昆明地区14.0-18.9岁青少年手腕部骨骼发育调查与研究

发布时间：2018-03-11 14:29

本文选题：法医学　切入点：昆明地区　出处：《昆明医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：研究目的本文旨在通过对生活在云南省昆明地区的汉族男性以及女性青少年,年龄在14.0-18.9岁的身体健康、无重大疾病及骨骼发育异常的青少年的手腕部骨骼进行X光摄片,并对收集的X线片进行研究分析,分别对昆明地区汉族男性以及女性青少年的桡骨、尺骨的骨骺愈合情况以及第Ⅰ掌骨骨骺、第Ⅲ、Ⅴ掌骨骨骺、近节指骨骨骺、中节指骨骨骺、远节指骨骨骺愈合情况进行分析。根据云南省昆明地区汉族男性以及女性青少年,桡骨、尺骨的骨骺愈合情况以及第Ⅰ掌骨骨骺、第Ⅲ、Ⅴ掌骨骨骺、近节指骨骨骺、中节指骨骨骺、远节指骨骨骺愈合情况推断出的骨龄与实际年龄进行比较分析,同时与目前使用较多的骨龄鉴定标准进行比较分析,以初步探索云南省昆明地区汉族男性以及女性青少年的手腕部骨骺的发育规律与特点,从而进一步为云南省青少年的骨龄鉴定工作提供技术以及理论上的支持。研究方法对已知年龄在14.0-18.9岁之间的299例样本进行手腕部的普通X光平片拍摄,根据中华05骨龄评分法中对于骨龄鉴定所需的手腕部骨骺发育情况所对应的指标进行观察,进而根据其骨龄评分法中对于手腕部桡骨、尺骨的骨骺愈合情况以及第I掌骨骨骺、第Ⅲ、Ⅴ掌骨骨骺、近节指骨骨骺、中节指骨骨骺、远节指骨骨骺愈合情况的分级将299例汉族男性以及女性青少年的手腕部骨骺愈合情况按照进行分组分析。以初步探究云南省昆明地区男性以及女性青少年的骨骺发育的特点以及两者在发育程度上所存在的区别。采用SPSS17.0软件对结果进行相关的统计学分析。研究结果经阅片,昆明地区男性青少年手腕部桡骨远端骨骺、尺骨远端骨骺、第I掌骨骨骺、第Ⅲ、Ⅴ掌骨骨骺、近节指骨骨骺、中节指骨骨骺、远节指骨骨骺闭合的平均年龄分别为18.0、17.8、14.9、15.2、15.3、15.0、15.0岁.昆明地区女性青少年手腕部桡骨远端骨骺、尺骨远端骨骺、第Ⅰ掌骨骨骺、第Ⅲ、Ⅴ掌骨骨骺、近节指骨骨骺、中节指骨骨骺、远节指骨骨骺闭合的平均年龄分别为16.8、15.7、13.0、14.8、15.0、13.5、12.8 岁。研究结论对比云南省昆明地区汉族男性与女性青少年手腕部桡骨、尺骨的骨骺愈合情况以及第Ⅰ掌骨骨骺、第Ⅲ、Ⅴ掌骨骨骺、近节指骨骨骺、中节指骨骨骺、远节指骨骨骺愈合情况进行分析。(1)得出14.0-18.9岁年龄段的昆明地区的青少年,在同龄的前提下汉族女性青少年骨骼发育速度、骨骼愈合程度较男性青少年有所提前。女性青少年桡骨远端骨骺、尺骨远端骨骺、第Ⅰ掌骨骨骺、第Ⅲ、Ⅴ掌骨骨骺、近节指骨骨骺、中节指骨骨骺、远节指骨骨骺闭合的平均年龄分别较男性青少年提前1.2、2.1、1.9、0.4、0.3、1.5、2.2 岁.(2)在同等年龄前提下对14.0-18.9岁昆明地区男性青少年手腕部的各指标与中华05骨龄评分法中的标准进行比较得出:尺骨远端骨骺、第Ⅰ掌骨骨骺、第Ⅲ、Ⅴ掌骨骨骺、近节指骨骨骺、中节指骨骨骺的平均闭合年龄分别比中华05骨龄评分法中的标准提前0.2、0.1、0.3、0.5、0.5岁,桡骨远端骨骺以及远节指骨骨骺的平均年龄两者相同。(3)在同等年龄前提下对14.0-18.9岁昆明地区女性青少年手腕部的各指标与中华05骨龄评分法中的标准进行比较得出:桡骨远端骨骺、尺骨远端骨骺、第Ⅲ、Ⅴ掌骨骨骺、近节指骨骨骺、中节指骨骨骺、远节指骨骨骺的平均闭合年龄分别比中华05骨龄评分法中的标准提前0.2、0.3、0.2、0.1、0.5、0.2岁,第Ⅰ掌骨骨骺的平均线年龄两者相同。因此可以得出在同等年龄的前提下14.0-18.9岁昆明地区的汉族男性以及女性青少年的骨骼发育情况较中华05标准中有所提前。
[Abstract]:The purpose of this study aims to live in the Kunming area of Yunnan province in both male and female adolescents, aged 14.0-18.9 years old in good health, no abnormal adolescent growth of major diseases and bone of wrist bones X ray radiography, and X-ray film on the collection of research and analysis, respectively, for men and women of Han nationality in Kunming area juvenile radius, ulna epiphyseal healing and the first metacarpal bone epiphysis, III, V metacarpal and proximal phalanx epiphysis, epiphysis, middle phalangeal epiphyses, analysis of distal phalanx epiphyseal healing. According to the Kunming area of Yunnan province Han nationality male and female youth, radius, ulna epiphyses healing and the first metacarpal bone epiphysis III, V, metacarpal epiphysis, proximal phalanx phalanx of epiphysis, epiphysis, epiphysis of distal phalanx healing in comparative analysis to infer the skeletal age and chronological age, with And at present the standard of bone age identification were compared, the development rules and characteristics to explore the Kunming area of Han nationality in Yunnan Province in both male and female adolescents wrist epiphysis, so as to provide technical support and the theory for further appraising work of Yunnan province teenagers. Research methods of the wrist of known age in 299 cases the sample between the ages of 14.0-18.9 common X ray shooting, according to the 05 bone age score for bone age identification required wrist epiphysis development corresponding indicators were observed, according to the law for the skeletal age score of wrist radial, ulnar epiphyseal healing and I metacarpal epiphysis, III V, metacarpal and proximal phalanx