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《Chinese Journal of Osteoporosis》 2010-12
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Comparison of the sensitivity of osteoporosis diagnosis between using anterior-posterior lumbar spine scan and hip scan with DEXA in middle-aged and elder people

WU Qian,CHEN Jianting,ZHONG Zhaoming,et al.Department of Orthopedics and Spinal Surgery,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China  
Objective To compare the diagnostic sensitivity of osteoporosis between anterior-posterior(AP) lumbar spine scan and hip scan using DEXA.Methods Three hundred and forty middle-aged and elder people(108 man and 240 women,40-82 years old) were randomly selected for the study,excluding the patients with lumbar spine fracture by history taking.BMDs of the AP lumbar spine and the hip were measured using DEXA.The measurement sensitivity between the two sites was compared.Results Detection rate of osteoporosis with BMD scan was higher at the hip site(62.03%) than at the lumbar spine site(23.14%) in men(with statistic difference).The lowest T scores at the hip were lower than that at the AP lumbar spine in all age groups(with statistic difference).Detection rate of osteoporosis with BMD scan was higher at the hip site(56.89%) than at the lumbar spine site(50%) in women(with statistic difference).The lowest T scores at the hip lower than that at the AP lumbar spine in all age groups(with no statistic difference).Conclusion The T score at the hip is low than that a the lumbar spine in middle-aged and elder people.Detection of osteoporosis at the hip site with BMD scan is more sensitive than that at AP lumbar spine.The T score of the hip plays more important role in the diagnosis of osteoporosis.
【CateGory Index】: R580
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