[1]李木生 林梓凌△ 郑永泽 郑利钦 陈心敏 梁子毅.股骨皮质厚度参数及骨小梁密度在老年髋部骨折治疗中的临床意义[J].中国中医骨伤科杂志,2019,27(04):11-14.
　LI Musheng LIN Ziling ZHENG Yongze ZHENG Liqin CHEN Xinmin LIANG Ziyi.Clinical Significance of Hip Fracture in the Elderly with Cortical Thickness Parameters of Femur and Singh Index[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2019,27(04):11-14.
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股骨皮质厚度参数及骨小梁密度在老年髋部骨折治疗中的临床意义()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第27卷
期数:
2019年04期
页码:
11-14
栏目:
临床研究
出版日期:
2019-04-12

文章信息/Info

Title:
Clinical Significance of Hip Fracture in the Elderly with Cortical Thickness Parameters of Femur and Singh Index
文章编号:
1005-0205(2019)04-0011-04
作者:
李木生1 林梓凌2△ 郑永泽1 郑利钦1 陈心敏1 梁子毅1
1广州中医药大学第一临床医学院(广州,510405) 2广州中医药大学第一附属医院创伤骨科
Author(s):
LI Musheng1 LIN Ziling2△ ZHENG Yongze1 ZHENG Liqin1 CHEN Xinmin1 LIANG Ziyi1
1First School of Clinical Medicine of Guangzhou University of Chinese Medicine,Guangzhou 510405,China; 2Department of Traumatic Orthopedics,First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405,China.
关键词:
髋部骨折;  骨折类型;  骨强度;  皮质厚度
Keywords:
hip fracture;  fracture type;  bone strength;  cortical thickness
分类号:
R683.42
文献标志码:
A
摘要:
目的:探讨临床上股骨颈骨折和转子间骨折股骨近端皮质骨及松质骨的结构差异。方法:收集骨质疏松性髋部骨折患者328例(≥65岁)为研究对象,分股骨颈骨折组和股骨转子间骨折组,测定患者健侧髋部的股骨上段皮质厚度指数(CTI)、峡距比(CC ratio)及Singh指数。结果:股骨颈骨折组CTI平均值为0.480±0.800,转子间骨折组为0.462±0.750,两组比较差异有统计学意义(P<0.05)。股骨颈骨折组CC ratio平均值为0.645±0.117,转子间骨折组为0.703±0.104,两组比较差异有统计学意义(P<0.05)。股骨颈骨折组Singh指数平均值为4.360±0.668,转子间骨折组为4.050±0.795,两组比较差异有统计学意义(P<0.05)。结论:股骨颈骨折与转子间骨折股骨近端皮质骨及松质骨结构存在差异,皮质骨厚度比率及骨小梁密度是影响髋部骨折类型的重要因素。
Abstract:
Objective: To explore the proximal femur structural differences of cortical bone and cancellous bone between the femoral neck fracture(FNF)and the intertrochanteric femoral fracture(IFF).Methods:Three hundred and twenty-eight patients(≥65 years)diagnosed as osteoporotic hip fracture were enrolled in our cohort study and assigned them into the FNF and the IFF groups; with their intact side proximal femur cortical thickness index(CTI),CC ratio,and Singh index were measured and assessed.Results:The average CTI was 0.480±0.800 at the FNF group,and 0.462±0.750 at the IFF group.The difference between the two was significant(P<0.05 ).The average CC ratio was 0.645±0.117 at the FNF group,and 0.703±0.104 at the IFF group.The difference between the two was significant(P<0.05 ).The average Singh index was 4.360±0.668 at the FNF group,and 4.050±0.795 at the IFF group.The difference between the two was significant(P<0.05 ).Conclusion:The structural of cortical bone and cancellous bone was different between the FNF and the IFF,the cortical thickness ratio and the density of bone trabecula may be one of the main factors for different types of the hip fracture.

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金项目(81673996) △通信作者 E-mail:13600460045@sina.cn
更新日期/Last Update: 2019-04-12