不同体格儿童桡、尺、掌指骨骨龄与腕骨骨龄差异分析  

Analysis of the differences in bone age of radius,ulna,metacarpophalangeal and carpal bones in children with different physiques

作　　者：黄卫保 王映飞[1] 车锦连 卢科宇 梁志凌 苏永焕 林剑军[1] HUANG Weibao;WANG Yingfei;CHE Jinlian;LU Keyu;LIANG Zhiling;SU Yonghuan;LIN Jianjun(Department of Radiology,the Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region,Nanning 530000,China)

机构地区：[1]广西壮族自治区妇幼保健院放射科,广西南宁530000

出　　处：《实用放射学杂志》2024年第10期1683-1686,共4页Journal of Practical Radiology

基　　金：广西壮族自治区卫生健康委员会科研课题(Z20200646)。

摘　　要：目的探讨不同体格儿童桡、尺、掌指骨骨龄与腕骨骨龄的差异。方法收集4~12岁儿童手腕部X线平片,使用《中国儿童骨龄评分法》评估桡、尺、掌指骨骨龄与腕骨骨龄,并记录2种骨龄的差值(前者减后者)。根据性别、年龄、体格分组,将体格分为正常组与异常组,异常组又分为消瘦组、超重与肥胖组,对比分析男、女各年龄段正常组与异常组骨龄差值的差异情况。结果共纳入儿童3028例,7~12岁正常男童、5~12岁正常女童2种骨龄结果差异均无统计学意义(P>0.05)。男童正常组与消瘦组各年龄段骨龄差值差异无统计学意义(P>0.05),5~6岁正常组、消瘦组骨龄差值均大于超重与肥胖组,差异有统计学意义(P<0.05),11~12岁正常组、11岁消瘦组骨龄差值均小于超重与肥胖组(P<0.05)。女童6岁正常组骨龄差值小于消瘦组(P<0.05),5~6岁消瘦组骨龄差值大于超重与肥胖组(P<0.05)。结论中国儿童骨龄评分法中的TW-Chinese RUS(桡骨、尺骨、掌指骨)(TW-C RUS)系列与TW-Chinese Carpal(腕骨)(TW-C C)系列2种骨龄评分法的骨龄差值受儿童性别、体格及年龄的影响,绝大多数正常儿童的骨龄差值和消瘦组差异无统计学意义,但和超重与肥胖组部分年龄段存在差异,以超重与肥胖男童居多。Objective To explore the differences of bone age of radius,ulna,metacarpophalangeal and carpal bones in children with different physiques.Methods Radiographs of children’s wrists aged between 4 and 12 years were collected.The bone age of radius,ulna,metacarpophalangeal,and carpal bones were assessed using the Chinese Children’s Bone Age Score,and the difference between the two bone ages(the former minus the latter)was recorded.According to gender,age,and physical grouping,the physical group was divided into normal and abnormal groups.The abnormal group was further divided into thin,overweight,and obese groups.A comparative analysis was conducted to determine the differences in bone age between normal and abnormal groups for both males and females at all ages.Results A total of 3028 children were included,and the differences between the two bone age results for normal boys aged 7-12 years and normal girls aged 5-12 years were not statistically significant(P>0.05).In boys,there was no significant difference in bone age between the normal group and the thin group(P>0.05),the difference in bone age between the normal and thin groups at the age of 5-6 years was greater than that between the overweight and obese groups,and the difference was statistically significant(P<0.05),the difference in bone age between the normal group at 11-12 years and the thin group at 11 years was smaller than that between the overweight and obese groups(P<0.05).The difference in bone age was smaller in the normal group than in the thin group at 6 years of age for girls(P<0.05),and larger in the thin group than in the overweight and obese groups at 5 to 6 years old(P<0.05).Conclusion The difference in bone age between the TW-C RUS series and TW-C C series bone age values is influenced by the child’s gender,physique,and age.The difference in bone age between the majority of normal children and the thin group is not statistically significant,but differed from the overweight and obese groups at some ages,most are the overweight and obese

关 键 词：骨龄 儿童 体质量指数 

分 类 号：R726.8[医药卫生—儿科] R871[医药卫生—临床医学]