CAJ | 학술논문

目的：探讨退行性脊柱侧凸( DS)与骨质疏松( OP)的相关性。方法选取2004年1月-2014年1月在解放军117医院门诊及住院的DS患者116例设为DS组,另选取同期来院就诊的非腰椎侧凸的腰痛患者116例为对照组,测定Cobb's角、腰椎(腰1~4)及股骨颈、股骨粗隆和Ward's三角T值,分析患者OP发病率,年龄、Cobb's角与对应T值的相关性。结果 DS组骨质疏松发病率显著高于对照组( P<0．01)；DS组腰椎(腰1~4)、股骨颈、股骨粗隆和Ward's三角区骨密度T值与对照组比较差异均有统计学意义(P<0.05)；DS组T值(绝对值)与年龄存在正相关关系(r=0.421,P<0．01)；DS患者腰椎及股骨近端各部位的T值与侧凸Cobb's角无相关性(P>0．05)。结论 OP是DS发病的危险因素,同时骨质疏松程度随着年龄的增大而增加,但与侧凸程度无明显相关。
목적：탐토퇴행성척주측철( DS)여골질소송( OP)적상관성。방법선취2004년1월-2014년1월재해방군117의원문진급주원적DS환자116례설위DS조,령선취동기래원취진적비요추측철적요통환자116례위대조조,측정Cobb's각、요추(요1~4)급고골경、고골조륭화Ward's삼각T치,분석환자OP발병솔,년령、Cobb's각여대응T치적상관성。결과 DS조골질소송발병솔현저고우대조조( P<0．01)；DS조요추(요1~4)、고골경、고골조륭화Ward's삼각구골밀도T치여대조조비교차이균유통계학의의(P<0.05)；DS조T치(절대치)여년령존재정상관관계(r=0.421,P<0．01)；DS환자요추급고골근단각부위적T치여측철Cobb's각무상관성(P>0．05)。결론 OP시DS발병적위험인소,동시골질소송정도수착년령적증대이증가,단여측철정도무명현상관。
Objective To investigate the relationship between the degenerative scoliosis ( DS) and osteoporosis ( OP) . Methods A total of 116 DS patients during January 2004 and January 2014 were chosen as DS group, and 116 lumbago patients without DS at the same period were selected as control group. T values of Cobb's angle, lumbar spine (lumbar 1-4), femoral neck, trochanter and Ward'S triangle were detected, and the relationships between the incidence rate of OP, age and Cobb's angle with the corresponding T values were also analyzed. Results The incidence rate of os-teoporosis in DS group was significantly higher than that in control group (P<0. 01);the differences in T values of lum-bar spine (lumbar 1-4), femoral neck, trochanter and Ward's triangle in DS group were statistically significant compared with those in control group (P<0. 05);T values of DS group were positively correlated with age (r=0. 421, P<0. 01);T values of the lumbar spine and proximal femur had no correlation with scoliosis Cobb's angle in DS group (P>0. 05). Conclusion Osteoporosis is a pathogenic risk factor of the degenerative scoliosis, and degree of osteoporosis increases with age at the same time, but it has no significant correlation with the scoliosis degree.