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目的探讨应用掌骨X线摄片对糖尿病患者骨质疏松诊断的临床意义。方法采用掌骨X线骨矿量测定诊断糖尿病患者的骨质疏松并与双能X线骨密度测定对照。结果应用掌骨X线摄片在糖尿病组 (4 5例 )中 ,有骨质疏松 38例 (84 % ) ;对照组 (30例 )中有 12例 (4 0 % )。用双能X线骨密度测定的糖尿病组 (4 5例 )中有骨质疏松 4 2例 (93% ) ,对照组 (30例 )中有 14例 (4 6 % )。掌骨X线骨矿量与双能X线骨密度测定法对照 ,显示二者高度相关r=0 .85 8。结论用掌骨X线测定骨矿量 ,在骨质疏松的临床诊断中有一定价值。
Objective To explore the clinical significance of the application of metacarpal X-ray in the diagnosis of osteoporosis in diabetic patients. Methods The osteoporosis of diabetics was diagnosed by using metacarpal X - ray bone mineralogy and compared with that of double energy X - ray absorptiometry. Results There were 38 cases (84%) of osteoporosis in the diabetic group (45 cases) and 12 cases (40%) in the control group (30 cases). There were 42 cases (93%) of osteoporosis in diabetic group (45 cases) and 14 cases (46%) in control group (30 cases). Metacarpal X-ray bone mineral content and dual-energy X-ray bone mineral density measurement method control, showing a high correlation between the two r = 0.858. Conclusion The bone mineral content measured by metacarpal X-ray has some value in the clinical diagnosis of osteoporosis.