Y HQC VlgT NAM T H A N G 6 - SO 2/2013
MOT SO YEU TO NGUY CO ROI LOAN LIPID M A U Of TRE EM BEO PHI TUT 6-10 TUdi TAI MOT SO TROONG TIEU HOC CUA HA NOI NAM 2012
Nguyen Do Huy*
T 6 M TAT:
Nghien ciru tim hi§'u mOt sd yeu to nguy cd rdi lo?n lipid mau(RLLM) d tr6 beo phi 6-10 tuoi tgi mpt sd tru'dng tieu hoc tai Ha Npi nSm 2012. Thiet ke nghien effu benh chirng tren 119 tre beo phi 6-10 tu6l va 121 tre binh thu'dng tai mpt so trUdng tieu hpc thupc dia ban thanh phd Ha Npi tff thang 11 nSm 2011 den thang 7 n5m 2012. Ket qua cho thay: Mpt sd yeu td nguy cd den rdi loan lipid mau d tre em beo phi 6-10 tuoi la BMI trung binh cua bo me; bd, me co bieu hl?n thira can, beo phi; Tinh each 3n udng hau 3n, Sn v3t, 3n nhanh, Sn nhieu, Sn tru'dc khi di ngii ciia tre beo phi; Sd thich an uong thffc an beo ciia tre beo phi;.
Tre beo phi co thdi gian ngii dem it hOn nhUng lai cd thdi gian ngii trUa nhieu hdn nhom binh thu'dng.
Td khoa: Cac yeu to nguy cb RLLM, thda can beo phi, hgc sinh tieu hgc.
SUAAMARY:
SOME RICK FACTORS OF DYSLIPIDEMIA AMONG OBESITY SCHOOL CHILDREN FROM 6 TO 10 YEAR OLD AT SOME PRIMARY SCHOOLS OF
HANOI CITY IN 2012
The research aimed to identify the some nsk factors of dyslipidemia status of obesity school children from 6 to 10 year old at some primary schools in Hanoi city in 2012. A case-control study was conducted with involvement of 119 obesity school children and 121 normal school children of some primary schools of Hanoi City from November, 2011 to July, 2012. The results show that: Some risk factors of dyslipidemia of obesity school children from 6 to 10 year old were:
average BMI score of fathers, mothers; signs of overweight and obesity of fathers,mothers; eating behavior of obesity children such as greedy, junk food, over eating, earting before go to bed, and interests in fat food., and prevalence of less time of at night sleeping but more time of at noon sleeping In obesity children was higher than that in normal children.
Key words: risk factors of dyslipidemia status, obesity, school children.
I. O A T V A N o f :
Theo bao eao ciia To chffc Y Te The Gidi, tai ehau Au nam 2007 trung binh ed khoang 2 4 % tre em 6-9 tudi bj thffa can hoac beo phi, tai My
* Vi^n Dmh duung Quoc gia
Phan bi?n khoa hpc: PGS.TS Le Danh Tuyen 160
(2007-2008) khoang 16,9% tre em va thanh thieu nien tff 2 den 19 tudi beo phi. [ 1 ] , [2]. Tai Viet Nam, b^o pht cd xu hffdng gia tSng nhanfi chdng d mpi Iffa tudi va cae viing mien, dac bift la d khu vffe thanh thi, trong dd the beo bung ia thffdng g§p nhat. Mpt sd benh man ti'nh lien quan den dinh du8ng nhff dai thao dffdng, tSng huyet ap,... cung ngay cang gia tSng [3]. Thiia can, beo phi da t r d thanh van de sffe khde cpng dong trffdc het d cac do thj nhff Ha Npi, Ho Chf Minh va Hal Phdng. Beo phi gay nen nhiilig anh hffdng tieu cffe tdi sffc khde luc tre nhd cung nhi/
khi trffdng thanh [ 4 ] , [ 5 ] .
Do vay, de cd them cac sd lieu cap nhat ve eae yeu t d lien quan d tre em tieu hoe - doi tffdng can dffdc ffu tien trong cac chffdng trinh can t h l ^ ve sffc khde va dinh duQng - dong thdi xuat phat tff nhu cau thffc tien, ehung tdi tien hanh nghien effu de tai: ''Mptsoyeu td nguy cd rof loan 1^
mau d tre beo phi td 6-10 tudi tsi mpt sd trudng tieu hgc ciJa thanh phd Ha Noi nam 2012'.
