【摘要】： 目的:探討河南、海南、浙江三地區(qū)之間漢族青少年骨發(fā)育差異性,分析其在骨齡鑒定中的意義,并探討數(shù)學(xué)模型法在推斷骨齡中的應(yīng)用價(jià)值。 方法:攝取河南、海南及浙江三地12.00～19.00歲漢族青少年肢體六大關(guān)節(jié)、胸部及骨盆正位X線片。其中男性852例,河南、海南、浙江分別為427例、182例、243例,女性599例,河南、浙江分別為402例、197例。根據(jù)青少年骨發(fā)育分級(jí)標(biāo)準(zhǔn)對(duì)24個(gè)骨骼發(fā)育指標(biāo)進(jìn)行分級(jí),并對(duì)河南、海南和浙江三地區(qū)青少年骨發(fā)育差異進(jìn)行分析;在此基礎(chǔ)上應(yīng)用數(shù)學(xué)模型法求得受試對(duì)象骨齡,并對(duì)其與生活年齡的差異進(jìn)行比較分析,求得不同地區(qū)漢族青少年骨齡鑒定(數(shù)學(xué)模型法)的“較正值”及校正公式。 結(jié)果:男性:在12.00～13.00歲(不含13.00周歲)年齡段海南男性青少年骨發(fā)育比河南、浙江分別提前1.10歲、1.27歲;在13.00～14.00歲(不含14.00周歲)年齡段海南男性青少年骨發(fā)育比河南、浙江分別提前0.70歲、1.37歲,并且此年齡段河南男性青少年骨發(fā)育比浙江提前0.67歲;在18.00～19.00歲(不含19.00周歲)年齡段海南男性青少年骨發(fā)育比河南滯后0.79歲;在19.00～20.00歲(不含20.00周歲)年齡段海南男性青少年骨發(fā)育比河南、浙江分別滯后0.71歲、0.95歲;余年齡段無(wú)統(tǒng)計(jì)學(xué)差異。 河南地區(qū)男性青少年骨齡鑒定“校正值”為+1.29,校正公式為y1=1.95x~(0.80);海南地區(qū)男性青少年骨齡鑒定“校正值”為+1.76 ,校正公式為y2=1.45x~(0.93);浙江地區(qū)男性青少年骨齡鑒定“校正值”為+1.43,校正公式為y3=2.67x~(0.68)。 女性:在14.00～15.00年齡段河南女性青少年骨發(fā)育比浙江提前約0.39歲,而在15.00～16.00年齡段河南女性青少年骨發(fā)育比浙江滯后約0.37歲,而在18.00～19.00年齡段河南女性青少年骨發(fā)育比浙江滯后0.38歲,余年齡段無(wú)統(tǒng)計(jì)學(xué)差異。 河南地區(qū)女性青少年骨齡鑒定“校正值”為-0.04,校正公式為y1=1.36x~(0.89);浙江地區(qū)女性青少年骨齡鑒定“校正值”為-0.15,校正公式為y2=1.72x~(0.80)。 結(jié)論:河南、海南、浙江及三地區(qū)整體青少年骨發(fā)育存在差異性,其“校正值”及校正公式的引入提高了活體骨齡鑒定方法的科學(xué)性和結(jié)果的準(zhǔn)確性。同時(shí)本研究結(jié)論亦可供人類(lèi)學(xué)、臨床醫(yī)學(xué)等有關(guān)學(xué)科對(duì)青少年骨齡評(píng)價(jià)作為參考。
[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.
【學(xué)位授予單位】：蘇州大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2010
【分類(lèi)號(hào)】：D919.4

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