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作者研究了34例原发性甲旁亢,以测定此病时的骨矿物质状况与生化数据(血清钙和甲状旁腺索)的关系、与外科治疗的关系、以及测定周围皮质骨与脊椎小梁骨之间的关系。分别对患者行掌骨r射线测定、桡骨Norland-Cameron光子吸收法、脊椎CT定量测定(QCT)、手的工业片摄影、胸腰段普通X线摄片。并根据胸腰段片测算了脊椎骨折指数。发现各种方法对四肢末稍骨的测量结果很一致,但与CT却不甚符合。脊椎骨折指数与QCT关系最大。此外,通常甲旁亢病人的末稍骨和中轴骨的矿物含量均有显著减少,不过,末稍
The authors studied 34 cases of primary hyperparathyroidism to determine the relationship between bone mineral status and biochemical data (serum calcium and parathyroid glands), relationship with surgical treatment, and measurement of peripheral cortical bone and spine The relationship between trabecular bone. The patients were treated with metatarsal radiographs, Norland-Cameron photon absorption, Quantitative spine CT (QCT), industrial hand photography, and thoracolumbar normal X-ray. The spine fracture index was calculated based on thoracolumbar segments. Various methods were found to be consistent with the measurements of the distal limbs of the extremities but not with the CT. The vertebral fracture index has the greatest relationship with the QCT. In addition, the content of minerals in the distal bone and axial bone of patients with parathyroid paralysis is generally reduced, but