中老年妇女不同骨骼部位对骨质疏松症诊断的影响  

Effects of various skeletal sites on the diagnosis of osteoporosis in middle-aged and senile women

作　　者：陈党生[1] 林芸[1] 

机构地区：[1]广东省人民医院东病区妇产科,广州市510089

出　　处：《实用医学杂志》2005年第14期1510-1512,共3页The Journal of Practical Medicine

摘　　要：目的:探讨中老年妇女不同骨密度测量部位对骨质疏松症诊断的影响。方法:记录277例中老年妇女的年龄、测量身高和体重,采用HologicQDR-2000双能X线骨密度测量仪检测全身、腰椎正侧位、股骨颈、股骨粗隆和Wards三角的骨密度。统计各年龄组骨质疏松症的发病率。结果:各部位的骨密度均随年龄增长而下降。妇女骨质疏松症检出率最高的部位50～59岁组是腰椎侧位,大于60岁各组是Wards三角。结论:随年龄的增长,妇女骨质疏松症检出率随测量部位不同而不同。腰椎侧位和Wards三角分别是50～59岁和60岁以上妇女诊断骨质疏松症敏感性最高的部位。Objective To observe the effects of various skeletal sites on the diagnosis of osteoporosis in middle-aged and senile women. Methods The age,body weight and stature of 277 women were recorded in the study. Bone mineral density(BMD) at various skeletal sites was measured by Hologic QDR-2000 dual-energy X-ray absorptiometry. The osteoporosis detectable rate at different site of each age group were calculated. Results BMD at various skeletal sites was gradually decrease with age. The detectable rate of osteoporosis was the highest at lateral lumber spine in the group of 50～59 years,while at Ward's triangle in the group of more than 60 years. Conclusions The detectable rate of osteoporosis varied with different skeletal sites measured and also with age. BMD measurement at lateral lumbar spine and Ward's triangle was the most sensitive to diagnosis of osteoporosis in 50～59 years and more than 60 years women,respectively.

关 键 词：骨质疏松症 中老年妇女 诊断 双能x线骨密度测量仪 骨骼 测量部位 腰椎正侧位 60岁以上 各年龄组 年龄增长 腰椎侧位 检出率 股骨颈 三角 发病率 敏感性 

分 类 号：R58[医药卫生—内分泌]