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双能X线和定量CT对2型糖尿病患者骨质疏松的诊断价值分析 被引量:9

Diagnostic value of dual energy X-ray absorptiometry and quantitative CT for osteoporosis in type 2 diabetes mellitus
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摘要 2型糖尿病(type 2 diabetes mellitus,T2DM)通过多种机制引起骨质疏松,定量计算机断层扫描(quantitative computed tomography,QCT)和双能X线吸收仪(dual energy X-ray absorptiometer,DXA)是常用的检测骨质疏松的手段。对于T2DM患者骨质疏松的诊断,QCT在机制上优于DXA,QCT可以提供骨微结构的测量且不受受试者体型大小和骨骼大小的影响。DXA虽然易受受试者体型大小和骨骼大小的影响,存在一定缺陷,但调整BMI之后的结果具有一定的可信度。 Type 2 diabetes mellitus(T2 DM) causes osteoporosis by several mechanisms. Quantitative computed tomography(QCT) and Dual Energy X-ray absorptiometer(DXA) are commonly used to detect osteoporosis. For the diagnosis of osteoporosis in patients with T2 DM, QCT is superior to DXA in mechanism. QCT can provide the measurement of bone microstructure without impacts by the body size and bone size of subjects. Due to the influence of body size and bone size of subjects, DXA has limitation in some extent, however, after adjusting with BMI, the result is of certain credibility.
作者 苏浩浩 贾庆卫 张新焕 王燕 SU Hao-hao;JIA Qing-wei;ZHANG Xin-huan;WANG Yan(Department of Joint Surgery,The Second Affiliated Hospital,Shandong First Medi-cal University,Tai’an271000,China)
出处 《中国矫形外科杂志》 CAS CSCD 北大核心 2021年第17期1579-1581,共3页 Orthopedic Journal of China
关键词 2型糖尿病 骨质疏松 双能X线骨密度仪 定量CT type 2 diabetes mellitus osteoporosis dual energy X-ray absorptiometry quantitative CT
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