摘要
测量了２０～４０岁男女各５０例的腰椎正侧位Ｘ线片，腰椎无异常所见，以其腰椎椎体前、中、后高度（ａ、ｃ、ｐ），作为ａ／ｐ、ｃ／ｐ、ａｎ／ａｎ＋１、ｃｎ／ｃｎ＋１和ｐｎ／ｐｎ＋１的正常参考值；在１３３例老年患者的腰椎正侧位片上检出腰椎压缩性骨折２６３个，仅用ａ／ｐ和ｃ／ｐ参考值则检出１５７个，遗漏约４０．３％的椎体骨折数。老年患者的椎体骨折数，女性多于男性，７０～７９岁组多于６０～６９岁组。
Abstract The anterior,cenitral and posterior heights(a,c,and p) of the vertebral bodies from L1 to L5 in 50 male and 50 female subjects,aged 20 to 40 years, without radiologic sign of osteoporosis or other abnormalities,were measured on lateral radiographs of the lumbar spine.The lumbar vertebrae of 133 elderly patients,aged 60 to 79 years,without a history of secondary osteoporosis,were assessed according to the reference values of a/p,c/p,an/an+1, cn/cn+1 and pn/pn+1 determined on the basis of the data obtained above to detect vertebral fractures.The fractures were classified into 4 types:wedge,biconcave, mixed and crush fractures.It was shown that if the reference values of a/p and c/p were used only, about 40.3% of the number of fractures would be missed.It was found that in the aged groups of 60-69 and 70-79 years,the incidence of vertebral fracture was higher in the female than in the male(P<0.001) and the incidence was higher in the 70-79 group than in the 60-69 group(P<0.05 in male,P<0.001 in female).
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
1995年第4期204-206,共3页
Chinese Journal of Geriatrics
