• 제목/요약/키워드: Osteoporotic

검색결과 307건 처리시간 0.03초

대퇴골두 해면골의 미세구조 특성과 기계적 특성의 분석 (Analysis of the Micro-Structural and Mechanical Properties in Human Femoral Head Trabecular Bone with and without Osteoporosis)

  • 원예연;백명현;최문권;전경진;김만경
    • 대한의용생체공학회:의공학회지
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    • 제25권6호
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    • pp.519-523
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    • 2004
  • 골다공증이 있는 대퇴골두 해면골과 골다공증이 없는 대퇴골두 해면골의 특성을 평가하고자 미세단층촬영기 및 유한요소모델을 이용하여 해면골을 미세구조 특성과 기계적 특성을 비교 및 분석하였다. 골다공증이 있는 대퇴골두는 골밀도를 측정하여 T-score 값이 -2.5 이상인 시편 15개를 사용했으며, 골다공증이 없는 대퇴골두는 사망전 골다공증으로 인한 병력이 없었던 사체 4구에서 대퇴골두 5개를 획득하여 사용하였다. 대퇴골두 해면골의 미세구조 특성을 분석하기 위해서 미세단층촬영기를 이용하여 골다공증이 있는 대퇴골두와 골다공증이 없는 대퇴골두를 촬영하여 형태학적 지수(histomorphometry index)를 구했고, 미세단층촬영기에 의해서 획득된 미세영상(pixel size=21.31㎛)을 바탕으로 유한요소모델을 재건하여 기계적 특성을 구하였다. 형태학적지수는 골다공증이 없는 대퇴골두가 골다공증이 있는 대퇴골두에 비해서 골소주 두께, 골 체적, 골 체적비, 이방성 정도 그리고 골소주 개수가 증가했으며, 골소주 간격과 구조모델지수는 감소했다. 기계적특성 지수는 골다공증이 없는 대퇴골두 해면골 시편에서 반력, 표면응력 그리고 영률이 높게 분석되었다. 골다공증이 있는 대퇴골두 해면골 시편에서 미세구조 특성이 퇴화되며, 기계적 특성이 감소된다는 사실을 알수 있었다.

음곡(陰谷)($KI_{10}$)에 시술한 골쇄보(骨碎補) 약침(藥鍼)이 난소적출 흰쥐의 골다공증에 미치는 영향 (A Study on the Effect of Herbal-acupuncture with Drynariae Rhizoma Infusion Solution at Umgok($KI_{10}$) on Osteoporotic Rats Induced by Ovariectomy)

  • 오치석;이현
    • Journal of Acupuncture Research
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    • 제25권3호
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    • pp.71-86
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    • 2008
  • Objectives & Methods : The purpose of this study is to observe the effects of Drynariae Rhizoma Herbal-acupuncture infusion solution at Umgok($KI_{10}$) on Osteoporotic Rats Induced by Ovariectomy. The author performed several experimental items to analyze cytotoxic, osteoporosis evaluation, change of ALP, osteocalcin, Ca and histological change of tibia. Results : 1. BMD were increased meaningly in DR-HA than control group. 2. ALP was not inhibited by DR-HA, osteocalcin was decreased meaningly in DR-HA. 3. Osteoclast like cell in tibia was increased meaningly in control group, decreased meaningly in DR-HA. 4. In the histological study in tibia, TBV and TBT were significantly increased, GPL was significantly decreased in the DR-HA than control group. Conclusions : From the result above, the results suggest that DR-HA at $KI_{10}$ has significant effect on osteoporosis, and to be put to practical use in the future osteoporosis clinic.

