腰椎间盘病变是常见病、多发病 [1 ] ,煤炭行业发病率高于其他行业。现总结我院 1992年 6月～ 1999年 5月收治的煤矿工人和家属腰椎间盘病变 5 49例病历 ,回顾性分析其影像学特点及临床诊断要点 ,讨论该病发病及诱发因素 ,旨在早期明确诊断 ,减少误诊、漏诊。1　临床资料5 49例 Lumbar disc disease is a common disease, frequently-occurring disease [1], the incidence of the coal industry is higher than other industries. Summary of our hospital from June 1992 to May 1999 admitted coal miners and their families lumbar disc lesions in 5 49 cases of medical records, retrospective analysis of its imaging features and clinical diagnosis points to discuss the incidence of the disease and the predisposing factors, aimed at early Clear diagnosis, reduce misdiagnosis, missed diagnosis. 1 clinical data of 5 49 cases