中国全科医学2017，Vol.20Issue(35)：4347-4353,7.DOI:10.3969/j.issn.1007-9572.2017.00.134
骨质疏松症的诊断标准和治疗阈值的相关问题
Related Issues in the Diagnostic Criteria and Intervention Thresholds of Osteoporosis
黄媛媛 1王覃1
作者信息
- 1. 610041 四川省成都市,四川大学华西医院内分泌与代谢病科,骨质疏松医疗教育中心
- 折叠
摘要
Abstract
Osteoporosis was defined as " a systemic skeletal disease characterized by low bone mass and micro -architectural deterioration of bone tissue with a consequent increase in bone fragility and susceptibility to fracture" . This definition emphasized that the decline in bone strength is characteristic of osteoporosis and fracture is the final consequence. Thus the ideal clinical evaluation for osteoporosis should be comprehensively reflect the bone strength and can optimally predict the fracture risk. Recently,the diagnosis and treatment of osteoporosis are mainly based on three methods,which contain bone mineral density (BMD)detected by dual X-ray absorptiometry (DXA)and quantitative computer tomography (QCT),fragility fractures and FRAX? fracture risk assessment tool. However,there are many problems and extensive controversies over the three methods in determining the diagnostic criteria and intervention thresholds of osteoporosis. We reviewed the merits and demerits of BMD,fragility fracture and FRAX? in the evaluation field of osteoporosis respectively,and evolutions in current guidelines.关键词
骨质疏松/诊断标准/治疗阈值/骨密度/骨折/骨折风险评估工具Key words
Osteoporosis/Diagnostic criteria/Intervention threshold/Bone density/Fractures/bone/Fracture risk assessment tool分类
医药卫生引用本文复制引用
黄媛媛,王覃..骨质疏松症的诊断标准和治疗阈值的相关问题[J].中国全科医学,2017,20(35):4347-4353,7.
