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目的探讨青少年腰椎间盘突出的病因、临床及CT表现特点。方法回顾性分析青少年腰椎间盘突出症42例的临床和CT表现。结果青少年腰椎间盘突出症42例的主要CT表现为:①中央型28,例占67%;②旁侧型12例,占28%;③椎间孔型2例,占4.5%,L4-5、L5-S1是椎间盘突出的好发部位。结论青少年腰椎间盘突出症多为中央型,伴发征象少与成人不同;本病的发生与外伤及腰骶椎发育异常有关。
Objective To explore the etiology, clinical features and CT features of adolescent lumbar disc herniation. Methods The clinical and CT findings of 42 cases of young patients with lumbar disc herniation were analyzed retrospectively. Results The main CT manifestations of 42 cases of adolescent lumbar disc herniation were: ① 28 cases of central type, 67%; ② 12 cases of lateral type, accounting for 28%; ③ 2 cases of intervertebral foramen, accounting for 4.5%, L4-5 , L5-S1 is a prominent site of disc herniation. Conclusions The majority of adolescent lumbar disc herniation is mostly central type, accompanied by less signs and adults are different; the occurrence of this disease and trauma and lumbosacral vertebral dysplasia.