發(fā)布時(shí)間：2018-07-20 22:10

【摘要】： 目的制定中國(guó)漢族男性青少年骨發(fā)育分級(jí)標(biāo)準(zhǔn)圖譜及骨齡推斷方法。 方法于華南、華中及華東三地共攝取1059名11～20周歲男性漢族青少年鎖骨胸骨端及六大關(guān)節(jié)X線片,根據(jù)鎖骨胸骨端繼發(fā)骨化中心出現(xiàn)、六大關(guān)節(jié)干～骺閉合的時(shí)間確定骨化中心出現(xiàn)及骨骺閉合與年齡之間的關(guān)系;通過(guò)對(duì)骨化中心出現(xiàn)及骨骺閉合程度(分級(jí))的分析制定當(dāng)代中國(guó)男性青少年骨齡鑒定標(biāo)準(zhǔn)圖譜;通過(guò)對(duì)骨化中心出現(xiàn)及骨骺閉合程度與年齡之間的相關(guān)性分析建立推斷骨齡的數(shù)學(xué)模型。 結(jié)果獲得了中國(guó)當(dāng)代男性青少年鎖骨胸骨端繼發(fā)骨化中心出現(xiàn)、六大關(guān)節(jié)干-骺閉合的確切年齡;制定了骨齡鑒定的標(biāo)準(zhǔn)圖譜;建立骨齡鑒定的數(shù)學(xué)模型(y=7.673+0.355*X1+0.128*X2+0.131*X3+0.082*X4+0.145*X6+0.084*X9+0.221*X15)等�；卮鷻z驗(yàn)顯示,當(dāng)誤差小于±1歲時(shí),多元回歸方程鑒定年齡的準(zhǔn)確率為70.59%;當(dāng)誤差小于±1.5歲,其準(zhǔn)確率為88.24%。 結(jié)論中國(guó)當(dāng)代男性青少年鎖骨胸骨端繼發(fā)骨化中心出現(xiàn)、六大關(guān)節(jié)干-骺閉合時(shí)間、骨齡鑒定標(biāo)準(zhǔn)圖譜及骨齡鑒定數(shù)學(xué)模型可應(yīng)用于法醫(yī)學(xué)鑒定實(shí)踐,并可有效的提高骨齡推斷的科學(xué)性。
[Abstract]:Objective to establish the standard map of bone development classification and bone age estimation for male adolescents of Han nationality in China. Methods A total of 1059 male adolescents aged 11 to 20 years old in South China, Central China and East China received X-ray films of the sternum end of the clavicle and six major joints, according to the secondary ossification center of the sternal end of the clavicle. The time between metaphyseal closure and metaphyseal closure of six major joints was used to determine the occurrence of ossification center and the relationship between epiphyseal closure and age, and the standard map of bone age identification of contemporary Chinese male adolescents was established by analyzing the occurrence of ossification center and the degree of epiphyseal closure (grading). A mathematical model for estimating bone age was established by analyzing the correlation between the occurrence of ossification center and the degree of epiphyseal closure and age. Results the exact age of secondary ossification center at the sternal end of clavicle and the age of metaphyseal closure of the six major joints were obtained, the standard map of bone age identification was established, and the mathematical model of bone age identification was established (YJ7.673 0.355X 1 0.128X 1 0.128X 3 0.082X 4 0.145X 6 0.084 X 9 0.221 X 15). When the error is less than 鹵1 years old, the accuracy of multivariate regression equation is 70.59 and 88.24 when the error is less than 鹵1.5 years old. Conclusion the secondary ossification center at the sternal end of clavicle appears in contemporary Chinese male adolescents. The time of metaphyseal closure of six major joints, the standard map of bone age identification and the mathematical model of bone age identification can be used in forensic practice. And can effectively improve the scientific nature of bone age inference.
【學(xué)位授予單位】：蘇州大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2008
【分類(lèi)號(hào)】：D919

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 陳志剛,萬(wàn)德全,馬茂林,錢(qián)致中,郭琪;根據(jù)X線片跖趾骨長(zhǎng)寬度推算0～17歲個(gè)體身高年齡[J];中國(guó)法醫(yī)學(xué)雜志;1994年03期

2 田雪梅,張繼宗,閔建雄,陳世賢,劉莊朝,凌文定,張孟春;男性青少年X線片的骨骺特征及年齡推斷[J];中國(guó)法醫(yī)學(xué)雜志;2001年02期

3 牛麗萍,王英元;青少年肩關(guān)節(jié)X線片的骨齡研究[J];法醫(yī)學(xué)雜志;2002年04期

4 樓迪棟,余純應(yīng),楊慶恩;線粒體DNA在年齡推斷中的應(yīng)用[J];法醫(yī)學(xué)雜志;2004年04期

5 顧光寧;吳曉鐘;;中國(guó)人手與腕部之骨化[J];解剖學(xué)報(bào);1962年02期

6 張繼宗;舒永康;;運(yùn)用男性鎖骨判斷年齡的初步研究[J];解剖學(xué)報(bào);1989年01期

7 任甫,喻少波,羅俊生;未成年者上肢骨骨化中心大小與年齡關(guān)系的初步研究[J];錦州醫(yī)學(xué)院學(xué)報(bào);1999年02期

8 蔡輝，顧海雁;聚類(lèi)方法用于機(jī)構(gòu)評(píng)價(jià)指標(biāo)的篩選[J];南通醫(yī)學(xué)院學(xué)報(bào);1995年01期

9 李建華;高原青少年上肢骨骨齡與生長(zhǎng)的相關(guān)性研究[J];青海醫(yī)學(xué)院學(xué)報(bào);2002年03期

10 劉豐春,孟曄,丁士海,杜建國(guó),汪貫習(xí);股骨上部骨松質(zhì)的X線測(cè)量及其年齡判定[J];人類(lèi)學(xué)學(xué)報(bào);1998年02期

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