不同地区汉族青少年骨发育差异性及其在骨龄鉴定中的应用
发布时间：2018-09-11 14:08
【摘要】： 目的:探讨河南、海南、浙江三地区之间汉族青少年骨发育差异性,分析其在骨龄鉴定中的意义,并探讨数学模型法在推断骨龄中的应用价值。 方法:摄取河南、海南及浙江三地12.00～19.00岁汉族青少年肢体六大关节、胸部及骨盆正位X线片。其中男性852例,河南、海南、浙江分别为427例、182例、243例,女性599例,河南、浙江分别为402例、197例。根据青少年骨发育分级标准对24个骨骼发育指标进行分级,并对河南、海南和浙江三地区青少年骨发育差异进行分析;在此基础上应用数学模型法求得受试对象骨龄,并对其与生活年龄的差异进行比较分析,求得不同地区汉族青少年骨龄鉴定(数学模型法)的“较正值”及校正公式。 结果:男性:在12.00～13.00岁(不含13.00周岁)年龄段海南男性青少年骨发育比河南、浙江分别提前1.10岁、1.27岁;在13.00～14.00岁(不含14.00周岁)年龄段海南男性青少年骨发育比河南、浙江分别提前0.70岁、1.37岁,并且此年龄段河南男性青少年骨发育比浙江提前0.67岁;在18.00～19.00岁(不含19.00周岁)年龄段海南男性青少年骨发育比河南滞后0.79岁;在19.00～20.00岁(不含20.00周岁)年龄段海南男性青少年骨发育比河南、浙江分别滞后0.71岁、0.95岁;余年龄段无统计学差异。 河南地区男性青少年骨龄鉴定“校正值”为+1.29,校正公式为y1=1.95x~(0.80);海南地区男性青少年骨龄鉴定“校正值”为+1.76 ,校正公式为y2=1.45x~(0.93);浙江地区男性青少年骨龄鉴定“校正值”为+1.43,校正公式为y3=2.67x~(0.68)。 女性:在14.00～15.00年龄段河南女性青少年骨发育比浙江提前约0.39岁,而在15.00～16.00年龄段河南女性青少年骨发育比浙江滞后约0.37岁,而在18.00～19.00年龄段河南女性青少年骨发育比浙江滞后0.38岁,余年龄段无统计学差异。 河南地区女性青少年骨龄鉴定“校正值”为-0.04,校正公式为y1=1.36x~(0.89);浙江地区女性青少年骨龄鉴定“校正值”为-0.15,校正公式为y2=1.72x~(0.80)。 结论:河南、海南、浙江及三地区整体青少年骨发育存在差异性,其“校正值”及校正公式的引入提高了活体骨龄鉴定方法的科学性和结果的准确性。同时本研究结论亦可供人类学、临床医学等有关学科对青少年骨龄评价作为参考。
[Abstract]:Objective: to explore the difference of bone development among Han nationality adolescents in Henan, Hainan and Zhejiang provinces, analyze its significance in bone age identification, and discuss the application value of mathematical model method in estimating bone age. Methods: X-ray films of six joints chest and pelvis were taken in 12. 00 and 19. 00 years old Han nationality adolescents in Henan Hainan and Zhejiang provinces. Among them, 852 cases were males, while in Henan, Hainan and Zhejiang Province, there were 427 cases, 182 cases, 243 cases, female cases, 599 cases, and 402 cases, 197 cases, respectively, in Henan and Zhejiang provinces, respectively. According to the criteria of bone development of adolescents, 24 bone development indexes were classified, and the differences of bone development among adolescents in Henan, Hainan and Zhejiang were analyzed, and the bone ages of the subjects were obtained by using mathematical model method. By comparing and analyzing the difference between them and their living age, the "positive value" and correction formula of bone age identification (mathematical model method) of Han nationality adolescents in different regions were obtained. Results: male: bone development of Hainan male adolescents aged from 12.00 to 13.00 years old (excluding 13.00 years old) was 1.10 years and 1.27 years earlier than that of Henan Province, and that of Hainan male adolescents aged 13.00 to 14.00 years (excluding 14.00 years old) was higher than that of Henan Province. The bone development of male adolescents in Henan Province was 0.67 years earlier than that in Zhejiang Province, and the bone development of male adolescents in Hainan province was 0.79 years behind that in Henan Province, at 18.00 ~ 19.00 years old (excluding 19.00 years old). The bone development of Hainan male adolescents aged 19.00 or 20.00 years old was 0.71 years or 0.95 years lower than that of Henan and Zhejiang respectively, but there was no statistical difference in the remaining age groups. The corrected value of bone age of male adolescents in Henan area was 1.29, and the correction formula was Y1 ~ 1 ~ (1.95 x ~ (0.80), while that of male adolescents in Hainan area was 1.76. The correction formula was Y2CU 1.45x0.93, and the correction value was 1.43 for male adolescents in Zhejiang province, and the correction formula was Y3P2.67x0.68. Female: the bone development of female adolescents in Henan Province was 0.39 years earlier than that in Zhejiang Province at 14.00 and 15.00, while the bone development of female adolescents in Henan Province was about 0.37 years lower than that in Zhejiang Province at 15.00 and 16.00 years. At 18.00 ~ 19.00, the bone development of female adolescents in Henan Province was 0.38 years behind that in Zhejiang Province, and there was no significant difference in the remaining age groups. The "correction value" of female adolescent bone age identification in Henan area was -0.04, and the correction formula was Y1 ~ 1 ~ (1.36 x ~ (0.89), while in Zhejiang area, the "correction value" was -0.15 and the correction formula was y2n 1.72 x ~ (0.80). Conclusion: there are differences in bone development among adolescents in Henan, Hainan, Zhejiang and three regions. The introduction of "correction value" and correction formula has improved the scientific nature and accuracy of the method of bone age identification in vivo. At the same time, this study can also be used as a reference for the evaluation of bone age of adolescents in anthropology, clinical medicine and other related disciplines.
