QUS与DXA在绝经期女性骨质疏松伴有胸肋关节痛患者中的诊断价值  

Diagnostic value of quantitative ultrasound and dual energy X-ray absorber in menopausal patients with postmenopausal osteoporosis and chest-costal joint pain

作　　者：张炳冉[1] 杜建文[2] 晋秀丽[2] 李风娟 ZHAGN Bing-ran;DU Jian-wen;JIN Xiu-li;LI Feng-juan(Department of Rehabilitation Medicine,Chengde Central Hospital,Hebei Province,Chengde 067000,China;Department of Ultrasound Diagnosis,Chengde Central Hospital,Hebei Province,Chengde 067000,China)

机构地区：[1]河北省承德市中心医院康复医学科,河北承德067000 [2]河北省承德市中心医院超声诊断科,河北承德067000

出　　处：《河北医科大学学报》2019年第11期1295-1298,共4页Journal of Hebei Medical University

基　　金：承德市科学技术研究与发展计划项目(201801A014)

摘　　要：目的探讨定量超声(quantitative ultrasound,QUS)与双能X线吸收仪(dual energy X-ray absorptiometer,DXA)对绝经期女性骨质疏松伴有胸肋关节痛患者骨密度检测的诊断价值。方法将行健康体检的260例绝经期女性且伴有胸肋关节痛患者作为研究对象,均行DXA监测(B组)、QUS检测(A组),以DXA诊断结果作为金标准,比较2组检测准确率、敏感度及特异度的差异,分析QUS检测在绝经期女性骨质疏松伴有胸肋关节痛患者中的诊断价值。结果B组检出骨质疏松症52例,不同年龄组患者之间骨密度差异有统计学意义(P<0.05);A组检出骨质疏松症48例,不同年龄组患者之间骨密度差异有统计学意义(P<0.05)。以B组诊断结果作为金标准,A组诊断骨质疏松症的敏感度为92.31%,特异度为99.42%,阳性预测值为97.22%,阴性预测值为96.10%。结论QUS用于诊断绝经期骨质疏松伴有胸肋关节痛患者具有较好的敏感度和特异度,阳性预测值较高,且无辐射,故有较好的临床应用前景。Objective To explore the diagnostic value of quantitative ultrasound(QUS)and dual energy X-ray absorptiometry(DXA)in detecting bone mineral density(BMD)in menopausal women with postmenopausal osteoporosis and chest-costal joint pain.Methods A total of 260 menopausal women with chest-costal joint pain who underwent health examination were selecded as the sbjects of study.All subjects were monitored by dual energy X-ray absorptiometry(DXA)as group B and QUS as group A.The accuracy,sensitivity and specificity of DXA were compared between the two groups according to the gold standard.The diagnostic value of QUS was analyzed in postmenopausal women with osteoporosis and chest-costal joint.Results 52 cases of osteoporosis were detected in group B.There was significant difference in bone mineral density between different age groups(P<0.05).48 cases were detected in group A.There was significant difference in bone mineral density between different age groups(P<0.05).The sensitivity,specificity,positive predictive value and negative predictive value of group A were 92.31%,100%,97.22%and 96.10%,respectively.Conclusion There is a certain relationship between Sternocostal joint pain and osteoporosis in menopausal women.QUS has good sensitivity and specificity in the diagnosis of menopausal women with osteoporosis and chest-costal joint pain.It has a high coincidence rate and positive predictive value in clinical application.

关 键 词：骨质疏松 绝经后 胸肋关节痛 定量超声 

分 类 号：R681[医药卫生—骨科学] R684[医药卫生—外科学]