CAJ | 학술논문

目的：观察腰椎间盘突出症（lumbar disc herniation，LDH）患者骨量变化和症状时间，探讨骨质疏松症与LDH临床特点的关系。方法：纳入2008年11月至2009年9月我院行手术治疗LDH患者共83例。术前用双能X线吸收仪分别检测患者腰椎和髋关节的骨密度，并计算T值。根据T值将患者分为3组：A组（骨量正常组，n＝27），B组（骨量减少组，n＝31），C组（骨质疏松组，n＝25），观察患者在症状时间和病理类型方面的差异。观察患者体质指数（BMI）与腰椎及髋关节T值的关系。结果：各组在LDH病理类型方面比较差异无统计学意义。 C组患者症状时间较A组患者症状时间短（P＝0．042）。患者BMI和腰椎T值之间无明显相关性（r＝0．20， P＝0．070），但是患者BMI和髋关节T值呈显著正相关（r＝0．263， P＝0．016）。结论：骨质疏松可能影响LDH患者症状时间。临床上重视合并骨质疏松的LDH患者。
목적：관찰요추간반돌출증（lumbar disc herniation，LDH）환자골량변화화증상시간，탐토골질소송증여LDH림상특점적관계。방법：납입2008년11월지2009년9월아원행수술치료LDH환자공83례。술전용쌍능X선흡수의분별검측환자요추화관관절적골밀도，병계산T치。근거T치장환자분위3조：A조（골량정상조，n＝27），B조（골량감소조，n＝31），C조（골질소송조，n＝25），관찰환자재증상시간화병리류형방면적차이。관찰환자체질지수（BMI）여요추급관관절T치적관계。결과：각조재LDH병리류형방면비교차이무통계학의의。 C조환자증상시간교A조환자증상시간단（P＝0．042）。환자BMI화요추T치지간무명현상관성（r＝0．20， P＝0．070），단시환자BMI화관관절T치정현저정상관（r＝0．263， P＝0．016）。결론：골질소송가능영향LDH환자증상시간。림상상중시합병골질소송적LDH환자。
Objective To observe changes in bone mass and symptom duration in patients with lumbar disc herniation(LDH) and explore the relationship between osteoporosis and clinical features of LDH. Methods 83 LDH patients undergoing surgery were enrolled in the study from November 2008 to September 2009. Before surgery, dual-energy X-ray absorptiometry was used to detect bone mineral density of lumbar spine and hip, and calculate T score. The patients were divided into three groups according to the T score: group A (normal bone mass group, n=27), group B (osteopenia group, n=31) and group C (osteoporosis group, n=25). The differences in the duration of symptoms and pathological types were compared between the groups. The relationship between BMI and lumbar spine T-score was explored. Results There were no significant differences in the pathological types among the three groups. The symptom duration in group C was significantly shorter than in group A (P < 0.05). There was no correlation between BMI and lumbar spine T-score (r=0.20, P=0.070). There was positive correlation between BMI and Hip T-score (r=0.263, P=0.016). Conclusion Osteoporosis may affect the symptom duration of LDH patients. We should attach great importance to patients with osteoporosis and LDH.