法医学杂志

法医学杂志 ›› 2016, Vol. 32 ›› Issue (5): 350-352.DOI: 10.3969/j.issn.1004-5619.2016.05.008

• 案例分析 • 上一篇    下一篇

17例颈椎外伤合并颈椎退行性病变的伤病关系分析

陈  芳，程亦斌，范利华   

  1. （司法部司法鉴定科学技术研究所 上海市法医学重点实验室 上海市司法鉴定专业技术服务平台，上海 200063）
  • 发布日期:2016-10-25 出版日期:2016-10-28
  • 通讯作者: 范利华，女，主任法医师，主要从事法医临床学鉴定及教学；E-mail：fanlh@ssfjd.cn 程亦斌，男，主任法医师，主要从事法医临床学鉴定；E-mail：chenyb@ssfjd.cn
  • 作者简介:陈芳（1985—），女，主检法医师，主要从事听力及法医临床学鉴定；E-mail：chenf@ssfjd.cn
  • 基金资助:

    上海市法医学重点实验室资助项目（14DZ2270800）；上海市司法鉴定专业技术服务平台资助项目（16DZ2290900）

Analysis of Relationship between Injury and Disease in 17 Cases of Cervical Trauma with Cervical Vertebra Degeneration

CHEN Fang, CHENG Yi-bin, FAN Li-hua   

  1. （SHANGHAI KEY LABORATORY OF FORENSIC MEDICINE, SHANGHAI FORENSIC SERVICE PLATFORM, INSTITUTE OF FORENSIC SCIENCE, MINISTRY OF JUSTICE, P.R.CHINA, SHANGHAI 200063, CHINA）
  • Online:2016-10-25 Published:2016-10-28
  • Supported by:
     

摘要： 目的 研究颈椎外伤合并颈椎退行性病变的法医学鉴定案件特点，探讨如何利用临床资料，法医学检查和影像学检查等对损伤和病变参与程度进行认定等问题。 方法 收集17例颈椎外伤合并颈椎退行性病变的法医学鉴定案例，对其年龄分布、损伤方式、损伤程度、影像学表现等进行分析，综合评定伤病关系。 结果 17例案件以中老年为主。所有案例均存在椎间盘突出，损伤以过伸性损伤为主。按照影像学表现，将损伤程度和脊椎退变程度进行分级，综合计算伤病参与程度。 结论 颈椎外伤合并颈椎退行性病变的法医学鉴定案件应综合运用临床资料、法医学体格检查和影像学检查结果进行评定。

 

关键词: 法医学, 创伤和损伤, 颈椎, 椎间盘突出, 伤病关系, 伤残等级, 案例分析

Abstract: Objective To study the characteristics of the relationship between injury and disease in forensic identification cases of cervical trauma with cervical vertebra degeneration, and to explore the problems about how to identify the participation rates of injury and disease using the clinical information, forensic examination and imaging examination. Methods Seventeen forensic identification cases of cervical trauma with cervical vertebra degeneration were collected. The age distributions, injury formations, injury severities and imaging findings of these cases were analyzed and the relationship between injury and disease was evaluated comprehensively. Results Middle-aged and elderly were common in 17 cases and every case was involved with intervertebral disc herniation. The main reasons of injuries were hyperextension. The degree of injury severity and vertebra degeneration were graded according to the imaging findings. The participation rates of injury and disease were also calculated comprehensively. Conclusion The forensic identification cases of cervical trauma with cervical vertebra degeneration should be evaluated with clinical information, forensic examination and imaging finding.

Key words: forensic medicine, wounds and injuries, cervical vertebrae, protrusion of intervertebral disc;relationship between injury and disease, disability degree, cases analysis

中图分类号: