肋软骨骨化与年龄和性别的关系.doc

肋软骨骨化与年龄和性别的关系 作者：龚少兰,王琳琳 【摘要】 目的 探讨肋软骨骨化与年龄和性别的关系, 为法医人类学提供数据。方法 随机选取胸廓正常健康人277例(男133例, 女144例), 年龄40～70岁, 平均（55.9±0.5）岁。拍摄后前位X线片,观察其肋软骨骨化情况。结果 男女第1～9肋软骨骨化率自上而下依次递减，第1肋软骨和第2肋软骨（右侧）全部骨化,第6、7肋软骨骨化率女性高于男性,第8、9肋软骨骨化率则男性高于女性；肋软骨骨化程度随着年龄的增长而增大,且男性大于女性，差异有显著性（t=2.02～3.05,P0.05）。结论 40岁以上健康人不论男女第1肋软骨均已骨化，这为法医判断年龄提供依据。 【关键词】 软骨 肋骨 年龄测定 骨骼 放射摄影术 RELATIONSHIP OF COSTAL CARTILAGE OSSIFICATION WITH AGE AND SEX GONG SHAOLAN, WANG LINLIN(Department of Radiology, The Affliated Songshan Hospital of Qingdao University Medical College, Qingdao 266021, China) ［ABSTRACT］ObjectiveTo study the relationship of the costal cartilage ossification with age and provide data for forensic science.MethodsThis study included 277 healthy persons (male 133, female 144) with age range (mean) 40-70 years (55.9±0.5). A posteroanterior chest film was taken to observe the costal cartilage ossification.ResultsThe ossification rate of rib cartilage from the first to the ninth was degressive in both sex. The first and the second costal cartilages of the right side were all ossified. The ossification of the sixth and seventh rib cartilages was higher in female, while the eighth and ninth were higher in male. The degree of ossification developed with the age, being more significant in the male (t=2.02-3.05,P0.05).ConclusionThe rib cartilage ossification completes in healthy people over 40 years old, male and female, which provides an evidence for forensic determination of age. ［KEY WORDS］cartilage; rib; age determination, skeleton; radiography 肋软骨骨化程度与年龄密切相关,国内多位作者曾作过有关肋软骨骨化的研究，均发现骨化类型与性别密切相关[1～4]。本文对国人肋软骨骨化程度与年龄的关系进行了研究，旨在为法医学判断年龄增加一些辅助指标。现报告如下。 1 材料与方法 随机选取胸廓健康者277例，男133例, 女144例； 年龄40～70岁, 平均（55.9±0.5）岁。拍摄后前位胸部X线片,观察肋软骨骨化情况。 2 结 果 2.1 肋软骨骨化率 不论男女, 第1～9肋软骨骨化率自上而下依次递减。第1肋软骨和右侧第2肋软骨全部骨化,第6、7肋软骨骨化率女性高于男性, 第8、9肋软骨骨化率则男性高于女性，差异有显著性（t=2.02～3.05, P0.05）。见表1。 2.2 肋软骨骨化程度 男女均以第1肋软骨骨化程度最大，男性近3.0 cm,而女性小于2.4 cm,第2～5肋软骨