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甲状腺切除患者的骨代谢——通过定量CT评估骨矿物质含量

[Bone metabolism in thyroidectomized patients--evaluation of bone mineral content by quantitative CT].

作者信息

Sugino K, Kure Y, Suzuki A, Sekino H, Iwasaki H, Goto H, Matsumoto A

机构信息

First Department of Surgery, Yokohama City University School of Medicine, Japan.

出版信息

Nihon Geka Gakkai Zasshi. 1990 Apr;91(4):500-7.

PMID:2377165
Abstract

The bone mineral content in the patients who had undergone operation for thyroid carcinoma was measured by quantitative CT. Thirty-eight cases were enrolled as the subjects. All cases were papillary adenocarcinoma of the thyroid. The totally thyroidectomized group consisted of 3 males and 14 females, and the non-totally thyroidectomized group (post-lobectomy) 3 males and 18 females. Thirty-eight healthy males and females were assigned to the control group. For evaluation of bone mineral content, quantitative CT was used and bone mineral content in the patient's lumbar vertebrae was measured. Concurrently, bone metabolic parameter in serum was determined. No significant difference was observed in the mean bone mineral content among the above three groups. To make correction by sex and age, BMC-index was defined as the value that the bone mineral content in each case was divided by the standard mean by the same age and sex. No significant difference was observed in BMC-index among the above three groups. No significant correlation was observed in serum calcitonin level with the bone mineral content and BMC-index. It suggests that no influence is exerted on bone metabolism if serum calcitonin is maintained in the physiological level.

摘要

采用定量CT测量甲状腺癌手术患者的骨矿物质含量。选取38例患者作为研究对象。所有病例均为甲状腺乳头状腺癌。全甲状腺切除组包括3例男性和14例女性,非全甲状腺切除组(叶切除术后)包括3例男性和18例女性。38名健康男性和女性被纳入对照组。为评估骨矿物质含量,采用定量CT测量患者腰椎的骨矿物质含量。同时,测定血清中的骨代谢参数。上述三组的平均骨矿物质含量未观察到显著差异。为进行性别和年龄校正,将骨密度指数定义为各病例的骨矿物质含量除以同年龄、同性别的标准均值所得的值。上述三组的骨密度指数未观察到显著差异。血清降钙素水平与骨矿物质含量及骨密度指数之间未观察到显著相关性。这表明,如果血清降钙素维持在生理水平,对骨代谢没有影响。

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