摘要
目的分析91例骨密度检测结果,提出骨质疏松诊断中的一些难点,与同行商榷。方法选取2013年1月10日至2013年1月11日两天在我院行双能X线检查的患者、体检者共91人。其中男性51例,女性40例。记录91例受检者年龄、身高、体重,采用法国MEDI MINK公司生产的OSTEOCORE 3双能X线骨密度检测仪,检测患者腰椎、左髋、右髋骨密度,系统自动求出均值,以最低T值作为诊断依据,计算骨质疏松发病率并加以分析,提出诊断难点。结果通过分析认为骨质疏松诊断存在以下难点:1.骨质疏松的诊断应采用什么标准?2.双能X线骨密度检测主要检测腰椎、左髋、右髋,应采用哪个部位的检测结果?3.青少年如何诊断?4.病史与骨密度检测结果不符、高骨密度如何诊断?5.骨质疏松科普知识匮乏,患者不能主动求医,6.临床医师对骨质疏松的认知不够,不能满足患者的需要等。结论骨质疏松作为导致老年人骨折、致残、致死,严重影响老年人身心健康的常见病、多发病,越来越受到全社会的关注。骨质疏松的诊断手段亦日愈发展,双能X线骨密度检测使得骨质疏松的诊断变得准确且容易了,但骨质疏松的诊断仍存在许多难点,这些难点有的存在分岐,有的还没有研究方法和结果,改进、提高骨质疏松诊断的准确率,需要医务工作者做更多的研究,需要全社会的参与。
Objective To analyze 91 cases of bone mineral density（BMD） measurement results,and to present and discuss the diagnostic difficulty.Methods Ninety-one osteoporosis patients and healthy people who received duel-energy X-ray absorptiometry test in our hospital from January 10th2013 to January 11th2013 were selected,including 51 males and 40 females.Age,height,and weight of the 91 cases were recorded.The BMD of the lumbar vertebrae,the left hip,and the right hip was measured using the Osteocore 3 duel-energy X-ray absorptiometry（MED MINK Corporation,France）.Using the minimal T value as the diagnostic basis,the incidence of osteoporosis was calculated and analyzed.The diagnostic difficulty was presented.Results According to the result analysis,the diagnostic difficulty of osteoporosis was as following：1） What standard should be used for osteoporosis diagnosis？ 2）Duel-energy X-ray absorptiometry were mainly used to measure the BMD of the lumbar vertebrae,the left hip,and the right hip.From which test results of the 3 parts should be applied for the diagnosis？ 3） How to diagnose the juvenile osteoporosis？ 4） When the history was not consistent with BMD results,how to diagnose according to high BMD result？ 5） Patients were less initiative to see a doctor due to lack of popular science knowledge of osteoporosis.6） The clinicians paid less attention to osteoporosis diagnosis,which would not meet the need of the patients.Conclusion Osteoporosis is a popular disease which can lead to senile fractures,disability,and death and can seriously affect physical and mental health of the elderly.More and more attention should be paid to the osteoporosis diagnosis.With the development of the diagnostic method of osteoporosis,the diagnosis becomes easy and accuracy using duel-energy X-ray absorptiometry.However,the difficulty still exists in osteoporosis diagnosis.Among these difficulties,some are because of the different opinions,and some are caused by lack of study methods and results.Improving the diag
出处
《中国骨质疏松杂志》
CAS
CSCD
北大核心
2014年第10期1222-1225,共4页
Chinese Journal of Osteoporosis
关键词
骨密度
骨质疏松
诊断难点
Bone mineral density
Osteoporosis
Diagnosis difficulty
