MSCT曲面重组在鼻骨线性骨折法医鉴定中的应用  

MSCT CURVED SURFACE RESTRUCTURE:ITS APPLICATION IN MEDICOLEGAL INVESTIGATION FOR NASAL BONE LINEAR FRACTURES

作　　者：田小军[1] 张静[1] 李宝增[2] 闫刚兴[2] 赵志平[1] 郝大鹏[1] 

机构地区：[1]青岛大学附属医院放射科,山东青岛266003 [2]青岛市公安局刑警支队技术处

出　　处：《青岛大学医学院学报》2016年第3期303-305,共3页Acta Academiae Medicinae Qingdao Universitatis

摘　　要：目的探讨多层螺旋CT(MSCT)曲面重组(MSCT CPR)在鼻骨线性骨折法医学鉴定中的应用价值。方法分析因颅面部外伤进行法医学鉴定的98例病人的MSCT轴位平扫和MSCT CPR检查结果。结果 CT轴位平扫诊断为鼻骨正常和鼻骨线性骨折(单侧或双侧)者分别为29例和69例,鼻骨骨折阳性率为70.4%。MSCT CPR复诊诊断为鼻骨正常和鼻骨线性骨折者分别为20例和78例,鼻骨骨折阳性率为79.6%。结论 MSCT CPR有利于显示常规MSCT轴位平扫难以显示的鼻骨线性骨折,对鼻骨线性骨折的法医学鉴定具有更高的应用价值。Objective To assess the application value of multi-slice computed tomography curved surface reconstruction（MSCT CPR）in medicolegal expertise for nasal bone linear fracture. Methods MSCT axial view plain scan and MSCT CPR results of 98 patients with forensic identification for head and face trauma were analyzed. Results CT axial view plain scan：29cases were diagnosed as normal nasal bone,and 69 as nasal bone linear fracture-unilateral or bilateral-the positive rate of nasal bone fracture was 70.4%.MSCT CPR recheck showed normal nasal bone in 20 cases and nasal bone linear fracture in 78 cases,the positive rate of nasal bone fracture was 79.6%. Conclusion MSCT CPR is conducive to display the linear fracture of nasal bone that is difficult to display with routine MSCT axial view plain scan,which has a higher application value in forensic identification for nasal bone linear fracture.

关 键 词：鼻骨 骨折 体层摄影术 螺旋计算机 法医学 

分 类 号：D919[医药卫生—法医学]