骨密度测定在外伤后骨折法医临床学鉴定中的意义  

Significance of bone mineral density measurement in evaluation of bone fracture in clinical forensic medicine

作　　者：刘军[1] 贾雪峰[2] 仇海华[1] 王磊[1] 郭秀改[1] 冀建华[3] 刘刚[4] 杨璐[5] 

机构地区：[1]北京市公安局朝阳分局法医检验鉴定所,北京100020 [2]北京市公安局西城分局法医检验鉴定所,北京100032 [3]北京市公安局大兴分局法医检验鉴定所,北京102612 [4]北京市公安局宣武分局法医检验鉴定所,北京100052 [5]北京市公安局东城分局法医检验鉴定所,北京100020

出　　处：《中国法医学杂志》2005年第6期335-337,共3页Chinese Journal of Forensic Medicine

摘　　要：目的测定外伤后骨折者的骨密度,探讨骨折鉴定中骨质疏松和外伤的关系.方法应用双能X线骨密度吸收仪进行骨密度测定,参照世界卫生组织制定的骨质疏松症诊断标准和外伤参与度评定的一般原理,对15例外伤后骨折者的临床法医学鉴定进行分析.结果15例伤者:男6例,女9例,年龄在43～85岁之间;骨密度值在0.354～1.067 g/cm2之间;7例诊断骨质疏松症,外伤参与度为50%,其中5例评定为轻微伤,2例评定为轻伤;其余8例均为骨量减少,评定为轻伤.结论骨密度测量可预测骨折危险性,有助于骨折临床法医学鉴定的伤病关系分析.Objective To investigate the osteoporosis - trauma relationship by measurement of osseous density in patients with bone fracture. Methods According to the diagnostic criterion of osteoporosis formulated by WHO and the general principle of injury contributory, we analyzed data in 15 patients with traumatic fractures using double - energy x - ray bone＇ s density absorbability instrument. Results 15 cases （6 males and 9 females） were evaluated with ages ranging from 43 to 85 years old. Bone mineral density varied between 0.354g/cm^2 and 1. 067g/cm^2. 7 cases were diagnosed as having osteoporosis. 5 patients were evaluated as sustaining slight injury and 2 moderate injury. Conclusion Since bone mineral density measurement may predict fracture risk, it is helpful to analyze injury - disease relationship in the evaluation for bone fracture severity in clinical forensic medicine.

关 键 词：法医临床学 骨折 骨密度测定 伤病关系 骨质疏松 

分 类 号：D919.4[医药卫生—法医学]