摘要
目的探讨外伤后牙缺失的损伤特点,提出伤病关系分析的原则与思路,为法医临床鉴定提供参考。方法对2016年2月-2020年1月由四川华西法医学鉴定中心受理并出具明确鉴定意见的22例外伤后牙缺失案件,按照基本情况、伤后首诊时间、口腔其他附加损伤、既往牙病史、牙科影像检查情况、委托鉴定事项、鉴定意见等信息进行描述性统计分析。结果在全部案例中,外伤后牙缺失最容易发生的部位是上颌,最容易缺失的牙齿类型是切牙。在伤后早期就诊的案件中,除了牙齿缺失外,均有不同程度的口腔颌面部损伤。口腔影像学检查在口腔病变程度判断中有较高价值,有近一半案例涉及到伤病关系分析。结论依据明确的外伤史、伤后治疗记录,特别是结合口腔影像学检查,能够较好地把握此类案件伤病关系分析的要点。
Objective To explore the injury characteristics of post-traumatic tooth loss, put forward the analysis principles of the relationship between injury and disease, and provide reference for forensic clinical identification. Methods The 22 cases of post-traumatic tooth loss were collected from Sichuan West China forensic medicine identification center between February 2016 and January 2020. Descriptive statistical analysis was used in all case studies according to the basic information,the first diagnosis time after injury, other additional oral injuries,previous dental history, dental imaging examination, entrusted items, expert opinion, and other information. Results In all cases, the most likely sites and types of teeth missing after trauma were maxillary and incisor, respectively. In the early cases after injury, except for the loss of teeth, there were different degrees of oral and maxillofacial injuries. Oral imaging examination has a high value in the evaluation of the degree of oral lesions. Nearly half of the cases involve the analysis of the relationship between injuries and diseases.Conclusion The analysis points of such cases can be better grasped, according to the clear history of trauma, post-traumatic treatment record, especially combined with oral imaging examination, and using the analysis principle of the relationship between injury and disease proposed in this study.
作者
彭钊
占梦军
范飞
鲁婷
平措桑珠
张奎
邓振华
PENG Zhao;ZHAN Mengjun;FAN Fei;LU Ting;PINGCUO Sangzhu;ZHANG Kui;DENG Zhenhua(Department of Radiology,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,China;West China School of Basic Medical Sciences&Forensic Medicine,Sichuan University,Chengdu,Sichuan 610041,China;Changdu Vocational and Technical School,Changdu,Tibet 854000,China)
出处
《中国司法鉴定》
2021年第4期48-54,共7页
Chinese Journal of Forensic Sciences
基金
四川省科技计划重点资助项目(2020YJ0267)。
关键词
法医学
牙缺失
伤病关系
口腔影像学检查
forensic medicine
tooth loss
relationship between injury and disease
oral imaging examination
