中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
17期
65-66
,共2页
骨质疏松%脊柱骨折%临床诊断
骨質疏鬆%脊柱骨摺%臨床診斷
골질소송%척주골절%림상진단
Osteoporosis%Vertebral fracture%Diagnosis
目的：分析研究骨质疏松脊柱骨折的临床特征和诊断，为骨质疏松脊柱骨折患者的诊断和治疗提供有效的依据。方法选取该院收治的140例腰背疼痛的老年病人和骨折老年病人。其中98例女性患者，42例男性患者。做过手术的患者有42例，包括30例女性患者和12例男性患者。所有患者都进行X线检查，对患者的脊椎正片和侧片进行检查，排除其他骨科疾病，同时判断患者是否有骨质疏松性脊柱骨折，并对诊断的结果进行分析。结果140例患者中有80例存在一个及以上的椎体骨折(57.1%)。80例骨质疏松性脊柱骨折患者中有20例经检查有两个椎体骨折(14.3%)，6例患者的椎体骨折超过两个(4.3%)。在确诊的80例患者中有6例患者从未进行过诊断和治疗，其余的74例患者平均就诊次数在1~10次之间。74例就诊的患者中有35例(47.3%)被漏诊和误诊。结论根据该次研究发现骨质疏松性脊柱骨折容易被漏诊或误诊，需要引起重视。同时，很多患者对自身的症状过于忽视，没有及时就医，要加强该疾病的宣传。
目的：分析研究骨質疏鬆脊柱骨摺的臨床特徵和診斷，為骨質疏鬆脊柱骨摺患者的診斷和治療提供有效的依據。方法選取該院收治的140例腰揹疼痛的老年病人和骨摺老年病人。其中98例女性患者，42例男性患者。做過手術的患者有42例，包括30例女性患者和12例男性患者。所有患者都進行X線檢查，對患者的脊椎正片和側片進行檢查，排除其他骨科疾病，同時判斷患者是否有骨質疏鬆性脊柱骨摺，併對診斷的結果進行分析。結果140例患者中有80例存在一箇及以上的椎體骨摺(57.1%)。80例骨質疏鬆性脊柱骨摺患者中有20例經檢查有兩箇椎體骨摺(14.3%)，6例患者的椎體骨摺超過兩箇(4.3%)。在確診的80例患者中有6例患者從未進行過診斷和治療，其餘的74例患者平均就診次數在1~10次之間。74例就診的患者中有35例(47.3%)被漏診和誤診。結論根據該次研究髮現骨質疏鬆性脊柱骨摺容易被漏診或誤診，需要引起重視。同時，很多患者對自身的癥狀過于忽視，沒有及時就醫，要加彊該疾病的宣傳。
목적：분석연구골질소송척주골절적림상특정화진단，위골질소송척주골절환자적진단화치료제공유효적의거。방법선취해원수치적140례요배동통적노년병인화골절노년병인。기중98례녀성환자，42례남성환자。주과수술적환자유42례，포괄30례녀성환자화12례남성환자。소유환자도진행X선검사，대환자적척추정편화측편진행검사，배제기타골과질병，동시판단환자시부유골질소송성척주골절，병대진단적결과진행분석。결과140례환자중유80례존재일개급이상적추체골절(57.1%)。80례골질소송성척주골절환자중유20례경검사유량개추체골절(14.3%)，6례환자적추체골절초과량개(4.3%)。재학진적80례환자중유6례환자종미진행과진단화치료，기여적74례환자평균취진차수재1~10차지간。74례취진적환자중유35례(47.3%)피루진화오진。결론근거해차연구발현골질소송성척주골절용역피루진혹오진，수요인기중시。동시，흔다환자대자신적증상과우홀시，몰유급시취의，요가강해질병적선전。
Objective To analyze the clinical features and diagnosis of osteoporotic vertebral fracture so as to provide the basis for its diagnosis and treatment. Methods 140 elderly patients with back pain or fracture, 98 female and 42 male, were selected.42 pa-tients of them, 30 female and 12 male, had ever received operation. All the 140 patients underwent X-ray examination on their spine and side panels to exclude other bone disease and determine whether they had osteoporotic vertebral fracture. Results of di-agnosis were analyzed. Results There wer 80 cases among 140 patients who had the presence of a vertebral fracture (57.1%). A-mong 80 patients with osteoporotic vertebral fractures, 20 cases (14.3%) by checking two vertebral fractures, 6 patients (4.3%) with more than two vertebral fractures. In 80 patients diagnosed with spinal fractures there were 6 patients who never received the diag-nosis and treatment of osteoporosis. The average number of visits in the remaining 74 patients was between 1~10 times. In 74 pa-tients who received treatment, 35 cases (47.3%) were misdiagnosed. Conclusion Effective and accurate diagnosis of osteoporotic vertebral fractures can help patients with early treatment, the treatment effect could be more significant. In addition, the first osteo-porotic vertebral fractures in patients with the diagnosis of osteoporotic spinal fractures prevention of recurrence have an important role.
