Weinreb J C, Wolbarsht L B, Cohen J M, Brown C E, Maravilla K R
Department of Radiology, New York University Medical Center, NY 10016.
Radiology. 1989 Jan;170(1 Pt 1):125-8. doi: 10.1148/radiology.170.1.2521192.
The prevalence of lumbosacral intervertebral disk bulge and herniation on sagittal magnetic resonance (MR) images was determined in 45 pregnant subjects and 41 asymptomatic nonpregnant women of childbearing age. MR technique differed for the pregnant and nonpregnant groups. Fifty-three percent of pregnant and 54% of nonpregnant women had an abnormal disk (bulge or herniation) at one or more levels (L3-4, L4-5, or L5-S1). The difference was not statistically significant. There was also no significant difference in the distribution of outcomes among the 45 pregnant subjects, 17 parous nonpregnant women, and 24 nulliparous women. The results suggest that lumbosacral disk bulges or herniations are common in women of childbearing age, whether pregnant or not, and that, contrary to an earlier report, pregnant women do not have an increased prevalence of disk abnormalities.
在45名孕妇和41名无症状育龄非孕妇中,通过矢状面磁共振(MR)图像确定腰骶椎间盘膨出和突出的患病率。孕妇组和非孕妇组的MR技术不同。53%的孕妇和54%的非孕妇在一个或多个节段(L3-4、L4-5或L5-S1)存在椎间盘异常(膨出或突出)。差异无统计学意义。45名孕妇、17名经产妇非孕妇和24名未产妇之间的结果分布也无显著差异。结果表明,腰骶椎间盘膨出或突出在育龄女性中很常见,无论是否怀孕,而且与早期报告相反,孕妇椎间盘异常的患病率并未增加。