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卵巢切除术后女性的骨矿物质流失

Bone-mineral losses in oophorectomized women.

作者信息

Dalén N, Lamke B, Wallgren A

出版信息

J Bone Joint Surg Am. 1974 Sep;56(6):1235-8.

PMID:4550050
Abstract

The bone-mineral content of oophorectomized and non-oophorectomized women was assayed by x-ray spectrophotometry in five different parts of the skeleton. The patients had previously been treated for mammary cancer and were clinically free from disease. In the five to ten-year postoperative period the oophorectomized women had significantly lower mineral content in mainly trabecular parts of the skeleton (average, -18 per cent; p less than 0.01), whereas the mineral content in cortical parts of the skeleton was not significantly lower (average, -7 per cent; p greater than 0.01). The mineral loss in axial and peripheral trabecular bone was of the same magnitude. The results indicate that cessation of ovarian function will lead to an increased fracture risk in the wrist and the femoral neck, as well as in the spine.

摘要

通过X射线分光光度法对接受卵巢切除术和未接受卵巢切除术的女性骨骼的五个不同部位进行骨矿物质含量测定。这些患者此前曾接受过乳腺癌治疗,临床检查无疾病。在术后五至十年期间,接受卵巢切除术的女性主要在骨骼小梁部位的矿物质含量显著降低(平均降低18%;p小于0.01),而骨骼皮质部位的矿物质含量降低不显著(平均降低7%;p大于0.01)。轴向和周边小梁骨的矿物质流失程度相同。结果表明,卵巢功能停止会导致手腕、股骨颈以及脊柱骨折风险增加。

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