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腰椎和股骨颈骨质疏松症检出率比较分析
引用本文:王文志,赵立强,杨定焯,马锦富,杨小明,沈江. 腰椎和股骨颈骨质疏松症检出率比较分析[J]. 现代预防医学, 2003, 30(3): 312-313
作者姓名:王文志  赵立强  杨定焯  马锦富  杨小明  沈江
作者单位:四川大学华西第四医院骨质疏松诊疗中心,610041
基金项目:本课题受"九五"攻关基金资助(编号:96-906-05-01)
摘    要:目的:探讨测量部位对骨质疏松症诊断的影响。方法:测量50岁以上人群1087人(男性525例,女性562例)腰椎和股骨颈骨密度,以本次流调骨峰值减去2.5标准差为诊断骨质疏松症标准,分别进行统计,并比较不同测量部位骨质疏松检出率;同时摄T4—L4例位片筛选出压缩性骨折患者,比较不同测量部位骨质疏松检出率。结果:两性随年龄增加,两部位BMD逐渐降低,同年龄组女性骨密度低于男性;男性股骨颈骨密度比腰椎骨密度诊断骨质疏松阳性检出率高,女性腰椎BMD诊断骨质疏松症的检出率高于股骨颈BMD的检出率。结论:女性腰椎BMD诊断骨质疏松敏感性优于股骨颈BMD。

关 键 词:腰椎 股骨颈 骨质疏松症 检出率 比较 骨密度
文章编号:1003-8507(2003)03-0312-02
修稿时间:2002-11-19

ANALYSIS OF OSTEOPOROSIS DETECTABLE RATE AT LUMBER AND HIP MASS MEASUREMENI SITES IN 1087 SUBJECTS
WANG Wen-zhi,ZHAO Li-qiang,YANG Ding-zhuo,et al.. ANALYSIS OF OSTEOPOROSIS DETECTABLE RATE AT LUMBER AND HIP MASS MEASUREMENI SITES IN 1087 SUBJECTS[J]. Modern Preventive Medicine, 2003, 30(3): 312-313
Authors:WANG Wen-zhi  ZHAO Li-qiang  YANG Ding-zhuo  et al.
Affiliation:WANG Wen-zhi,ZHAO Li-qiang,YANG Ding-zhuo,et al.West China 4th hospital of Sichuan University,610041.
Abstract:Objective:To discuss the effect of measurement sites to diagnosis of osteoporosis.Methods:1087 subjects were measured at both hip and lumber vertebra sites by DEXA.T_4-L_4 X-ray were taken and the compression fracture person were screened.To compare osteoporosis detectable rates at different site and determine which site was sensitive to diagnosis of osteoporosis.Results:BMD in both site was gradually decreasing with age.BMD of female was lower than that of male. The detectable rate of osteoporosis at hip was higher than that at lumber in male and the prevalence of osteoporosis at lumber was higher than that at hip in female.Conclusions:BMD in lumber as a indicator to diagnosis of osteoporosis is better than BMD in hip in female.
Keywords:Measure site  Osteoporosis  Detectable rate  Diagnosis
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