摘要
目的 探讨分析南宁地区儿童青少年骨龄生长发育情况,为临床疾病诊疗提供依据,为建立地区骨龄标准提供参考。方法 选取南宁地区1~18岁儿童青少年手腕部影像资料。采用《中国儿童骨龄评分法》对手腕骨进行评估,分析被检者的骨龄情况,运用统计学方法分析骨龄与年龄的差异。结果 南宁地区1965例儿童青少年骨龄与年龄呈显著正相关(r=0.929,P<0.05),该人群整体骨龄较年龄偏大,骨龄年龄差为(0.24±1.36)岁,差异有统计学意义(t=7.793,P<0.05)。骨龄与年龄不相符的阳性率为46.46%,在8岁后阳性率相对较高。男性发育延迟比例(25.54%)高于女性(9.65%),女性发育提前(36.59%)高于男性(21.14%),差异有统计学意义(χ^(2)=110.14,P<0.05),男、女性骨龄发育正常比例差异无统计学意义(P>0.05)。结论 南宁地区儿童青少年骨龄阳性率以8岁后较显著,骨龄呈现发育提前趋势,在中枢性性早熟、矮小症等个体化诊疗过程中,女性应重视发育提前,而男性则需侧重发育延迟。分析结果为完善全国地域性骨龄数据库提供参考资料。
Objective To provide a basis for diagnosis and treatment of clinical diseases by analyzing the growth and development of bone age in children and adolescents in Nanning,China,so as to provide a reference for establishing regional standards for bone age.Methods The wrist image data of children and adolescents aged from1 to18 years old in Nanning area were selected.The wrist bone was assessed using children’s bone age scoreof China(tw-c)concise tutorial to analyze the bone age of the examinees,and statistical methods were used to analyze the differences between bone age and chronological age.Results There was a significant correlation between bone age and chronological age in 1965 children and adolescents in Nanning area(r=0.929,P<0.05),the overall bone age of this population was older than the chronological age,and the boneagedifferencewas(0.24±1.36)years,and the difference was statistically significant(t=7.793,P<0.05).The positive rate of non-concordance between bone age and chronological age was 46.46%,the positive rate was relatively high after 8 years old.The percentage of boys with developmental delay(25.54%)was higher than that of girls(9.65%)and that of girls with early developmental delay(36.59%)was higher than that of boys(21.14%),and the difference was statistically significant(χ^(2)=110.14,P<0.05),and there was no difference in the normal ratio of developing bone age between males and females(P>0.05).Conclusion The positive rate of bone age in children and adolescents in Nanning area is more remarkable after 8 years old,the bone age shows a trend of advance development,and in the course of individualized diagnosis and treatment of central precocious puberty and short stature,the girls should pay more attention to the advance of development,while,the boys need to focus on it.The results of this analysis provide a reference material for the improvement of a nationwide geographic bone age database.
作者
黄卫保
林剑军
梁志杰
陈俊杰
梁志凌
戴李华
HUANG Weibao;LIN Jianjun;LIANG Zhijie;CHEN Junjie;LIANG Zhiling;DAI Lihua(Department of Radiology,The Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region,Nanning 530000,China)
出处
《医学影像学杂志》
2024年第2期104-108,共5页
Journal of Medical Imaging
基金
广西卫生健康委员会医药卫生自筹经费科研课题(编号:Z20200646)。
关键词
骨龄
儿童青少年
生长发育
手腕部
数字化X线摄影
Bone age
Children and adolescents
Growth and development
Wrist
Digital radiography J Med Imaging Vol.34 No.22024
