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绝经后骨质疏松症患者骨质丢失的研究
引用本文:邹性初,梁凤云,孙俭,汤浩,张家驹,胡建民,董继蘩.绝经后骨质疏松症患者骨质丢失的研究[J].武汉大学学报(医学版),1992(1).
作者姓名:邹性初  梁凤云  孙俭  汤浩  张家驹  胡建民  董继蘩
作者单位:湖北医学院附一医院核医学科,湖北医学院附一医院核医学科,湖北医学院附一医院核医学科,湖北医学院基础医学实验中心,湖北医学院基础医学实验中心,湖北医学院基础医学实验中心,湖北医学院基础医学实验中心
摘    要:采用FT-647型单光子骨密度仪(SPA)测量30例确诊为绝经后骨质疏松症患者和96例正常对照妇女桡骨远端15%处和中下1/3处的骨矿含量(BMC)和骨矿密度(BMD)的结果表明,患者所有的BMC和BMD均较对照者低。对照组X-1.28S桡骨远端15%处的BMC为0.54g/cm,BMD为0.36lg/cm~2,桡骨中1/3处BMC为0.574g/cm,BMD为0.543g/cm~2。若以此为最低正常值,则有96.6%(29/30)的病人其BMD低于此值。我们认为此值可作为临床诊断绝经后骨质疏松症的标准。文中还对SPA法与放射线诊断法对骨质疏松症的诊断符合率和SPA法测量部位对结果的影响进行了讨论。

关 键 词:绝经  骨骼测定  年龄  骨和骨组织/代谢

Bone Loss Study in 30 Patients of Postmenopausal Osteoporosis
Zou Xingchu,Liang Fengyun,Sun Jian,Tang Hao,Zhang JiaJu,Hu Jianmin,Dong Jifan First Affiliated Hospital,Basic Medical Experiment Center,Hubei Medical College,Wuhan,China.Bone Loss Study in 30 Patients of Postmenopausal Osteoporosis[J].Medical Journal of Wuhan University,1992(1).
Authors:Zou Xingchu  Liang Fengyun  Sun Jian  Tang Hao  Zhang JiaJu  Hu Jianmin  Dong Jifan First Affiliated Hospital  Basic Medical Experiment Center  Hubei Medical College  Wuhan  China
Abstract:The bone mineral content(BMC)and bone mineral density(BMD)of 15% distal site(15% site)and 1/3 middle site(1/3 Site)of radius were determened in 30 postmenopausal osteoporosis pa- tients by ET-647 model single photon absorptiometer(SPA),and 96 normal women were as con- trasts.All the BMC and BMD values of patients were lower than those of contrasts(P<0.01).The results(X—1.28S)of contrast were as follows:15% site,BMC 0.59g/cm,BMD 0.36g/cm~2 1/3 site,BMC 0.584g/cm,BMD 0.543g/cm~2.If these results were to count as minimal normal val- ue,in 29 of 30(96.6%)patients,the 15% site BMD were below these values.It is proposed that these minimal normal values could be used as clinical diagnosis standard of postmenopaasal osteoporo- sis.Finality,the coincidence rate of diagnosis of ospteoporosis between the SPA method and radiodiag- nosis the influence of results of determined site of radius are discussed.
Keywords:MeSH menopause  age determination by skeleton  bone and bones/ME
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