II. OOI TUONG VA PHUONG P H A P NGHIEN COU:
2 . 1 . D61 tu'dng:
Tre 6 den 10 tuoi dffdc xac djnh mac beo phi bang ngudng phan loal quoc te theo BMI rieng theo gidi va tudi tff 6-10 tuoi, tffdng img vdi BMI
> 30 kg/m2 d ngffdi 18 tudi[6] va dffde ioai trir beo phi do nguyen nhan npi tiet, do khiem khuyet di truyen, do diing thudc nhff diing Corticoid keo dai hoac dang dieu trj roi loan lipid mau keo dai.
Cha me hoac ngffdi cham sdc bifc tiep ciia tre dffdc chpn (khdng bj tam than, khdng bj rdi loan tn nhd va hdp tac va dong y tham gia nghien cffu).
2.2. Dja d i e m v a thdi gian nghien cuti: ^ Nghien eulj dffdc thffc hien tai mot so trffdng tieu hpc thupc cac quan huyen npi, ngoai thanh ciia Ha Npi: Hoan Kiem, Hoang Mai, Thanh Tri, Tiianh Xuan, Tff Liem, Hai Ba Trffng, Dong Da, Ddng Anh. Thdi gian nghien CUIJ: ti^ thang 12/2011 den thang 7/2012.
YHOC VI|T NAM T H A N G 6 - SO 2/2013 2 . 3 . T h i ^ t k e n g h i S n c u \ i : Nghien effu
benh ehffng de tim cac yeu t d nguy ed eiia rdi loan lipid mau. Cdng thffe ti'nh ed mau [7] la:
( l + r ) ^ . C
" ~ r . ( l n O R } 2 , p ( l - p ) OR = 3; p = 0,5; a=0,05 va |3=0,2; C= 7,85;
r = 1 ( 1 benh 1 ehffng); n = 104,ffdc 10% bd cupc, cd mau la 114 ddi tu'dng cho moi nhdm.
Tren thffe te ed 119 tre beo phi cd RLCH lipid, lay toan bd sd nay vao nghien ciTu.
2.4. T h u t h a p t h o n g t i n :
Tre 6 tuoi den dffdi 10 tudi: Tre dffdc xac dinh cd roi loan ehuyen hda lipid mau khi cd rdi loan theo ngffdng cao > I c h i sd lipid mau:
cholesterol toan phan, LDL-C, Triglycerid, HDL-C.
Ngudng xae djnh rdi loan chuyen hda lipid mau d tre em theo NCEP.
Cac yeu t d lien quan dffde nghien ciTu thdng qua sff dung phu'dng phap phdng van vdi bd eau hoi thiet ke san: Cac thdi quen an udng va sinh hoat ciia tre, tien sff gia dinh va tien sff eiia tre.
beo phi eua bd me, can nang liic sanh ciia tre, tien can suy dinh dffdng.
2.5. P h a n t i c h va xuf l y so l i e u : Sff dyng phan mem theo ehffdng trinh SPSS for window 14.0 vdi cac test thdng ke y hpe. Oanh gia mdi lien quan giffa rdi loan lipid mau va yeu t d nguy cP dffa vao ty suat chenh (OR). De so sanh giffa eae t^ ie diing test x 2 de so sanh 2 nhdm hoac 3 nhdm vdi nhau, trong trffdng hdp mau nhd hdn 5 test ehinh xae eiia Fisher du'dc sff dung. Sd lieu khdng phan phdi theo luat chuan dffPe sff dung test Krukal-Wallis va Mann-whItney.
Oao dii'c n g h i e n cu'u: Tat ca hpc sinh tham gia nghien cffu va phu huynh ciia cac em se dffPc giai thieh rd ve myc dich, ndi dung thffe hien va quyen ldi khi tham gia nghien cffu, ddng thdi se ky giay dong y tham gia tru'dc khi tien hanh lay mau, Nhffng thdng tin ca nhan thu thap du'dc se ma hoa va bao mat tuyet ddi. Cac sd lieu thu thap dffdc ehi sff dung eho muc tieu nghien cffu, khdng phue vu cho mye dich nao khac.
