[人类胎儿股骨发育的人体测量学、密度学和组织测量学研究]。

Cezary Partyka
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引用次数: 0

摘要

前言:本研究的目的是在人体测量、密度测量和组织测量的基础上估计胎儿股骨的发育情况。材料与方法:研究对象为不同胎龄(16 ~ 31周)的68例胎儿(女31例,男37例)。为便于统计分析,将妊娠16 ~ 31周的标本分为3组。从标本上取下左右肢体后,使用Microfocus 401骨x线机对每根股骨进行x线摄影。通过模拟摄像机和A/D转换器将x光片数字化并传输到计算机。对每根骨头进行四项测量:骨轴的总长度;近端骨骺的宽度;轴的中心部分的宽度;还有远端骨骺的宽度。在人体测量研究之后,开始了密度测量研究,其中BMC和BMD测量是由DPX-L骨密度计(Lunar, Wisconsin, USA)进行的,用于测量微小的骨骼结构。计算结果的平均值,并描述其与所检查胎儿的年龄和性别的相关性。检查骨清除软组织,然后从近端骨骺,轴中央部分和远端骨骺取组织学标本进行组织计量学研究。将获得的组织学图像保存在计算机上,并使用特殊的图像分析仪进行处理。实验中计算了骨小梁的表面积和周长。所得值用于估计描述近端骨骺、轴中央部分和远端骨骺骨结构的组织计量指标。结果:从股骨的某些部分描述了与胎儿年龄和性别相关的左右肢体的研究结果。已有研究表明,胎儿股骨的任意直径与股骨总长度、CRL和所检查胎儿的年龄呈正相关。胎儿股骨发育早期的人体测量分析没有显示偏侧特征。股骨矿物质含量(BMC)与胎龄呈特征性正相关,而股骨矿物质密度(BMD)与胎儿发育不相关。人类胎儿的股骨密度随着年龄的增长而增加,在所有骨骼部分,胎儿股骨的组织计量参数在子宫内发育的早期阶段表现出性别差异。根据给定的人体测量、密度测量和组织测量数据,在随机选择的胎儿组中分析了胎儿异型特征的发生。聚类分析和股骨发育的许多其他参数分析揭示了人类胎儿性别二态性的特征。
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[Anthropometric, densitometric and histometric investigations into the development of the femoral bone in human foetuses].

Introduction: The purpose of this study was the estimation of foetal femoral bone development, based on anthropometric, densitometric and histometric examination.

Material and methods: The study was done on 68 foetuses (31 female and 37 male) of various foetal ages (16-31 weeks of gestation). The specimens, ranging 16-31 weeks of gestation, were divided into 3 groups for better statistical analysis. After the left and right limb were removed from specimens each femoral bone was radiographed using a Microfocus 401 bone X-ray apparatus. Radiographs were digitized with an analogue camera and an A/D converter for transfer to a computer. Four measurements were taken for each bone: the total length of the shaft; the breadth of the proximal epiphysis; the breadth of the central part of the shaft; and the breadth of the distal epiphysis. After anthropometric research densitometric research was started within which BMC and BMD measurements were taken by a DPX-L osteodensitometer, Lunar, Wisconsin, USA, for tiny osseous structures. Mean values for results were calculated, and their correlation with the age and sex of the examined foetuses was described. The bones examined were cleared of soft tissues, and afterwards histological specimens were taken from the proximal epiphysis, the central part of the shaft, and the distal epiphysis for histometric study. The obtained histological images were saved on the computer, and processed using a special image analyser. During the experiment the surface area and circumference oftrabeculae of bone were calculated. The obtained values were used for estimating histometric indicators that describe the osseous structure of the proximal epiphysis, the central part of the shaft, and the distal epiphysis.

Results: Results of this research from certain parts of the femoral bone were described for the right and left limbs in correlation with the foetuses' age and sex. It has been stated that arbitrary diameters of foetal femoral bone are strongly and positively correlated with the total length of the femoral bone, CRL and the age of the examined foetuses. Anthropometric analysis of foetal femoral bones in the early stage of development do not indicate lateralization features. The mineral content of femoral bones (BMC) indicates a characteristic, positive correlation with foetal age, but the mineral density of foetal femoral bones (BMD) does not correlate with its development. The density of the femoral bone in human foetuses increases with age in all bone's parts and histometric parameters of foetal femoral bones show variability in terms of sex at an early stage of intrauterine development. Based on the given anthropometric densitometric and histometric data the occurrence of foetal dimorphism features has been analyzed in randomly chosen foetal groups. The cluster analysis and analysis of many other parameters of developing femoral bone revealed features of sexual dimorphism in selected groups of human foetuses.

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