【学位授予单位】：苏州大学
【学位级别】：硕士
【学位授予年份】：2010
【分类号】：D919.4
[Abstract]:Objective: to explore the difference of bone development among Han nationality adolescents in Henan, Hainan and Zhejiang provinces, analyze its significance in bone age identification, and discuss the application value of mathematical model method in estimating bone age. Methods: X-ray films of six joints chest and pelvis were taken in 12. 00 and 19. 00 years old Han nationality adolescents in Henan Hainan and Zhejiang provinces. Among them, 852 cases were males, while in Henan, Hainan and Zhejiang Province, there were 427 cases, 182 cases, 243 cases, female cases, 599 cases, and 402 cases, 197 cases, respectively, in Henan and Zhejiang provinces, respectively. According to the criteria of bone development of adolescents, 24 bone development indexes were classified, and the differences of bone development among adolescents in Henan, Hainan and Zhejiang were analyzed, and the bone ages of the subjects were obtained by using mathematical model method. By comparing and analyzing the difference between them and their living age, the "positive value" and correction formula of bone age identification (mathematical model method) of Han nationality adolescents in different regions were obtained. Results: male: bone development of Hainan male adolescents aged from 12.00 to 13.00 years old (excluding 13.00 years old) was 1.10 years and 1.27 years earlier than that of Henan Province, and that of Hainan male adolescents aged 13.00 to 14.00 years (excluding 14.00 years old) was higher than that of Henan Province. The bone development of male adolescents in Henan Province was 0.67 years earlier than that in Zhejiang Province, and the bone development of male adolescents in Hainan province was 0.79 years behind that in Henan Province, at 18.00 ~ 19.00 years old (excluding 19.00 years old). The bone development of Hainan male adolescents aged 19.00 or 20.00 years old was 0.71 years or 0.95 years lower than that of Henan and Zhejiang respectively, but there was no statistical difference in the remaining age groups. The corrected value of bone age of male adolescents in Henan area was 1.29, and the correction formula was Y1 ~ 1 ~ (1.95 x ~ (0.80), while that of male adolescents in Hainan area was 1.76. The correction formula was Y2CU 1.45x0.93, and the correction value was 1.43 for male adolescents in Zhejiang province, and the correction formula was Y3P2.67x0.68. Female: the bone development of female adolescents in Henan Province was 0.39 years earlier than that in Zhejiang Province at 14.00 and 15.00, while the bone development of female adolescents in Henan Province was about 0.37 years lower than that in Zhejiang Province at 15.00 and 16.00 years. At 18.00 ~ 19.00, the bone development of female adolescents in Henan Province was 0.38 years behind that in Zhejiang Province, and there was no significant difference in the remaining age groups. The "correction value" of female adolescent bone age identification in Henan area was -0.04, and the correction formula was Y1 ~ 1 ~ (1.36 x ~ (0.89), while in Zhejiang area, the "correction value" was -0.15 and the correction formula was y2n 1.72 x ~ (0.80). Conclusion: there are differences in bone development among adolescents in Henan, Hainan, Zhejiang and three regions. The introduction of "correction value" and correction formula has improved the scientific nature and accuracy of the method of bone age identification in vivo. At the same time, this study can also be used as a reference for the evaluation of bone age of adolescents in anthropology, clinical medicine and other related disciplines.
【学位授予单位】：苏州大学
【学位级别】：硕士
【学位授予年份】：2010
【分类号】：D919.4
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