骨盆损伤鉴定的影像学检查方法选择探讨

目的通过研究骨盆结构和常用影像学检查方法,对骨盆损伤的影像学检查方法的选择提出建议。方法研究数例法医学鉴定中骨盆损伤的案例,结合骨盆环的生物力学和骨盆损伤分型,并对X线透视、X线摄片检查、CT等检查方法进行比较。结果四个骨盆损伤案例都是多发损伤,通过X线和CT检查均能满意地确认。结论结合骨盆致伤方式和生物力学,注意被鉴定人是否存在多发伤,来选择适合的影像学检查方法以正确评价骨盆损伤。

Method selection from medical imaging examinations in evaluation of pelvic injury in forensic medicine

Objective To table a proposal for select using the medical imaging methods to evaluate pelvic injury in forensic field, by studying the structure of pelvis and radiological methods in common use. Methods A study of several cases of pelvic injury was done, in which biomechanics and classification of pelvic injury were analyzed, moreover imaging methods were compared with each other, such as fluoroscopy, X-ray photography, computerized tomography (CT) and so on. Results Four cases of pelvic injury are all multiple injuries, confirmed by X-ray photography and CT examination approvingly. Conclusions Authors advocate that pelvic injury mechanism and biomechanics should be considered accordingly, multiple injuries should be attracted notice, so as to select suitable imaging methods to evaluate pelvic injury exactly.