍스트
- ㆍ 주제분야
- 기타
Prosthetic hip replacement is associated with certain complications which result in a painful hip. Many of these, e.g. prosthetic dislocation, fracture, trochanteric avulsion, and heterotopic calcification are easily diagnosed by conventional radiography. However, radiographic evaluation for infection and/or loosening of prosthesis as major complications requiring reoperation often contributes little to the resolution of the diagnostic problem. The authors made a comparative study of plain radiography and scintigraphy of 39 cases performed revision at Kyung Hee Univ. Hospital from Sep. `81-to Aug. `86. RESULTS : 1. In 39 revised prosthetic hip replacement, 26 cases of looseningwithout infection and 11 cases of infection were proven. 2. In loosening of prosthesis, plain radiography showed true positive rate of 76% ad true negative rate of 60%, and scintigraphy showed true positive rate of 75% and true negative rate of 95%. 3. In infection of prosthesis, plain radiography reveal d true positive rate of 55% and true negative rate of 96%, and scintigraphy revealed true positie rate of 100% and ture negative rate of 83%. 4. Scintigraphy and plain radiography were useful as complementary procedure in evaluating and diffenentiating loosening and/or infection of prosthetic component.