用第二代高分辨率外围定量计算机断层扫描对患有希汉综合征的患者进行骨矿物质密度,周转率和微观架构的评估
Liza Das1,2, Bashir Ahmad Laway3, Jayaprakash Sahoo4
1Department of Endocrinology, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, 160012, India.
概括
与对照组相比,希恩综合征 (SS) 患者的骨矿物密度 (BMD) 显著降低,骨质疏松症和骨质疏松症的发病率更高. 然而,骨微型结构基本上没有受到影响,除了减少的小腿皮层体积BMD.
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
- 生殖内分泌学 生殖内分泌学
背景情况:
- 希恩综合征 (SS) 是一种罕见的下垂体病的原因,对骨健康的数据有限.
- 之前的研究还没有在SS患者中广泛研究骨微型架构.
研究的目的:
- 通过评估骨矿物密度 (BMD),骨周转率和微观架构来评估希恩综合征患者的骨健康.
- 为了比较SS患者和年龄和BMI匹配的对照人群之间的骨参数.
主要方法:
- 招募了35名接受稳定激素替代治疗的SS患者和35名匹配的对照.
- 使用电化学发光测量了荷尔蒙特征和骨周转标记物 (BTMs).
- 通过DXA和骨微架构通过高分辨率的外围定量CT评估面积的BMD和椎骨分数.
主要成果:
- 与对照人群相比,SS患者在腰椎和大腿部骨质疏松症和骨质疏松症的患病率显著更高.
- 骨周转指标 (P1NP和CTX) 在两组之间没有显著差异.
- 在SS患者中,骨上皮质体积BMD显著较低,而其他微观架构参数是可比的.
结论:
- 希恩综合征与高度流行的低区域骨质疏松症和增加的骨质疏松症/骨质疏松症率有关.
- 骨微型架构通常在SS患者中保持不变,除了减少的小腿皮层体积BMD.
- 这些发现强调了SS对骨密度的影响,尽管有足够的激素替代疗法.
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