中国男性青少年骨龄鉴定方法  

Assessment of Skeletal Age in Chinese Male Adolescents

作　　者：王鹏[1] 朱广友[2] 王亚辉[1] 范利华[2] 张国桢[3] 应充亮[2] 程亦斌[2] 陆晓[2] 

机构地区：[1]苏州大学医学院法医学教研室,江苏苏州215123 [2]司法部司法鉴定科学技术研究所上海市法医学重点实验室,上海200063 [3]复旦大学附属华东医院放射科,上海200040

出　　处：《法医学杂志》2008年第4期252-255,258,共5页Journal of Forensic Medicine

基　　金：国家科技部重点资助项目(2004DEA70970);上海市科学技术委员会重点资助项目(042512036)

摘　　要：目的研制我国当代男性青少年骨关节X线的法医学骨龄鉴定标准。方法摄取11～20周岁男性青少年X线片,根据继发骨化中心出现、干-骺闭合的影像学特征将骨发育程度分级,用SPSS、SAS软件统计分析。结果大部分指标与年龄呈中度以上相关;建立了推断年龄的最优多元回归方程及判定是否已满14、16和18周岁的判别方程。结论选用多部位、多指标综合推断骨龄可提高准确率;该法适用于国人青少年活体年龄的判定。Objective To develop medicolegal expertise standard to assess skeletal age of Chinese male adolescents by joint X-ray. Methods Radiographs of male adolescent aged 11 to 20 years were obtained in Southern, Central, and Eastern China. The bone development process were graded according to morphology characteristics in radiograph based on the appearance of secondary ossification centers and the arrest of epiphysises. All statistical analysis was carried out with SPSS and SAS. Results Most indexes were correlated to age. Optimization muhiple regression equation was created to estimate age of adolescent. Discriminatory equations were established to distinguish the age of 14, 16 or 18 years. Conclusion More anatomical site evaluation and more index application can improve the accuracy rate. The methods can be used in age determination by skeleton in Chinese male adolescents.

关 键 词：法医人类学 年龄测定 骨骼 回归分析 判别分析 青少年 

分 类 号：DF795.1[医药卫生—法医学]