請高手評論一下我過去15年骨密度的變化

本帖於 2025-09-24 11:11:01 時間, 由普通用戶 she3652003 編輯

33歲生完孩子後嚴重骨質疏鬆,不明原因的lower back L1 - L2壓縮性骨折。2023年一腳踩空導致腳髁骨折。

作為高危人群,從此以後,每隔幾年就做一次骨密度檢查。底下匯總了大多數的檢查結果,請高手評論一下。

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spine injury age 33. Spine films 2010 show compression fractures of L1 and L2.

2024 -  49-year-old Asian woman with early menopause

Ankle fracture recorded in 2023; 2 falls this past year.

  • Lumbar site [T score -0.5]. Values have fluctuated over the past 14 year interval but remain above baseline.
  • Left femoral neck [T score -0.8]. Over the past 5 year interval there has been a 10% decline at this site.

2022 - 47-year-old Asian female with early menopause

  • L1-4: 1.18 g square centimeter, T score 0
  • Left Femoral neck: 0.968 g square centimeter, T score -0.5
  • Total hip: 1.033 g square centimeter, T score 0.2

There is normal bone density at both measurement sites.  There has been a 4.8% decrease at the spine and a 5.8% decrease at the femoral neck since the previous evaluation in March 2019. Assessment for and
 amelioration of any secondary causes of bone loss is suggested. 

2019 - 44 years old Female

  • Within expected range for age based on the lowest Z- Score (0.4) at the lumbar spine

2012 - 37 year old female

  • LUMBAR SPINE: L1-L4. 99% of reference.
  • TOTAL HIP: Left side. 100% of reference.
  • LEFT FEMORAL NECK: 102% of reference, with a T score (variation in st.dev.) of +0.2.

Spine: an interval increase of 14%.
Left femoral neck: an interval increase of 5%.

2010 - 35 year old female

  • No significant interval change. Minimal anterior wedging of the L1 and L2 vertebral bodies. Alignment well maintained with flexion and extension. No other findings.

2009 - 34 year old female

  • Low Bone Density; L1-L2 compression fracture. Reason unknown

所有跟帖: 

好像保養得不錯,都沒-1以下的數據。 -OrangeBread- 給 OrangeBread 發送悄悄話 OrangeBread 的博客首頁 (0 bytes) () 09/24/2025 postreply 12:04:34

你都骨折兩次了? -軍大衣- 給 軍大衣 發送悄悄話 (69 bytes) () 09/24/2025 postreply 13:13:40

你戴眼鏡嗎,一腳踏空這個倒是問題。 -Sequoia_CA- 給 Sequoia_CA 發送悄悄話 Sequoia_CA 的博客首頁 (0 bytes) () 09/24/2025 postreply 15:02:54

15年前的骨折是因為骨質疏鬆,近些年的摔跤是我作的,運動時候摔倒的 -she3652003- 給 she3652003 發送悄悄話 (0 bytes) () 09/25/2025 postreply 07:54:22

你給的數據不全,我有幾個問題 -GoGym- 給 GoGym 發送悄悄話 GoGym 的博客首頁 (986 bytes) () 09/24/2025 postreply 17:58:44

我貼的是我得到的所有的數據,基本在同一家做的 -she3652003- 給 she3652003 發送悄悄話 (1960 bytes) () 09/25/2025 postreply 07:59:47

你還是沒說報告上有沒有寫明exclude L 1 - 2. 這個蠻關鍵的。下降沒有所謂的正常標準 -GoGym- 給 GoGym 發送悄悄話 GoGym 的博客首頁 (281 bytes) () 09/25/2025 postreply 09:17:38

我把報告上所有的都貼出來了,沒有的信息我就是沒有 -she3652003- 給 she3652003 發送悄悄話 (0 bytes) () 09/25/2025 postreply 09:31:01

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