摘要
背景：舒尔曼病（Scheuermann disease）的病因至今未知。有些学者认为舒尔曼病患者存在的异常生长模式可能与其发病密切相关，但同时也有一些报道认为二者没有明显的相关性。 目的：通过与健康青少年对比探讨青少年舒尔曼病患者身高、体重和BMI特征及其与后凸畸形的相关性。 方法：选取2009年1月至2014年1月确诊的157例舒尔曼病患者作为研究对象，胸椎受累93例，胸腰椎受累64例。男122例，女35例；年龄11-16岁，平均（13.5±2.7）岁。对照组选取217例年龄匹配的健康人，男168例，女49例；年龄11-16岁，平均（13.7±2.5）岁。舒尔曼病患者行全脊柱正侧位X线检查，测量全脊柱最大后凸Cobb角；同时记录患者的身高、体重并计算BMI。比较舒尔曼病组和健康对照组、胸椎后凸和胸腰椎后凸的舒尔曼病患者的身高、体重和BMI，并对舒尔曼病组的身高、体重、BMI与后凸Cobb角之间的相关性进行检验。 结果：舒尔曼病组与对照组年龄和性别构成比比较，差异无统计学意义（P＞0.05）。舒尔曼病患者的平均身高、体重和BMI均显著高于正常对照组（P＜0.05）。从各组年龄看，11-12岁时，舒尔曼病组的身高、体重和BMI与对照组相比差异无统计学意义（P＞0.05），13-16岁舒尔曼病组的身高、体重和BMI显著高于对照组（P＜0.05）。胸椎舒尔曼病患者和胸腰椎舒尔曼病患者身高、体重和BMI无显著统计学差异（P＞0.05）。舒尔曼病患者的后凸Cobb角为68.5°±12.8°，与身高、体重和BMI与全脊柱后凸Cobb角无明显相关性。 结论：进入青春期后，舒尔曼病患者相比同年龄段正常青少年偏高偏重，提示舒尔曼病患者在青春期存在异常生长模式。
Background：Scheuermann disease is probably a multifactorial skeletal deformity. Previous studies revealed the presence of abnormal growth pattern in Scheuermann disease patients during pubertal development. However, others reported that there were no significant differences between the mean body height and weight of normal and affected individuals. Objective：To investigate the body height, weight and body mass index （BMI） in adolescent patients with Scheuermann dis-ease and to determine the correlation of them with the degree of kyphotic curve. Methods：One hundred fifty-seven adolescents diagnosed as Scheuermann disease from January 2009 to January 2014 were enrolled in this study. Thoracic vertebrae were affected in 93 patients and thoracolumbar vertebrae were involved in 64 pa-tients. There were 122 males and 35 females with a mean age of （13.5 ± 2.7） years （range, 11-16 years）. The control group consisted of 217 healthy adolescents, including 168 males and 49 females with an mean age of （13.7±2.5） years old （range, 11-16 years）. The body height, weight and BMI were recorded in both groups. In Scheuermann disease patients, global ky-phosis angle were measured in the standing lateral full-spine X-ray images. The relationship between anthropometric data and magnitude of kyphosis was evaluated. Results： There were no significant differences in age or sex between Scheuermann disease group and control groups （P〉0.05）. The mean body height, weight and BMI in the Scheuermann disease group were significantly higher than those in the control group （P〈0.05）. The body height, weight and BMI in the Scheuermann disease patients aged from 13 to 16 years were significantly higher than those in the control group （P〈0.05）, whereas no significant difference was found between the patients aged from 11 to 12 years and healthy adolescents. There were no significant differences in terms of the height, bodyweight or BMI between patients with thoracic kyphosis and those with thoracolu
出处
《中国骨与关节外科》
2015年第2期130-134,共5页
Chinese Journal of Bone and Joint Surgery
基金
国家自然科学基金资助项目(81401848)
关键词
舒尔曼病
身高
体重
体重指数
Scheuermann disease
Body height
Body weight
Body mass index
