【摘要】 为探讨青少年腰腿痛的病因病理特点 ,对观察组 67例青少年腰腿痛患者和 97例同期成年和老年病人的X片、CT、MRI及手术所见摘除物病理检查进行了对照比较。结果 :发现腰骶椎后缘骺环骨折占少年腰腿痛患者的 4 0 .74 % ( 11/ 2 7) ,占青年腰腿痛患者的 2 2 .50 % ( 9/ 4 0 ) ;而具有相似征象者在成年对照组中仅占 3.85% ( 2 / 52 ) ,在老年对照组中仅占 4 .4 4 % ( 2 / 4 7) ,观察组与两对照组间有显著性差异 ( P <0 .0 1) ,两观察组间和两对照组间差异则无显著性 (P >0 .0 5)。结论 :提示椎体后缘骺环骨折是青少年腰腿痛患者特有的病理改变 ,由此认为腰骶椎后缘骺环骨折是导致青少年腰腿痛不可忽视的因素之一更多还原

【Abstract】 To investigate the etiological and pathological characteristics of adolescent lumbocrural pain, the findings of X ray, CT and MRI and biopsy in 67 cases of adolescent (14～28 years old) and 97 of the adult and the aged were compared. The results showed that the incidence of back epiphysis loop fracture of lumbosacral vertebrae was 40.74% (12/27) and 22.50% (9/40) in the teenage (14～18) and the youth (19～28) respectively, and 3.85% (2/52) and 4.44% (2/47) in the adult(28～60) and the aged (over 60) respectively, showing that the differences were significant between the adolescent and the adult(P< 0.01 ) but not significant between the teenage and the youth as well as the adult and the aged (P> 0.05 ). It is indicated that back epiphysis loop fracture of lumbosacral vertebrae is the specific pathological feature of adolescent lumbocrural pain. Therefore, it should be regarded as an important cause of adolescent lumbocrural pain.更多还原