III. KET QUA NGHIEN CQU:
Bang 3.1. Gia tri trung binh ciia mot sd chi tieu nghien cffu d cac nhdm ddi tffPng dieu tra glal
c h i tieu nghien cu^i Can nanq (kq) Chieu cao (cm) BMI (kq/m2) Vonq eo (cm) Vong mong (cm) Ty so vong eo/v6ng mong Du'dng huvet (mq/dl)
Beo phi CO RLLM (n = 119)
T B ± S D 42,0 ± 9,4 131,2 ± 10,0
24,0 ± 2,3 74,6 ± 7,6 79,0 ± 6,9 0,9 ± 0,1 80,9 ± 5,6
Nhom chu'ng (n = 121)
T B ± S D 25,6 ± 5,4 128,4 ± 9.9 20,0 ± 4,5 64,6 ± 11,9 71,4 ± 10,0 0,9 ± 0,1 81,9 ± 8,2
P
<0,01
>0,05 Bang 3.1 cho thay nhdm beo phi cd rdi loan lipid mau cd trung binh ehieu eao, ehi sd BI*^I, vdng eo, vdng mdng cao hdn nhdm ehffng mdt each ed y nghTa thdng ke (p < 0,01). Ty sd vdng eo/vdng mdng eiia nhdm beo phi ed rdi loan lipid mau trung binh la 0,94, cao hdn so vdi nhdm ehffng la 0,90 va sff khac biet nay ed y nghTa thdng ke (p < 0,01).
Bang 3.2. Nong dp trung binh eiia cae thanh phan lipid mau eiia 2 nhdm
Cholesterol toan phan (mg/dl) HDL-C (mg/dl)
LDL-C (mq/dl) Triglycend (mq/dl)
9 phi cd RLLM (n = 119)
T B ± S D
Nhom chirng (n = 121)
T B ± S D 167,4 ± 38,4 142,0 ± 16,7
56,5 ± 11,7
Ket qua eiia bang 3.2 cho thay tre beo phi cd rdi loan lipid mau ed trung binh triglycerid ia 137,8 mg/dl cao hdn gap ddi so vdi nhdm ehffng la 56,5 mg/dl (p < 0,001). Trung binh eiia cholesterol toan phan va LDL-C tuy khdng d mffc cao nhffng cao hdn nhdm ehffng cd y nghTa thdng ke (p < 0,001).
Trung binh ciia HDL-C d nhdm beo phi ed rdi loan lipid mau la 45,9 mg/dl thap hdn nhdm ehffng ia 58,2% mdt each co y nghTa thdng ke (p < 0,001).
161
Y HQC VlgT NAM T H A N G 6 - SO 2/2013
Bang 3.3. Mdi lien quan gSHa tinh trang BMI ciia cha me va mffc chi cho Sn uong vdi rdi loan lipid d tre
BMI (trunq binh)
Bo Me
Mii'c chi an uonq nqu'6i/thanq (trieu dong)
Beo phi cA RLLM ( n = 119)
T B ± S D 23,2 ± 2,3 22,1 ± 1,9 4,0 ± 2,7
Nhom c h ^ g f n = 121)
T B ± S D 21,8 ± 2,1 20,9 ± 1,9 4,0 ± 2,7
P
<0,01
<0,01
>0,05 Ket qua cua bang 3.3 cho thay mSc dii mu'c chi phi cho viec 3n uong binh quan dau nguiSl/thang cua cac gia dinh co tre beo phi co roi loan lipid mau la khoang 4 trieu dong khong khac biet so vdi nhom chirng (p > 0,05) nhu^g BMI trung binh cua bo va me d nhom beo phi co roi loan lipid mau lan lu'dt la 23,2 va 22,1 cao hdn BMI trung binh ciia bo va me d nhom chuHg la 21,8 va 20,9 vdi sir khat biet CO y nghla thong ke (p < 0,001).
Bang 3.4. Moi lien quan qiiia thiia can, beo phi ciia cha me vdi roi loan lipid cl tre
Tinh chS't gia dinh Cha thira can BP,n(%) Me thLft can BP,n(%) Cha me thira^clri^^nC^)
B6o plii CO RLLM (n = 119) _J3(27,7)_
32(26.9) __3_2(26,9)
Nhdm chu'ng ( n = 121)
34(29,9) 18(16,2) 6(5,0)
2,1
7,05 <0,01 Bang tren cho thay t^ le me thira can beo phi d nhom beo phi co roi loan lipid mau la gan 27%
cao hdn gap 1,5 lan so vdi nhom chu'ng (p < 0,05). Rieng vdi ty le tre beo phi cd roi loan lipid mau co cha me deu thira can beo phi la 26,9% cao hdn gap 5 lan so vdi nhom chCTng, sU khac biet nay co y nghTa thong ke (p < 0,001).
