腹部外科手术和骨质疏松性骨折的风险 - - 一项基于人口的研究
Tal Frenkel Rutenberg1,2, Ran Rutenberg3,4, Yona Kosashvili3,4
1Rabin Medical Center, Petah Tikva, Israel. tal_frenkel@hotmail.com.
Archives of orthopaedic and trauma surgery
|May 15, 2025
概括
减肥手术增加了股骨和脊椎骨折的风险. 这种风险随着手术后时间的推移而增加,并且在不吸收性手术中更高,独立于体重减轻.
科学领域:
- 内分泌学 在内分泌学.
- 整形外科 整形外科 整形外科
- 手术创新 在外科创新.
背景情况:
- 减肥手术 (BS) 对减肥有效,但可能会增加骨折风险.
- 靠近大腿骨和脊椎的骨质疏松性骨折是BS后的一个担忧.
研究的目的:
- 为了研究腹手术后靠近大腿骨和脊椎骨质疏松性骨折的风险.
- 评估BMI变化,BS类型和骨质疏松症治疗对骨折发生率的影响.
主要方法:
- 对17971名40岁以上的患者进行了回顾性队列研究,这些患者接受了减肥手术.
- 在BS之前和之后的六年中评估骨折发生率.
- 分析了BMI变化,BS类型和骨质疏松症药物/补充剂的影响.
主要成果:
- 在BS后的六年里,骨折发生率在男性和女性中都显著增加.
- 股骨骨折风险在BS后3至6年显著更高,而在0至3年后则明显更高.
- 仅体重减轻与骨折发生率没有相关性;恶性吸收性手术增加了股骨骨折风险.
结论:
- 腹部外科手术与骨和脊椎骨折的风险增加有关.
- 骨折风险随着手术后的时间增加而升级,不论体重减轻.
- 吸收不良的减肥手术对靠近大腿骨骨折的风险更大.
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