绝经女性在骨密度测定腰椎与髋部的对比分析  

Comparison of Bone Mineral Density between Lumbar Spine and Hip in PostmenopausalWomen

作　　者：刘玲玲 胡文业[2] LIU Ling-ling;HU Wen-ye(Medical Imaging Department,The Third People's Hospital of Datong,Datong Shanxi,037008;Medical School,Shanxi Datong University,Datong Shanxi,037009)

机构地区：[1]大同市第三人民医院医学影像科,山西大同037008 [2]山西大同大学医学院,山西大同037009

出　　处：《山西大同大学学报（自然科学版）》2021年第3期74-76,共3页Journal of Shanxi Datong University(Natural Science Edition)

摘　　要：目的对比双能X线骨密度测定腰椎与髋部T值对绝经女性骨质疏松检出率的差异。方法选取151例绝经期或近1年出现过月经紊乱的女性患者,使用双能X线骨密度仪分别测定患者的腰椎与双髋骨密度值(T值),通过对比2种检测部位及不同年龄段患者的T值差异来分析骨质疏松的检出率。结果每个年龄组测定髋部T值时骨质疏松的检出率为明显高于测定腰椎时的检出率(P<0.05)。结论使用双髋部测定骨密度相比较腰椎对骨质疏松有更好的检出率和敏感性。Objective To compare the difference in the detection rate of osteoporosis in postmenopausal women with dual-ener-gy X-ray bone mineral density measurement of lumbar spine and hip T value.Methods A total of 151 female patients diagnosed and treated in our hospital from October 2019 to October 2020 who had menopausal or had menstrual disorders in the past year were se-lected and used the prodigy dual-energy X-ray bone densitometer introduced from our hospital.The bone mineral density(T value)of the lumbar spine and both hips of the patient was measured,and the detection rate of osteoporosis was analyzed by comparing the difference in the T value of the two detection sites and patients of different ages.Results The detection rate of osteoporosis in each age group when the hip T value was measured was significantly higher than that when the lumbar spine was measured,which was statistically significant(P<0.05).Conclusion Using both hips to measure bone mineral density has a better detection rate and sensi-tivity for osteoporosis than the lumbar spine.

关 键 词：腰椎 髋部 骨密度 骨质疏松 双能X线骨密度仪 

分 类 号：R445[医药卫生—影像医学与核医学]