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腰椎间盘突出症发病率趋势:老年人随年龄增长而下降。

Trend of the incidence of lumbar disc herniation: decreasing with aging in the elderly.

机构信息

Department of Rehabilitation, the Lu'an Affiliated Hospital of Anhui Medical University, Lu'an People's Hospital, Lu'an, Anhui Province, People's Republic of China.

出版信息

Clin Interv Aging. 2013;8:1047-50. doi: 10.2147/CIA.S49698. Epub 2013 Aug 7.

DOI:10.2147/CIA.S49698
PMID:23966775
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3743527/
Abstract

BACKGROUND

Compelling evidence has shown that the incidence of lumbar disc herniation (LDH) increases with age. In this study, retrospective clinical analysis of 601 cases of LDH has been conducted to investigate the role of age in the incidence of LDH in the elderly. The aim of the study is to investigate the relationship between the process of aging and the occurrence of LDH in old adults.

METHODS

Clinical cases (n = 601) of LDH were retrospectively analyzed.

RESULTS

The imaging examination with computed tomography and/or magnetic resonance imaging showed the occurrence of degeneration in LDH patients over 65 years of age. The most common site of LDH is toward the bottom of the spine at L4-L5 and/or L5-S1. The incidence of LDH drops with age in the elderly, especially after the age of 80 years. There is an obvious decrease in LDH in the elderly female.

CONCLUSION

A decreasing incidence of LDH with aging occurs in the elderly. This investigation indicates that aging is not a contributor to the performance of LDH in the elderly although the incidence of LDH is proportional to age.

摘要

背景

大量证据表明,腰椎间盘突出症(LDH)的发病率随年龄增长而增加。本研究回顾性分析了 601 例 LDH 患者的临床资料,旨在探讨年龄在老年 LDH 发病中的作用。该研究旨在探讨老年人衰老过程与 LDH 发生的关系。

方法

回顾性分析 LDH 临床病例(n=601)。

结果

计算机断层扫描和/或磁共振成像的影像学检查显示,65 岁以上 LDH 患者出现退变。LDH 最常见的部位在 L4-L5 和/或 L5-S1 处。LDH 在老年人中的发病率随年龄增长而下降,尤其是 80 岁以后。老年女性 LDH 明显减少。

结论

老年人随年龄增长 LDH 的发病率呈下降趋势。本研究表明,尽管 LDH 的发病率与年龄成正比,但衰老并不是老年人 LDH 发病的原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f55c/3743527/8f268926894f/cia-8-1047Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f55c/3743527/8f268926894f/cia-8-1047Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f55c/3743527/8f268926894f/cia-8-1047Fig1.jpg

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