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本文报道了两组Ｘ线诊断者对１９４例大骨节病Ｘ线诊断的一致度分析结果。结果表明，大骨节病干骺端与骨端Ｘ线病变、病例诊断的一致率分别为８９．７４％、９０．２１％、９０．２１％，Ｋａｐｐａ值在０．７６～０．８０间，证明两组诊断者应用现试行的Ｘ线诊断标准的诊断一致度属于极好范围。同时发现诊断的不一致率在９．７８％～１０．２６％间，其主要原因是难以鉴别掌指骨干骺端与骨端的早期Ｘ线征与正常变异。作者认为建立一个大骨节病Ｘ线诊断的标准图谱将会提高诊断的一致度和准确性。
This paper reports the results of two groups of X-ray diagnosis of 194 cases of Kaschin-Beck disease X-ray diagnosis of the consistency of the results. The results showed that the concordance rate of Kashin-Beck disease metaphysis and X-ray of the distal end was 89.74%, 90.21% and 90.21%, Kappa value was between 0.76 and 0.80, Proved that the diagnosis of the two groups of diagnostic X-ray diagnosis of patients is now using the diagnostic criteria of the degree of consistency is an excellent range. Also found that the diagnostic inconsistency between 9.78% to 10.26%, the main reason is difficult to identify the metacarpophalangeal metaphyseal and distal bone X-ray signs and normal variation. The author believes that the establishment of a Kashin Beck disease X-ray diagnosis of the standard map will improve the diagnostic consistency and accuracy.