老年人骨质疏松性髋部骨折与Singh指数和股骨近端几何结构的相关性初探
The expIoration of the relationship between osteoporotic hip f}acture and Singh index and proximal fbmoral geometrical structure in the elderly
  
DOI:
中文关键词:  骨质疏松  髋部骨折  singh指数  骨形态
英文关键词:Osteoporosis  Hip fracture  Singh index  Femur geometry
基金项目:湖南省卫生厅项目(C2010-017)
作者单位E-mail
刘文和 广东清远人民医院骨科二区 liudoct@126.com 
刘忠厚 中国老年学学会骨质疏松委员会  
陈鹏 湘南学院附属医院骨科郴州  
陈家玉 湘南学院临床医学系  
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中文摘要:
      目的探讨老年性髋部骨折与singh指数和股骨近端几何结构的关系。方法髋部骨质疏松骨折性46例。男24例,女22例;年龄56—82岁,平均(67.3±12.5)岁。对照组48例,为同期健康体检的志愿者,男25例,女23例;年龄54—79岁,平均(68.2±11.8)岁。测量两组受试者singh指数及股骨颈轴长(FNAL)、颈干角(NsA)(髋部骨折组对其健侧进行检测),比较分析彼此间的相关性。结果老年性髋部骨折患者与对照组比较singh指数明显降低,FNAL长于对照组,NsA较对照组大。结论singh指数和FNAL及NsA可以提高对老年性髋部骨质疏松骨折危险性的预测。
英文摘要:
      Objective:To explore the relationship between osteoporotic hip fracture and Singh index and proximal femur geometry in the elderly. Methods Forty-six patients with osteoporotic hip fractures were chosen,including 24 males and 22 females, aged from 56 t0 82 years old with an average of 67. 3 + 12.5 years old.Forty-eight healthy volunteers were chosen as the control group, including 25 males and 23 females,aged from 54 to 79 years old with an average of 68. 2士 11. 8 years old. The Singh index. Femoral neck axis length ( FNAL) , and neck shaft angle (NSA) of the patients in both groups were measured and analyzed. Results SinfSh index of patients in the fracture group was significantly lower than that in the control group. However,FNAL and NSA of patients in the fracture group were significantly longer and larger than those in the control group.Conclusion The combination of Singh index, FNAL, and NSA may improve the risk prediction of osteoporotic hip fracture.
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