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中华老年骨科与康复电子杂志 ›› 2018, Vol. 04 ›› Issue (03) : 184 -188. doi: 10.3877/cma.j.issn.2096-0263.2018.03.012

所属专题: 文献

综述

皮质厚度在骨质疏松性髋部骨折中的应用研究
梁伟1, 吴斗2,(), 赵恩哲3, 田亮3, 郜振武3, 邢浩3, 刘强2   
  1. 1. 030001 太原,山西医科大学
    2. 030001 太原,山西医科大学;030032 太原,山西医学科学院 山西大医院骨科
    3. 030032 太原,山西医学科学院 山西大医院骨科
  • 收稿日期:2017-04-06 出版日期:2018-06-05
  • 通信作者: 吴斗
  • 基金资助:
    山西省科技基础条件平台项目(2015091002-0105)

Application research of Cortical thickness in osteoporotic hip fractures

Wei Liang1, Dou Wu2,(), Enzhe Zhao3, Liang Tian3, Zhenwu Gao3, Hao Xing3, Qiang Liu2   

  1. 1. Shanxi Medical University, Taiyuan 030001, China
    2. Shanxi Medical University, Taiyuan 030001, China; Department of Orthopedics, Shanxi Academy of Medical Sciences, Shanxi Da Yi hospital, Taiyuan 030032, China
    3. Department of Orthopedics, Shanxi Academy of Medical Sciences, Shanxi Da Yi hospital, Taiyuan 030032, China
  • Received:2017-04-06 Published:2018-06-05
  • Corresponding author: Dou Wu
  • About author:
    Correspondence author: Wu Dou, Email:
引用本文:

梁伟, 吴斗, 赵恩哲, 田亮, 郜振武, 邢浩, 刘强. 皮质厚度在骨质疏松性髋部骨折中的应用研究[J]. 中华老年骨科与康复电子杂志, 2018, 04(03): 184-188.

Wei Liang, Dou Wu, Enzhe Zhao, Liang Tian, Zhenwu Gao, Hao Xing, Qiang Liu. Application research of Cortical thickness in osteoporotic hip fractures[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2018, 04(03): 184-188.

骨质疏松性髋部骨折作为老年骨质疏松症的严重并发症,是临床医生重点关注的问题。临床中多通过骨密度来评价脆性骨折的发生风险。而通过常规影像学检查获得的皮质厚度,在预测髋部骨折风险方面具有重要的辅助作用,特别是结合骨密度、股骨近端几何结构以及多种生化指标时,可明显提高骨折风险评估的准确率。而对于骨折的治疗,皮质厚度在术式、内固定选择以及术中强化内固定稳定性等方面的作用得到了广泛认识。患者术后恢复情况及治疗的效果评价同样可以通过皮质厚度来评估。本文对皮质厚度的研究和临床应用状况进行综述。

Osteoporotic hip fractures is a severe complication of osteoporosis and a concern for clinicians. Traditional evaluation of bone mineral density (BMD) is widely used in clinical work for osteoporosis. The cortical thickness can be conveniently obtained through routine examination, which is a significant parameter for predicting hip fractures. Meanwhile, with the combination of cortical thickness, bone mineral density, femoral anatomic structure and multiple biochemical indexes, the accuracy rate of predicting hip fractures is well improved. BMD is also very important in the bone quality evaluation, the choice of internal fixation and stability of inner plant in the treatment of hip fractures. Cortical thickness is efficacy to assess the antiosteoporosis therapy and postoperative recovery. This paper summarize current research status and the development of cortical thickness.

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