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减肥手术:也可以考虑骨质疏松症
Anastasia Mocritcaia1, Chafik Chacur1, Helena Flórez1,2
1Rheumatology Department, Metabolic Bone Diseases Unit, Hospital Clínic, University of Barcelona, Villarroel 170, 08036, Barcelona, Spain.
Archives of osteoporosis
|October 14, 2025
概括
几乎9%的患者之前进行过减肥手术 (BS) 可能患有骨质疏松症,而不仅仅是骨质疏松症. 增加的总酸酶 (TAP) 信号表明这种情况,需要特殊的高剂量或内维生素D治疗.
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
- 胃肠病学 胃肠病学
背景情况:
- 减肥手术 (BS) 与骨质疏松症和骨折有关.
- 骨质疏松症可以在BS后发展,并被误诊为骨质疏松症.
研究的目的:
- 为了确定先前BS患者的骨质疏松病的患病率.
- 为了确定这些患者的临床特征.
主要方法:
- 对46名先前患有BS的患者进行了回顾性分析.
- 根据骨活检或临床标准 (低/酸盐,TAP升高或放射学) 诊断骨质疏松症.
主要成果:
- 8.7%的患者患有骨质疏松症,主要是女性经过恶性吸收手术后.
- 所有人都显示TAP和副甲状腺激素升高;大多数人患有低热血症和维生素D不足.
- 骨扫描与骨质疏松症一致;所有人都患有骨质疏松症,许多人骨折.
结论:
- 骨质疏松症影响了近9%的骨质疏松症患者,他们以前有BS.
- 升高的TAP是骨质疏松症的一个关键指标.
- 这种诊断需要量身定制的治疗,可能包括高剂量的或腹腔内维生素D.
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