Department of Neurosurgery, Inha University Hospital, College of Medicine, Inha University, 27 Inhang-ro, Jung-gu, Incheon 400-711, Korea.
Yonsei Med J. 2013 Sep;54(5):1098-103. doi: 10.3349/ymj.2013.54.5.1098.
This study was to determine the prevalence of herniated intervertebral disc (HIVD) among Korean 19-year-old male in a large national sample and to compare the prevalence across geographic regions based on the data of conscription.
We analyzed the conscription data of 615508 cases who were 19-year-old male, given an examination for conscription at nationwide Korean Military Manpower Administration from January 2008 to December 2009. Prevalence was determined by dividing the number of cases by the number of persons enrolled for 2 years. The analyses included of a cross-tabulations and nonparametric chi-square to compare the prevalence according to geographic region, disc severity, and conscription year.
The prevalence of HIVD among 19-year-old male was 0.47%. Seoul had the highest prevalence of HIVD (total HIVD was 0.60%, and severe HIVD was 0.44%). The prevalence of HIVD was lower in Jeollabuk- do and Jeollanam-do (total HIVD was 0.25-0.27%, and severe HIVD was 0.16-0.17%). Annual prevalence of HIVD was slightly decreased in 2009, but geographic distribution annually was not different.
In Korean 19-year-old male, the national prevalence of adolescent HIVD was 0.60%, but different geographic distribution was observed. It is quite possible that secondary contributing factor(s) interfere with the different geographic prevalence of HIVD.
本研究旨在确定韩国大规模全国性样本中 19 岁男性椎间盘突出症(HIVD)的流行率,并根据兵役数据比较基于地理区域的流行率。
我们分析了 2008 年 1 月至 2009 年 12 月期间在全国韩国军事人力管理局接受兵役检查的 615508 名 19 岁男性的兵役数据。患病率通过将病例数除以两年内应征入伍的人数来确定。分析包括交叉表和非参数卡方检验,以比较根据地理区域、椎间盘严重程度和兵役年份的患病率。
19 岁男性 HIVD 的患病率为 0.47%。首尔的 HIVD 患病率最高(总 HIVD 为 0.60%,严重 HIVD 为 0.44%)。全罗北道和全罗南道的 HIVD 患病率较低(总 HIVD 为 0.25-0.27%,严重 HIVD 为 0.16-0.17%)。2009 年 HIVD 的年患病率略有下降,但地理分布每年没有差异。
在韩国 19 岁男性中,青少年 HIVD 的全国患病率为 0.60%,但观察到不同的地理分布。很有可能有次要的促成因素干扰了 HIVD 的不同地理流行率。