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치조 골소주 모폴로지 특성과 골다공증의 연관관계에 대한 연구 (Relationship between the morphologic features of alveolar trabecular bone and systemic osteoporosis)

  • 이창진;장훈상;이병도
    • Imaging Science in Dentistry
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    • 제35권3호
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    • pp.141-146
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    • 2005
  • Purpose : The purpose of this study was to investigate the preliminary use of morphologic operation (MO) in analyzing trabecular pattern of alveolar bone for the predicting systemic osteoporosis. Materials and Methods : Study subjects consisted of 35 females (average age 48.5 years) and 25 males (average age 25.8 years). Bone mineral density BMD $(grams/cm^2)$ of lumbar spine and proximal femur of these subjects were measured by a dual energy X-ray absorptiometry (DEXA). Regions of interest (ROIs) were selected from the digitized periapical radiographs of subjects' posterior jaw. A custom computer program processed morphology operations of ROIs. We compared mean values of 11 MO variables according to the osteoporotic group divided by the T-scores of DEXA. We also studied correlation between radiographic density and these MO variables. Results : The mean radiographic densities insignificantly correlated with MO variables. There were statistically significant differences among the values of 9 MO variables according to the osteoporotic group. Conclusion Morphologic operation can be effective in analyzing trabecular pattern of alveolar bone for the predicting osteoporosis.

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경피적 추체 성형술 중 발생한 저혈압 -증례 보고- (Hypotension during Percutaneous Vertebroplasty with PMMA (Polymethylmethacrylate) -A case report-)

  • 박진우;김하수;임세훈;김정훈;정순호;최영균;김영재;신치만;박주열
    • The Korean Journal of Pain
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    • 제13권1호
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    • pp.126-129
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    • 2000
  • Age-related osteoporotic compression fractures occur frequently in old aged group recently. Percutaneous vertebroplasty has recently been introduced as a therapeutic method for the treatment of pain associated with osteoporotic vertebral compression fracture. Percutaneous intravertebral injection of PMMA (polymethylmethacrylate) results in marked reduction in pain and morbidity. Among complications during vertebroplasty with PMMA, pulmonary embolism is repotred occasionally but the reports about hypotension are not common. This case is a report of a patient whom significant hypotension occured during percutaneous vertebroplasty.

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폐경 후 중년여성의 골 건강상태에 따른 신체적 기능수준 및 심리적 안녕상태 (The Level of Physical Function and Psychological Well-Being of Postmenopausal Middle-aged Korean Women according to Bone Health Status)

  • 차경숙;김순례
    • 지역사회간호학회지
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    • 제17권1호
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    • pp.46-55
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    • 2006
  • Objective: This study is to examine the physical function, psychological well-being, and subjective symptom of postmenopausal osteoporotic women. Methods: Data used for this study was collected from 397 women who had experienced one years or longer menopause and visited a hospital in Seoul, Korea during the period from May to December 2005. Results: The level of physical function of the fracture osteoporosis group was significantly lower than the other three groups. The psychological well-being of the fracture osteoporosis group was significantly lower than the other three groups. Subjective symptom of the fracture osteoporosis group was significantly higher than the other three groups. The level of physical function was positively correlated with psychological well-being and negatively with subjective symptom. Psychological well-being was also negatively correlated with the level of subjective symptom. Based on the results, it is recommended that the prevention of vertebral fracture in osteoporotic woman is important, and nursing intervention is necessary for the physical function, psychological well-being, and subjective symptom care.

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ddY 마우스를 이용한 골다공증 모델에 대한 비교연구: 난소적출 및 신경절단 모델 (A comparative study on the osteoporotic animal models in ddY mouse: ovariectomized and neurectomized models)

