中国实用儿科杂志

中国实用儿科杂志 ›› 2025, Vol. 40 ›› Issue (12): 1014-1019.DOI: 10.19538/j.ek2025120609

• 专题笔谈 • 上一篇    下一篇

手骨X线特征对儿童生长与骨骼营养代谢障碍的诊断价值

  

  1. 1.郑州大学第一附属医院小儿内科，河南  郑州  450052；2.北京大学第一医院儿童医学中心，北京  102600
  • 出版日期:2025-12-06 发布日期:2026-01-08
  • 通讯作者: 杨艳玲，电子信箱：organic.acid@vip.126.com
  • 基金资助:
    河南省医学科技攻关计划省部共建重点项目（SBGJ202102101）

Diagnostic value of hand bone X-ray features in growth and skeletal nutritional and metabolic disorders in children

  1.  *Department of Pediatrics，the First Affiliated Hospital of Zhengzhou University，Zhengzhou  450052，China
  • Online:2025-12-06 Published:2026-01-08

摘要： 手骨X线检查是分析儿童骨骼及体格发育的重要辅助方法，对于评估个体生长发育水平、成熟程度、诊断常见及罕见骨病具有重要临床意义。手部骨骼的发育受性别、营养、代谢、慢性疾病、内分泌激素、遗传背景以及社会环境等诸多因素的影响。文章重点综述手腕部诸骨发育、骨骼畸形的X线特征及其与疾病的对应关系，进一步提高对手骨X线片临床应用价值的认识。

关键词: 骨骼X线, 生长发育, 遗传病, 手部骨骼畸形, 骨病

Abstract: Hand bone X-ray examination represents a pivotal auxiliary means for the assessment of skeletal and physical development in pediatric populations. It plays a critical role in the evaluation of individual growth and maturity，as well as in the diagnosis of common and rare skeletal disorders. The development of hand bones is influenced by multiple factors，including gender，nutritional status，metabolic conditions，chronic diseases，endocrine hormones，genetic background，and social environment. This article mainly summarizes the X-ray features of bone development and skeletal deformities in hand，and elucidates their correlations with various diseases，further enhancing the understanding of the clinical utility and diagnostic value of hand radiographs.

Key words: skeletal X-ray, growth and development, genetic diseases, hand bone deformities, osteopathies