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題 名 | 乳癌患者之骨質密度評估=Association between Breast Cancer and Bone Mineral Density |
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作 者 | 何上芸; 陳信宇; 郭瓊文; 張東浩; 李國維; 廖瓊櫻; 李明哲; 田雨生; | 書刊名 | 中華放射線技術學雜誌 |
卷 期 | 30:2 民95.12 |
頁 次 | 頁87-94 |
分類號 | 415.596 |
關鍵詞 | 乳癌; 骨質密度; 雙能量X光骨質密度儀; 骨質疏鬆症; Breast cancer; Bone mineral density; Dual energy x-ray absorptiometry; Osteoporosis; |
語 文 | 中文(Chinese) |
中文摘要 | 本實驗主要研究乳癌病患的骨質密度(bone mineral density, BMD)。受檢對象為年齡39-68歲(平均年齡51.1±6.7歲)的50位乳癌治療後無轉移的病患,每位受檢者接受雙能量X光骨質密度儀(dual energy X-ray absorptiometry, DXA)分別量測腰椎(L2-L4)和股骨頸(femoral neck)的骨質密度並填寫問卷。依據世界衛生組織以T-Score定義骨質疏鬆症,其結果顯示乳癌患者的平均骨質密度值,不論在腰椎、左右股骨頸均在正常範圍。在危險因子的分析中,病患平日的運動對腰椎、股骨頸的骨質變化並沒有相關聯(p>0.05)。月經狀況(尚未、小於五年停經、大於五年停經)僅五年以上的停經病患的腰椎T-Score比尚未停經病患低(p=0.034)。於回歸散佈圖中,初經年齡和腰椎、左右股骨頸的骨質密度成負相關(r=-0.41, p=0.005; r=-0.30, p=0.045; r=-0.3, p=0.05)、初次懷孕年齡和腰椎骨質密度以及BMI和左股骨骨質密度都成正相關(r=0.31, p=0.03; r=0.33, P=0.02),雖然初經早、初次懷孕年齡晚以及肥胖是乳癌的危險因子卻造成骨質密度的增加,由此推論治療後乳癌病患其骨質密度不會因治療情形而降低。 |
英文摘要 | The purpose of the study was to assess the effect of bone mineral density (BMD, g/cm^2) in post-treatment women with breast cancer. A total of 50 women without metastasis (aged 39-68 years, mean age of 51.1±6.7 years) underwent BMD measurement at the lumbar spine and femoral neck by using dual energy X-ray absorptiometry (DXA). Anthropometric data and reproductive history were collected by direct interview using a structured questionnaire. According to the definition of osteoporosis, the mean bone mineral density at all sites demonstrated normal. After analysis of risk factors, no significant differences between physical activity and BMD at measured sites were found among subjects (p>0.05). In menstrual situation (pre-menopause, below 5 years menopause, over 5 years menopause), the group of over 5 years menopause was lower than the pre-menopausal group for T-Score at lumbar spine (p=0.034). In linear regression scatter, significant correlation were found between the age at menarche and BMD for lumbar spine (r=-0.41, p=0.005), left femoral neck (r=-0.30, p=0.045) and right femoral neck (r=-0.3, p=0.05). The age at the first pregnancy and BMI was positively associated with lumbar BMD, left femoral neck BMD, respectively (r=0.31, p=0.03; r=0.33, P=0.02) The factor of younger age at menarche, older age at the first pregnancy and obesity elevated BMD. These results suggest that BMD would not decrease at post-treatment women with breast cancer. |
本系統中英文摘要資訊取自各篇刊載內容。