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张光霞,何英,杨绍光,韩蕾,胡甜甜.司法鉴定中肋骨骨折影像诊断符合率影响因素的研究[J].中国医药科学,2022,(20):24-29        基金项目:
司法鉴定中肋骨骨折影像诊断符合率影响因素的研究
Study on influencing factors of diagnostic imaging coincidence rate of rib fracture in judicial expertise
  
DOI:
中文关键词:  肋骨骨折;伤残等级;法医临床学;司法鉴定;影像学检查
英文关键词:Rib fracture; Degree of disability; Clinical forensic medicine; Judicial expertise; Imaging examination
作者单位
张光霞,何英,杨绍光,韩蕾,胡甜甜 山东大舜司法鉴定所法医临床办公室,山东济南 250014 
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中文摘要:
      [摘要] 目的 探讨不同影像学检查方法、检查时间和次数对司法鉴定中肋骨骨折诊断符合率的影响。 方法 本研究选取2012年1月至2021年12月山东大舜司法鉴定所肋骨骨折伤残鉴定实际案例(共2000例),对案例的性别、年龄、损伤方式、伤后影像学检查方式、检查时间、复查次数等情况进行分组及组间差异的统计学分析。对照组为多种影像检查方法、不同时间、多次复查结果综合获得的肋骨骨折情况。 结果 肋骨骨折诊断符合率在性别、年龄、损伤方式的组间比较,差异无统计学意义(P > 0.05);X线摄片(X线)、计算机断层扫描(CT)、X线联合CT影像学检查组的肋骨诊断符合率均低于对照组,差异均有统计学意义(P < 0.05);X线影像学检查方法的不同检查时间和次数各分组的肋骨诊断符合率均低于对照组,差异均有统计学意义(P < 0.05);CT影像学检查方法、X线联合CT影像学检查方法的不同检查时间和次数各分组的诊断符合率均低于对照组,差异均有统计学意义(P < 0.05)。 结论 司法鉴定中肋骨骨折诊断符合率与性别、年龄、损伤方式等因素无关;肋骨骨折诊断符合率在伤后影像学检查方式、检查时间和次数上存在显著差异。
英文摘要:
      [Abstract] Objective To discusses the influence of different imaging examination methods, examination time and times on the diagnostic coincidence rate of rib fracture in judicial expertise. Methods A total of 2000 actual cases of rib fracture disability identification in Shandong Dashun Judicial Authentication Institute from January 2012 to December 2021 were selected in this study, and the gender, age, injury mode, post-traumatic imaging examination method, examination time, reexamination times and other situations of the cases were grouped and statistically analyzed for differences between groups. In the control group, the rib fracture was comprehensively obtained by multiple imaging examination, different times and multiple reexaminations. Results There was no significant difference in the diagnostic coincidence rate of rib fracture between groups in terms of gender, age and injury mode (P > 0.05). The diagnostic coincidence rate of ribs was lower in the X-ray photograph (X-ray), computed tomography (CT) and X-ray combined with CT imaging group than that in the control group, with statistically significant differences (P < 0.05). The diagnostic coincidence rate of ribs in each group was lower than that in the control group at different examination time and times of X-ray radiography, with statistically significant differences (P < 0.05). The diagnostic coincidence rate of each group with different examination time and times was lower in the CT imaging examination method, X-ray combined with CT imaging group than that in the control group, with statistically significant differences (P < 0.05). Conclusion The diagnostic coincidence rate of rib fracture in judicial expertise is unrelated to gender, age, injury mode and other factors, and there are significant differences in the diagnostic coincidence rate of rib fracture in terms of post-traumatic imaging examination methods, examination time and times.
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