双髋骨质疏松的差别与髋部骨折的相关性分析

The correlation between different osteoporosis status of bilateral hip and the hip fractures

目的探讨双侧髋部骨质疏松程度的差别与髋部骨折发生之间的关系,为防治骨质疏松性骨折提供参考依据。方法选取骨质疏松髋部骨折患者108例,平均年龄79.4岁,对其分别测定骨折侧和对侧髋部的Singh指数和股骨上段皮质厚度。结果骨折侧的Singh指数平均为2.87±1.08,对照侧则为3.47±1.02,两者相比有显著差异(P<0.05)。股骨上段皮质厚度骨折侧平均为0.59±0.16,对照侧为0.69±0.13,两者相比有显著差异(P<0.05)。结论髋部骨折往往发生在两侧髋部骨质疏松程度较为严重的一侧,故对比双髋的Singh指数和皮质骨厚度可以提高髋部骨折危险性的预测,同时在治疗上可以给予针对性的措施,以防止骨折的发生。

Objective To discuss the correlation between different osteoporosis status of bilateral hip and hip fractures, and to provide referential evidence for the prevention and treatment of osteoporotic fractures. Methods One hundred and eight patients with osteoporotic hip fractures were included, with an average age of 79.4 years old. Singh indexes were assessed and cortical thickness of the proximal femur was measured at the fracture side and the opposite side of the hip. Results The average Singh index was 2.87 ±1.08 at the fracture side, and 3.47 ± 1.02 at the control side. The difference between the two was significant （ P 〈 0. 05 ）. The average cortical thickness of the proximal femur was 0.59 ± 0.16 at the fracture side, and 0.69 ±0. 13 at the control side. The difference between the two was significant （P 〈 0.05）. Conclusion Hip fractures occurs most likely at the side with more severe osteoporosis. Therefore comparison of Singh index and cortical thickness of the bilateral hip can promote the risk prediction of the hip fracture. Meanwhile, corresponsive treatment can be provided to prevent the occurrence of hip fractures.