糖尿病患者掌、指骨X线测量及其临床意义  

X一ray Measurement of Metacarpus and Phalanx and Their Clinical Significance in Patients with Diabetes Mellitus

作　　者：向明珠 孙培芳 陈小惠 

机构地区：[1]湖北省沙市第一人民医院

出　　处：《实用放射学杂志》1994年第5期279-281,共3页Journal of Practical Radiology

摘　　要：６３例糖尿病患者、４０例正常人行左手Ｘ片检查并测量第２掌骨及中指第２指骨骨长（Ｌ）中点的横径（Ｄ）、髓腔宽度（ｄ），以此计算掌、指骨参数，包括Ｄ一ｄ／Ｄ、Ｄ２一ｄ２、Ｄ２一ｄ２／Ｄ２、Ｄ２一ｄ２／ＤＬ。以掌、指骨指数（Ｄ一ｄ／Ｄ）分别低于４３％及３７％为骨质疏松，则糖尿病性骨质疏松症的发病率为４７．６２％。病程长、病情重、失治者易伴发，且多有尿钙、尿磷排泄增加。认为掌、指骨Ｘ线测量可作为判断糖尿病患者有无骨质疏松的一种方法。Radiographs of left hand were performed on 63 diabetic patients and 40 control sub-jects. Then measured the diameter(D) and the width of marrow cavity(D)at the middle point of the length(L)of second metacarpus and second phalanx of middle finger. According to the above founding, we calculat-ed parameters of metacarpus and phalanx:D一d/D,D2一d2,D2一d2/D2,D2一d2/DL. When metacarpal andphalanx index(D一d/D)were<43%and<37%respectively,we thought they were abnormal.The data sig-nified incidence of the patients suffering from osteoporosis was 47. 62%. We considered metacarpal and pha-lanx parameters can be used as a method to judge diabetic osteoporosis.

关 键 词：糖尿病 掌骨 指骨 参数 X线 

分 类 号：R816.8[医药卫生—放射医学]