  • 이형식;홍표원;구세광;이재현;함태수
    • 대한수의학회지
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    • 제44권4호
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    • pp.487-495
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    • 2004
  • In order to compare the induced time of osteoporosis between ovariectomized and neurectomized models in ddY mice. Experimental groups were divided into Sham, ovariectomized (OVX group) and neurectomized (NX group) group. The changes of body weight, tibia weight and histomorphometry of epiphyseal regions of tibia that were generally used as criteria index in osteoporosis, were evaluated at 2 and 4 weeks after operations with other generally used index-changes of serum osteocalcin. Also, calcium and phosphorus levels in the ash tibia were demonstrated with their ratio (Ca/P ratio). From the result of this study, evidences which reflect osteoporotic states of animals such as decrease of absolute and relative tibia weight, histomorphometrical index of epiphyseal region of tibia including trabecular bone volume %, and calcium and phosphorous contents in tibia, were generally detected from 4 weeks after ovariectomy and 2 weeks after neurectomy with increase of serum osteocalcin levels. In conclusion, it is considered that more rapid and favorable osteoporosis was induced in neurectomized model compared to that of ovariectomized model.

Effects of Calcium and Vitamin D Supplementation on Bone Mineral Density and Biochemical Markers in Osteoporotic Postmenopausal Women

  • Kim, Jeong, Seon;Kim, Joo-Hak
    • Nutritional Sciences
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    • 제9권1호
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    • pp.42-47
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    • 2006
  • It has been reported that taking a proper amount of calcium and vitamin D helps to increase bone mineral density (BMD) and is effective in decreasing the risk of osteoporosis. This study investigated the supplementary effects of calcium and vitamin D on postmenopausal women who had osteoporosis and used calcium and vitamin D supplements. The study subjects consisted of osteoporotic postmenopausal women who were recruited from the Department of Orthopedics in a university-affiliated hospital. Sixty-seven study subjects were orally administrated 1,000 mg of calcium (calcium carbonate) and 2.5 mg of active vitamin D (1-$\alpha$ hydroxyvitamin D) (cholecalciferol 250 IU) twice a day for a year and a half. BMD and biochemical markers were evaluated and repeated every six months. One year after the intervention test, the bone mineral density of the lumbar spine was significantly increased as compared to the baseline. Six months after supplement administration, the level of serum alkaline phosphatase began to decrease, and afterwards a significant difference was maintained Concentration of 1, 25-dihydroxy-vitamin D at 1.5 years was higher than that of the baseline. In comparison with that of the baseline, the level of urinary hydroxyproline in the study subjects over six months was significantly decreased This study continued that effects such as BMD improvement and changes in biochemical markers appeared at least one year after administration of supplements.

골다공증성 추체골절에 대한 경피적 척추성형술 : 초기성적 (Percutaneous Vertebroplasty in Treatment of Osteoporotic Vertebral Body Fractures : Early Result)

  • 유영상;신재학;김일만
    • Journal of Korean Neurosurgical Society
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    • 제30권2호
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    • pp.163-167
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    • 2001
  • Objective : Percutaneous vertebroplasty has recently been introduced as an interesting therapeutic alternative for the treatment of thoracolumbar vertebral body fractures in elderly persons with osteoporosis. The authors present the early results of this method. Method and Material : From July 1999 to April 2000, percutaneous transpedicular technique was used in 20 patients (2 men and 18 women) whose mean age was 67.5 years old(range 59-79) with painful vertebral compression(22) and burst(2) fractures. The interval between fracture and vertebroplasty ranged 1 day to 4 months. The procedure involved percutaneous puncture of the injured vertebra via transpedicular approach under fluoroscopic guidance, followed by injection of polymethylmetacrylate(PMMA) into the vertebral body through a disposable 11-guage Jamshidi needle. Result : The most common cause of fracture was slip down and the most frequent injured level was the twelfth thoracic spine. The procedure was technically successful bilaterally in 18 patients(9 thoracic and 15 lumbar spines) with an average injection amount of 7.7ml PMMA in each level. Seventeen(94.4%) patients reported significant pain relief immediately after treatment. Two leaks of PMMA were detected with postoperative CT in spinal epidural space and extravertebral soft tissue without clinical symptoms. Conclusion : Although this study represents the early results, percutaneous vertebroplasty seems to be valuable tool in the treatment of painful osteoporotic vertebral body fractures in elderly, providing acute pain relief and early mobilization.

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