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就诊于某三甲医院放射科患者的耻骨下角均值:一项描述性横断面研究。

Mean Subpubic Angle of Patients Visiting Department of Radiodiagnosis of a Tertiary Care Hospital: A Descriptive Cross-sectional Study.

机构信息

Department of Anatomy, College of Medical Sciences and Teaching Hospital, Bharatpur, Chitwan, Nepal.

Department of Radiodiagnosis, College of Medical Sciences and Teaching Hospital, Bharatpur, Chitwan, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2022 Feb 15;60(246):142-145. doi: 10.31729/jnma.7044.

DOI:10.31729/jnma.7044
PMID:35210639
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9200013/
Abstract

INTRODUCTION

The subpubic angle in the pelvis is most often used to estimate the sex with a higher degree of accuracy. Despite the anthropological and obstetric importance of the subpubic angle, only a few studies exist in the Nepalese population. The objective of this study was to determine the mean subpubic angle of the patient visiting the department of radiodiagnosis of tertiary care hospital.

METHODS

This was a descriptive cross-sectional study comprising 332 pelvic digital radiographs of the patients visiting the department of radiodiagnosis of a tertiary care center from March to August, 2021. Ethical approval was taken from the Institutional Review Committee at College of Medical Sciences (Reference number: COMSTH-IRC/2021-62). Convenience sampling method was done. Demographic data like age and sex were noted. In the radiograph, the subpubic angle was measured using the program Digimizer Image Analysis Software. The collected data were analysed using the Statistical Package for the Social Sciences version 20. Point estimate at 95% Confidence Interval was calculated along with mean and standard deviation for continuous data.

RESULTS

Among 332 pelvic radiographs studied, the mean subpubic angle was found to be 120.42±22.27° (118.02-122.81 at 95% Confidence Interval). The subpubic angle in females was 137.96±12.47° and that in males was 101.10±12.56°.

CONCLUSIONS

Our findings are similar to those of other studies, with a minor variation. The subpubic angle was comparatively higher in females than males in the present study. The findings of this study may be of interest to forensic scientists and obstetricians.

摘要

简介

骨盆的耻骨下角通常用于更准确地估计性别。尽管耻骨下角具有人类学和产科重要性,但在尼泊尔人群中仅有少数研究存在。本研究的目的是确定访问三级保健医院放射科的患者的耻骨下角平均值。

方法

这是一项描述性的横断面研究,包括 2021 年 3 月至 8 月期间访问三级保健中心放射科的 332 例骨盆数字 X 线片。本研究已获得学院医学科学伦理审查委员会(编号:COMSTH-IRC/2021-62)的批准。采用便利抽样法。记录了人口统计学数据,如年龄和性别。在 X 光片上,使用 Digimizer 图像分析软件测量耻骨下角。使用社会科学统计软件包 20 版分析收集的数据。计算了 95%置信区间的点估计值,以及连续数据的均值和标准差。

结果

在所研究的 332 张骨盆 X 光片中,发现耻骨下角的平均值为 120.42±22.27°(95%置信区间为 118.02-122.81°)。女性的耻骨下角为 137.96±12.47°,男性的耻骨下角为 101.10±12.56°。

结论

我们的研究结果与其他研究相似,仅有微小差异。本研究中,女性的耻骨下角比男性的耻骨下角高。本研究的结果可能对法医学家和产科医生感兴趣。

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本文引用的文献

1
Sex estimation using subpubic angle from reconstructed three-dimensional computed tomography pelvic model in a contemporary Malaysian population.在当代马来西亚人群中,利用重建的三维计算机断层扫描骨盆模型的耻骨下角进行性别估计。
Anat Cell Biol. 2020 Mar;53(1):27-35. doi: 10.5115/acb.19.135. Epub 2020 Mar 12.
2
Age-related trends of lesser pelvic architecture in females and males: a computed tomography pelvimetry study.女性和男性骨盆较小结构的年龄相关趋势:一项计算机断层扫描骨盆测量研究。
Anat Cell Biol. 2017 Dec;50(4):265-274. doi: 10.5115/acb.2017.50.4.265. Epub 2017 Dec 29.
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Plain Radiography of the Hip: A Review of Radiographic Techniques and Image Features.髋关节X线平片:放射学技术与影像特征综述
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Global, regional, and national levels and causes of maternal mortality during 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013.1990-2013 年期间全球、区域和国家各级孕产妇死亡率及其原因:2013 年全球疾病负担研究的系统分析。
Lancet. 2014 Sep 13;384(9947):980-1004. doi: 10.1016/S0140-6736(14)60696-6. Epub 2014 May 2.
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The subpubic angle in sex determination: anthropometric measurements and analyses on Anatolian Caucasians using multidetector computed tomography datasets.耻骨下角在性别判定中的应用:利用多排螺旋计算机断层扫描数据集对安纳托利亚高加索人进行人体测量与分析
J Forensic Leg Med. 2013 Nov;20(8):1004-9. doi: 10.1016/j.jflm.2013.08.013. Epub 2013 Aug 31.
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Virtual determination of sex: metric and nonmetric traits of the adult pelvis from 3D computed tomography models.性别虚拟判定:基于三维计算机断层扫描模型的成人骨盆的测量和非测量特征
J Forensic Sci. 2011 Sep;56(5):1107-14. doi: 10.1111/j.1556-4029.2011.01803.x. Epub 2011 May 19.
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Sex differences in the pubic bone.耻骨的性别差异。
Am J Phys Anthropol. 1948 Jun;6(2):199-207. doi: 10.1002/ajpa.1330060210.
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Variation in sitting pressure distribution and location of the points of maximum pressure with rotation of the pelvis, gender and body characteristics.随着骨盆旋转、性别和身体特征的变化,坐姿压力分布以及最大压力点位置的变化。
Ergonomics. 2007 Apr;50(4):536-61. doi: 10.1080/00140130601138585.
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