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http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/32435完整後設資料紀錄
| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 陳羿貞 | |
| dc.contributor.author | Shih-jaw Tsai | en |
| dc.contributor.author | 蔡士棹 | zh_TW |
| dc.date.accessioned | 2021-06-13T03:49:11Z | - |
| dc.date.available | 2007-08-31 | |
| dc.date.copyright | 2006-08-31 | |
| dc.date.issued | 2006 | |
| dc.date.submitted | 2006-07-25 | |
| dc.identifier.citation | 1. Adair L., Gordon-Larsen P., 2001, Maturational timing and overweight prevalence in US adolescent girls. Am J Public Health 91:642-4
2. Alf Tor K., 2004, Association between vertical development of the cervical spine and the face in subjects with varying vertical facial patterns. Am J Orthod Dentofacial Orthop 125:597–606 3. Anthony A.G., Paul B., Mario M., Leonard B., 1983, Mandibular growth, condyle position and Frankel appliance therapy. Angle Orthod 53: 131–142 4. Baccetti T., McGill J.S., Franchi L., 1998, Skeletal effects of early treatment of Class III malocclusion with maxillary expansion and face–mask therapy. Am J Orthod Dentofacial Orthop 113:333–343 5. Baccetti T., Franchi L., Cameron C.G., 2001, Treatment timing for rapid maxillary expansion. Angle Orthod 71:343–350 6. Baccetti T., Franchi L., McNamara J.A.Jr., 2002, An improved version of the cervical vertebral maturation (CVM) method for the assessment of mandibular growth. Angle Orthod 72:316–23 7. Baccetti T., Franchi L., McNamara J.A.Jr., 2003,The cervical vertebral maturation method: some need for clarification. Am J Orthod Dentofacial Orthop 123:19A–20A 8. Baccetti T., Franchi L., McNamara J.A.Jr., 2005, The cervical vertebral maturation (CVM) method for the assessment of optimal treatment timing in dentofacial orthopedics. Semin Orthod 11:119–129 9. Bambha J.K., 1961, Longitudinal cephalometric roentogenographic study of face and cranium in relation to body height. J Am Dent Assoc 63:776–799 10. Bishara S.E., Jakobsen J.R., Vorhies B., Bayati P., 1997, Changes in dentofacial structures in untreated Class II division 1 and normal subjects: A longitudinal study. Angle Orthod 67:55–66 11. Bishara S.E., Jamison J.E., Peterson L.C., Dekoch W.H., 1981, Longitudinal changes in standing height and mandibular parameters between the ages of 8 and 17 years. Am J Orthod 80:115–135 12. Björk A., 1963, Variations in the growth pattern of the human mandible: longitudinal radiographic study by the implant method. J Dent Res 42:400–411 13. Björk A., Helm S., 1967, Prediction of the age of maximum pubertal growth in body height .Angle Orthod 37:134–143 14. Brian C., Baccetti T., McNamara J.A.Jr., 2006, An estimate of craniofacial growth in Class III malocclusion. Angle Orthod 76: 577–584 15. Casey V.A., Dwyer J.T., Coleman K.A., 1991,Accuracy of recall by middle–aged participants in a longitudinal study of their body size and indexes of maturation earlier in life. Ann Hum Biol 18:155–66 16. Chang H.F., Wu K.M., Chen K.C., 1990, A cross–sectional study on the skeletal