健康成人肘关节角度测量及其影响因素分析  

The angle measurement of adult elbow joint and discussion of its influencing factors

作　　者：史瑞清 陈永忠 刘莹 高垒 张平[1] 张泽坤[1,2] 崔建岭 丁建平[3] SHI Ruiqing;CHEN Yongzhong;LIU Ying;GAO Lei;ZHANG Ping;ZHANG Zekun;CUI Jianling;DING Jianping(Department of CT,The Third Hospital of Hebei Medical University,Shijiazhuang 050051,P.R.China;Department of Radiology,Hebei Hospital of Traditional Chinese Medicine,Shijiazhuang 050000,P.R.China;Department of Imaging,The Affiliated Hospital of Hangzhou Normal University,Hangzhou 310015,P.R.China)

机构地区：[1]河北医科大学第三医院CT室,河北石家庄050051 [2]河北省中医院放射科,河北石家庄050000 [3]杭州师范大学附属医院医学影像科,浙江杭州310000

出　　处：《医学影像学杂志》2020年第6期1063-1067,共5页Journal of Medical Imaging

摘　　要：目的探讨近30余年健康成人肘关节X线角度的变化及其影响因素,为肘关节病变患者提供个性化诊疗依据。方法2016年12月~2017年12月期间招募健康青壮年102例进行双上肢DR摄片,测量双侧肘关节各角度值,与历史参考值进行对比,分析各角度与身高、体重及BMI的相关性,并分析各角度在不同侧别及性别之间是否存在统计学差异。结果1)肱轴角、前臂轴角的均值与历史均值之间存在统计学差异(P均<0.05);2)右侧前臂轴角与身高、右侧肱骨-肘-腕角与体重、右侧肱轴角与体重、右侧肱骨-肘-腕角与BMI、右侧肱轴角与BMI、左侧肱轴角与BMI呈弱相关(r/P=0.240/0.015、0.279/0.004、0.208/0.035、0.285/0.004、0.336/0.001、0.210/0.034);3)肱轴角及前臂轴角在左右侧之间存在统计学意义,t/P=3.435/0.001、2.458/0.016;右侧肱骨-肘-腕角及右侧前臂轴角在男女之间存在统计学差异,t/P=2.016/0.046、3.139/0.002。结论肘关节的肱轴角、前臂轴角度值与30年前的历史参考值存在统计学差异,并在侧别之间存在一定的差异;右侧肘关节各角度与身高、体重及BMI存在一定程度的相关性,右侧肘关节各角度在性别之间存在一定的差异。Objective To explore the regularity and influencing factors of X-ray Angle of elbow joint in healthy adults in recent 30 years,and to provide individualized diagnosis and treatment basis for elbow joint lesions.Methods From December 2016 to December 2017,102 healthy young and adults were recruited to take DR photographs of their upper limbs.The humerus-elbow-wrist Angle,humerus axis Angle and forearm axis Angle of bilateral elbow were measured and compared with historical reference values.The correlation between the angles and height,weight and BMI was analyzed,and whether there were statistical differences between the angles on different sides and between the sexes was analyzed.Results 1)There were statistical differences between the mean values of humerus axis Angle and forearm axis Angle and historical mean values(all P<0.05);2)There were weak correlations between right forearm axis Angle and height,right humerus-elbow-wrist Angle and body weight,righthumerus cois Angle and body weight,right humerus-elbow-wrist Angle and BMI,right humerus axis Angle and BMI,left humerus axis Angle and BMI(r/P=0.240/0.015,0.279/0.004,0.208/0.035,0.285/0.004,0.336/0.001,0.210/0.034);3)The humerus axis Angle and forearm axis Angle were statistically significant between the left and right sides,with t/P=3.435/0.001 and 2.458/0.016.There were statistically significant differences in the right humerus-elbow-wrist Angle and the right forearm axial Angle between men and women,with t/P=2.016/0.046 and 3.139/0.002.Conclusion There are statistically significant differences between the humeral axis and forearm axis angles of elbow joint and the historical reference values 30 years ago,and there are some differences between the sides;The Angle of the right elbow joint was weakly correlated with height,weight and BMI,and there are some differences between the Angle of right elbow joint and gender.However,cross-sectional survey data of multi-center,large sample size and whole population were still needed for further study.

关 键 词：肘关节 数字化X线摄影系统 角度 身高体重指数 

分 类 号：R322.7[医药卫生—人体解剖和组织胚胎学] R814.3[医药卫生—基础医学]