epiphysis, epiphysis, middle phalangeal epiphyses, classification of distal phalanx epiphyseal healing 299 cases of Han male and female adolescents wrist According to the Ministry of healing epiphysis was analyzed. The difference in characteristics of preliminary exploration and development in Kunming region in Yunnan Province in both male and female adolescents and their epiphysis which exists in the development degree. The results were statistically analyzed by SPSS17.0 software. The results of the study by reading, Kunming adolescent male wrist of distal radius and ulna the distal epiphysis, I metacarpal epiphysis, III, V metacarpal and proximal phalanx epiphysis, epiphysis, epiphysis of the middle phalanx, the average age of the distal phalanx epiphyseal closure were 18.0,17.8,14.9,15.2,15.3,15.0,15.0 years old in Kunming. The young women of wrist of distal radius and ulna distal epiphysis, epiphysis, the first metacarpal III, V metacarpal epiphysis, the proximal phalanx phalanx of epiphysis, epiphysis, the average age of the distal phalanx epiphyseal closure were 16.8,15.7,13.0,14.8,15.0,13.5,12.8 years old. Conclusion in contrast to the Kunming area of Yunnan province Han nationality male and female youth wrist radial, ulnar epiphyseal healing and the first metacarpal bone epiphysis, III, V metacarpal and proximal phalanx epiphysis, epiphysis, middle phalangeal epiphyses, analysis of distal phalanx epiphyseal healing. (1) the 14.0-18.9 years of age in Kunming area in the age of youth, under the premise of Han female adolescent bone development speed, bone healing than male adolescents. Female adolescents in advance of distal radius and ulna distal epiphysis, epiphysis, the first metacarpal III, V metacarpal and proximal phalanx epiphysis, epiphysis, epiphysis of the middle phalanx, the average age of the distal phalanx epiphyseal closure respectively. Earlier than male adolescents 1.2,2.1,1.9,0.4,0.3,1.5,2.2 years old. (2) in the same age under the premise of male adolescents aged 14.0-18.9 in Kunming of the wrist of each index and the 05 bone age assessment The standard method for comparison of distal epiphysis, epiphysis, the first metacarpal III, V metacarpal and proximal phalanx epiphysis, epiphysis, the average age of the middle phalanx closed epiphysis respectively than the 05 bone age score standard in early 0.2,0.1,0.3,0.5,0.5 years, and the average age of the distal radial epiphysis of distal phalanx of the two the same. (3) in the same age under the premise of women aged 14.0-18.9 in Kunming area of each index of the wrist and the 05 adolescent bone age score in standard were compared. The results showed that the distal radial epiphysis, epiphysis of distal ulna, III, V metacarpal and proximal phalanx epiphysis, epiphysis, epiphysis of the middle phalanx, the average age of closed far phalanx epiphyseal bone age score 05 respectively than the standard in the early 0.2,0.3,0.2,0.1,0.5,0.2 years old, the average age of the first metacarpal bone epiphysis line both the same. So it can be concluded that under the same age before The skeletal development of Han and female adolescents in Kunming, 14.0-18.9 years old, was earlier than that of the Chinese 05 standard.

【学位授予单位】：昆明医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：D919.1

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