development of the hand and wrist from preadolescence to early adulthood among Chinese in Taiwan. Zhonghua Ya Yi Xue Hui Za Zhi 9:1–11 17. Chang H.P., Liao C.H., 1999, Skeletal age assessment using the cervical vertebrae. [Thesis.] Kaohsiung Medical University 18. Chang S.H., Tzeng S.J., Cheng J.Y., and Chie W.C., 2000, Height and weight change across menarche of schoolgirls with early menarche. Archives of Pediatrics and Adolescent Medicine 154: 880–884 19. Chapman S.M., 1972, Ossification of the adductor sesamoid and the adolescent growth spurt. Angle Orthod 42: 236–244 20. Charlier J.P., Petrovic A., Stutzmann J.H., 1969, Effects of mandibular hyperpropulsion on the prochondroblastic zone of young rat condyle. Am J Orthod 55:71–74 21. Chen F.S., Kazuto T., Kooji H., 2005, A special method of predicting mandibular growth potential for Class III malocclusion. Angle Orthod 75: 191–195 22. Chertkow S., 1980, Tooth mineralization as an indicator of the pubertal growth spurt. Am J Orthod Dentofacial Orthop 77:79–91 23. Chie W.C., Liu Y.H., Chi J., Wu V., Chen A., 1997, Predictive factors for early menarche in Taiwan. Journal of the Formosan Medical Association 96:446–50 24. Conover W.J., 1980, Practical Nonparametric Statistics, 2nd Edition, John Wiley and sons, New York, U.S.A. 25. Coutinho S., Buschang P.H., Miranda F., 1993, Relationships between mandibular canine calcification stages and skeletal maturity. Am J Orthod Dentofacial Orthop 104:262–268 26. Demirjian A., Buschang P. H., Tanguay R., Kingnorth P.D., 1985, Interrelationships among measures of somatic, skeletal, dental, and sexual maturity. Am J Orthod 88:433–438 27. Elgoyhen J., Moyers R., McNamara J., Riolo M., 1972, Craniofacial adaptation to protrusive function in young rhesus monkeys. Am J Orthod 62:467–480 28. Engström C., Engström H., Sagne S., 1983, Lower third molar development in relation to skeletal maturity and chronological age. Angle Orthod 53:97–106 29. Faltin K., Faltin R.M., Baccetti T., 2003, Long-term effectiveness and treatment timing for Bionator therapy. Angle Orthod 73:221-230 30. Fishman L.S., 1979, Chronological Versus Skeletal Age, an Evaluation of Craniofacial Growth. Angle Orthod 49:181–189 31. Fishman L.S., 1982, Radiographic Evaluation of Skeletal Maturation. Angle Orthod 52:88–112 32. Fishman L.S., 2002, Can cephalometric x–rays of the cervical column be used instead of hand–wrist xrays to determine patient's maturational age? Am J Orthod Dentofacial Orthop 122:18A–9A 33. Fleiss J., 1981, Statistical Methods for Rates and Proportions, 2nd Ed. John Wiley and sons, New York, U.S.A. 34. Flores–Mir C., Nebbe B., Major P.W., 2004, Use of skeletal maturation based on hand–wrist radiographic analysis as a predictor of facial growth: a systematic review. Angle Orthod 74:118–24 35. Franchi L., Baccetti T., McNamara J.A.Jr., 1998, Shape–coordinate analysis induced by rapid maxillary expansion and facial mask therapy. Am J Orthod Dentofacial Orthop 114:418–426 36. Franchi L., Baccetti T., McNamara J.A.Jr.,2000, Mandibular growth as related