Postmenopausal osteoporosis

Postmenopausal osteoporosis
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DOI:
10.1056/nejmcp043801
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发表时间:
2005-08-11
影响因子:
158.5
通讯作者:
Rosen, CJ
Rosen, CJ
中科院分区:
医学1区
文献类型:
--
作者:
Rosen, CJ

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一名63岁女性,有急性腰痛病史。她在44岁时进入更年期,但从未接受过绝经后激素替代治疗。她报告说,她在60岁时患了科勒斯骨折。她的母亲在70岁时髋部骨折。腰椎片显示新的椎体骨折。髋部双能x线骨密度T评分为-1.3。她的病例应该如何处理?
A 63-year-old woman presents with a history of acute low back pain. She had menopause at 44 years of age but never received postmenopausal hormone-replacement therapy. She reports a Colles' fracture at the age of 60. Her mother had a hip fracture at 70. Lumbar-spine films reveal a new vertebral fracture. Dual-energy x-ray absorptiometry of the hip shows a bone mineral density T score of –1.3. How should her case be managed?