CAJ | 학술논문

目的：探讨绝经年龄较小的女性骨质疏松情况，完善流行病学资料。方法将97例绝经年龄＜40岁、实际年龄＜63岁的女性分为两组，A组为＜36岁绝经女性（33例），B组为36～39岁绝经女性（64例）。询问女性停经原因，分析双能X线吸收仪（DXA）检查腰椎与左髋部的骨密度（BMD）结果。结果 A组女性DXA诊断42.4%（14/33）为骨质疏松，48.5%（16/33）为低骨量。B组女性DXA诊断46.9%（30/64）为骨质疏松，39.1%（25/64）为低骨量。3例因先天性疾病或遗传病导致绝经，16例肿瘤患者采取激素治疗导致绝经，27例因女性卵巢切除术后导致绝经，10例因内分泌失调导致绝经，20例被认为自然绝经，其余女性不愿提及。结论女性在绝经后骨质疏松发生率会逐渐增多，成为易发骨质疏松症的主要人群，年轻女性绝经后也需定期进行骨质疏松检测，以便了解骨质情况，预防骨质疏松症的发生。
목적：탐토절경년령교소적녀성골질소송정황，완선류행병학자료。방법장97례절경년령＜40세、실제년령＜63세적녀성분위량조，A조위＜36세절경녀성（33례），B조위36～39세절경녀성（64례）。순문녀성정경원인，분석쌍능X선흡수의（DXA）검사요추여좌관부적골밀도（BMD）결과。결과 A조녀성DXA진단42.4%（14/33）위골질소송，48.5%（16/33）위저골량。B조녀성DXA진단46.9%（30/64）위골질소송，39.1%（25/64）위저골량。3례인선천성질병혹유전병도치절경，16례종류환자채취격소치료도치절경，27례인녀성란소절제술후도치절경，10례인내분비실조도치절경，20례피인위자연절경，기여녀성불원제급。결론녀성재절경후골질소송발생솔회축점증다，성위역발골질소송증적주요인군，년경녀성절경후야수정기진행골질소송검측，이편료해골질정황，예방골질소송증적발생。
Objective To investigate the age at menopause earlier female osteoporosis purpose, improve epidemiological data.Methods 97 cases of menopausal age<40 years of age and the actual age<63 years old women were divided into two groups, group A was the age of 36 postmenopausal women in 33 cases,B group of 36~39 years old in 64 cases of postmenopausal women.Ask the reason of female menopause,analysis of dual energy X-ray absorptiometry(DXA) examination of lumbar and left hip results.Results A group of female DXA 42.4% (14/33)for the diagnosis of osteoporosis,48.5%(16/33)for low bone mass.Group B DXA 46.9%(30/64)in diagnosis of female osteoporosis,39.1%(25/64)for low bone mass.In 3 cases with congenital disease or genetic disease resulting in postmenopausal women,16 patients taking hormone therapy resulted in 27 cases of menopause,women after menopause due to ovariectomy resulted in 10 cases,due to endocrine disorders caused 20 cases of natural menopause,menopause,other women do not want to mention.Conclusion Women in postmenopausal osteoporosis rate wil increase, easy to become the main population of osteoporosis in postmenopausal women, young also need regular for osteoporosis detection, in order to understand the bone, the prevention of osteoporosis.