患者的特征和缺甲状腺症中骨折风险;一个单一中心的研究
I Slutzky-Shraga1,2,3, D Hirsch4,5, A Gorshtein4,5
1Institute of Endocrinology, Diabetes and Metabolism, Rabin Medical Center - Beilinson Hospital, Petach Tikva, Israel. shraga_ilana@hotmail.com.
Journal of endocrinological investigation
|August 23, 2023
概括
患有偏偏甲状腺症 (hypoPT) 的患者具有高骨密度,但骨折风险不低. 静音骨折在术后的hypoPT患者中很常见,这表明需要对骨健康进行进一步调查.
科学领域:
- 内分泌学 在内分泌学.
- 骨的新陈代谢 骨的新陈代谢
- 矿物质疾病 矿物质疾病
背景情况:
- 甲状腺功能低下症 (hypoPT) 的特点是骨周转率低,骨矿物质密度高 (BMD).
- 关于 hypoPT.患者骨折风险存在相互矛盾的数据.
- 了解 hypoPT 中的骨折模式对于患者管理至关重要.
研究的目的:
- 描述低PT患者的临床和生化特征.
- 为了比较术后的hypoPT患者的骨折率与正常血热对照.
主要方法:
- 从2010年至2021年对医疗记录的回顾性分析.
- 包括133名hypoPT患者和142名匹配的对照.
- BMD,骨折率和生化参数的比较.
主要成果:
- 术后的hypoPT患者的骨质量比对照组更高,但骨折率相似 (31%对21%).
- 脊柱骨折在两组中最常见,通常是静默的形态学骨折.
- 含量升高与骨折风险增加相关.
结论:
- 在术后的hypoPT中,高的BMD不会对骨折产生保护.
- 在这个人群中,静音形态学骨折很普遍.
- 在hypoPT中,骨折风险需要进一步调查,考虑到含量等因素.
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