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用腰椎X—线片半定量诊断骨质疏松的研究
引用本文:雪原,齐清会,王沛,刘涛. 用腰椎X—线片半定量诊断骨质疏松的研究[J]. 天津医科大学学报, 2001, 7(3): 369-371
作者姓名:雪原  齐清会  王沛  刘涛
作者单位:天津医科大学总医院骨科,300052
摘    要:
目的验证JOA X-线骨质疏松诊断标准的可靠性.方法47名女性病人(年龄65.3±7.2岁)行腰椎常规X-线检查和第三腰椎正、侧位DEXA骨密度测量.用t检验验证X-线骨质疏松等级间骨密度的差异性,用Spearman相关性分析法检验X-线骨质疏松等级与骨密度值的相关性.结果X-线骨质疏松等级间骨密度具有显著性差异(P<0.01),X-线骨质疏松等级与第三腰椎侧位骨密度值之间相关性最高(r=0.714).结论通过腰椎X-线片按照JOA标准划分骨质疏松等级,可以作为粗略检查腰椎骨质疏松的方法.

关 键 词:骨质疏松 X-线 诊断 双能X-线吸收法
文章编号:1006-8147(2001)03-0369-03
修稿时间:2000-11-02

Clinical study in semi- quality diagnosing osteoporosis in lumbar vertebrae X- ray pictures
XUE Yuan,QI Qing-hui,WANG Pei,LIU Tao. Clinical study in semi- quality diagnosing osteoporosis in lumbar vertebrae X- ray pictures[J]. Journal of Tianjin Medical University, 2001, 7(3): 369-371
Authors:XUE Yuan  QI Qing-hui  WANG Pei  LIU Tao
Abstract:
Objective: To evaluate the reliability of the JOA criterion for diagnosis radiographic bone atrophy in lumbar vertebrae.Methods:Comparing this criterion with the bone mineral density determined by posteroanterior and lateral dual energy X-ray absortiometry. The third vertebra of 47 postmenopausal women(age of 65. 7.2 years) were investigated in this study. Results: A significant difference of bone mineral density(P< 0.01) was among each grade of radiographic bone atrophy in the third vertebra. The highest correlation(r=0.741) was found between the radiographic grades and the bone mineral density of lateral dual energy X-ray absorptiometry of the thrid vertebra. Conclusion:This criterion for the third vertebra is dependable for detection of radiographic bone atrophy .The plain radiographic film can provide a rough estimation of bone atrophy.
Keywords:Osteoporosis  X-ray  Diagnosis  Dual energy X-ray absorptiometry
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