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抗癫痫药物治疗患者的乳腺X线摄影技术手部骨骼研究(作者译)

[Handskeleton studies with mammography technique in patients under antiepileptic medication (author's transl)].

作者信息

Prager P J, Krause K H, Ritz E, Schmidt-Gayk H

出版信息

Rofo. 1977 Apr;126(4):371-5. doi: 10.1055/s-0029-1230597.

DOI:10.1055/s-0029-1230597
PMID:140132
Abstract

An investigation with 114 epileptic patients under continuous treatment with anticonvulsiva was conducted in order to determine to what extent studies of the handskeleton with low-KV-technique will contribute to diagnosing osteopathy. The roentgenological findings of the hand were correlated with the x-ray findings of the remainder of the skeleton and with the results of biochemical studies. A control biopsy was performed in 8 cases. Definite and with all methods recognizable signs of osteomalacia were present in 7% of the cases, although only 2 patients developed a pathologic fracture. Another 32 patients (28%) showed suspicious changes in the handskeleton, which could not be confirmed by the comparative studies. No patient with normal findings of the handskeleton showed suspicious changes in the remainder of the skeleton or clinical and chemical indications of osteomalacia.

摘要

对114名正在接受抗惊厥药持续治疗的癫痫患者进行了一项调查,以确定采用低千伏技术对手骨骼进行的研究在多大程度上有助于诊断骨病。手部的X线检查结果与骨骼其他部位的X线检查结果以及生化研究结果相关联。对8例患者进行了对照活检。7%的病例出现了明确的、用所有方法均可识别的骨软化迹象,尽管只有2例患者发生了病理性骨折。另外32例患者(28%)手部骨骼出现可疑变化,但比较研究未能证实。手部骨骼检查结果正常的患者,其骨骼其他部位均未出现可疑变化,也没有骨软化的临床和化学指征。

相似文献

1
[Handskeleton studies with mammography technique in patients under antiepileptic medication (author's transl)].抗癫痫药物治疗患者的乳腺X线摄影技术手部骨骼研究(作者译)
Rofo. 1977 Apr;126(4):371-5. doi: 10.1055/s-0029-1230597.
2
[Diagnosis of anticonvulsant osteomalacia in adults (author's transl)].
Dtsch Med Wochenschr. 1977 Dec 23;102(51):1872-7. doi: 10.1055/s-0028-1105588.
3
[Vitamin D deficiency. Osteopathy after prolonged treatment with anticonvulsents (author's transl)].[维生素D缺乏。长期使用抗惊厥药治疗后的骨病(作者译)]
Rofo. 1976 Jan;124(1):7-11. doi: 10.1055/s-0029-1230271.
4
Osteomalacia associated with anticonvulsant drug therapy in mentally retarded children.智障儿童抗惊厥药物治疗相关的骨软化症
Pediatrics. 1975 Jul;56(1):45-50.
5
[Myopathy and osteomalacia after longterm antiepileptic treatment (author's transl)].
MMW Munch Med Wochenschr. 1974 Nov 29;116(48):2113-6.
6
[Osteomalacia and anticonvulsant therapy: serum assay of 25 hydroxy D in an epileptic population (author's transl) (proceedings)].
Ann Endocrinol (Paris). 1976 Nov-Dec;37(6):483-4.
7
[Serum alkaline phosphatase and isoenzyme levels in patients on maintenance anti-convulsant therapy (author's transl)].维持性抗惊厥治疗患者的血清碱性磷酸酶及其同工酶水平(作者译)
Med Clin (Barc). 1981 Oct 25;77(7):287-8.
8
[Antiepileptic drug-induced osteopathy. Subtypes, pathogenesis, prevention, early diagnosis and treatment].[抗癫痫药物所致骨病。亚型、发病机制、预防、早期诊断与治疗]
Dtsch Med Wochenschr. 2007 Jul 29;132(27):1475-9. doi: 10.1055/s-2007-982057.
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Anticonvulsant osteomalacia in epileptic outpatients.
Ann Clin Res. 1982 Jun;14(3):129-32.
10
Osteomalacia accompanying chronic anticonvulsant therapy.
J Clin Endocrinol Metab. 1972 Sep;35(3):378-86. doi: 10.1210/jcem-35-3-378.

引用本文的文献

1
[The frequency of adult anticonvulsant osteomalacia in relation to duration of therapy and dosage of anticonvulsants (author's transl)].
Arch Psychiatr Nervenkr (1970). 1979 Apr 12;226(4):299-310. doi: 10.1007/BF00342242.