Bang 3.5. Mdi lien quan giu'a dac diem ban than, thdi quen va sd thich Sn uong cua tre vdi tinli trang roi loan lipid
Tinh trgng Dac diem ban than cua tre
CNSS > 4000q,n(%) Con m6t,n(%) Con ut,n(%) Kmh te qia dinh qiau,n(%) Thoi quen an uonq
Hau 5n,n(%) An vSt,n(%) An nhanh,n(%) An nhieu,n(%) An tru'dc khi di nqu,n(%) Sd thfch 3n uonq ciia tre
Thich thirc an beo,n(%) Thich thirc an ngot,n(%) Thich 3n t6m,cua, ca,n(%)
Beo phi CO RLLM ( n = 119)
11(9,2) 15(12,6) 49(41,2) 84(70,6) 69(58,0) 35(29,4) 58(48,7) 36(30,3) 20(16,8) 74(62,2) 85(71,4) 80(67,2)
Nhom chiirng ( n = 121)
5(4,1) 12(10,0) 53(43,8) 80(66,1) 13(10,7) 53(43,8) 12(9,9) 5(4,2) 43(35,5) 60(49,6) 85(70,2) 87(71,9)
OR
0,47 0,76 1,11 0,79 11,46 0,53 8,60 9,97 0,36 1,67 1,06 0,80
P
>0,05
>0,05
>0,05
>0,05
<0,01
<0,05
<0,01
<0,01
<0,01
<0,05
>0.05
>0.05 Bang 3.5 eho thay mdi lien quan giffa can nang sd sinh, yeu t d con mdt hay con lit vdi tinh trang beo phi ed rdi loan lipid mau ciia tre chffa dffdc tim thay.
Hau an la dac diem ndi trpi ciia nhdm tre beo phi cd rdi loan lipid mau ( 5 8 % ) trong khi dele diem nay d nhdm binh thffdng chi la 10,7%. Sff khae biet nay cd y nghTa thong ke vdi p < 0,001, OR - 11,46. Ty le tre an nhieu trong nhdm beo phi co roi loan lipid mau chiem 3 0 , 3 % , cao hdn gap 7 Ian so vdi tre nhdm ehuTig la 4 , 2 % (p < 0,001, OR = 9,97). Tre t)eo phi cd ra loan lipid mau an vat, an nhanh, an trffde khi di ngii nhieu hdn han so vdi nhdm chirtig vdi p < 0,05-0,001.
Bang tren eho thay sd thieh thffe an beo eua nhom tre beo phi co roi loan lipid mau chiem ty 1^
62,2% eao hdn nhdm chimg la 49,6%, sff khac biet nay cd y nghia thong ke vdi p = 0,04, Tre co sd thi'eh thffe an beo se cd nguy cd bj beo phi ed rdi loan lipid mau cao hdn 1,67 lan so vdi nhdm chirtig.
162
Y HQC VlgT NAM THANG 6 • SO 2/2013 Bing3.6. Tinh trana hoat donq tinh tai cua 2 nhdm
Unh tr^ng ho^t d^ng tmh t ^ i So phut xem TV/nqav
Chdi dien tir (phiit) Thcfi qian nqil dem (qid) Thdi qian nqii tru^ (phut) Ngoi chdi cd, tro chuyin, ve tranh, dpc sach bao (phOt)
Khonq tham qia cac hoat donq TDTTa
B6o phi CO RLLM (n = 119) (TB ± SD) 128,5 ± 82,5
18,6 ± 35,9 8,2 ± 0,7 107,7 ± 137,0
96,6 ± 59,3 n 66
1 %
55,5
Nhom Chiang ( n = 121) (TB ± SD) 117,8 ± 72,2
13,6 ± 29,8 8,4 ± 0,6 78,8 ± 35,9 119,7 ± 81,5 n
57
%
47,1 P
>0,05
>0,05
<0,01
<0,05
<0,05
>0,05 a OR = 1,4
Qua ket qua d bang 3.6 cho thay thdi gian ngu trong dem va thdi gian ngoi chdi eiia nhdm beo phi cd roi loan lipid mau thap hdn nhdm chirtig mpt each cd y nghTa thdng ke (p < 0,05).
Tuy nhien, thdi gian ngu trff& trung binh eiia nhom t)eo phi cd roi loan lipid mau eao hdn nhom ehffng (p < 0,05).
Thdi gian danh cho hoat dpng giai tn' nhff xem H vl va chdi dien tiT d 2 nhdm nhff nhau (p
> 0,05).Ty le khdng tham gia cae hoat ddng the due the thao d nhdm beo phi cd roi loan lipid mau la 55,5% khdng khae biet so vdi nhdm ehffng (p > 0,05).
