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目的:观察分析氟骨症X线诊断情况及腰椎骨折发病相关因素。方法:选择长期居住高氟地区(未经饮水工程改造)、确诊为氟骨症且30岁以上成年患者132例,观察氟骨症与腰椎骨折X线诊断情况,并对腰椎骨折发病影响因素进行相关分析。结果:氟骨症132例中,确诊腰椎骨折45例,发病率为34.1%;Logistic回归分析结果显示,氟骨症、年龄、吸烟是腰椎骨折的主要独立危险因素(P<0.05)。结论:X线诊断可以反应腰椎骨折情况,腰椎骨折与氟骨症显著相关,应积极预防氟骨症患者腰椎骨折的发生。
Objective: To observe and analyze X-ray diagnosis of skeletal fluorosis and related factors of lumbar fracture. Methods: Long-term living in high-fluoride areas (without drinking water engineering), diagnosed as skeletal fluorosis and adult patients over the age of 30, 132 cases of fluorosis and lumbar fractures X-ray diagnosis, and factors affecting the incidence of lumbar fractures related analysis. Results: Fluorosis, age and smoking were the main independent risk factors for lumbar fractures in 132 cases of skeletal fluorosis (45 cases diagnosed as lumbar fractures, the incidence rate was 34.1%). Conclusion: X-ray diagnosis can reflect the situation of lumbar spine fractures, lumbar fractures and skeletal fluorosis were significantly correlated, should actively prevent the occurrence of lumbar fractures in patients with skeletal fluorosis.