交通事故致胸、腰椎损伤致残等级评定447例分析  

Analysis on Body Impairment Assessment upon 447 Thoracolumbar Spinal Injury Cases in Traffic Accidents

作　　者：李生彦[1] 黄思兴[2] 单兴尧 孔斌[2] 刘宽林[2] 

机构地区：[1]南充市公安局交警支队 [2]成都市公安局交通管理局,四川成都610036 [3]绍兴县公安局,浙江绍兴312000

出　　处：《法医学杂志》2006年第1期61-64,共4页Journal of Forensic Medicine

摘　　要：目的探讨车祸致胸、腰椎损伤程度与伤残程度的关系,总结伤残评定经验,探寻其规律性。方法选择胸、腰椎损伤的鉴定447例,重新审查诊断,分析治疗措施,评价胸腰部活动度丧失程度及神经功能障碍情况,分析损伤程度与后遗障碍之间的关系,综合评定伤残。结果胸、腰椎损伤类型及数量并不决定其胸、腰部活动障碍程度及神经损伤后遗症严重程度;椎体损伤的部位与胸腰部活动度障碍关系密切;神经损伤主要集中在T1至L2段脊柱损伤;椎体损伤医院误诊率较高。结论伤残评定应分析损伤与后遗症严重程度的因果关系,以损伤所致后遗症为评残依据,重点关注脊柱功能的丧失程度。Objective To discuss the relation between degree of body impairment and that of thoracolumbar spinal injuries resulting from road traffic accidents, and sum up the experiences in body impairment assessment and its regularity. Methods For comprehensive body impairment assessment, 477 cases of thoracolumbar spinal injuries in road accidents have been sorted out, reassessed and rediagnosed. In addition,analyses have been undertaken about their treatment, the assessment of the degree of their thoracolumbar dysfunction,nerve dysfunction and the relations between injuries and sequelaes. Results The analyses show that the degree of thoracolumbar dysfunction and that of the post-injury nerve dysfunction don＇t from nerve been necessarily depend on the quantity and degree of spinal injuries. However, the position suffering the thoracolumbar spinal injuries has an immense impact on the thoracolumbar dysfunction, and the impairment result mainly a high misd：iagnosis rate from the T1-L1 spinal injuries. The research also shows that there has in hospital about the spinal injuries. Conclusion In body impairment assessment, the cause and effect relations between the injury and degree of injury extent should be analyzed, the injury extent should be employed as principal evidence, and the degree of spinal dysfunction should be taken into greater consideration.

关 键 词：胸 腰椎损伤 神经功能障碍 腰部活动功能障碍 法医学鉴定 赔偿医学 伤残评定 

分 类 号：R681.5[医药卫生—骨科学] R683.2[医药卫生—外科学]