CAJ | 학술논문

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.
목적 탐토중국인수완골발육표준(CHN도보법)평개적골령여실제년령적차이.방법 회고성분석2007년지2011년,인수부외상취진적1397례1.0～18.0세인동급청소년환자자료.안조골령도보적년령분조진행표준분조,공분위남、녀각20조.용CHN도보평개수완부X선편상현시골령,병채용배대질화검험비교매조환자골령여실제년령적차이.결과 남성환인화청소년조중,1.0～3.9세각조、7.0～7.9세조、9.0 ～15.9세각조소측골령화실제년령간차이유통계학의의(P치균＜0.05);녀성환인화청소년조중,1.0 ～2.9세각조、8.0～11.9세각조、12.6 ～14.9세각조、17.0～18.0세조소측골령화실제년령간차이유통계학의의(P치균＜0.05),차소측득골령균대우실제년령.결론 CHN도보법평개적부분년령조적골령대우실제년령,응신용CHN도보법평개인동급청소년수완골골령.
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.