绝经后骨质疏松症对股骨近端的生物学影响
The biological effect of osteoporosis on the proximal femur in postmenopausal women
  
DOI:10.3969/j.issn.1006-7108.2017.05.024
中文关键词:  骨质疏松症  股骨近端  骨密度  生物力学  结构学
英文关键词:Osteoporosis  Proximal femur  Bone mineral density  Biomechanics  Structure
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作者单位
刘奋斗 丁海* 蚌埠医学院第一附属医院安徽 蚌埠 233004 
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中文摘要:
      骨质疏松症是一种以系统骨量、骨强度及骨微结构损害为特征常导致骨折风险增加的疾病,是绝经后妇女常见且严重的情况。骨质疏松症在骨折发生前大多是一种隐性疾病,存在着检测和治疗不足的情况。而骨质疏松性骨折的发生常导致疼痛、畸形、活动障碍,对患者的生活质量造成严重影响。绝经后骨质疏松症是一种好发于中老年女性的全身性骨骼系统疾病。众所周知,雌激素是一种维持正常骨量的重要保护因素。绝经后妇女体内雌激素水平的降低与骨量的迅速流失密切相关。在妇女绝经之后,骨重建增加,内在的不平衡加速了骨质流失,最终导致骨质疏松症的形成。干预绝经后骨质疏松症的最主要的目的是防止骨折。最常发生骨质疏松性骨折的部位是椎体(脊柱)、股骨近端(髋部)及前臂远端(腕部)。其中,髋部骨折是骨质疏松症最严重的后果,往往导致重大残疾和过早死亡。鉴于绝经后骨质疏松症的特殊性及髋部骨折的严重性,系统全面地了解绝经后骨质疏松症对股骨近端的影响显得尤为重要。
英文摘要:
      Osteoporosis, a skeletal disorder of low bone density and disrupted bone architecture leading to fractures, is a common and serious condition in postmenopausal women. Osteoporosis is a kind of latent disease before the fracture, and it is often underdiagnosed and undertreated. Osteoporotic fractures often cause pain, deformity, and decreased mobility and can have a significant impact on the patient’s quality of life. It is well known that estrogen is an important protective factor for the maintenance of normal bone mass. The reduction of estrogen level in postmenopausal women is associated with a rapid bone loss. After menopause, the rate of bone remodeling increases, which accelerates bone loss owing to this inherent imbalance, eventually resulting in osteoporosis. The main purpose of intervention in postmenopausal osteoporosis is to prevent fractures. The most common fracture sites are vertebrae (spine), proximal femur (hip), and distal forearm (wrist). Hip fracture is the most devastating consequence of osteoporosis, often resulting in profound disability and early mortality. In view of the particularity of postmenopausal osteoporosis and the severity of hip fracture, it is very important to understand the effect of postmenopausal osteoporosis on the proximal femur.
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