青海省大骨节病病区成人右手掌指骨X线测量结果分析
청해성대골절병병구성인우수장지골X선측량결과분석
X-ray measurement of metacarpal and phalange bones in the right hand of population in Kaschin-Beck disease regions, Qinghai Province
  • 万方数据
    中华地方病学杂志 중화지방병학잡지
    Chinese Journal of Endemiology
    2015年 4期 295-299 ,共5页

    赵志军%李强%王虎%何多龙%杨佩珍%陈黎林%李树帮%余慧珍%曹建英

    조지군%리강%왕호%하다룡%양패진%진려림%리수방%여혜진%조건영

    大骨节病%X线测量%掌指骨 大骨節病%X線測量%掌指骨
    대골절병%X선측량%장지골
    Kaschin-Beck disease%X-ray measurement%Metacarpal and phalange bones
    目的 通过对青海省200名大骨节病病区人群右手掌指骨X线测量,了解大骨节病患者掌指骨的基本情况,为临床诊断、手外科的应用提供解剖学资料和参考依据.方法 2013年,在青海省海南州贵德县、兴海县、同德县大骨节病病区,对200名居民右手掌指骨进行X线拍片,按照《大骨节病诊断标准》,78名大骨节病X线阳性者作为病例组,其他122名作为对照组.使用电子游标卡尺进行掌指骨X线测量,记录掌指骨轴长、横径,并计算掌指骨指数.结果 男、女性人群掌骨轴长均表现出第二掌骨＞第三掌骨＞第四掌骨＞第五掌骨＞第一掌骨的特征(F=152.892、266.452,P均＜0.01).其中病例组男性第三、四、五掌骨、所有指骨近节、中节,食指、无名指、小拇指末节的轴长[(62.08±3.22)、(55.56±3.43)、(51.29±3.35)、(27.73±1.58)、(37.07±2.10)、(20.41±1.53)、(42.58±2.27)、(24.67±1.93)、(40.36±2.46)、(23.80±1.65)、(31.71±1.76)、(16.67±1.84)、(14.77±1.37)、(16.00±1.41)、(14.86±1.35)mm]均低于对照组[(65.06±3.01)、(58.23±3.04)、(52.60±7.74)、(29.73±1.87)、(39.34±1.81)、(22.31±1.73)、(44.69±2.39)、(26.73±1.81)、(42.48±2.04)、(25.72±1.84)、(33.22±1.88)、(18.23±1.94)、(15.81±2.66)、(17.12±2.95)、(16.07±1.23) mm,P均＜0.05];病例组女性食指、无名指、小拇指近节轴长[(36.32±2.54)、(39.14±2.64)、(30.51±2.02)mm]均低于对照组[(37.40±2.04)、(40.06±2.13)、(31.31±1.75)mm,P均＜0.05].病例组男性掌骨指数[(7.54±0.71)mm]和食指、中指、无名指近节指骨指数[(4.03±0.29)、(4.33±0.32)、(4.44±0.41)mm]低于对照组[(8.05±0.68)、(4.27±0.43)、(4.58±0.36)、(4.71±0.38)mm,P均＜0.01];女性患者食指、中指中节指骨指数[(3.42±0.32)、(3.75±0.46)mm]低于对照组[(3.65±0.53)、(4.03±0.42)mm,P均＜0.05].结论 青海省大骨节病患者掌指骨轴长短于病区健康成年人,性别间存在一定差异.手骨X线测量可以为大骨节病诊断及手外科的应用提供解剖学资料和参考依据.
    목적 통과대청해성200명대골절병병구인군우수장지골X선측량,료해대골절병환자장지골적기본정황,위림상진단、수외과적응용제공해부학자료화삼고의거.방법 2013년,재청해성해남주귀덕현、흥해현、동덕현대골절병병구,대200명거민우수장지골진행X선박편,안조《대골절병진단표준》,78명대골절병X선양성자작위병례조,기타122명작위대조조.사용전자유표잡척진행장지골X선측량,기록장지골축장、횡경,병계산장지골지수.결과 남、녀성인군장골축장균표현출제이장골＞제삼장골＞제사장골＞제오장골＞제일장골적특정(F=152.892、266.452,P균＜0.01).기중병례조남성제삼、사、오장골、소유지골근절、중절,식지、무명지、소무지말절적축장[(62.08±3.22)、(55.56±3.43)、(51.29±3.35)、(27.73±1.58)、(37.07±2.10)、(20.41±1.53)、(42.58±2.27)、(24.67±1.93)、(40.36±2.46)、(23.80±1.65)、(31.71±1.76)、(16.67±1.84)、(14.77±1.37)、(16.00±1.41)、(14.86±1.35)mm]균저우대조조[(65.06±3.01)、(58.23±3.04)、(52.60±7.74)、(29.73±1.87)、(39.34±1.81)、(22.31±1.73)、(44.69±2.39)、(26.73±1.81)、(42.48±2.04)、(25.72±1.84)、(33.22±1.88)、(18.23±1.94)、(15.81±2.66)、(17.12±2.95)、(16.07±1.23) mm,P균＜0.05];병례조녀성식지、무명지、소무지근절축장[(36.32±2.54)、(39.14±2.64)、(30.51±2.02)mm]균저우대조조[(37.40±2.04)、(40.06±2.13)、(31.31±1.75)mm,P균＜0.05].병례조남성장골지수[(7.54±0.71)mm]화식지、중지、무명지근절지골지수[(4.03±0.29)、(4.33±0.32)、(4.44±0.41)mm]저우대조조[(8.05±0.68)、(4.27±0.43)、(4.58±0.36)、(4.71±0.38)mm,P균＜0.01];녀성환자식지、중지중절지골지수[(3.42±0.32)、(3.75±0.46)mm]저우대조조[(3.65±0.53)、(4.03±0.42)mm,P균＜0.05].결론 청해성대골절병환자장지골축장단우병구건강성년인,성별간존재일정차이.수골X선측량가이위대골절병진단급수외과적응용제공해부학자료화삼고의거.
