Tibia and Fibula Stature Formulae for Modern Female Populations Based on Digital Radiographic Measurements

Abstract: This study demonstrates the feasibility of creating bone lengths and stature databases of significant size for modern living human populations from digital radiographic archives and medical records. Tibia and fibula lengths were taken from digital radiographic images of 250 women. The images, drawn from the University of California, Los Angeles Medical Center’s Radiology Department’s General Electric Picture Archiving and Communication System, were taken between 2003 and 2007. Stature measurements were obtained from medical records on 83 individuals, 50 of which were used to regress stature equations for the tibia and fibula. Bone lengths obtained from radiographic images are almost 3 cm longer than those obtained from skeletalized collections. The formulae produce ranges up to 10 cm lower than current formulae. Accuracy could be improved as methods are developed to correct for the small magnification produced by digital images.     

益肾蠲痛口服液治疗绝经后骨质疏松症临床观察

目的 观察益肾蠲痛口服液治疗肾阳虚型绝经后骨质疏松症（postmenopausal osteoporosis,PMOP）的临床疗效。方法 将120例肾阳虚型PMOP患者随机分为治疗组和对照组,每组60例。两组患者均口服钙尔奇,治疗组患者加服益肾蠲痛口服液,对照组患者加服骨康口服液,疗程均为12个月,随访24个月。治疗前后及随访时,分别采用视觉模拟评分法（visual analogue scale,VAS）评价腰背疼痛,采用双能X线检测骨密度（bone mineral density,BMD）;并观察两组中医证候疗效及脆性骨折发生情况。结果 治疗后,两组VAS评分均较治疗前显著降低（P<0.01）;腰椎、股骨颈、Ward三角BMD均较治疗前显著上升（P<0.01）;随访时,治疗组VAS下降值及腰椎（L2—4）、股骨颈、Ward三角BMD升高值均显著大于对照组（P<0.01）。两组中医证候疗效及脆性骨折复发率比较,差异均无统计学意义（P>0.05）。结论 益肾蠲痛口服液可减轻PMOP患者腰背疼痛,提高BMD,改善中医症状,防止脆性骨折复发,在减轻腰背疼痛和提高BMD方面较对照药具有明显优势。     

刺骨术治疗膝骨关节炎临床观察

目的 观察刺骨术治疗膝骨关节炎（knee osteoarthritis,KOA）的临床疗效和安全性。方法 共纳入30例KOA患者,应用刺骨术治疗。于治疗前、治疗后1周及治疗后4周,分别采用WOMAC量表对患者膝关节的疼痛、僵硬及关节功能进行评定。结果 治疗后1周,患膝的疼痛、僵硬及关节功能评分均较治疗前明显降低（P＜0.01）;与治疗后1周比较,治疗后4周,3项评分均又明显降低（P＜0.01）。整个研究期间30例患者均未出现任何并发症。结论 刺骨术可改善KOA患者膝关节的疼痛症状和关节功能,是一种安全有效的治疗方法。     

丛状骨和骨单位带的种属特征及法医学应用价值

目的 探讨丛状骨和骨单位带的种属特征及其法医学应用价值。方法 人及猪、牛、羊、狗长骨中段横切磨片35张，在光学显微镜下观察骨组织中丛状骨和骨单位带的形态学特征。结果 丛状骨和骨单位带在猪、牛、羊、狗的密质骨中广泛存在，人骨组织中几乎不见；同种动物不同个体之间骨组织学结构也存在差异。结论 观察丛状骨和骨单位带是根据人骨鉴别种属的重要排除指标。     

男性上肢长骨的测量及其最大长推算

目的探讨用上肢长骨的残骨某一项指标建立肱骨、尺骨和桡骨最大长的回规方程,然后可根据所得值间接推算人体身高。方法选男性肱骨、尺骨和桡骨50例,左、右共100侧肢体。用人体测量仪器,按体质人类学测量方法进行各项指标测量,所得值经统计学分析后,分别与肱骨、尺骨和桡骨最大长建立直线回规方程。结果经相关分析建立了肱骨最大长回规方程17个,尺骨最大长回规方程8个,桡骨最大长回规方程11个。结论若能测得上肢长骨残骨的某一项指标,就可用所建立的回规方程推算该骨的最大长,这在法医学上具有一定的参考价值。     

Using the acetabulum to estimate age at death of adult males

The acetabular region is often present and adequately preserved in adult human skeletal remains. Close morphological examination of the 242 left male os coxae from the identified collection of Coimbra (Portugal) has enabled the recognition of seven variables that can be used to estimate age at death. This paper describes these variables and argues their appropriateness by analyzing the correlation between these criteria and the age, the intra- and interobserver consistence, and the accuracy in age prediction using Bayesian inference to estimate age of identified specimens. Results show significant close correlation between the acetabular criteria and age, nonsignificant differences in intra- and interobserver test, and 89% accuracy in Bayes prediction. Obtained estimated age of the specimens had similar accuracy in all ages. These results indicate that these seven variables, based on the acetabular area, are potentially useful to estimate age at death for adult specimens.     

羊驼副性腺结构的组织化学研究

为了解羊驼的生殖生理特性,采用大体解剖与组织学方法对羊驼副性腺的形态结构进行了研究。结果显示,羊驼副性腺有前列腺和尿道球腺,没有精囊腺。尿道球腺呈圆形,位于坐骨弓处,前列腺位于尿生殖道起始部的背侧,每一腺体都有腺管开口于尿生殖道;羊驼副性腺的基本组织结构和其他哺乳动物相似,但有较小的差异。尿道球腺为有许多弯曲分枝的复管泡状腺,分泌物较为黏稠,PAS染色强阳性,呈鲜红色;前列腺为复管泡状腺,前列腺的分泌物是一种稀薄的蛋白样液,PAS染色阳性,染色较浅。结果证实,羊驼前列腺和尿道球腺可分泌较多的糖物质,使精子生存较长时间;羊驼繁殖慢的特点可能与其生存环境差,易造成流产或妊娠期长且为单胎有关,而并不是精液本身的问题。     

利用AutoMate Express~(TM)系统提取陈旧性骨骼DNA

目的建立利用AutoMate Express~(TM)系统提取陈旧性骨骼DNA的方法。方法将骨骼用冷冻研磨机研磨成骨粉,经AutoMate Express~(TM)系统提取后,用Identifiler~Plus、MiniFiler~(TM)试剂盒扩增分型。结果10例保存在不同环境中、死亡时间在10~20年的骨骼样本利用AutoMate Express~(TM)系统3 h内完成DNA提取,有8例获得完整STR分型。结论 AutoMate Express~(TM)系统能快速、高效地提取陈旧性骨骼DNA,可应用于法医实际案件检验。