不同骨龄测定方法在新疆维吾尔族矮小儿童骨龄中的比较
Comparison of different measurement methods of the bone age in Uygur short stature children
  
DOI:10.3969/j.issn.1006.7108.2015.03.015
中文关键词:  骨龄  骨龄测定  手腕部  矮小儿童  维吾尔族
英文关键词:Bone age  Skeletal determination  Hand and wrist  Short stature  Uygur nationality
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作者单位
熊鑫鑫1 李白艳1* 郭辉1 李永勇2 冯兆海1 姚晓龙1 1. 新疆医科大学第一附属医院乌鲁木齐830054 2. 乌鲁木齐市第一人民医院(儿童医院)乌鲁木齐830000 
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中文摘要:
      目的 通过对比3种骨龄测定方法(G-P图谱法、TW2-RUS系列及TW2-C系列计分法)在新疆维吾尔族矮小儿童中的应用,了解其各自特点及价值,便于临床选择应用。方法 在新医大第一附属医院和乌鲁木齐市第一人民医院选取父母为维吾尔族的矮小儿童125例X线腕部骨龄片,其中男62例,女63例。分为4组即女未发育组,女发育组,男未发育组,男发育组。结果(1)在维吾尔族女发育组中,TW2-RUS系列及TW2-C系列计分法比较差异有统计学意义,F = 2. 208,P = 0. 041。 (2)骨龄落后生活年龄二岁以上者,G-P图谱法,TW2-RUS系列及TW2-C系列计分法分别落后28例,19例和33例,三种骨龄评价方法均落后例数为15例。结论(1)对于维吾尔族接近青春期的矮小女童,测骨龄时,不建议使用TW2-C系列计分法。 (2)临床工作中,使用G-P图谱法和TW2-C系列计分法评定骨龄落后的,建议行R骨龄评分法评定以减少维吾尔族矮小儿童骨龄落后假阳性率。
英文摘要:
      Objective To select the clinical application by comparing the bone age determination methods ( Greulich-Pyle method,TW2-RUS and TW2-C skeletal age score method) in Xinjiang Uygur short stature children. Methods X-ray films of 125 Uygur children of short stature in the First Affiliated Hospital of Medical University and the First People’s Hospital were recruited (62 males and 63 females). They were divided into 4 groups: female and male immature group,and the corresponding development group. Results (1) In the Uygur female development group, statistically significant difference was identified between TW2-RUS and TW2-C skeletal age score method (F = 2. 208,P = 0. 041). (2) The backward children whose backward chronological age were 2 years and more,were 28,19,and 33 cases according to Greulich-Pyle method,TW2-RUS,and TW2-C skeletal age score method,respectively. The backward cases were 15 according to all the three methods. Conclusion (1) In Uygur pre-puberty girls,TW2-C skeletal age score method is not recommended for bone age measurement. (2) In the clinical work,after using Greulich-Pyle method and TW2-C skeletal age score method for evaluating bone age backward,it is necessary to use TW2-R skeletal age score method to reduce the false positive rate of bone age in Uygur short stature children.
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