IV. B A N LUAN:
Qua nghien CUXJ cua chiing tdi cdn thay rang BMI trung binh cua tra va me d nhdm beo phi cd roi loan lipid mau Ian Iffdt la 23,2 va 22,08 cao hdn BMI trung binh cua bd va me d nhdm chutig la 21,8 va 20,9 (p < 0,001). Ty le me thffa can beo phi d nhdm beo phi co roi loan lipid mau la gan 27% cao hdn gap ruBi so vdi nhdm chirtig vdi 0R=2,1 (p < 0,05). Rieng vdi ty le tre beo phi CO xo\ loan lipid mau cd cha me ( ^ u thii^a can beo phi la 26,9% cao hdn gap 5 lan nhdm ehffng, OR = 7,05 (p < 0,001). Nghien cffu cua tac gia Novaes va cpng sff cung cho thay ty le beo phi 6 tre cd the giam dang ke nhd vao sff tSng nhan thiTc ciia bo me ve che dp dinh dffdng day du va hdp ly.
Mpt so nghien ciTu khac cung cho thay rang tre beo phi cd cha hoac me bj beo phi cd nguy ed cao bj rdi loan lipid mau dac biet tang triglycerid va giam HDL-Cholesterol. Tac gia Candido va c6ng sff nghien cirtj tren 780 ddi tffdng la hpc
sinh tieu hpe eho thay tre beo phi cd nguy ed eao bi tang triglycerid va giam HDL-Cholesterol, dac biet d nhffng tre cd cha hoac me bl beo phi.
Qua ket qua nghien cffu eiia ehiing tdi cho thay "hau an" la dac diem ndi trdi eiia nhdm tre beo phi cd roi loan lipid mau (58%) trong khi dac diem nay d nhdm binh thffdng ehi la 10,7% (p <
0,001, OR = 11,46). Ket qua nay phii hdp vdi nghien effu ciia Savitha eho thay tre em thffa can, beo phi ed Idi sdng tTnh tai, ft van dpng, ed thdi quen an vat, an nhieu ehat beo ed ty le cao rdi loan lipid mau (P <0,05). Nghien eiiP eiia tae gia Yamborisut cung cho thay tang cholesterol mau d tre em Iffa tudi hpc du'dng cd lien quan den yeu t d gia dinh, trong lu'dng ed the va che dp dinh dudng ciia tre. Trong nghien effu eiia Chung tdi, da sd cac tre beo phi cd rdi loan lipid mau thich thffe an beo, chiem ty le 62,2% cao hPn nhdm ehffng la 49,6%, sff khac biet nay cd y nghTa thdng ke vdi p = 0,04. Tre cd sd thfch thffc an beo se ed nguy ed bj beo phi ed rdi loan lipid mau cao hdn 1,67 lan so vdi nhdm ehffng. Ket qua nay tffdng tff nhff ket qua nghien cu\j ciia eae tac gia khac.
V. KET LUAN:
Mdt so yeu t d nguy cd den rdi loan lipid mau d tre em beo phi 6-10 tudi la: BMI trung binh cua bd me; Bo, me ed bleu hien thffa can, beo phi;
Tfnh each an udng ciia tre beo phi: hau an, an vat, an nhanh, an nhieu, an trffdc khi di ngii; Sd thfeh an udng thffc an beo ciia tre beo phi;Tre beo phi rdi loan lipid mau cd thdi gian ngii dem it hdn nhdm binh thffdng nhffng lai ed thdi gian ngii trffa nhieu hdn.
Y HQC VlgT NAM T H A N G 6 - SO 2/2013 V I . KHUYEN N G H | :
Tuyen truyen ve cac hau qua cua beo phi d tre em de bd me cua tre nhan thffc dddc lam quan trpng ciia dieu trj beo phi d tre em va khuyen khich hp thffc hanh che dp sinh hoat, luyen tap va dlnti dffdng phii hdp cho tre.
L d i C A M O N : Ban giam hieu, eae thay/ed giao va cac em hpc slnh va phu huynh eiia cae trffdng tieu hpe Hoan Kiem, Hoang Mai, Thanh Tri, Thanh Xuan, Tff Liem, Hai Ba Trffng, Dong Oa,
€)dng Anh da tham gia va tao dieu kien cho nghien culJ nay duWc trien khai thuan ldi va hieu qua.
T A ) L t f U T H A M K H A O :
1. Cynthia Ogden, Margaret Carroll. (2010),
"Prevalence of Obesity Among Children and Adolescents: United States, Trends 1963-1965 Through 2007-2008", Division of Health and Nutrition Examination Surveys.
