某高校学生腰椎间盘突出症患病情况分析  

Prevalence of protrusion of lumbar intervertebral disc among college students

作　　者：贺丽英[1] 要文娟[1] 孙蕴[1] 潘克 

机构地区：[1]清华大学医院放射科,北京100084

出　　处：《中国校医》2016年第10期747-750,共4页Chinese Journal of School Doctor

摘　　要：目的了解高校学生腰椎间盘突出症患病情况,为临床预防、诊断、治疗提供参考依据,促进高校学生预防保健工作。方法回顾性分析某综合性大学在校学生腰椎间盘突出症病例267例,分析其患病情况、发病原因、临床特点及影像学特征。结果本组267例腰椎间盘突出症学生中,发生于单节椎间盘的209例,发生于多节椎间盘的58例,发生部位以L4/L5最多,共154例。本组病例发现不同节段椎间盘病变共325个,其中椎间盘膨出224个,椎间盘突出98个,椎间盘脱出3个。结论高校学生腰椎间盘突出多有腰部外伤史,男生明显多于女生,临床表现症状轻、体征重,与成人有明显差异;多为单节椎间盘发病,以中央型多见。Objective To understand the prevalence of protrusion of lumbar intervertebral disc among college stu- dents, so as to provide the evidence for improving the clinical prevention, diagnosis and treatment of the disease. Methods The data of 267 cases of protrusion of lumbar intervertebral disc were collected and retrospectively analyzed in the students of a comprehensive university, and the sickness status, etiology, clinical features and imaging characteristics were analyzed. Results Among the 267 cases, there were 209 patients with protrusion of single intervertebral disc, and 58 cases of pro- trusion of multiple intervertebral discs. Most pathogenic parts were L4/L5 （154 cases）. In this group, there were 325 in- tervertebral disc disorders at different segments, and among which, there were 224 disc bulge disorders, 98 disc protru- sion disorders, and 3 disc prolapse disorders. Conclusion Most college students with protrusion of lumbar interverte- bral disc have waist injury history, and the boys with the disease were more than the girls with the disease. Their clinical symptoms were minor but physical signs were severe, which is distinctively different from those of the adults. Most disor- ders exist in single section of disc, with central type prevailing.

关 键 词：年轻人 学生 椎间盘移位/诊断 腰椎 体层摄影术 螺旋计算机 

分 类 号：R681.53[医药卫生—骨科学]