Objective To investigate the diagnostic value of X-ray bone densitometer and bone quantitative CT for os-teoporosis in perimenopausal women.Methods A total of 425 perimenopausal women who were treated in Changxing Hospital,Zhejiang Medical and Health Group from October 2019 to October 2023 were selected as the research subjects.They were examined by X-ray bone densitometer and bone quantitative CT.The detection rates of osteoporosis by the two methods were compared,and the detection rates of osteoporosis in patients of different ages were observed.Results The detection rates of bone mineral reduction and osteoporosis by X-ray bone densitometer were 43.76％(186/425)and 21.41％(91/425),respectively.The detection rates of bone mineral reduction and osteoporosis by bone quantitative CT were 51.53％(219/425)and 28.71％(122/425),respectively.The detection rates of bone mineral reduction and osteoporo-sis by bone quantitative CT were higher than those by X-ray bone densitometer,and the differences were statistically sig-nificant(x2=5.14,6.02,P＜0.05).For perimenopausal women aged 56 to 60,the detection rate of osteoporosis by bone quantitative CT was higher than that by X-ray bone densitometer,and the difference was statistically significant(x2=6.93,P＜0.05).There was no significant difference in the detection rate of bone mineral reduction between the two examina-tion methods(x2=1.08,P＞0.05).Conclusion Both X-ray bone densitometer and bone quantitative CT have diagnostic value for osteoporosis in perimenopausal women,and can effectively detect bone mineral reduction and osteoporosis.Bone quantitative CT can more sensitively reflect the changes in bone density and has better diagnostic value for osteoporosis in perimenopausal women.
关键词
围绝经期/骨质疏松/骨密度/X线骨密度仪/骨定量CT/诊断价值
Key words
perimenopause/osteoporosis/bone mineral density/X-ray bone densitometer/bone quantitative CT/diagnostic value
维普
万方数据