to cervical vertebral maturation and body height. Am J Orthod Dentofacial Orthop 118:335–40 37. Franchi L., Baccetti T., McNamara J.A.Jr., 2004, Post–pubertal assessment of treatment timing for maxillary expansion and protraction therapy followed by fixed appliances. Am J Orthod Dentofacial Orthop 126:555–568 38. Garn S.M., Lewis A.B., Bonné B., 1962, Third molar formation and its development course. Angle Orthod 32:270–279 39. Garn S.M., Rohmann C.G., Blumenthal T., 1966, Ossification sequence polymorphism and sexual dimorphism in skeletal development. Am J Phys Anthropol 24:101–115 40. Grave K.C., Brown T., 1976, Skeletal ossification and the adolescent growth spurt. Am J Orthod 69:611–619 41. Greulich W.W., Pyle S.I., 1959, Radiographic atlas of skeletal development of hand and wrist. 2nd ed, Stanford, Calif: Stanford University Press 42. Greulich W.W., Pyle S.I., Waterhouse A.M., 1971, A radiographic standard of reference for the growing hand and wrist. Case-Western-Reserve Univ., Cleveland, USA 43. Graham M.J., Larsen U., Xu X., 1999, Secular trend in age at menarche in China: a case study of two rural counties in Anhui Province. Journal of Biosocial Science 31:257–267 44. Hägg U., Taranger J., 1980, Menarche and voice changes as indicators of the pubertal growth spurt. Acta Odontol Scand 38:179–186 45. Hägg U., Taranger J., 1980, Skeletal stages of the hand and wrist as indicators of the pubertal growth spurt. Acta Odontol Scand 38:187–200 46. Hägg U., Taranger J., 1982, Maturation indicators and the pubertal growth spurt. Am J Orthod 82:299–309 47. Hassel B., Farman A.G., 1995, Skeletal maturation evaluation using cervical vertebrae. Am J Orthod Dentofacial Orthop 107:58–66 Erratum in: Am J Orthod Dentofacial Orthop 107:19 48. Hellsing E.,1991,Cervical vertebral dimensions in 8-,11-, and 15-year-old children. Acta Odontol Scand 49:207-213 49. Huen K.F., Leung S.S., Lau J.T., Cheung A.Y., Leung N.K., Chiu M.C., 1997, Secular trend in the sexual maturation of southern Chinese girls. Acta Paediatrica 86:1121–4 50. Hunter C.J., 1966, The correlation of facial growth with body height and skeletal maturation at adolescence. Angle Orthod 36:44–54 51. Hussam M., 1998, The Reliability of dental x–ray film in assessment of MP3 stages of the pubertal growth spurt. Am J Orthod Dentofacial Orthop 114:427–9 52. Hwang J.Y., Shin C., Frongillo E.A., Shin K.R., Jo I., 2003, Secular trend in age at menarche for South Korean women born between 1920 and 1986: the Ansan Study. Ann Hum Biol 30:434–42 53. Kac G., Auxiliadora De Santa Cruz Coelho M., Velasquez–Melendez G., 2000, Secular trend in age at menarche for women born between 1920 and 1979 in Rio de Janeiro, Brazil. Ann Hum Biol 27: 423–428 54. Keeling S.D., Wheeler T.T., King G.J., 1998, Anteroposterior skeletal and dental changes after early Class II treatment with bionators and headgear. Am J Orthod Dentofacial Orthop 113:40-50 55. Koprowski C., Coates R.J, Bernstein L., 2001, Ability of young women to recall past body size and age at menarche. Obes Res 9: 478–485 