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土耳其女性股骨近端形态测量与骨密度之间的关系。

The relationship between the proximal femur morphometry and bone mineral density in Turkish women.

作者信息

Irdesel J, Ar I

机构信息

Department of Physical Medicine and Rehabilitation, Medical Faculty, Uludag University, 16059 Gorukle, Bursa, Turkey.

出版信息

Minerva Med. 2006 Apr;97(2):153-9.

Abstract

AIM

Hip fractures have high morbidity and mortality rate for patients as a complication of osteoporosis and is generally seen in elderly. It is known that the bone mineral density (BMD) and proximal femur morphometry are important determinants of fracture risk. The aim of this study was to investigate the relationship between BMD and proximal femur morphometry.

METHODS

A total of 190 postmenopausal Turkish women were included in this retrospective study. The anthropometric and BMD measurements were recorded from the ''Osteoporosis Diagnosis Form'' of these women and the morphometric measurements (hip axis length, HAL; femoral neck axis length, FAL; femoral neck width, FW; femoral head width, HW; intertrochanteric width, TW and Q angle) were made on their radiographs. For statistical analysis the Pearson linear correlation was performed using SPSS 10.0 software.

RESULTS

The averages of anthropometric indices, femoral morphometric measurements and BMD were found to be: 61.86 years, 153.98 cm, 66.47 kg, 28.02 kg/m(2), 10.80 cm, 10.14 cm, 5.21 cm, 3.54 cm, 8.42 cm, 131.52 degree, 0.74 g/cm(2), 0.67 g/cm(2), 0.59 g/cm(2), 0.72 g/cm(2), and 0.08 g/cm(2) (age, height, weight, BMI, HAL, FAL, HW, FW, TW, Q angle, femoral neck BMD, trochanteric BMD, wards BMD, lumbar 1-4 BMD, total hip BMD) respectively. The positive correlations were found between the values of femoral neck, trochanteric and wards BMD and the values of HAL, FAL and HW. These femoral morphometric parameters did not show correlation with the values of total hip and lumbar 1-4 BMD.

CONCLUSION

These results suggest that there are positively correlations in the values of the proximal femoral morphometry and BMD.

摘要

目的

髋部骨折作为骨质疏松症的一种并发症,对患者具有较高的发病率和死亡率,且通常见于老年人。已知骨密度(BMD)和股骨近端形态测量是骨折风险的重要决定因素。本研究的目的是调查BMD与股骨近端形态测量之间的关系。

方法

本回顾性研究共纳入190名土耳其绝经后女性。从这些女性的“骨质疏松症诊断表”中记录人体测量和BMD测量数据,并在她们的X线片上进行形态测量(髋轴长度,HAL;股骨颈轴长度,FAL;股骨颈宽度,FW;股骨头宽度,HW;转子间宽度,TW和Q角)。使用SPSS 10.0软件进行Pearson线性相关统计分析。

结果

人体测量指标、股骨形态测量值和BMD的平均值分别为:61.86岁、153.98厘米、66.47千克、28.02千克/平方米、10.80厘米、10.14厘米、5.21厘米、3.54厘米、8.42厘米、131.52度、0.74克/平方厘米、0.67克/平方厘米、0.59克/平方厘米、0.72克/平方厘米和0.08克/平方厘米(年龄、身高、体重、BMI、HAL、FAL、HW、FW、TW、Q角、股骨颈BMD、转子间BMD、沃德三角区BMD、腰1 - 4 BMD、全髋BMD)。股骨颈、转子间和沃德三角区BMD值与HAL、FAL和HW值之间存在正相关。这些股骨形态测量参数与全髋和腰1 - 4 BMD值无相关性。

结论

这些结果表明股骨近端形态测量值与BMD之间存在正相关。

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