老年椎骨组织形态计量学观察(附114例尸检报告)

The Observation of Bone Histomorphometry of Senile Vertebra

  • 摘要: 本文用尸检椎骨病理切片114例,分四组:Ⅰ青年对照组;Ⅱ老年对照组;Ⅲ老年慢性疾病组;Ⅳ老年钙代谢障碍疾病组。在OLYMPUS显微镜下用方格镜和测数尺计量骨结构各项指标。结果:Ⅲ、Ⅳ组与Ⅱ组比较:骨小梁面积指数(mm2);骨小梁宽度(μ);骨皮质厚度(μ);髓细胞百分比(%)均低于Ⅱ组(P<0.01)。而Ⅱ组与Ⅰ组比:Ⅱ组各项骨结构指标均低于Ⅰ组(P<0.05或P<0.01)。微小骨折数Ⅳ组比Ⅱ、Ⅲ组多(P<0.01)。Ⅲ组与Ⅳ组男性与女性之间,骨小梁宽度与骨皮质厚度相近似(P>0.05),为老年退行性骨质疏松的特征表现。本文就老年骨质疏松的特点、骨计量学数据的临床意义、老年三大骨折的发病基等进行了讨论。

     

    Abstract: The pathologic section of vertebra in 114 cases was resported. They were divided into four. groups: (1) Youth control group; (2) Senile control group; (3) Senile with chronic disease; (4) Seriiles with disturbed calcium metabolism. Under olympus microscope, we used the ocular square grid and stage micrometer to measure various bone structures. The results showed that trabecular bone cross-sectional area (mm2). mean trabecular width (μ), mean cortex thickness of bone and marrow cell (%) in group Ⅲ and Ⅳ were smaller than those of group Ⅱ (P<0.01). The index of group Ⅱ was smaller than that of group Ⅰ (P<0.05 or 0.01). There were no obvious difference of mean trabecular width and mean cortex thickness of bone between men and women in group Ⅲ and Ⅳ. But group Ⅳ had more micro-fractures than that of Ⅱ and Ⅲ group(P<0.01). The feature of senile osteoporosis, clinical significance of bone histomorphometry and the pathogenic basis of these types of senile fracture were also discussed.

     

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