56. Koo M.M., Rohan T.E.,1997, Accuracy of short–term recall of age at menarche. Ann Hum Biol 24:61–4 57. Krailassiri S., Anuwongnukroh N., Dechkunakorn S., 2002, Relationships between dental calcification stages and skeletal maturity indicators in Thai individuals. Angle Orthod 72:155–66 58. Kucukkeles N., Acar A., Biren S., Arun T., 1999, Comparisons between cervical vertebrae and hand–wrist maturation for the assessment of skeletal maturity. J Clin Pediatr Dent 24:47–52 59. Lamparski D., 1972, Skeletal age assessment utilizing cervical vertebrae. [Thesis.] Pittsburgh: University of Pittsburgh 60. Lewis A.B., Garn S.M., 1960, The relationship between tooth formation and other maturation factors. Angle Orthod 30: 70–77 61. Lewis A., Roche A.F., Wagner B., 1985, Pubertal spurts in cranial base and mandible: comparisons within individuals. Angle Orthod 55: 17–30 62. Leite H.R., O'Reilly M.T., Close J.M., 1987, Skeletal age assessment using the first, second, and third fingers of the hand. Am J Orthod 92: 492–498 63. Loukid M., Baali A., Hilali M. K., 1996, Secular trend in age at menarche in Marrakesh (Morocco). Ann Hum Biol 23: 333–335 64. Lund D.I., Sandler P.J.,1998, The effects of Twin Blocks: a prospective controlled study. Am J Orthod Dentofacial Orthop 113: 104–110 65. Mappes M.S., Harris E.F., Behrents R.G., 1992, An example of regional variation in the tempos of tooth mineralization and hand–wrist ossification. Am J Orthod Dentofacial Orthop 101: 145–151 66. Maria Deicke and Hans Pancherz, 2005, Is Radius–Union an Indicator for Completed Facial Growth? Angle Orthod 75:295–299 67. McNamara J.A.Jr., 1980, Functional determinants of craniofacial size and shape. Eur J Orthodont 2:131–159 68. McNamara J.A.Jr., 1990, An Orthopedic approach to the treatment of Class III malocclusion in young patients. J Clin Orthod 21:598–608 69. McNamara J.A.Jr., 2005, Orthodontics: principles and practice. 4th ed. Philadelphia, WB Saunders pp 554–555 70. Mitani H., Sato K., 1992, Comparison of mandibular growth with other variables during puberty. Angle Orthod 62:217–22 71. Mito T., Sato K., Mitani H., 2002, Cervical vertebral bone age in girls. Am J Orthod Dentofacial Orthop 122:380–5 72. Mito T., Sato K., Mitani H., 2003, Predicting mandibular growth potential with cervical vertebral bone age. Am J Orthod Dentofacial Orthop 124:173–7 73. Moore R.N., Moyer B.A., DuBois L.M., 1990, Skeletal maturation and craniofacial growth. Am J Orthod Dentofacial Orthop 98:33–40 74. Must A., Phillips S.M., Naumova E.N., Blum M., Harris S., Dawson H.B., Rand W. M., 2002, Recall of early menstrual history and menarcheal body size: after 30 years, how well do women remember? Am. J Epidemiol 155: 672–679 75. Nanda R.S., 1955, The rates of growth of several facial components measured from serial cephalometric roentgenograms. Am J Orthod 41:658–673 76. Naoto S., Masako I.S., Ken H., Shigetoshi H., Shoichi S., Takayuki K., 2000, Effective treatment plan for maxillary protraction: Is the bone age useful to determine the treatment plan? Am J