| 区域CT值在预测股骨近端骨折中的价值 |
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投稿时间：2023-01-30
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| 作者 | Author | 单位 | Address | E-Mail |
| 陈宾 |
CHEN Bin |
郑州市骨科医院关节病科, 河南 郑州 450052 |
Department of Joint Diseases, Zhengzhou Orthopaedics Hospital, Zhengzhou 450052, Henan, China |
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| 邹士平 |
ZOU Shi-ping |
郑州市骨科医院关节病科, 河南 郑州 450052 |
Department of Joint Diseases, Zhengzhou Orthopaedics Hospital, Zhengzhou 450052, Henan, China |
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| 王跃辉 |
WANG Yue-hui |
郑州市骨科医院关节病科, 河南 郑州 450052 |
Department of Joint Diseases, Zhengzhou Orthopaedics Hospital, Zhengzhou 450052, Henan, China |
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| 周宇 |
ZHOU Yu |
郑州市骨科医院关节病科, 河南 郑州 450052 |
Department of Joint Diseases, Zhengzhou Orthopaedics Hospital, Zhengzhou 450052, Henan, China |
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| 陈文忠 |
CHEN Wen-zhong |
郑州市骨科医院关节病科, 河南 郑州 450052 |
Department of Joint Diseases, Zhengzhou Orthopaedics Hospital, Zhengzhou 450052, Henan, China |
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| 王爱国 |
WANG Ai-guo |
郑州市骨科医院关节病科, 河南 郑州 450052 |
Department of Joint Diseases, Zhengzhou Orthopaedics Hospital, Zhengzhou 450052, Henan, China |
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| 司文腾 |
SI Wen-teng |
郑州市骨科医院关节病科, 河南 郑州 450052 |
Department of Joint Diseases, Zhengzhou Orthopaedics Hospital, Zhengzhou 450052, Henan, China |
swteng516@163.com |
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| 期刊信息：《中国骨伤》2023年，第36卷，第12期，第1142-1146页 |
| DOI：10.12200/j.issn.1003-0034.2023.12.007 |
| 基金项目: |
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中文摘要:
目的:探讨60岁以上成人发生股骨近端骨折的股骨颈部松质骨CT值。
方法:自2020年1月至2020年12月,回顾性分析行双髋关节CT检查的年龄＞60岁的280例研究对象,男85例,女195例;年龄75(66,82)岁;左侧120例,右侧160例。其中136例股骨近端骨折患者为研究组,144例无骨折者为对照组。采用GEOptima CT机扫描并分别重建出股骨近端水平位、冠状位和矢状位层面。测量并比较两组股骨颈部松质骨的CT值;采用Logistic回归分析股骨颈松质骨CT值与股骨颈骨折间的关系。
结果:骨折组年龄79(73.3,85.0)岁,无骨折组年龄69.5(64.0,78.8)岁,两组年龄比较,差异有统计学意义(P＜0.05)。骨折组区域CT值8.62(-3.62,27.15) HU低于无骨折组34.31(-5.93,71.74) HU(P＜0.05)。冠状位平面内骨折组的区域CT值-8.48(-30.96,17.46) HU低于无骨折组40.49(5.55,80.71) HU(P＜0.05);矢状位平面内骨折组区域CT值-31.28(-54.91,-5.11) HU低于无骨折组7.74(-20.12,44.54) HU(P＜0.05);水平位平面内骨折组区域CT值0.17(-23.13,24.60) HU低于无骨折组46.40(10.42,85.18) HU(P＜0.05);骨折组股骨颈部区域CT值低于无骨折组(P＜0.05)。经Logistic回归分析,冠状位区域CT值是股骨近端骨折的影响因素,可以写入预测骨折概率的回归方程。
结论:在60岁以上成人,随着年龄的不断增大,股骨颈部松质骨CT值呈下降趋势。股骨颈部松质骨CT值越小发生股骨近端骨折的风险越大。 |
| 【关键词】股骨近端骨折 CT值 骨质疏松 |
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| Regional CT value in prediction of proximal femoral fracture |
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ABSTRACT
Objective To investigate CT values of cancellous bone in femoral neck in adults over 60 years with proximal femoral fractures.
Methods From January 2020 to December 2020,a retrospective analysis was performed on 280 subjects aged 60 years or older who underwent bilateral hip CT examination,including 85 males and 195 females,120 on the left side and 160 on the right side,aged 75 (66,82) years old. One hundred thirty-six patients with proximal femoral fractures were included in study group and 144 patients without fractures were included in control group. GEOptima CT was used to scan and reconstruct horizontal,coronal and sagittal layers of proximal femur. CT values of cancellous bone in femoral neck were measured and compared between two groups. The relationship between CT values of cancellous bone of femoral neck and proximal femoral fracture was analyzed statistically.
Results In terms of age,fracture group aged 79(73.3,85.0) years old,non-fracture group aged 69.5 (64.0,78.8) years old,and had significant difference in age between two groups (P＜0.05). In terms of CT value,regional CT value in fracture group was 8.62(-3.62,27.15) HU,which was lower than that in non-fracture group 34.31(-5.93,71.74) HU(P＜0.05). CT value on coronal view in fracture group was -8.48(-30.96,17.46) HU,which was lower than that in non-fracture group 40.49(5.55,80.71) HU (P＜0.05). CT value on sagittal view in fracture group was -31.28(-54.91,-5.11) HU,which was lower than that in non-fracture group 7.74(-20.12,44.54) HU (P＜0.05). CT values on horizontal view in fracture group was 0.17(-23.13,24.60) HU,which was lower than that in non-fracture group 46.40(10.42,85.18) HU(P＜0.05). The mean regional CT values among three planes in the fracture group were lower than those in the non-fracture group. Logistic regression analysis showed coronal CT value was influencing factors of proximal femoral fracture,and it could be written into regression equations that predict probability of fracture.
Conclusion In adults aged over 60 years old,CT values of cancellous bone of femoral neck decreased with increasing age. The smaller CT value of cancellous bone of femoral neck,the greater risk of proximal femoral fracture. |
| KEY WORDS Proximal femoral fracture CT value Osteoporosis |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 陈宾,邹士平,王跃辉,周宇,陈文忠,王爱国,司文腾.区域CT值在预测股骨近端骨折中的价值[J].中国骨伤,2023,36(12):1142~1146 |
| 英文格式: | CHEN Bin,ZOU Shi-ping,WANG Yue-hui,ZHOU Yu,CHEN Wen-zhong,WANG Ai-guo,SI Wen-teng.Regional CT value in prediction of proximal femoral fracture[J].zhongguo gu shang / China J Orthop Trauma ,2023,36(12):1142~1146 |
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