摘要
目的探讨退行性脊柱侧凸（DS）与骨质疏松（OP）的相关性。方法选取2004年1月—2014年1月在解放军117医院门诊及住院的DS患者116例设为DS组,另选取同期来院就诊的非腰椎侧凸的腰痛患者116例为对照组,测定Cobb＇s角、腰椎（腰1～4）及股骨颈、股骨粗隆和Ward＇s三角T值,分析患者OP发病率,年龄、Cobb＇s角与对应T值的相关性。结果 DS组骨质疏松发病率显著高于对照组（P〈0.01）;DS组腰椎（腰1～4）、股骨颈、股骨粗隆和Ward＇s三角区骨密度T值与对照组比较差异均有统计学意义（P〈0.05）;DS组T值（绝对值）与年龄存在正相关关系（r=0.421,P〈0.01）;DS患者腰椎及股骨近端各部位的T值与侧凸Cobb＇s角无相关性（P〉0.05）。结论 OP是DS发病的危险因素,同时骨质疏松程度随着年龄的增大而增加,但与侧凸程度无明显相关。
Objective To investigate the relationship between the degenerative scoliosis （ DS） and osteoporosis （ OP） . Methods A total of 116 DS patients during January 2004 and January 2014 were chosen as DS group, and 116 lumbago patients without DS at the same period were selected as control group. T values of Cobb＆#39;s angle, lumbar spine （lumbar 1-4）, femoral neck, trochanter and Ward＆#39;S triangle were detected, and the relationships between the incidence rate of OP, age and Cobb＆#39;s angle with the corresponding T values were also analyzed. Results The incidence rate of os-teoporosis in DS group was significantly higher than that in control group （P〈0. 01）;the differences in T values of lum-bar spine （lumbar 1-4）, femoral neck, trochanter and Ward＆#39;s triangle in DS group were statistically significant compared with those in control group （P〈0. 05）;T values of DS group were positively correlated with age （r=0. 421, P〈0. 01）;T values of the lumbar spine and proximal femur had no correlation with scoliosis Cobb＆#39;s angle in DS group （P〉0. 05）. Conclusion Osteoporosis is a pathogenic risk factor of the degenerative scoliosis, and degree of osteoporosis increases with age at the same time, but it has no significant correlation with the scoliosis degree.
出处
《解放军医药杂志》
CAS
2014年第10期27-29,共3页
Medical & Pharmaceutical Journal of Chinese People’s Liberation Army
基金
南京军区医学科技创新重大课题(ZX38)
