尺骨变异在健康人群中的分布_临床医学论文.docVIP

尺骨变异在健康人群中的分布_临床医学论文 尺骨变异在健康人群中的分布_临床医学论文 作者：刘杰，刘名，何磊，孙广超 【摘要】 ［目的］ 探讨尺骨变异与性别和年龄之间的关系。［方法］ 随机选取健康志愿者200名，均为右利手。入选标准为既往无急、慢性腕关节疾病及腕部和前臂骨折病史。其中男117名，女83名；年龄18～84岁，平均41.7±16.4岁。对入选者拍摄标准腕关节正位X线片，测量取得309个尺骨变异数值，按照性别、年龄、左右侧腕分组后分别进行统计学分析。［结果］在全体健康者中，尺骨变异发生率为：正向变异48.9%，中性变异39.8%，负向变异11.3%。在男性健康者中，三种尺骨变异的发生率为：正向变异50.0%，中性变异39.2%，负向变异10.8%；女性健康者中，三种尺骨变异的发生率为：正向变异47.4%，中性变异40.6%，负向变异12.0%。结果显示随着年龄的增长，尺骨变异出现正向和负向变异的比率增高，而中性尺骨变异的比率降低。这种变化规律在男女性别之间无明显差异。左腕尺骨变异发生率为：正向变异49.7%，中性变异39.3%，负向变异11.0%。右腕的正向变异为48.2%，中性变异为40.6%，负向变异为11.5%。两侧尺骨变异的分布无明显区别。［结论］(1)在健康人群中，主要为正向和中性尺骨变异，负向尺骨变异较少。(2)随着年龄的增长，尺骨变异发生动态变化。 (3)在健康的男女性人群中，尺骨变异性的分布无明显差异。 (4)在健康人群中，腕部日常的活动对尺骨变异的分布和变化无影响。 【关键词】 尺骨变异； 正向变异； 中性变异； 负向变异 Abstract: ［Objective］ To investigate the correlation of ulnar variance with gender and age. ［Method］Two hundreds healthy volunteers were randomly selected, right handedness, including 117 men, 83 women, aged 18 to 84 years old, with an average age of 41.7～16.4.They had no previous history of acute or chronic disease of the wrist and no wrist or forearm fracture history. All the volunteers were randomly selected for unilateral or bilateral wrist X-ray.A total of 309 valid results were obtained. Numerical ulnar variance were divided into groups according to gender, age and left or right hand for statistical analysis.［Result］Among the volunteers, the incidence of ulnar variance were: 48.9% positive, 39.8% neutral, and 11.3% negative. Among the male volunteers, the incidence of ulnar variance were: 50.0% positive, 39.2% neutral, 10.8% negative.Among the female volunteers, the incidence of ulnar variance were: 47.4% positive, 40.6% neutral, and 12.0% negative.With the age increasing, the incidence of positive and negative ulnar variance on increased, but that of the neutral variance decreased. There was no significant difference between males and females.The incidence of ulnar variance of the left side were: 49.7% positive, 39.3% neutral, and 11.0% negative. The incidence of the right side were 4