法医学骨折愈合时间评估的研究进展  

Recent Development in the Study of Forensic Estimation of the Healing Time of Traumatic Fractures

作　　者：王龙龙 黎宇飞[3] 蒲涛 祝志伟 王旭[1,4] 

机构地区：[1]司法文明协同创新中心,北京100088 [2]克拉玛依市公安局,新疆克拉玛依834000 [3]中国刑事警察学院,辽宁沈阳110854 [4]中国政法大学证据科学教育部重点实验室,北京100088

出　　处：《中国司法鉴定》2017年第3期31-35,共5页Chinese Journal of Forensic Sciences

基　　金：教育部规划项目(10YJA820105);国家自然科学基金项目(81172912);国家自然科学基金项目(81450041);上海市现场物证重点实验室开放课题基金

摘　　要：创伤性骨折在法医学司法鉴定中始终占据相当数量,一种能监测骨折愈合时间并进行数字化、量化分析的模型对法医学鉴定有着极其重要的意义。合理地选择检查方法可以提高诊断的准确性,为最终的诉讼提供科学的鉴定意见和坚实的证据支持。通过综述影像学技术、振动分析及骨矿密度测定等方法,以测定骨折处骨痂的量、骨密度、刚度及骨代谢变化等,列出各类技术方法的特点,并评估这些技术方法在评估骨折愈合程度中的应用及其法医学意义。经比较研究认为,合理地运用多种技术方法,对骨折愈合程度进行综合评估,较单独使用单一方法更为准确,有助于为骨折形成时间的法医学鉴定提供科学依据。As the number of traumatic fractures cases in forensic appraisal is considerable and stable, a model that can monitor, digitize and quantify the healing time of traumatic fractures is of great significance to forensic medical appraisal. Choosing a reasonable inspection approach can improve the accuracy of diagnosis, and also provide scientific appraisal opinions and solid evidence for final litigations. Using the methods of radiological technology, the vibration analysis and the bone mineral density measurements, the data of the fracture callus weight, bone density, stiffness and bone metabolism changes can be acquired. This paper summarized the characteristics of various technology and methods and evaluated the application of these methods in estimating the healing time of traumatic fracture, as well as their forensic significance. Compared with a single method, the rational use of a variety of methods to evaluate the degree of fracture healing is more accurate, and is more helpful to provide scientific evidence of fracture formation time in forensic medical appraisal.

关 键 词：法医学 骨折 愈合时间 骨矿物密度测定 

分 类 号：D919.4[医药卫生—法医学]