Orthod Dentofacial Orthop 118:55–62 77. O’Brien K., Wright J., Conboy F., 2003, Effectiveness of early orthodontic treatment with the twin-block appliance: a multicenter, randomized, controlled trial. Part 1: Dental and skeletal effects. Am J Orthod Dentofacial Orthop 124:234-243 78. O'Reilly M.T., Yanniello G.J., 1988, Mandibular growth changes and maturation of cervical vertebrae–A longitudinal cephalometric study. Angle Orthod 58:179–84 79. Pancherz H., Ruf S., 1996, Development of the frontal sinus in relation to somatic and skeletal maturity. A cephalometric roentgenographic study at puberty. Eur J Orthod 18:491–497 80. Petrovic A.G., Stutzmann J.J., Nicole G., 1981, The final length of the mandible: Is it genetically predetermined? Craniofacial Biology, p105–126, monograph 10, Craniofacial Growth series, Ann Arbor, Mich., Center for Human Growth and Development, University of Michigan 81. Petrovic A.G., 1984, Experimental and cybernetic approaches to the mechanism of action of functional appliances on mandibular growth. Malocclusion and The Periodontium, p213–268, monograph 15, Craniofacial Growth series, Ann Arbor, Mich., Center for Human Growth and Development, University of Michigan 82. Profitt W.R., 2000, The evolution of orthodontics to a data–based specialty. Am J Orthod Dentofacial Orthop 117:545–547 83. Rosenberg M., 1991, Menarcheal age for Norwegian women born 1830–1960. Ann Hum Biol 18:207–219 84. Rajogopal R., Sudhanshu K., 2002, A comparison of modified MP3 stages and the cervical vertebrae as growth indicators J Clin Orthod 36 : 398–406 85. Rees M., 1993, Menarche when and why? Lancet 342, 1376–1377 86. Singer J., 1980, Physiologic timing of orthodontic treatment. Angle Orthod 50:322–33 87. Smith R.J., 1980, Misuse of hand–wrist radiographs. Am J Orthod. 77:75–78 88. Snedecor G.W., Cochran, W.G., 1980, Statistical Methods, 7th edition Iowa State University Press, Ames, Iowa, U.S.A. 89. Stöckli P.W., Willert H.G., 1971, Tissue reactions in the temporomandibular joint resulting from anterior displacement of the mandible in the monkey. Am J Orthod 26:142–154 90. Tang C.S., Yeung D.Y., Lee A.M., 2003, Psychosocial correlates of emotional responses to menarche among Chinese adolescent girls. Journal of Adolescent Health. 33:193–201 91. Tanner J.M., Whitehouse R.H., Cameron N., Marshall W.A., Healy M.J.R., Goldstein H., 1983, Assessment of Skeletal Maturation and Prediction of Adult Height ( TW2 Method). 2nd ed. London: Academic Press 92. Tetradis S., Kantor M.L., 1999, Prevalence of skeletal and dental anomalies and normal variants seen in cephalometric and other radiographs of orthodontic patients .Am J Orthod Dentofacial Orthop 116:572-7 93. Tetradis S., Kantor M.L., 2003, Anomalies of the odontoid process discovered as incidental findings on cephalometric radiographs. Am J Orthod Dentofacial Orthop 124:184-9 94. Tobias J.H., Chow J., Colston K.W., Chambers T.J., 1991, High concentration of 17β–estradiol stimulate trabecular bone formation in adult female rats. Endocrinology 128:408–12 95. Tofani