法医学杂志

法医学杂志 ›› 2014, Vol. 30 ›› Issue (6): 460-462.DOI: 10.3969/j.issn.1004-5619.2014.06.014

• 案例分析 • 上一篇    下一篇

163处肋骨骨折的影像学分析

宋天福，汪超超   

  1. （嘉兴市公安局秀洲区分局刑侦大队，浙江 嘉兴 314031）
  • 发布日期:2014-12-25 出版日期:2014-12-28
  • 作者简介:宋天福（1977—），男，河北易县人，主检法医师，主要从事法医学鉴定；E-mail：1278915908@qq.com

Analysis of 163 Rib Fractures by Imaging Examination

SONG TIAN-FU, WANG CHAO-CHAO   

  1. （Crime Investigation Team, Xiuzhou District Branch of Jiaxing Public Security Bureau, Jiaxing 314031, China）
  • Online:2014-12-25 Published:2014-12-28

被引次数

5

摘要： 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。

关键词: 法医学；肋骨骨折；体层摄影术, X线计算机

Abstract: Objective To explore the applications of imaging examination on rib fracture sites in forensic identification. Methods Features including the sites, numbers of the processed imaging examination and the first radiological technology at diagnosis in 56 cases of rib fractures from 163 injuries were retrospectively analyzed. Results The detection rate of the rib fractures within 14 days was 65.6%. The initial detection rate of anterior rib fracture proceeded by X-ray was 76.2%, then 90.5% detected at a second time X-ray, while the detection rate of CT was 66.7% and 80.0%, respectively. The initial detection rate of rib fracture in axillary section proceeded by X-ray was 27.6%, then 58.6% detected at a second time X-ray, while the detection rate of CT was 54.3% and 80.4%, respectively. The initial detection rate of posterior rib fracture proceeded by X-ray was 63.6%, then 81.8% detected at a second time X-ray, while the detection rate of CT was 50.0% and 70.0%, respectively. Conclusion It is important to pay attention to the use of combined imaging examinations and the follow-up results. In the cases of suspicious for rib fracture in axillary section, CT examination is suggested in such false X-ray negative cases.

Key words:  forensic medicine, rib fractures, tomography, X-ray computed

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