骨质疏松患者腰椎、髋部骨密度对比性研究  

Comparative study of bone mineral density of the lumbar vertebrae and the iliac in osteoporosis patients

作　　者：普英[1] 普蔼君[1] 蒋家望[2] 

机构地区：[1]成都军区昆明总医院,昆明650032 [2]成都军区昆明疗养院

出　　处：《中国骨质疏松杂志》2013年第9期964-966,共3页Chinese Journal of Osteoporosis

摘　　要：目的探讨骨质疏松患者在应用双能X线骨密度检测仪检测不同部位骨密度时应检测的部位。方法选取2013年1月至2013年4月在我院行双能X线骨密度检测、符合骨质疏松诊断的患者共310例,比较腰椎、右髋、左髋骨密度低于M-2SD的百分率差异和左右髋部的骨密度(BMD)值。结果腰椎骨密度检测结果低于M-2SD有223例,占71.93%,左髋骨密度检测结果低于M-2SD有190例,占61.29%,右髋骨密度检测结果低于M-2SD有204例,占65.08%,左髋、右髋骨密度(BMD)比较F=0.313,P=0.576,两组无差异。结论双能X线吸收测定法是骨密度检查的"金标准",技术员应检测腰椎、左髋及右髋三个部位,检测报告三个部位的骨密度均值,并以三个部位中的最低T值作为诊断依据。尽可能避免骨质疏松的漏诊。Objective To explore the detection region during the detection of bone mineral density （BMD） using dual-energy X-ray absorptiometry in osteoporosis patients. Methods Three hundred and ten patients, who received BMD detection using dual-energy X- ray absorptiometry and were diagnosed with osteoporosis in our hospital from January 2013 to April 2013, were selected. BMD of the lumbar vertebrae, the right iliac, and the left iliac was detected. The percentage difference of the results lower than M-2SD was compared. BMD of the right iliac and the left lilac was also compared. Results BMD of the lumbar vertebrae in 223 patients was lower than M-2SD, accounting for 71.93548%. BMD of the left iliae in 190 patients was lower than M-2SD, accounting for 61. 29032% . And BMD of the right iliac in 204 patients was lower than M-2SD, accounting for 65. 080645%. BMD between the left and the right iliac was not significantly different （ F = 0. 313, P = 0. 576）. Conclusion Dual-energy X-ray absorptiometry is the ＂golden standard＂ for the detection of BMD. BMD of the lumbar vertebrae, the right iliac, and the left iliac should be detected. The mean BMD value of 3 regions should be given in the report, and the lowest T value should be set as the diagnostic criteria, in order to avoid the misdiagnosis of osteoporosis.

关 键 词：骨质疏松 骨密度 检测部位 

分 类 号：R683[医药卫生—骨科学]