Lakatos Péter
Semmelweis Egyetem Altalános Orvostudományi Kar, I. Belgyógyászati Klinika, Budapest.
Orv Hetil. 2003 Jul 13;144(28):1373-9.
Osteoporosis is a major health care problem of the developed countries. During the last decades, female osteoporosis has been in the center of interest. However, it had to be realized that a significant number of men suffer in this disorder. Beside patient's history and physical examination, bone densitometry, X-ray and biochemical tests are the basis of the diagnosis. Bone densitometry provides accurate information on bone quantity but it does not identify the causes of a potential reduction in bone mineral content. X-ray and laboratory examinations are absolutely essential for differential diagnosis. In the treatment of involutional osteoporosis, a number of effective drugs are available. Their effects on bone tissue have been proven by the methods of evidence-based medicine. In this review, the recent developments in the diagnosis and therapy of osteoporosis have been summarized.
骨质疏松症是发达国家的一个主要医疗保健问题。在过去几十年里,女性骨质疏松症一直是人们关注的焦点。然而,必须认识到有相当数量的男性也患有这种疾病。除了患者病史和体格检查外,骨密度测定、X线检查和生化检查是诊断的基础。骨密度测定可提供有关骨量的准确信息,但无法确定骨矿物质含量潜在降低的原因。X线检查和实验室检查对鉴别诊断绝对至关重要。在治疗绝经后骨质疏松症方面,有多种有效药物可供使用。它们对骨组织的作用已通过循证医学方法得到证实。在这篇综述中,总结了骨质疏松症诊断和治疗方面的最新进展。