休门氏病与腰椎间盘突出症的相关性研究

Relationship research between Scheuermann's disease and lumbar disc herniation

[目的]探讨休门氏病(Scheuermann病)与腰椎间盘突出症的关系以及对该病的预测价值。[方法]回顾性分析本院352例因腰痛住院的患者,统计其中腰椎间盘突出症以及休门氏病患者的数量,对数据行Logistic回归分析,分析休门氏病与腰椎间盘突出症的关系。[结果]其中诊断为腰椎间盘突出症的患者219例,腰椎间盘突出症合并典型休门氏病的患者4例,合并非典型休门氏病的24例,两者都有的1例,无腰椎间盘突出症合并休门氏病的有1例,Logistic回归分析提示,非典型休门氏病的患者合并腰椎间盘突出症的危险性是没有非典型休门氏病患者的16.674倍(P<0.05)。休门氏病的患者合并腰椎间盘突出症的危险性是没有休门氏病患者的1.439倍(P<0.05)。[结论]休门氏病与腰椎间盘突出症有着相关性,尤其是非典型休门氏病对腰椎间盘突出症的患者有着高度预测价值。

[Objective] To explore the relationship between Scheuermann＇s disease（ Scheuermann disease） and lumbar disc herniation and to investigate the predictive value of the disease. [Methods] A retrospective analysis of 352 cases of hospitalized patients due to low back pain was performed. The numbers of lumbar disc herniation and Scheuermann＇s disease were counted. The data were analyzed by logistic regression. The relationship between Scheuermann＇s disease and lumbar disc herniation were explored. [Results] Totally 219 patients were diagnosed as lumbar disc herniation. Out of them,4 patients were combined with typical Scheuermann＇s disease,and 24 patients with atypical Scheuermann＇s disease,and 1 with both. One patient had Scheuermann＇s disease without lumbar disc herniation. Logistic regression analysis indicated that the atypical Scheuermann＇s disease patients with lumbar disc herniation were more dangerous than no atypical Scheuermann＇s disease patients by16. 674 times（ P〈0. 05）. Scheuermann＇s disease patients with lumbar disc herniation were more dangerous than no Scheuermann＇s disease patients by 1. 439 times（ P〈0. 05）. [Conclusion] Scheuermann＇s disease and lumbar disc herniation have relevance,especially atypical Scheuermann＇s disease has highly predictive value to diagnose lumbar disc herniation.