高龄腰痛患者腰椎骨折和骨质疏松的诊断特点

Elderly lumbago patients fracture of lumbar vertebrae and osteoporosis diagnostic characteristics

目的分析高龄腰痛患者腰椎骨折和骨质疏松的相关性,探讨其诊断特点。方法选择200例以腰痛为主诉症状的患者,以性别与年龄作为分组依据,采用双能X线骨密度仪进行检测。结果 200例腰痛患者中,发生骨质疏松症113例,女性61.54%(96/156)远多于男性38.64%(17/44),高龄组发生比例明显多于低龄组;检出腰椎骨折椎体数28个,L1骨折71.43%(20/28)明显高于L2、L3、L4部位P<0.01),女性患者67.86%(19/28)明显高于男性患者32.14%(9/28)。结论骨质疏松和腰椎骨折是高龄腰痛患者诱发因素之一,早期诊断与治疗有助于预防和缓解骨质疏松和腰椎骨折的发生。

Objective To analysis elderly lumbago patients＇s fracture of lumbar vertebrae and osteoporosis,discuss the diagnosis characteristics. Methods 200 cases of lumbago patients according to gender and age group, using dual en- ergy X-ray bone mineral density instrument detection. Results 200 cases of lumbago patients,113 cases happened oste- oporosis,women 61.54 % （96/156） far more than men in 38.64% （17/44） ,high age group than young group;Detection of fracture of lumbar vertebrae 28,L1 71.43%（20/28） is obviously higher than that of the L2,L3 and L4 parts P〈0. 01） ,women 67.86% （19/28） significantly higher than male patients 32.14% （9/28）. Conclusion Osteoporosis and fracture of lumbar vertebrae is old lumbago patients induced factor, early diagnosis and treatment may help prevent and alleviate osteoporosis and fracture of lumbar vertebrae .