法医学杂志

法医学杂志 ›› 2006, Vol. 0 ›› Issue (1): 61-64.

• 论文 • 上一篇    下一篇

交通事故致胸、腰椎损伤致残等级评定447例分析

李生彦;黄思兴;单兴尧;孔斌;刘宽林;   

  1. 南充市公安局交警支队,成都市公安局交通管理局,绍兴县公安局,成都市公安局交通管理局,成都市公安局交通管理局 四川南充637000川北医学院法医学系,四川南充637000,四川成都610036,浙江绍兴312000,四川成都610036,四川成都610036
  • 发布日期:2006-02-25 出版日期:2006-02-28

Analysis on Body Impairment Assessment upon 447 Thoracolumbar Spinal Injury Cases in Traffic Accidents

LI SHENG-YAN1,2, HUANG SI-XING3, SHAN XING-YAO4, KONG BIN3, LIU KUAN-LIN3 (1. NANCHONG MUNICIPAL TRAFFIC POLICE SUB-BRIGADE, NANCHONG 637000, CHINA; 2. DEPARTMENT OF FORENSIC SCIENCE, NORTH SICHUAN MEDICAL COLLEGE, NANCHONG 637000,CHINA; 3. TRAFFIC ADMINI   

  • Online:2006-02-25 Published:2006-02-28

被引次数

5

摘要： 目的探讨车祸致胸、腰椎损伤程度与伤残程度的关系,总结伤残评定经验,探寻其规律性。方法选择胸、腰椎损伤的鉴定447例,重新审查诊断,分析治疗措施,评价胸腰部活动度丧失程度及神经功能障碍情况,分析损伤程度与后遗障碍之间的关系,综合评定伤残。结果胸、腰椎损伤类型及数量并不决定其胸、腰部活动障碍程度及神经损伤后遗症严重程度;椎体损伤的部位与胸腰部活动度障碍关系密切;神经损伤主要集中在T1至L2段脊柱损伤;椎体损伤医院误诊率较高。结论伤残评定应分析损伤与后遗症严重程度的因果关系,以损伤所致后遗症为评残依据,重点关注脊柱功能的丧失程度。

关键词: 胸, 腰椎损伤, 神经功能障碍, 腰部活动功能障碍, 法医学鉴定, 赔偿医学, 伤残评定

Abstract: Objective To discuss the relation between degree of body impairment and that of thoracolumbar spinal injuries resulting from road traffic accidents, and sum up the experiences in body impairment assessment and its regularity. Methods For comprehensive body impairment assessment, 477 cases of thoracolumbar spinal injuries in road accidents have been sorted out, reassessed and rediagnosed. In addition,analyses have been undertaken about their treatment, the assessment of the degree of their thoracolumbar dysfunction,nerve dysfunction and the relations between injuries and sequelaes. Results The analyses show that the degree of thoracolumbar dysfunction and that of the post-injury nerve dysfunction don′t necessarily depend on the quantity and degree of spinal injuries. However, the position suffering from the thoracolumbar spinal injuries has an immense impact on the thoracolumbar dysfunction, and the nerve impairment result mainly from the T1-L1 spinal injuries. The research also shows that there has been a high misdiagnosis rate in hospital about the spinal injuries. Conclusion In body impairment assessment, the cause and effect relations between the injury and degree of injury extent should be analyzed, the injury extent should be employed as principal evidence, and the degree of spinal dysfunction should be taken into greater consideration.

Key words: thoracolumbar spinal injuries, sequela, forensic identification, compensation medicine, assessment upon body impairment