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“肝性骨营养不良”与围绝经期和绝经后骨质疏松症有区别吗?一项组织形态计量学研究。

Does "hepatic osteodystrophy" differ from peri- and postmenopausal osteoporosis? A histomorphometric study.

作者信息

Shih M S, Anderson C

机构信息

Department of Pathology, University of Western Ontario, London, Canada.

出版信息

Calcif Tissue Int. 1987 Oct;41(4):187-91. doi: 10.1007/BF02555237.

DOI:10.1007/BF02555237
PMID:3119174
Abstract

Bone remodeling activities were assayed on undecalcified sections of iliac crest biopsies obtained from patients with primary biliary cirrhosis (PBC) (n = 25), postmenopausal osteoporosis (n = 64), and age, sex-matched, nonosteoporotic peri- and postmenopausal subjects (n = 26). Thorough semiautomated static and dynamic bone histomorphometry was carried out. Statistical analysis was performed among the age-matched groups in 10-year intervals through the ages 45 to 74. No osteomalacia or osteoporotic condition was detected in the patients with PBC. Our data have shown they did not have a mineralization defect but rather high bone turnover rates. The discrepancy of our observations to other published studies is discussed. We suggest that the osteoporotic condition attributed by others to PBC may just be the result of the concomitant aging processes.

摘要

对取自原发性胆汁性肝硬化(PBC)患者(n = 25)、绝经后骨质疏松症患者(n = 64)以及年龄和性别匹配的非骨质疏松性围绝经期和绝经后受试者(n = 26)的髂嵴活检未脱钙切片进行骨重塑活性检测。进行了全面的半自动静态和动态骨组织形态计量学分析。在45至74岁的年龄组中,以10年为间隔进行了年龄匹配组间的统计分析。PBC患者未检测到骨软化症或骨质疏松症。我们的数据表明,他们没有矿化缺陷,而是具有高骨转换率。讨论了我们的观察结果与其他已发表研究的差异。我们认为,其他人归因于PBC的骨质疏松症可能只是伴随衰老过程的结果。

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本文引用的文献

1
Osteoporosis in primary biliary cirrhosis: effects of 25-hydroxyvitamin D3 treatment.原发性胆汁性肝硬化中的骨质疏松症:25-羟维生素D3治疗的效果
Gastroenterology. 1982 Jul;83(1 Pt 1):97-102.
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25-Hydroxyvitamin D3 treatment of bone disease in primary biliary cirrhosis.
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A new semiautomatic method for quantitative static and dynamic bone histology.一种用于定量静态和动态骨组织学的新型半自动方法。
Calcif Tissue Int. 1982 Sep;34(5):439-48. doi: 10.1007/BF02411282.
4
Bone disease in primary biliary cirrhosis: increased bone resorption and turnover in the absence of osteoporosis or osteomalacia.原发性胆汁性肝硬化中的骨病:在无骨质疏松或骨软化的情况下骨吸收和骨转换增加。
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Hepatic osteodystrophy after liver transplantation in a patient with primary biliary cirrhosis.一名原发性胆汁性肝硬化患者肝移植后的肝性骨营养不良
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Hepatic osteodystrophy in primary biliary cirrhosis: a possible defect in Kupffer cell mediated cleavage of parathyroid hormone.原发性胆汁性肝硬化中的肝性骨营养不良:库普弗细胞介导的甲状旁腺激素裂解可能存在缺陷。
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Metabolism of vitamin D in patients with primary biliary cirrhosis and alcoholic liver disease.原发性胆汁性肝硬化和酒精性肝病患者的维生素D代谢
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Gastroenterology. 1975 Jul;69(1):20-7.