摘要
目的 探究尸表检验用于骨折检查的灵敏度。方法 对满足研究条件的25例机械性损伤死亡案例进行回顾性研究。以全身尸体计算机断层扫描(post-mortem computed tomography,PMCT)检验的骨折检查结果为金标准,统计分析尸表检查对于不同解剖部位和不同骨折类型的灵敏度大小。结果 尸表检验仅发现不足1/2的骨折,且极易造成3个解剖部位(肩胛骨、椎骨和骨盆)和3种骨折类型(线状非完全性骨折、线状完全性骨折无错位和局部凹陷性骨折)的漏诊。结论 尸表检验用于骨折检查的灵敏度较低,引入现代尸体影像学检查可有效改善这一现状,以提升法医学尸体检案质量。
Objective To study the sensitivity of postmortem extermal examination for fracture detection.Methods 25 cases of traumatic death that met our study criteria were retrospectively reviewed.The differences of fracture detection between postmortem external and postmortem computed tomography(PMCT)examinations were compared,and the sensitivity of postmortem external examination for fracture detection at different anatomy levels and fracture types was analyzed statistically.Results Postmortem external examinations only detect less than 1/2 of the fractures,with severe missed diagnosis at 3 anatomic levels(scapula,vertebra and pelvis)and 3 fracture types(linear incomplete fracture,linear complete fracture without dislocation,and local depressed fracture).Conclusion The sensitivity of postmortem external examination is low.The introduction of modern post-mortem imaging can effectively improve this situation,with respect to enhance the quality of forensic autopsy examinations.
作者
余亚蕾
沈海斌
夏志远
晋文举
刘蓓蓓
顾嘉渊
何治疾
张蔚
刘四杰
丁锡联
张毓锵
龚群
何光龙
Yu Yalelei;Shen Haibin;Xia Zhiyuan;Jin Wenju;Liu Beibei;Gu Jiayuan;He Zhiji;Zhang Wei;Liu Sijie;Ding Xilian;Zhang Yuqiang;Gong Qun;He Guanglong(Forensic Science Center of Deqing County's Public Security Bureau,Huzhou 313200,China;Dian Research Center for Postmortem Imaging&Angiography,Zhejiang Dian Institute of Forensic Sciences,Hangzhou 310007,China;Forensic Science Center of Huzhou City's Public Security Bureau,Huzhou 313000,China;Forensic Science Center of Zhejiang Province's Public Security Department,Hangzhou 310009,China;Forensic Science Center of China's Ministry of Public Security,Beijing 100038,China)
出处
《中国法医学杂志》
CSCD
2023年第4期360-363,368,共5页
Chinese Journal of Forensic Medicine
基金
迪安鉴定虚拟解剖专项研究基金(DIFS202201A)
国家留学基金(201707070113)。
关键词
虚拟解剖
骨折
尸表检验
PMCT
灵敏度
Virtopsy
Fracture
Postmortem external examination
PMCT
Sensitivity
