法医学杂志
法醫學雜誌
법의학잡지
JOURNAL OF FORENSIC MEDICINE
2014年
6期
460-462
,共3页
法医学%肋骨骨折%体层摄影术,X线计算机
法醫學%肋骨骨摺%體層攝影術,X線計算機
법의학%륵골골절%체층섭영술,X선계산궤
forensic m edicine%rib fractures%tom ography,X-ray com puted
目的：探讨影像学检查方法在不同区段肋骨骨折法医学鉴定中的应用。方法回顾性分析56例被鉴定人共计163处肋骨骨折的骨折部位、影像学检查次数及其首次检出的影像学技术等资料。结果在损伤后早期（≤14 d）的检出率为65.6%。 X线对肋骨前段骨折的首次检出率76.2%，两次内检出率90.5%；CT首次检出率66.7%，两次内检出率80.0%。 X线对肋骨腋段骨折的首次检出率仅27.6%，两次内检出率58.6%；CT首次检出率54.3%，两次内检出率80.4%。X线对肋骨背段骨折的首次检出率63.6%，两次内检出率81.8%；CT首次检出率50.0%，两次内检出率70.0%。结论在肋骨骨折的鉴定中，应注意影像学检查的随访，综合运用不同技术手段，尤其在疑有肋骨腋段骨折的案例中，单纯X线摄片可能造成漏检，建议选择CT扫描。
目的：探討影像學檢查方法在不同區段肋骨骨摺法醫學鑒定中的應用。方法迴顧性分析56例被鑒定人共計163處肋骨骨摺的骨摺部位、影像學檢查次數及其首次檢齣的影像學技術等資料。結果在損傷後早期（≤14 d）的檢齣率為65.6%。 X線對肋骨前段骨摺的首次檢齣率76.2%，兩次內檢齣率90.5%；CT首次檢齣率66.7%，兩次內檢齣率80.0%。 X線對肋骨腋段骨摺的首次檢齣率僅27.6%，兩次內檢齣率58.6%；CT首次檢齣率54.3%，兩次內檢齣率80.4%。X線對肋骨揹段骨摺的首次檢齣率63.6%，兩次內檢齣率81.8%；CT首次檢齣率50.0%，兩次內檢齣率70.0%。結論在肋骨骨摺的鑒定中，應註意影像學檢查的隨訪，綜閤運用不同技術手段，尤其在疑有肋骨腋段骨摺的案例中，單純X線攝片可能造成漏檢，建議選擇CT掃描。
목적：탐토영상학검사방법재불동구단륵골골절법의학감정중적응용。방법회고성분석56례피감정인공계163처륵골골절적골절부위、영상학검사차수급기수차검출적영상학기술등자료。결과재손상후조기（≤14 d）적검출솔위65.6%。 X선대륵골전단골절적수차검출솔76.2%，량차내검출솔90.5%；CT수차검출솔66.7%，량차내검출솔80.0%。 X선대륵골액단골절적수차검출솔부27.6%，량차내검출솔58.6%；CT수차검출솔54.3%，량차내검출솔80.4%。X선대륵골배단골절적수차검출솔63.6%，량차내검출솔81.8%；CT수차검출솔50.0%，량차내검출솔70.0%。결론재륵골골절적감정중，응주의영상학검사적수방，종합운용불동기술수단，우기재의유륵골액단골절적안례중，단순X선섭편가능조성루검，건의선택CT소묘。
Objective To explore the applications of im aging exam ination on rib fracture sites in forensic identification. Methods Features including the sites, num bers of the processed im aging exam ination and the first radiological technology at diagnosis in 56 cases of rib fractures from 163 injuries were retro-spectively analyzed. Results The detection rate of the rib fractures within 14 days was 65.6% . The ini-tial detection rate of anterior rib fracture proceeded by X-ray was 76.2%, then 90.5% detected at a sec-ond tim e X-ray, while the detection rate of CTwas 66.7% and 80.0%, respectively. The initial detec-tion rate of rib fracture in axillary section proceeded by X-ray was 27.6%, then 58.6% detected at a second tim e X-ray, while the detection rate of CTwas 54.3% and 80.4%, respectively. The initial de-tection rate of posterior rib fracture proceeded by X-ray was 63.6%, then 81.8% detected at a second tim e X-ray, while the detection rate of CTwas 50.0% and 70.0%, respectively. Conclusion It is im por-tant to pay attention to the use of com bined im aging exam inations and the follow-up results. In the cas-es of suspicious for rib fracture in axillary section, CTexam ination is suggested in such false X-ray negative cases.
