X线及骨密度用于糖尿病性骨病诊断中的价值

The value of X-ray and bone mineral density in the diagnosis of diabetic osteopathy

目的 探究应用X线及骨密度诊断糖尿病性骨病的临床价值,以提高诊断准确率,为临床提供帮助。方法 回顾性分析61例聊城市某医院在2019年6月—2020年12月收治的糖尿病性骨病患者临床资料为本次研究对象,分别分为X线片诊断组和联合诊断组,其中X线片诊断组33例,采用X线片诊断;联合诊断组28例,采用联合X线片与骨密度诊断。比较两组误诊率、漏诊率、诊断准确性,并统计疾病类型检出情况。结果 联合诊断组误诊率、漏诊率低于X线片诊断组;联合诊断组诊断准确率为96.43%,高于X线片诊断组的63.64%,差异均有统计学意义(P<0.05)。X线片组检出骨质疏松、软组织钙化、糖尿病足坏疽、增生性脊柱炎患者分别有13例、10例、7例、3例;联合诊断组检出骨质疏松、软组织钙化、糖尿病足坏疽、增生性脊柱炎患者分别有9例、8例、9例、2例。结论 X线片与骨密度均为临床诊断糖尿病性骨病的常用方法,可鉴别疾病类型,但联合诊断优越性更为明显,可提高诊断准确率,降低误诊与漏诊率,更充分发挥临床诊断价值。

Objective To explore the clinical value of X-ray and bone mineral density in the diagnosis of diabetes osteopathy,so as to improve the diagnostic accuracy and provide help for clinical practice.Methods Retrospective analysis was made on the clinical data of 61 patients with diabetes osteopathy admitted to a hospital in Liaocheng City from June 2019 to December 2020. They were divided into the X-ray film diagnosis group and the combined diagnosis group,of which 33 cases were in the X-ray film diagnosis group and were diagnosed by X-ray film;28 cases in the combined diagnosis group were diagnosed by X-ray film and bone mineral density combined. The misdiagnosis rate,missed diagnosis rate and diagnostic accuracy of the two groups were compared,and the detection of disease types were counted. Results The misdiagnosis rate and missed diagnosis rate of the combined diagnosis group were lower than those of the Xray film diagnosis group,and the diagnostic accuracy rate of the combined diagnosis group was 96.43%,which was higher than 63.64% of the X-ray film diagnosis group,and differences were statistically significant(P<0.05). In X-ray film diagnosis group,there were 13 cases of osteoporosis,10 cases of soft tissue calcification,7 cases of diabetes foot gangrene and 3 cases of proliferative spondylitis. There were 9cases of osteoporosis,8 cases of soft tissue calcification,9 cases of diabetes foot gangrene and 2 cases of proliferative spondylitis in the c ombined diagnosis group. Conclusion X-ray film and bone mineral density were c ommon methods for c linic al diagnosis of diabetic osteopathy,whic h c ould identify the type of disease,but the c ombined diagnosis had more obvious advantages,whic h c ould improve the diagnostic ac c urac y,reduc e the misdiagnosis and missed diagnosis rate,and give full play to the c linic al diagnostic value.