M. I., 1972, Mandibular growth at puberty. Am J Orthod 22:176–195 96. Todd T., Pyle S.I., 1928, Quantitative study of the vertebral column. Am J Phys Anthropol 12:321–338 97. Tryggvadottir L., Tulinius H., Larusdottir M., 1994, A decline and a halt in mean age at menarche in Iceland. Ann Hum Biol 21: 179–186 98. Tsuzaki S., Matsuo N., Ogata T., Osano M., 1989, Lack of linkage between height and weight and age at menarche during the secular shift in growth of Japanese children. Ann Hum Biol 16: 429–436 99. Tulloch J.F.C., Phillips C., Koch G., 1997, The effect of early intervention on skeletal pattern in Class II malocclusion: a randomized clinical trial. Am J Orthod Dentofacial Orthop 111:391-400 100. Turley P., 1988, Orthopedic correction of Class III malocclusion with palatal expansion and custom protraction headgear. J Clin Orthod 22:314–25 101. Uysal T., Sari Z., Ramoglu S.I., Basciftci F.A., 2004, Relationships between dental and skeletal maturity in Turkish subjects. Angle Orthod 74:657–64 102. Heleni V.and Carla A.E., 1996, Evaluation of cervical spine abnormalities on cephalometric radiographs.Am J Orthod Dentofac Orthop 109:581-8. 103. Wyshak G., 1983, Secular changes in age at menarche in a sample of US women. Ann Hum Biol 10: 75–77 105.林俊宏,李昭男, 1987,台灣南部青春期少女月經問題的探討. Kaohsiung J Med Sci 3:150:150–154 106.吳文豪,2005,台北學齡女童初經年齡與身高、體重及身體質量指數之關連.北市醫學雜誌2:1098–1106 107.李鍾祥,吳文豪, 1996,生長與第二性徵發育–台北市6–18歲學童 橫斷式與縱貫式研究.七懋出版社 108.劉柔妙, 張欣怡, 廖繼洲, 2002, Height, weight, BMI, and their relationship to Menarche in adolescent students.華岡理科學報 19:157–167 109. www.growthtek.com, 2001 | |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/32435 | - |
| dc.description.abstract | 為了研究臺灣人頸椎骨骼成熟分期(CVM)與手腕骨骼成熟分期(NTUH-SMI)之相關性，709位(330位男性和379 位女性)涵蓋青春期前至成人早期之男女側面測顱影像及手腕骨骼影像納入研究分析，大部分樣本取自台灣大學附設醫院齒顎矯正科檔案資料。由30份分別隨機抽樣選取之側面測顱及手腕骨骼影像作誤差評估。評估者之內誤差值檢驗顯示，前後兩次判讀頸椎骨骼成熟分期與手腕骨骼成熟分期的Spearman rank correlation coefficient值分別為0.998和0.981。而評估者之間判讀頸椎骨骼成熟分期與手腕骨骼成熟分期的Spearman rank correlation coefficient值分別為0.998與介於0.963-0.981之間，顯示這兩種骨骼成熟分期判定都具有高再現性與可靠性。
統計結果顯示在男性以及女性樣本中頸椎骨骼成熟分期與手腕骨骼成熟分期之間有極佳的線性相關，Spearman rank correlation coefficient值分別為0.91及0.937。就臨床實用性而言，以頸椎骨骼成熟分期或是手腕骨骼成熟分期中任一應已足夠判定個體發育情況。 就女性樣本而言，初經來潮年齡與過去研究相比較有下降趨勢。初經來潮在頸椎骨骼成熟分期CS2之後或手腕骨骼成熟分期NTUH-SMI 3(S)之後才會發生。 關鍵字: 骨骼成熟，手骨，頸椎，初經 | zh_TW |
| dc.description.abstract | The aim of this study was to investigate the correlation between the latest improved version of cervical vertebral maturation (CVM) method and the National Taiwan University Hospital skeletal maturation indices (NTUH-SMI) among Taiwanese subjects. The samples were derived from lateral cephalograms and hand-wrist radiographs of 709 subjects (330 males and 379 females), mostly from Department of Orthodontics, National Taiwan University Hospital. Hand-wrist radiographs were analyzed using the NTUH-SMI to determine skeletal maturation stage. Images of cervical vertebrae (C2, C3, and C4) obtained from lateral cephalograms were visual-analyzed using the latest improved version of CVM to determine skeletal maturation stage. Intra-examiner and inter-examiner reliability for both methods was calculated from 30 randomly selected hand-wrist and lateral cephalograms. For Intra- examiner reliability, a Spearman rank correlation coefficient value of 0.998 for NTUH-SMI and 0.981 for CVM were obtained. For Inter-examiner reliability, a Spearman rank correlation coefficient value of 0.998 for NTUH-SMI and 0.963- 0.981 for CVM were obtained.
