中华老年骨科与康复电子杂志
中華老年骨科與康複電子雜誌
중화노년골과여강복전자잡지
Chinese Journal of Geriatric Orthopaedics and Rehbilitation (Electronic Edition)
2015年
1期
16-21
,共6页
张玺%胡永成%耿欣%陈菲%李健
張璽%鬍永成%耿訢%陳菲%李健
장새%호영성%경흔%진비%리건
肱骨近端%骨折%BMD%皮质骨厚度%骨质疏松
肱骨近耑%骨摺%BMD%皮質骨厚度%骨質疏鬆
굉골근단%골절%BMD%피질골후도%골질소송
Proximal humeral%Fracture%Bone mineral density%Cortical bone thickness%Osteoporosis
目的探讨老年肱骨近端骨折患者肱骨近端骨皮质厚度与骨密度(bone mineral density,BMD)的相关性。方法使用螺旋CT机对69例老年肱骨近端骨折患者的肩关节进行扫描后在图像工作站影像归档和通信系统处理软件中对两个水平层面图像的皮质骨厚度进行测量并取平均数,BMD值使用双能X线BMD测量仪测量获得,采用Spearman等级相关分析方法对腰椎和股骨颈处BMD与平均皮质骨厚度相关性进行计算。结果69例患者中,男18例、女51例,女性骨质疏松者占全部病例的65%,男性骨质疏松者占全部病例的16%。男性患者腰椎、股骨颈处BMD和平均皮质骨厚度均优于女性(P<0.05),骨质疏松患者中男性患者腰椎、股骨颈处BMD和平均皮质骨厚度也优于女性(P<0.05)。腰椎、股骨颈处BMD与平均皮质骨厚度密切相关,骨质疏松患者的腰椎、股骨颈处BMD与平均皮质骨厚度也密切相关。结论采用CT扫描和图像工作站后处理软件测量肱骨近端皮质骨厚度是评价BMD的一种快捷、精确度较高的方法,是对DXA的有益补充。
目的探討老年肱骨近耑骨摺患者肱骨近耑骨皮質厚度與骨密度(bone mineral density,BMD)的相關性。方法使用螺鏇CT機對69例老年肱骨近耑骨摺患者的肩關節進行掃描後在圖像工作站影像歸檔和通信繫統處理軟件中對兩箇水平層麵圖像的皮質骨厚度進行測量併取平均數,BMD值使用雙能X線BMD測量儀測量穫得,採用Spearman等級相關分析方法對腰椎和股骨頸處BMD與平均皮質骨厚度相關性進行計算。結果69例患者中,男18例、女51例,女性骨質疏鬆者佔全部病例的65%,男性骨質疏鬆者佔全部病例的16%。男性患者腰椎、股骨頸處BMD和平均皮質骨厚度均優于女性(P<0.05),骨質疏鬆患者中男性患者腰椎、股骨頸處BMD和平均皮質骨厚度也優于女性(P<0.05)。腰椎、股骨頸處BMD與平均皮質骨厚度密切相關,骨質疏鬆患者的腰椎、股骨頸處BMD與平均皮質骨厚度也密切相關。結論採用CT掃描和圖像工作站後處理軟件測量肱骨近耑皮質骨厚度是評價BMD的一種快捷、精確度較高的方法,是對DXA的有益補充。
목적탐토노년굉골근단골절환자굉골근단골피질후도여골밀도(bone mineral density,BMD)적상관성。방법사용라선CT궤대69례노년굉골근단골절환자적견관절진행소묘후재도상공작참영상귀당화통신계통처리연건중대량개수평층면도상적피질골후도진행측량병취평균수,BMD치사용쌍능X선BMD측량의측량획득,채용Spearman등급상관분석방법대요추화고골경처BMD여평균피질골후도상관성진행계산。결과69례환자중,남18례、녀51례,녀성골질소송자점전부병례적65%,남성골질소송자점전부병례적16%。남성환자요추、고골경처BMD화평균피질골후도균우우녀성(P<0.05),골질소송환자중남성환자요추、고골경처BMD화평균피질골후도야우우녀성(P<0.05)。요추、고골경처BMD여평균피질골후도밀절상관,골질소송환자적요추、고골경처BMD여평균피질골후도야밀절상관。결론채용CT소묘화도상공작참후처리연건측량굉골근단피질골후도시평개BMD적일충쾌첩、정학도교고적방법,시대DXA적유익보충。
Objective To explore the possible association between proximal humeral cortical bone thickness and bone mineral density (BMD) in elderly patients with proximal humeral fractures. Methods We scaned 69 cases of the shoulders in elderly proximal humeral fracture patients and measured the average cortical bone thickness in two different CT layers with picture archiving and communication system (PACS). BMD was measured with dual-energy x-ray absorptiometry (DXA). Spearman correlations were used to assess the relationship between cortical bone thickness and BMD of femoral neck and lumbar vertebra. Results The study group was consisted of 69 cases, including 18 males and 51 females. About 65% of female and 16% of male were complicated by osteoporosis, The BMD of lumber and femoral neck were better in male patients than female patients (P<0.05), and in male osteoporosis patients than female osteoprosis patients (P<0.05). The BMD of lumber and femoral neck in all patients were closely related to average cortical bone thickness, and the same result was found in osteoporosis patients. Conclusion The measurement technique of average cortical bone thickness with CT and PACS is a quick and accurate method, which complements for DXA.