唐山地区儿童青少年骨龄现况分析  

Analysis of bone age survey of children and adolescents in Tangshan area

作　　者：宋鑫[1] 王雅祥 李怡旋 陈宏伟 王建涛[1] 杨新宇[1] 俞芳 魏君 SONG Xin;WANG Ya-xiang;LI Yi-xuan;CHEN Hong-wei;WANG Jian-tao;YANG Xin-yu;YU Fang;WEI Jun(Department of Radiology,Tangshan Workers Hospital;Department of Radiology,Tangshan Fengrun District Second People's Hospital,Tangshan 063030;Department of Radiology,Zhangjiakou Huailai County Hospital,Zhangjiakou 075400;Department of Imaging,Tangshan Yutian County Hospital of Traditional Chinese Medicine,Tangshan 064100;Department of Endocrine III;Department of Neurosurgery,Tangshan Workers Hospital,Tangshan 063000,Hebei,China)

机构地区：[1]唐山市工人医院放射科 [2]丰润区第二人民医院放射科,河北唐山063030 [3]怀来县医院放射科,河北张家口075400 [4]玉田县中医医院影像科,河北唐山064100 [5]唐山市工人医院内分泌三科,河北唐山063000 [6]唐山市工人医院神经外科一病区,河北唐山063000

出　　处：《川北医学院学报》2023年第5期626-629,共4页Journal of North Sichuan Medical College

基　　金：河北省医学科学研究重点课题计划(20181266)。

摘　　要：目的:探讨唐山地区儿童青少年骨龄情况,分析骨龄与生活年龄的相关性。方法:回顾性分析1791例进行骨龄评测儿童青少年的临床资料。按照生活年龄将男性、女性儿童青少年分别分为9个年龄段组(1.0~、3.0~、5.0~、7.0~、9.0~、11.0~、13.0~、15.0~、17.0~19.0)。比较不同性别、年龄儿童青少年骨龄与生活年龄的差异,分析儿童青少年骨龄与生活年龄的相关性;分析不同性别儿童青少年发育情况,并进一步分析腕骨闭合者身高、体重情况。结果:男性中,3.0~年龄段组骨龄小于生活年龄(P<0.05),7.0~、9.0~、13.0~、15.0~年龄段组骨龄均大于生活年龄(P<0.05);女性中,3.0~年龄段组骨龄小于生活年龄(P<0.05),5.0~、7.0~、9.0~、11.0~年龄段组骨龄均大于生活年龄(P<0.05)。儿童青少年骨龄与生活年龄相关性分析显示:男性相关系数r=0.992;女性相关系数r=0.991(P<0.05)。女性儿童青少年发育提前者(D>2岁)发生率(4.19%)高于男性(2.15%)(P<0.05);腕骨闭合者年龄在16~20岁,男性生活年龄为(17.45±0.32)岁,女性生活年龄为(16.89±0.28)岁,二者无统计学差异(P>0.05)。结论:骨龄评测对儿童青少年生长发育评估具有重要意义,唐山地区骨龄发育有提前趋势,尤其是女性儿童青少年应注意性早熟情况。Objective:To investigate the bone age of children and adolescents in Tangshan area,and analyze the correlation between bone age and age of life.Methods:The clinical data of 1791 children and adolescents who underwent bone age assessment were retrospectively analyzed.Male and female children and adolescents were divided into 9 age groups(1.0~,3.0~,5.0~,7.0~,9.0~,11.0~,13.0~,15.0~,17.0~)according to age of life.The X-ray of wrist was interpreted by Chinese wrist bone development standard-CHN method.The differences of bone age and life age of children and adolescents with different genders and ages were compared,and the correlation between bone age and life age of children and adolescents was analyzed.The development of children and adolescents of different genders was analyzed,and the height and weight of patients with carpal bone closure were further analyzed.Results:Among males,the bone age of the three age groups of 3.0~was less than the living age(P<0.05).The bone age of 7.0~,9.0~,13.0~,15.0~groups was greater than the age of life(P<0.05).Among women,the bone age of the two age groups of 3.0~was less than the living age(P<0.05).The bone age of the 5.0~、7.0~、9.0~、11.0~groups was greater than the living age(P<0.05).The correlation analysis between bone age and age of life in children and adolescents showed that male correlation coefficient r=0.992(P<0.05),female correlation coefficient r=0.991(P<0.05).The incidence of early development in female children and adolescents(D>2 years old)was higher(4.19%)than in males(2.15%)(P<0.05).The patients with carpal closure were 16~20 years old.The average living age of males was(17.45±0.32)years old and that of females was(16.89±0.28)years old.There was no significant difference between the two groups(P>0.05).Conclusion:Bone age evaluation is of great significance for the evaluation of growth and development of children and adolescents.The development of bone age in Tangshan area has an early trend,especially female children and adolescents should pay attention to pr

关 键 词：骨龄 儿童 青少年 生长发育 数字化X线 

分 类 号：R195.[医药卫生—卫生统计学]