CAJ | 학술논문

目的：探析骨密度CT定量检测应用于腰椎间盘突出症人群的临床价值。方法为我院2011年1月～2014年10月主诉腰腿痛显著并来我院进行健康筛查的215例患者进行腰椎间盘突出症筛查，确定114例患有腰椎间盘突出症，其中男51例，女63例；未患有腰间盘突出症的男、女患者分别为40例、61例。之后为患者实施骨密度CT定量检查。比较腰椎间盘突出症与骨密度的关系和性别与骨密度的关系。结果相同性别腰椎间盘突出症患者群和非患者群之间比较年龄差异无统计学意义（P＞0.05），相同性别患者群其骨密度均值显著低于非腰椎间盘突出症患者群（P＜0.05）。患有腰椎间盘突出症的患者群中，不同性别之间年龄差异无统计学意义（P＞0.05），女患者群和男患者群比较、男患者群其骨密度均值显著低于女患者群（P＜0.05）。结论腰椎间盘突出症可直接导致椎体骨流失及骨密度显著下降，同时该病对男性骨密度的负面作用比对女性更严重。
목적：탐석골밀도CT정량검측응용우요추간반돌출증인군적림상개치。방법위아원2011년1월～2014년10월주소요퇴통현저병래아원진행건강사사적215례환자진행요추간반돌출증사사，학정114례환유요추간반돌출증，기중남51례，녀63례；미환유요간반돌출증적남、녀환자분별위40례、61례。지후위환자실시골밀도CT정량검사。비교요추간반돌출증여골밀도적관계화성별여골밀도적관계。결과상동성별요추간반돌출증환자군화비환자군지간비교년령차이무통계학의의（P＞0.05），상동성별환자군기골밀도균치현저저우비요추간반돌출증환자군（P＜0.05）。환유요추간반돌출증적환자군중，불동성별지간년령차이무통계학의의（P＞0.05），녀환자군화남환자군비교、남환자군기골밀도균치현저저우녀환자군（P＜0.05）。결론요추간반돌출증가직접도치추체골류실급골밀도현저하강，동시해병대남성골밀도적부면작용비대녀성경엄중。
ObjectiveTo probe the clinical value of CT quantitative detection of the bone mineral density applied to the crowd with lumbar disc herniation.Methods215 patients complained significant lumbocrural pain and carried with health screening in our hospital during Jan. 2011 to Oct. 2014 were carried with screening for lunbar disc herniation.114 patients were diagnosed with lunbar disc herniation, 63 patients of that were women, and 51 were men. The numbers of male and female patients did not suffer from lumbar disc herniation were 40 and 61 respectively. Then the CT quantitative detection of the bone mineral density were carried for the patients with lumbar disc hernaiation, and the relation between lumbar disc hernaiation and the bone mineral density and the relation between gender and the bone mineral density were compared.ResultsThere was no significant difference(P>0.05) in age between same-sex people with and without lumbar disc herniation. The bone mineral density of patients with lumbar disc herniation were obviously(P<0.05) lower than that of same-sex people without. The difference between patients in age with lumbar disc herniation of different gender was not significant(P>0.05). The bone mineral density of male patients was significantly lower than that of female patients(P<0.05).Conclusion Lumbar disc herniation can directly lead to the loss of vertebral bone and the obvious decline of the bone mineral density, while the adverse effect of this disease on the bone mineral density of the male patients is more serious than that of female patients.