刘 盾,朱泽章,夏三强,石 博,李 洋,史本龙,刘 臻,邱 勇.简化骨龄评分系统对女性特发性脊柱侧凸患者生长潜能的预测价值[J].中国脊柱脊髓杂志,2018,(9):780-784. |
简化骨龄评分系统对女性特发性脊柱侧凸患者生长潜能的预测价值 |
中文关键词: 特发性脊柱侧凸 简化骨龄评分 身高纵向生长速率 |
中文摘要: |
【摘要】 目的:分析简化骨龄评分系统(simplified skeletal maturity scoring system,SSMS)与其他骨骼发育成熟度评估指标的相关性,探讨其对特发性脊柱侧凸(idiopathic scoliosis,IS)患者生长潜能的预测价值。方法:回顾性分析于我院门诊行规范支具治疗的50例女性IS患者,其中胸主弯32例,胸腰弯18例,随访时间3.1±0.9年(2.0~5.6年)。于患者每次随访时拍摄的左手掌正位X线片上进行SSMS评分、指骨骨龄(digital skeletal age,DSA)评分和尺桡掌骨(radius,ulna,and small bones,RUS)骨龄评分,随访间隔为4~6个月。记录患者每次随访时的年龄、月经情况及纵向身高等资料,计算患者每次随访时的身高纵向生长速率(height velocity,HV)。采用Spearman相关系数分析SSMS评分与DSA评分及RUS评分间的相关性。结果:患者初诊年龄为10.8±1.4岁(8.0~12.9岁),月经初潮年龄为12.5±2.2岁(10.1~14.8岁),初诊SSMS评分为2.0±0.9分(1~3分),初诊DSA评分为370.1±55.7分(240~487分),初诊RUS评分为582.3±88.6分(419~699分)。随访中患者身高纵向生长速率峰值(peak height velocity,PHV)为7.6±1.6cm/年(5.3~10.0cm/年),PHV的年龄为12.1±1.1岁(10.5~13.8岁)。26%(13/50)的患者在SSMS评分2分时达到PHV,52%(26/50)的患者在SSMS评分3分时达到PHV,16%(8/50)的患者在SSMS评分4时分达到PHV,4%(2/50)的患者在SSMS评分5分时达到PHV,2%(1/50)的患者在SSMS评分6分时达到PHV。Spearman相关性分析表明,每次随访时的SSMS评分与DSA评分及RUS评分均具有良好的相关性(r=0.958和0.967,P<0.001)。结论:SSMS评分2~4分预示着女性IS患者具有较高的生长潜能和纵向生长速率。SSMS评分是一种易于掌握且对女性IS患者生长潜能具有较高预测能力的骨龄评分系统。 |
The value of simplified skeletal maturity scoring system in the prediction of growth potential in female idiopathic scoliosis |
英文关键词:Idiopathic scoliosis Simplified skeletal maturity scoring system Height velocity |
英文摘要: |
【Abstract】 Objectives: To investigate the correlation between simplified skeletal maturity scoring system (SSMS) and other maturity indicators, and to evaluate its predictive value for growth potential in idiopathic scoliosis(IS) girls. Methods: Fifty female IS patients undergoing standardized bracing treatment were recruited in our study, including 32 major thoracic curves and 18 thoracolumbar curves. The average follow-up period was 3.1±0.9(2.0-5.6) years. SSMS, digital skeletal age(DSA) and radius, ulna, and small bones(RUS) scores were measured on posteroanterior radiographs of left hand at each visit, and the follow-up interval was 4-6 months. Moreover, the chronologic age, stage of menarche, standing height at each visit were recorded, and the height velocity(HV) was calculated at each follow-up. The Spearman coefficients were used to investigate the correlations of SSMS with DSA scores and RUS scores. Results: The average chronologic age, menarche age, SSMS stages, DSA scores and RUS scores at initial visit were 10.8±1.4(8.0-12.9) years, 12.5±2.2(10.1-14.8) years, 2.0±0.9(1-3), 370.1±55.7(240-487), 582.3±88.6(419-699), respectively. During the follow-up, the average peak height velocity(PHV) was 7.6±1.6(5.3-10.0)cm/years and the average age was 12.1±1.1 (10.5-13.8) years. 26%(13/50) of the IS patients in our study attained their PHV in SSMS 2, 52%(26/50) in SSMS 3, 16%(8/50) in SSMS 4, 4%(2/50) in SSMS 5, and 2%(1/50) in SSMS 6. Significant correlations of SSMS with DSA scores and RUS scores at each visit were found by the Spearman correlation analysis(r=0.958 and 0.967, P<0.001). Conclusions: The SSMS 2-4 suggests high growth potential and high height velocity in IS girls. Hence, SSMS can serve as a reliable predictor for growth potential in braced female IS patients. |
投稿时间:2018-07-01 修订日期:2018-08-06 |
DOI: |
基金项目:江苏省自然科学基金青年基金资助项目(BK20170126);中国博士后科学基金面上资助项目(2017M610323) |
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