Does diagnostic osteoporosis need what to inspection make?

Retreat travel sex osteoporosis to diagnose need to rely on quantity of clinical expression, bone to determine, X line piece the integration analysis judgement such as the index of biochemistry of the changeover that reach bone.

　 1. Biochemical examination: Determine the mineral Ji Mou of blood, make water some biochemical index conduces to condition of judgement bone suppression and bone updating the speed of rate, to the osteoporosis differentiate diagnose have important sense.

(1) bone forms index.

(2) bone draws target: Proline of hydroxide of 1) make water. Glucoside of lysine of hydroxide of 2) make water. 3) plasma fights tartrate acidity phosphoric acid is enzymatic. Cross-linking of pyridine of the collagen in 4) make water (peptide of extreme of N of cross-linking of PYr) or I collagen (NTX) .

(Of composition of mine of bone of 3) blood, make water detect: 1) serum total calcium. Phosphor of 2) serum inorganic. 3) serum is magnesian. Calcium of 4) make water, phosphor, magnesian determine.

　　 2.X line checks:

Bone quantity reduces 30% above, ability of X X-ray control shows, reason is inchoate osteoporosis is hard to discover a researcher with X X-ray control; The influence that because cast,waits according to the condition again, the error is more. Groovy X sciagram can show qualitative change of skin of bone tubal account is small, pith antrum broadens, amount of bone little bridge decreases, its clearance also is added wide, bone density is apparent bring down. Small Liang Chang reduces the infestation bone of vertebra, attenuate or disappear, and little bridge of vertical travel bone turns into apparent, centrum can show wedge because of compressing fracture, or expand because of interverbebral disc and submit biconcave form, the backbone horizontal diameter that surveys office of midpoint of backbone of the 2nd palm (D) and same and planar pith antrum are horizontal diameter (after D) but all sorts of cipher out indexes, among them metacarpal is coriaceous ply (D-d) and metacarpal index (D-d/D) has economic value relatively. When lacking accurate equipment, can lend this crude guess the rate of osteoporosis. X line still a kind of easier all-pervading checks can yet be regarded as the method of the osteoporosis.

　　 Density of 3. bone mine measures:

1994 World Health Organization (WHO) formulate the diagnostic standard of the osteoporosis, with double can the bone density that X line determines is diagnosed as the osteoporosis \" golden standard \" , had been learned to the bound is approbated and apply extensively by whole world cure now. Our country is current each standard that large hospital applies WHO formulate as much. Bone density examination is very simple, it lie on the bed a few minutes is good to lie on the bed a few minutes, can check bone to whether bear fruit. Charge of bone density test is in commonly 50-130 yuan.

(1) odd photon absorbs mensuration.

(2) double can X line absorbs mensuration.

(3) mensurable CT.

(4) ultrasonic.