法医学杂志

法医学杂志 ›› 2011, Vol. 27 ›› Issue (1): 39-42.DOI: 10.3969/j.issn.1004-5619.2011.01.011

• 技术与应用 • 上一篇    下一篇

4种影像学检查方法应用于肩关节损伤法医学鉴定的比较

张  武1，汪健文2，胡永良1，朱建华1   

  1. （1. 皖南医学院 法医学专业，安徽 芜湖 241002； 2. 芜湖市第二人民医院 影像中心，安徽 芜湖 241000）
  • 发布日期:2011-02-25 出版日期:2011-02-28
  • 作者简介:张武（1968—），男，安徽芜湖人，硕士，讲师，主要从事法医学教学与研究；E-mail：zhangwu1968@163.com

Comparison of Four Imaging Examinations of Shoulder Joint Injury in Forensic Expertise

ZHANG WU1, WANG JIAN-WEN2, HU YONG-LIANG1, ZHU JIAN-HUA1   

  1. （1. Department of Forensic Medicine, Wannan Medical College, Wuhu 241002, China; 2. Imaging Centre, The Second People’s Hospital of Wuhu, Wuhu 241000, China）
  • Online:2011-02-25 Published:2011-02-28

被引次数

6

摘要： 目的 评价X线、CT、MRI及CT气-碘双对比造影4种方法在肩关节损伤法医学鉴定中的应用价值。 方法 通过对肩关节损伤患者行X线摄片、CT扫描、MRI成像与CT气-碘双对比造影检查，观察、分析4种方法所得的影像学资料。 结果 X线摄片对骨折的诊断率为52.8%，对软组织损伤的诊断率为0%；CT对骨折的诊断率为72.0%，对软组织损伤的诊断率为32.9%；MRI对骨折的诊断率为63.2%，对软组织损伤的诊断率为82.5%；CT气-碘双对比造影对软组织损伤的诊断率为100%。 结论 X线摄片可作为肩关节损伤的筛选检查，CT对骨折的诊断率高，MRI对软组织损伤的诊断率高，CT气-碘双对比造影可准确反映肩关节软组织损伤的严重性。联合运用上述方法，可为肩关节损伤法医学鉴定提供重要的影像学信息。

关键词: 法医学, 创伤和损伤, 肩关节, 体层摄影术, X线计算机, 磁共振成像, CT气-碘双对比造影

Abstract: Objective To compare the value of four imaging examinations, including the X-ray, CT, MRI and gas-iodine double contrast CT analyses, in the forensic expertise of shoulder joint injury． Methods Imaging data of shoulder joint injury, by the X-ray, CT, MRI and gas-iodine double contrast CT were retrieved and analyzed. Results The correct diagnosis rates of fracture and soft tissue injury by X-ray, CT and MRI were 52.8%, 72.0% and 63.2%, as well as 0.0%, 32.9% and 82.5%, respectively. The correct diagnosis rate of soft tissue injury by gas-iodine double contrast CT was 100%. Conclusion X-ray is a useful screening method, CT is better for diagnosis of fracture, and MRI is fit for diagnosis of soft tissue injury. Gas-iodine double contrast CT can reflect not only the soft tissue injury but also its severity. Thus, combined application of X-ray, CT, MRI and gas-iodine double contrast CT can provide important imaging information for forensic expertise in shoulder joint injury．

Key words: forensic medicine, wounds and injuries, shoulder joint, tomography, X-ray computed, magnetic resonance imaging, gas-iodine double contrast CT

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