腰型休门病与腰椎间盘突出症的关系  

Relationship of lumbar Scheuermann disease and lumbardisc herniation

作　　者：孟亚轲 梁家铭 张亮[1] 乐军[1] 张伟[1] 潘浩[1] MENG Ya-ke;LIANG Jia-ming;ZHANG Liang;LE Jun;ZHANG Wei;PAN Hao(Dept of Orthopaedics,Hangzhou Hospital of Traditional Chinese Medicine,Zhejiang Chinese Traditional Medicine University,Hangzhou,Zhejiang 310006,China)

机构地区：[1]浙江中医药大学附属杭州市中医院骨科,浙江杭州310006

出　　处：《临床骨科杂志》2024年第5期640-642,共3页Journal of Clinical Orthopaedics

摘　　要：目的探讨腰型休门病(LSD)和腰椎间盘突出症(LDH)的关系。方法对1285例因腰腿痛行腰椎MRI检查的患者进行影像学分析,统计LSD患者的数量及其合并LDH比例,分析LSD患者的许莫结节(Schmorl结节)和椎间盘突出节段分布。结果1285例患者中52例(4.0%)符合LSD。LSD患者中335个终板形成Schmorl结节,以L_(1-4)节段最为多发。LSD患者中合并LDH的比例为55.77%,明显高于非LSD患者中合并LDH的比例45.26%,其中L_(5)~S_(1)是LDH常见节段。结论LSD患者合并LDH的发生率高于非LSD患者,LSD可能是LDH的潜在病理基础。Objective To investigate the relationship between lumbarSchwimmerdisease(LSD)and lumbardisc herniation(LDH).Methods Imaging analysis was performed on 1285 patients with lumbarMrI examination due to lumbarpain.The numberof LSD patients and the complicated LDH proportion were analyzed,and the distribution of Schommernodules and disc herniation in LSD patients were analyzed.Results Of 1285 patients,52 cases(4.0%)were LSD compliant.Schommernodules occurred in 335 endplates of LSD patients,with the most frequent nodules occurring at L_(1-4) segments.LSD patients had a combined LDH of 55.77%,which was significantly higherthan that of non-LSD patients with a combined LDH of 45.26%,among them L_(5)~S_(1) was the common segment of disc herniation.Conclusions The incidence of LDH in LSD patients is higherthan that in non-LSD patients.LSD may be the potential pathological basis of LDH.

关 键 词：休门病 腰椎间盘突出症 椎间盘退变 

分 类 号：R682.3[医药卫生—骨科学] R681.5[医药卫生—外科学]