A Spearman rank correlation coefficient value of 0.91 for males and 0.937 for females (P <.001) were found between the skeletal maturation stages of both methods. Correlation values between both skeletal maturation methods were very high. Because of the high correlation coefficients, this study suggested either of the methods could be used clinically as a maturity indicator for the evaluation of individual patients. This study also showed a downward trend in mean age at menarche in Taiwan. The onset of menarche would occur after cervical vertebral maturation stage CS2 was attained or after NTUH-SMI 3(S) was attained. | en |
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| dc.description.tableofcontents | 目錄
目錄………………………………………………………………….I 表圖目錄……………………………………………………………V 附表………………………………………………….………… …..V 附圖 ……………………………………………………………… VII 中文摘要………………………………………………………… VIII 英文摘要…………………………………………………………….IX I. 前言……………………………………………………………….…1 II. 文獻回顧…………………………………………………………….4 II-1 手腕骨骼成熟判定之回顧………………………………………..9 II-1-1 The Greulich and Pyle method………………………………….9 II-1-2 The Tanner and Whitehouse method ( TW2 method )………...10 II-1-3 Fishman的骨骼成熟分期研究………………………………..11 II-1-4 台灣大學附設醫院齒顎矯正科之手腕骨骼發育研究….…..14 II-2 頸椎骨骼成熟判定………………………………………………16 II-2-1 Lampaski’s method……………………………………………16 II-2-2 Improved version of CVM…………………………………….17 II-3 手腕骨骼成熟與頸椎骨骼成熟相關性之相關研究……………19 II-3-1國外相關研究…………………………………………………19 II-3-2國內相關研究…………………………………………………21 II-4 女性初經與生長發育……………………………………………22 II-4-1 女性初經與生長發育……………………………………...…22 II-4-2 女性早熟趨勢……………….……………………………..…24 III. 材料與方法………………………………………………………...27 III-1 研究材料…………………………………………..……….……27 III-2 研究方法………………………………….…………………..…29 III-2-1手腕骨骼成熟分期判定....………..…………………….……29 III-2-2 頸椎骨骼成熟分期判定…………………………………….31 III-2-3誤差檢驗……………………………………………………...33 III-2-3-1評估者之內誤差檢驗…………………………………….33 III-2-3-2評估者之間誤差檢驗……………………………………..33 III-3 統計檢定………………………………….. ……………………34 III-4初經年齡統計………………………………….. ……………….35 IV. 研究結果…………………………………………….. ……………36 IV-1誤差值檢驗………………………………………….. ………….36 IV-1-1 手腕骨骼成熟分期(NTUH-SMI )誤差值檢驗……………..36 IV-1-2 頸椎骨骼成熟分期 (CVM) 誤差值檢驗………………….38 IV-2 主研究結果……………………………………………………..40 IV-2-1 手腕骨骼成熟分期…..…………………………...…………40 IV-2-2 頸椎骨骼成熟分期…..………………………...……………41 IV-2-3 變異數分析(ANOVA)與事後比較(Post Hoc test)檢定分 析.…..…………………….. ………………………………...42 IV-2-3-1 男性手腕骨骼成熟分期變異數分析與事後比較檢定…42 IV-2-3-2 女性手腕骨骼成熟分期變異數分析與事後比較檢定…43 IV-2-3-3 男性頸椎骨骼成熟分期變異數分析與事後比較檢定…44 IV-2-3-4 女性頸椎骨骼成熟分期變異數分析與事後比較檢定…45 IV-2-4 手腕骨骼成熟分期與頸椎骨骼成熟分期之關係………….46 IV-2-4-1 男性頸椎骨骼成熟分期與手腕骨骼成熟分期之相關性..…………………….. ………………………………...46 IV-2-4-2 女性頸椎骨骼成熟分期與手腕骨骼成熟分期之相關 性..