摘要
目的 探讨中国人手腕骨发育标准（CHN图谱法）评价的骨龄与实际年龄的差异.方法 回顾性分析2007年至2011年,因手部外伤就诊的1397例1.0～18.0岁儿童及青少年患者资料.按照骨龄图谱的年龄分组进行标准分组,共分为男、女各20组.用CHN图谱评价手腕部X线片上显示骨龄,并采用配对秩和检验比较每组患者骨龄与实际年龄的差异.结果 男性患儿和青少年组中,1.0～3.9岁各组、7.0～7.9岁组、9.0 ～15.9岁各组所测骨龄和实际年龄间差异有统计学意义（P值均＜0.05）;女性患儿和青少年组中,1.0 ～2.9岁各组、8.0～11.9岁各组、12.6 ～14.9岁各组、17.0～18.0岁组所测骨龄和实际年龄间差异有统计学意义（P值均＜0.05）,且所测得骨龄均大于实际年龄.结论 CHN图谱法评价的部分年龄组的骨龄大于实际年龄,应慎用CHN图谱法评价儿童及青少年手腕骨骨龄.
Objective To observe the difference between skeletal age of hand and wrist and chronological age and explore the reliability of CHN radiographic atlas method to assess the skeletal age of hand and wrist in children and adolescent.Methods Total 1397 healthy children （666 boys,731 girls;age range,1.0-18.0 years old） with hand and wrist injury from 2007 to 2011 were selected.Forty groups （n =20 for boys and girls,respectively） were classified according to CHN radiographic atlas method.The radiographs of hand and wrist were assessed by CHN radiographic atlas method,the relations between skeletal age and chronological age were investigated by using Wilcoxon signed ranks test.Results According to the CHN radiographic atlas method,the difference in 1.0 to 3.9 years old,7.0 to 7.9 years old and 9.0 to 15.9 years old boy groups between skeletal age and the chronological age had statistical significance （P 〈0.05） ; the difference in 1.0 to 2.9 years old,8.0 to 11.9 years old,12.6 to 14.9 years old,and 17.0 to 18.0 years old girl groups between skeletal age and the chronological age had statistical significance （P 〈 0.05）.Besides,these skeletal age was higher than the chronological age.Conclusions Skeletal age assessed by the CHN radiographic atlas method in a majority of age groups was higher than chronological age.It should be cautious to estimate the contemporary Chinese children skeletal age of hand and wrist when using the CHN radiographic atlas method.
出处
《中华放射学杂志》
CAS
CSCD
北大核心
2013年第12期1074-1076,共3页
Chinese Journal of Radiology
关键词
年龄测定
骨骼
放射摄影术
儿童
青少年
Age determination by skeleton
Radiography
Child
Adolescent
作者简介
通信作者：彭芸，Email：ppengyun@yahoo．com
