代谢性骨病并非少见,其临床表现涉及骨科、神经科、肿瘤科及内科关节病,常致误诊、漏诊。本题第一讲分析代谢性骨病的临床表现、X 线征象和检验所见;第二讲介绍本院所常见成人代谢性骨病的误诊病例或典型病例,简要复习其诊断要点。代谢性骨病首由Albright 氏于1948年提出,指的是全身代谢紊乱所致的全身性骨病。目前的分类大致包括骨质疏松、骨软化、骨硬化和纤维囊性骨炎。 Metabolic bone disease is not uncommon, its clinical manifestations involving orthopedics, neurology, oncology and medical arthrosis, often misdiagnosis, missed diagnosis. The first section of the title analysis of clinical manifestations of metabolic bone disease, X-ray findings and test seen; second to introduce the hospital common misdiagnosis of adult cases of metabolic bone disease or cases, a brief review of the diagnostic points. Metabolic bone disease first proposed by Albright in 1948, refers to the systemic metabolic disorders caused by systemic bone disease. The current classification broadly includes osteoporosis, osteomalacia, osteosclerosis and fibrocystic osteitis.