…………………….. ………………………………...48 IV-2-5 本研究與國內相關研究之比較……………………………..50 IV-2-5-1 男性手腕骨骼成熟分期平均年齡之比較……………....50 IV-2-5-2 女性手腕骨骼成熟分期平均年齡之比較……………....51 IV-2-5-3 男性頸椎骨骼成熟分期平均年齡之比較……………....52 IV-2-5-3 女性頸椎骨骼成熟分期平均年齡之比較…. …………..52 IV-2-6 女性樣本初經年齡相關分析…. …………………………..53 IV-2-6-1 女性樣本初經年齡統計………………………………...53 IV-2-6-2 女性樣本初經年齡與骨骼成熟分期之關係…………...53 IV-2-6-2-1 初經與手腕骨骼成熟分期之關係…. ………………53 IV-2-6-2-2 女性樣本初經年齡與頸椎骨骼成熟分期之關係…...54 V 討論………………………………………………………………….55 V-1手腕骨骼成熟分期與頸椎骨骼成熟分期之評估者誤差值檢驗…………………………………………………………………..55 V-2 手腕骨骼成熟分期…. …………………………………………..57 V-3 頸椎骨骼成熟分期…. …………………………………………..61 V-4手腕骨骼成熟分期與頸椎骨骼成熟分期之相關性…………….63 V- 5本研究女性初經來潮年齡與其他相關研究之比較……………66 V-6 本研究結果之臨床應用性…. …………………………………69 V-6-1二級咬合異常之治療時機…. ………………………………..74 V-6-2三級咬合異常之治療時機…. ………………………………..75 V-7 頸椎骨骼成熟分期判定之缺點…. ……………………………77 VI. 結論... ……………………………………………………………...79 VII. 未來研究方向…. …………………………………………………81 VIII. 參考文獻……. …………………………………………………..83 表圖目錄 附表……………………………………………………………..………94 表1: 樣本人數及性別年齡分布……………………………..………95 表2-a: 手骨骨骼成熟分期之評估者誤差值檢驗I (Wilcoxon Signed Ranks Test) ……………………………………………..………96 表2-b: 頸椎骨骼成熟分期之評估者誤差值檢驗I (Wilcoxon Signed Ranks Test) ……………………………………………..………96 表3-a: 手骨骨骼成熟分期之評估者誤差值檢驗II (Spearman Rank Correlation Coefficient) …………………………………..…….97 表3-b: 頸椎骨骼成熟分期之評估者誤差值檢驗II (Spearman Rank Correlation Coefficient) …………………………………..…….97 表4-a: 手腕骨骼成熟分期之評估者誤差值檢驗III (Kappa analysis)..98 表4-b: 頸椎骨骼成熟分期之評估者誤差值檢驗III (Kappa analysis)..98 表5: 男女性於不同手腕骨骼成熟分期之平均年齡………………... .99 表6: 男女性於不同頸椎骨骼成熟分期之平均年齡………………...100 表7-a: 手腕骨骼成熟分期之年齡因素的ANOVA檢定………….....101 表7-b: 男性手腕骨骼成熟分期之年齡因素的事後檢定分析………101 表7-c: 女性手腕骨骼成熟分期之年齡因素的事後檢定分析………101 表8-a: 頸椎骨骼成熟分期之年齡因素的ANOVA檢定………….....102 表8-b: 男性頸椎骨骼成熟分期之年齡因素的事後檢定分析…..….102 表8-c: 女性頸椎骨骼成熟分期之年齡因素的事後檢定分析……...102 表9-a: 性別-頸椎骨骼成熟分期-手腕骨骼成熟分期分層交叉表...103 表9-b: 頸椎骨骼成熟分期與手腕骨骼成熟分期相關性檢定…….103 表10: 不同研究間男性手腕骨骼成熟分期平均年齡之比較…….…104 表11: 不同研究間女性手腕骨骼成熟分期平均年齡之比較…….…104 表12-a: 男性頸椎骨骼成熟分期平均年齡之比較………………….105 表12-b: 女性頸椎骨骼成熟分期平均年齡之比較………………….105 表13: 初經年齡累計分布情形………………………………………106 表14: 初經-頸椎骨骼成熟分期-手腕骨骼成熟分期分層交叉表…..107 附圖……………………………………………………………………108 圖1: 樣本人數及性別年齡分布……………………………………109 圖2-a: 男性手腕骨骼分期與頸椎骨骼分期關係圖………………..110 圖2-b: 女性手腕骨骼分期與頸椎骨骼分期關係圖………………..110 圖2-c: 男性手腕骨骼分期與頸椎骨骼分期關係圖………………..111 圖2-d: 女性手腕骨骼分期與頸椎骨骼分期關係圖………………..111 圖3-a: 初經來潮年齡分布圖………………………………………...112 圖3-b: 初經來潮年齡累積百分率圖………………………………..112 手腕骨骼成熟指數參考圖譜…………………………………………113 頸椎骨骼成熟指數參考圖譜…………………………………………124 附錄一: 評估者之誤差檢驗…………………………………………132 附錄二: 亂數表與原始資料…………………………………………135 | |
| dc.language.iso | zh-TW | |
| dc.title | 手腕骨骼與頸椎骨骼成熟相關性
以及女性初潮年齡提早趨勢之探討 | zh_TW |
| dc.title | Correlations of skeletal maturation stages assessed by hand-wrist and cervical vertebrae development and trend of early onset of menarche | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 94-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.coadvisor | 劉仁沛 | |
| dc.contributor.oralexamcommittee | 姚宗珍 | |
| dc.subject.keyword | 骨骼成熟,手骨,頸椎,初經, | zh_TW |
| dc.subject.keyword | skeletal maturation,hand-wrist,cervical vertebrae,menarche, | en |
| dc.relation.page | 156 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2006-07-26 | |
| dc.contributor.author-college | 醫學院 | zh_TW |
| dc.contributor.author-dept | 臨床牙醫學研究所 | zh_TW |
| 顯示於系所單位： | 臨床牙醫學研究所 | |
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