影像学技术与尸体解剖在致伤方式鉴定中的应用比较  

Comparison between Application of Imaging Techniques and Autopsy in the Identification of Injury Manner

作　　者：刘宁国[1] 邹冬华[1] 许建荣[2] 赵辉林[2] 郑剑[1] 陈忆九[1] 

机构地区：[1]司法部司法鉴定科学技术研究所上海市法医学重点实验室,上海200063 [2]上海交通大学附属仁济医院放射科,上海200030

出　　处：《法医学杂志》2009年第4期254-259,共6页Journal of Forensic Medicine

基　　金：国家自然科学基金项目(30872920)

摘　　要：目的探讨影像学技术在法医学死因鉴定、致伤方式分析研究中的应用范围。方法以真实高坠死亡案例为研究对象,分别运用多层螺旋CT平扫、三维重建和磁共振成像技术对尸体进行全面检查,随后即行系统尸体解剖,分别比较影像学技术与尸体解剖在关键信息和细节信息获取方面的优点和不足。结果对于损伤死亡案例,影像学技术可以收集损伤、骨折、出血等关键信息,且具有预先探知、显示非常规解剖部位微小损伤等优点,对于细节问题显示尚存在不足,某些技术的法医学应用尚需进一步磨合。结论影像学技术应用可在致伤方式鉴定中作为法医尸体解剖的指导和补充,在特定情况下可起到一定的替代作用。Objective To explore the application of imaging techniques in determining the death cause and injury manner. Methods One case due to high fall was fully examined using muhi-slice spiral computed tomography（MSCT）, 3-D imaging creation and magnetic resonance imaging（MRI）. The systemic and detailed autopsy was subsequently performed to compare with the results from imaging studies. The advantages and disadvantages of autopsy and imaging studies were then analyzed. Results Most of the important information such as trauma, fracture and hemorrhage could be obtained by imaging techniques. Furthermore, imaging methods can predict injuries in internal body before autopsy and be minimal or non-invasive to the cadaver. However, the imaging techniques probably also can not find some details in comparison to autopsy in forensic practice and need to improve in their future application. Conclusion Application of imaging techniques can be used as the guidance and complimentary for the forensic autopsy in the identification of injury manner. In addition, the application can even be used to replace autopsy in some special circumstances.

关 键 词：法医病理学 放射摄影术 尸体解剖 创伤和损伤 

分 类 号：DF795.1[医药卫生—法医学]