Simpson W, Ellis H A, Kerr D N, McElroy M, McNay R A, Ppeart K N
Br J Radiol. 1976 Feb;49(578):105-10. doi: 10.1259/0007-1285-49-578-105.
The radiological findings in the skeletal surveys of 70 patients receiving long-term haemodialysis for chronic renal failure have been correlated with histological findings in a specimen obtained by biopsy of the iliac crest. Many significant associations were found, and the ones presented are those thought to be most useful in the interpretation of the radiological abnormalities. The main conclusions are that fractures and severe medullary rarefaction appear to be most commonly the result of osteomalacia; subperiosteal erosions are associated with the more severe grades of osteitis fibrosa; cortical striations and sclerosis are associated with an increased amount of osteoid, and sclerosis is diagnosed more frequently by radiological means than by iliac-crest biopsy.
对70例因慢性肾衰竭接受长期血液透析患者的骨骼X线检查结果，与通过髂嵴活检获得的标本组织学检查结果进行了对比。发现了许多显著的关联，这里呈现的是那些被认为对解读放射学异常最有用的关联。主要结论是，骨折和严重的骨髓稀疏似乎最常见的原因是骨软化症；骨膜下侵蚀与更严重程度的纤维性骨炎相关；皮质条纹和硬化与类骨质增多有关，并且通过放射学手段诊断硬化比通过髂嵴活检更频繁。
