法医学杂志

法医学杂志 ›› 2009, Vol. 0 ›› Issue (4): 260-262+.

• 论文 • 上一篇    下一篇

应用Young-Burgess分型推断交通事故受伤人员骨盆损伤机制

洪翔;朱亚立;包朝胜;   

  1. 浙江省人民检察院技术处;北京市公安交通管理局交通事故鉴定中心;
  • 发布日期:2009-08-25 出版日期:2009-08-28

Study on Pelvic Injury Mechanisms in Road Traffic Fatalities According to Young-Burgess Classification

HONG XIANG1, ZHU YA-LI2, BAO CHAO-SHENG1 (1. THE PEOPLE′S PROCURATORATE OF ZHEJIANG PROVINCE, HANGZHOU 310012, CHINA; 2. TRAFFIC ACCIDENT VERIFICATION CENTER, BEIJING TRAFFIC MANAGEMENT BUREAU, BEIJING 100070, CHINA)   

  • Online:2009-08-25 Published:2009-08-28

被引次数

5

摘要： 目的根据骨盆骨折X线片Young-Burgess分型推断道路交通事故致死者(roadtrafficfatalities,RTFs)骨盆损伤机制,并探讨其法医学应用价值。方法回顾性分析128例车外成人RTFs尸体骨盆X线片的Young-Burgess分型,根据分型推断骨盆损伤机制,对照真实案情进行统计分析。结果可区分APC、LC亚型的推断骨盆损伤机制正确率(94.1%、92.9%)明显高于不区分亚型的(63.6%、70.7%)(P<0.05);区分LC亚型还能进一步推断后侧方、前侧方或是持续、较大的前侧方外力。结论综合各种影像手段区分Young-Burgess亚型可较好地推断骨盆损伤机制,为道路交通事故现场重建提供可靠依据。

关键词: 法医学, 放射摄影术, 事故, 交通, 骨盆, 骨折, Young-Burgess分型

Abstract: Objective To explore the pelvic injury mechanisms in road traffic fatalities(RTFs) according to Young-Burgess classification and its practical value in forensic medicine. Methods Retrospective study was performed on pelvic X-ray radiographs of adult RTFs outside the automobiles in 128 cases. Pelvic injury mechanisms were investigated according to Young -Burgess classification and then were analyzed statistically combined with the real circumstance. Results The accuracy of pelvic injury mechanism identi-fication using APC subtype(94.1%) and LC subtype(92.9%) were significantly higher than that without using subtypes(63.6% and 70.7%) (P<0.05). LC subtype was helpful to discriminate the direction of force, for example the rear lateral force, anterior lateral force or continuous anterior lateral force. Conclusion Young-Burgess classification discriminated by various methods of medical imaging may be helpful to study the pelvic injury mechanisms and provide reliable reference for road traffic accidents reconstruction.

Key words: forensic medicine, radiography, accidents, traffic, pelvis, fractures, bone, Young-Burgess classification