用超声波法测量跟骨骨密度探讨日本老年性骨质疏松症的诊断价值  

Ultrasound measurement of calcaneus for diagnosis of senile osteoporosis

作　　者：郭金明[1,2] 杨鸿生 圆尾宗司[1,2] 

机构地区：[1]沈阳中国医科大学第三临床学院骨科 [2]日本兵库医科大学整形外科

出　　处：《中国骨质疏松杂志》1998年第2期21-23,共3页Chinese Journal of Osteoporosis

摘　　要：用ＬＵＮＡＲＡｃｈｉｌｅｓ系统对４０６名日本健康老年人群（男２００例，年龄６６～８５岁；女２０６例，年龄６４～８３岁）和３１５名患老年性骨质疏松症者（男１４５例，年龄６７～８３岁；女１７０例，年龄６６～８７岁）进行跟骨骨密度测定。结果老年性骨质疏松症患者的ＢＵＡ，ＳＯＳ和Ｓｔｉｆｎｅｓｓ明显低于健康老年人群（Ｐ＜０．０１）；当ＢＵＡ，ＳＯＳ和Ｓｔｉｆｎｅｓｓ在男性分别下降到８６±１０ｄＢ／ＭＨｚ，１４８０±２４ｍ／ｓ，５３．０±１０．２％，在女性分别下降到８７±９ｄＢ／ＭＨｚ，１４７０±２７ｍ／ｓ，５０．０±９．３％时，容易发生脊柱自发性压缩骨折。正常老年人群中女性的超声波测量值明显低于男性（Ｐ＜０．０５）。提示超声波法测量跟骨骨密度可以很好地将骨质疏松症患者从正常人群中区别开来，同时对预测脊柱自发性压缩骨折具有重要价值。Ultrasound measurements of calcaneus were made among 406 normal senile Japanese people (200 men aged from 66 to 85 years and 206 women aged from 64 to 83 years) and 315 senile osteoporotic people (145 men aged from 67 to 83 years and 170 women aged from 66 to 87 years) on the LUNAR Achilles system.The results showed that BUA,SOS,and stiffness measurements of the senile osteoporotic people were significantly lower than those of the normal senile people (P<001).The spontaneous compression fractures of the spinal column tended to occur when either BUA,SOS,or stiffness measurements of men dropped to 86±10dB/MHz,1480±24m/s,and 530±102%,respectively,or those of women dropped to 87±9dB/MHz,1470±27m/s,and 500±93%,respectively.Ultrasound measurements of women were significantly lower than those of men in the normal senile people (P<005).It therefore indicates that ultrasound measurement of calcaneus on the LUNAR Achilles can differentiate well osteoporotic people from the normal and it is amimportant value for predicting the spontaneous compression fractures of the spinal column.

关 键 词：老年性骨质疏松症 跟骨 骨密度 人群 年龄 压缩骨折 BUA 诊断价值 患者 健康老年人 

分 类 号：R681[医药卫生—骨科学] R683[医药卫生—外科学]