2. Lobstein, T., Baur, L., Uauy, R. (2004), "Obesity In children and young people: a crisis In public health", Obes Rev, 5 Suppl 1, 4-104.
3. Hit Huy Kh6i, NguySn Cdng Khan, lA Thj Hdp (2008), "Cac thanh td chi'nh ciia ehlen Iffdc dinh dudng du" phdng cac b?nh man b'nh d Viet Nam", Tap chf binh Dudng va ThUc Pham, so 4(3+42- 4. NguySn Cong Khan, Le Bach Mat, Do Thj
Phu'dng Ha va cs (2007), 'ThUc trang thiTa can b4o phi va mpt sd yeu t d lien quan d ngu'di trirdng th^nh 25 - 64 tudi", Tinh hinh dinh duSng va chien lUdc can thi?p d Viet Nam, tr. 49 - 72.
5 Reilly, 3. J., et al (2003), "Health consequence of obesity". Arch Dis Child, 88(9), 748 - 752.
6. Tim 3 Col et a l . (2000), "Establishing a standard definition for child overweight and obesity worldvwide: international survey", BMI 2000, 320, 1240.
7. Nguyen Van Tuan (2008), Y hpc thut chulig, Nha xuat ban Y hpc.
DAC DIEM HiNH ANH CONG H U A N G TUT TRONG CHAN D O A N THOAT Vj DiA DEM COT SONG THAT LUNG TAI BENH VIEN Dim DIEN
Du'dng V a n T h a n h * , T r a n C o n g H o a n * * TOM TAT:
Muc deu: Mo ta dac diem hinh anh CHT trong chan doan thoat vi dia dem cdt song that luhg. Do!
tu'dng va Phudng phap nghien cdu: Nghien effu hoi cirU mo ta eat ngang 223 BN dupe du'pe chan doan la TVOD cot sdng that luhg bSng chyp CHT va dieu tri tai Benh vien BUu Oien tff thang 01/2011 - 03/2012, nliSm du'a ra cac nhan xet ve dac diem hinh anh ciia CHT trong chan doan TVDD cot song that lUng. Ket qud.
cac BN CO tuoi trung binh la 47,57 ± 12,38. Thoat vj dia dem that lUng thu'dng g3p la dang mpt tang (43,4%) hoac hai tang (41,3%), chii yeu la dTa dem L4/L5 (46,3%) va L5/S1 (37,8%), thu'dng co kem theo thoai hoa dia dem ciing lang. Thoat vi ra sau hay gSp nhat (98,8%), chii yeu thoat vj du'di day chang dpc sau (78,2%). Ben canh do, cac ton thu'dng phdi hpp cd the gap d cac benh nhan nay nhu thoai hoa cot song, day chang vang, khoi khdp ben, tn/pt dot song, hep ong song..,Ket luarr. DSc diem hinh anh CHT dong vai trd quan trong trong ehan doan va danh gia mffc dp tdn thu'dng cua TVDD cot song that lUng giup duci ra phu'dng hUdng dieu tri thich hdp doi vdi timg benh nhan eu the.
Tdkhda: Cong hddng td, thoat vi dia dim.
* Bgnh vign Buv dign, " B0nh vign Vigt Due Phan bi?n khoa hpc: PGS.TS Bill Van L?nh 164
STUDY MRI FEATURES OF LUMBAR DISC HERNIATION IN HOSPITAL OF POST AND TELECOMS
Objectives: Analyse the MR Imaging features of lumbar diseal hernia.Subjects and Metiiods:
retrospectively study of 223 cases having diagnosed of lumbar disc hemiation on MRI in Hospital of Post and Telecoms, from Jan 2011 to Mar 2012 In onjer to analyse the MR Imaging features of lumbar hemiation.
Result: the average age Is 47,57 ± 12,38. Lumtar disc hemiation Is usually seen at single level (43,4%) or double level (41,3%), majority in L4-L5 (46,3%) and L5-S1 (37,8%), relation with disc degeneration at the same level. Hemiation usually occur posterioily (98,8%), most of hemiation are subligamentous (78,2%). Moreover, associated lesion can be seen such as vertebral, ligamentous, articular degeneration or spodylolisthesis, lumbar stenosis...C(7/TcA/s/on;The MR imaging features play an important role In diagnosing and staging of lumbar disc hemiation in order to give an suitable treatment.
Key words: MRI, disc herniation.