    Objective By X-ray measurement of metacarpal and phalange bones in the right hand of 200 adults in Kaschin-Beck disease (KBD) regions,Qinghai Province,to understand the basic conditions of metacarpal and phalange bones in adult patients with KBD,and to provide anatomic data and information for clinic diagnosis and application of hand surgery.Methods In 2013,200 adults in KBD areas were taken right hand X-ray examination in Xinghai,Guide and Tongde KBD endemic areas in Qinghai Province.According to "The Diagnostic Standard of Kaschin-Beck Disease",78 adult patients with KBD were diagnosed by X-ray,others were healthy control group,then metacarpal and phalange bones were measured with electronic digital vernier caliper,the axis length and width of metacarpal and phalange bone s were recorded,and index of metacarpal and phalange bones were calculated.Results The axis lengths of metacarpal bones of 200 people were 2.metacarpal ＞ 3.metacarpal ＞ 4.metacarpal ＞ 5.metacarpal ＞ 1.metacarpal (F =152.892,266.452,all P ＜ 0.01).Among them,the axis lengths of 3,4,5 metacarpal bones,proximal,middle of phalange bones and distal of 4,5 phalange bones in male patients [(62.08 ± 3.22),(55.56 ± 3.43),(51.29 ± 3.35),(27.73 ± 1.58),(37.07 ± 2.10),(20.41 ± 1.53),(42.58 ± 2.27),(24.67 ± 1.93),(40.36 ± 2.46),(23.80 ± 1.65),(31.71 ± 1.76),(16.67 ± 1.84),(14.77 ± 1.37),(16.00 ± 1.41),(14.86 ± 1.35)mm] were significantly lower than those from healthy control group [(65.06 ± 3.01),(58.23 ± 3.04),(52.60 ± 7.74),(29.73 ± 1.87),(39.34 ± 1.81),(22.31 ± 1.73),(44.69 ± 2.39),(26.73 ± 1.81),(42.48 ± 2.04),(25.72 ± 1.84),(33.22 ± 1.88),(18.23 ± 1.94),(15.81 ± 2.66),(17.12 ± 2.95),(16.07 ± 1.23)mm,all P ＜ 0.05]; The axis lengths of 2,4,5 proximal phalange bones in female patients [(36.32 ± 2.54),(39.14 ± 2.64),(30.51 ± 2.02)mm] were significantly lower than those from healthy control group [(37.40 ± 2.04),(40.06 ± 2.13),(31.31 ± 1.75)mm,all P ＜ 0.05].The indexes metacarpal and phalange bones of KBD patients were shorter than those from healthy control group.Among them,the metacarpal bone index [(7.54 ± 0.71)mm] and index of proximal phalange bones of 2,3,4 [(4.03 ± 0.29),(4.33 ± 0.32),(4.44 ± 0.41)mm] in male patients were significantly lower than those from healthy control group [(8.05 ± 0.68),(4.27 ± 0.43),(4.58 ± 0.36),(4.71 ± 0.38)mm,all P ＜ 0.01].The indexes of middle phalange bones of 2,3 [(3.42 ± 0.32),(3.75 ± 0.46)mm] in female patients were significantly lower than those from healthy control group [(3.65 ± 0.53),(4.03 ± 0.42)mm,all P ＜ 0.05].Conclusion The axis lengths of metacarpal and phalange bones of adult patients with Kaschin-Beck Disease are shorter than those from healthy control group,and X-ray measurement of hand could provide anatomic data and information for KBD diagnosis and application of hand surgery.
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