月经正常妇女多部位骨密度的定量分析.pdfVIP

中国体视学与图像分析 2002 年12 月 第7 卷 第4 期 216 CHINESE JOURNAL OF STEREOLOGY AND IMAGE ANALYSIS Vol.7 No.4 Dec. 2002 文章编号：1007-1482 （2002）04-0216-04 月经正常妇女多部位骨密度的定量分析 张 全，张 颖，杜 茜 （解放军总医院妇产科，北京 100853 ） 【摘要】目的：通过测定多部位骨密度，全面地观察骨矿物质变化，及时发现骨量丢失出现的 部位。提高骨质疏松症（OP）的早期诊断和防治。方法：用双能骨密度仪测定113 例月经规律的 20-56 岁妇女腰椎和双髋部的骨密度。结果：88 例 20-40 岁月经规律妇女中腰椎和双髋部 BMD 在正常范围者76 例，出现骨量减少者12 例；而49-56 岁仍有月经规律的25 例妇女中骨量减少者 8 例。两个年龄组的骨量减少发生率共为17.7%。发生的部位在腰椎或单、双髋或腰髋两者兼之， 个体差异较大。多部位腰椎+双髋部骨密度测定能及早了解未绝经妇女的骨矿物质变化。结论： 1. 多部位腰椎+双髋部骨密度测定，发现月经规律的部分妇女骨量亦有减少。2. 随着年龄的增加 骨量丢失的发生率也增加，应及早采取对妇女行多部位测定 BMD ，深入了解骨量的变化，提高 OP 的诊断率。 【关键词】多部位骨密度；骨量减少；骨量变化 【中图分类号】TP 391 ，R711 【文献标识码】A MULTISITES BONE DENSITY MEASUREMENT FOR DETECTING BONE MINERAL CHANGES IN WOMEN ZHANG Quan, ZHANG Ying , DU Qian (Department of Obstetrics and Gynecology, PLA General Hospital. Beijing, 100853) 【ABSTRACT 】Aim: to protect from late Osteoporosis (OP ) we measured bone density of pre-menopausal women at various sites to find out changes in bone mineral density. Method: Bone density data was acquired by DEXA (DPX-L) to scan the lumbar spines and hip of 113 women volunteers, aged 20-56 years and analysed. Results: BMD of the lumbar spines and both hips were normal in 76 members of the 88 aged 20-40years menstruating normally. While 12 members and 8 of 25 women aged 49-56 years had decreased bone mineral, an incidence of 17.7%. Sites of decreased mineral density were at the lumbar spines or hips or both lumbar spines and hips, w