| Objective To analyze 91 cases of bone mineral density (BMD) measurement results, and to present and discuss the diagnostic difficulty. Methods Ninety-one osteoporosis patients and healthy people who received duel-energy X-ray absorptiometry test in our hospital from January 10th 2013 to January 11th 2013 were selected, including 51 males and 40 females. Age, height, and weight of the 91 cases were recorded. The BMD of the lumbar vertebrae, the left hip, and the right hip was measured using the Osteocore 3 duel-energy X-ray absorptiometry (MED MINK Corporation, France). Using the minimal T value as the diagnostic basis, the incidence of osteoporosis was calculated and analyzed. The diagnostic difficulty was presented. Results According to the result analysis, the diagnostic difficulty of osteoporosis was as following: 1) What standard should be used for osteoporosis diagnosis? 2) Duel-energy X-ray absorptiometry were mainly used to measure the BMD of the lumbar vertebrae, the left hip, and the right hip. From which test results of the 3 parts should be applied for the diagnosis? 3) How to diagnose the juvenile osteoporosis? 4) When the history was not consistent with BMD results, how to diagnose according to high BMD result? 5) Patients were less initiative to see a doctor due to lack of popular science knowledge of osteoporosis. 6) The clinicians paid less attention to osteoporosis diagnosis, which would not meet the need of the patients. Conclusion Osteoporosis is a popular disease which can lead to senile fractures, disability, and death and can seriously affect physical and mental health of the elderly. More and more attention should be paid to the osteoporosis diagnosis. With the development of the diagnostic method of osteoporosis, the diagnosis becomes easy and accuracy using duel-energy X-ray absorptiometry. However, the difficulty still exists in osteoporosis diagnosis. Among these difficulties, some are because of the different opinions, and some are caused by lack of study methods and results. Improving the diagnostic accuracy of osteoporosis needs more study and clinical work. It also needs involvement of the whole society. |