Derk C T
Division of Rheumatology, Department of Medicine, Thomas Jefferson University, Philadelphia, PA 19107-5541, USA.
Minerva Med. 2006 Dec;97(6):479-86.
Few practice guidelines exist to guide the clinician to the diagnosis and management of osteoporosis in the premenopausal woman. Many clinical concerns exist due to the paucity of clinical research studies, while at the same time widespread screening has resulted in an increase number of premenopausal women having their bone mineral density measured. The major issue that has arisen is not therapy, but what is the definition of osteoporosis in premenopausal women. We have no specific definition, for thus it is very difficult to make and specific recommendation on therapy based on bone mineral density numbers alone. Concerns over the definition, screening and management of osteoporosis in premenopausal women are addressed in this review based on the most recent available clinical data and consensus reports.
几乎没有实践指南可指导临床医生对绝经前女性骨质疏松症进行诊断和管理。由于临床研究匮乏，存在诸多临床问题，而与此同时，广泛的筛查导致测量骨矿物质密度的绝经前女性数量增加。出现的主要问题并非治疗，而是绝经前女性骨质疏松症的定义是什么。我们没有具体的定义，因此仅根据骨矿物质密度数值很难就治疗提出具体建议。本综述基于最新可得的临床数据和共识报告，探讨了绝经前女性骨质疏松症的定义、筛查和管理问题。
