肠穿孔的尸体影像学诊断研究  

Diagnosis of intestinal perforation on postmortem imaging

作　　者：晋文举 夏志远 沈海斌 余亚蕾 刘蓓蓓 顾嘉渊 何治疾 张蔚 刘四杰 丁锡联 张毓锵 龚群[4] 何光龙 Jin Wenju;Xia Zhiyuan;Shen Haibin;Yu Yalei;Liu Beibei;Gu Jiayuan;He Zhiji;Zhang Yu;Liu Sijie;Ding Xilian;Zhang Yuqiang;Gong Qun;He Guanglong(Dian Research Center for Postmortem Imaging&Angiography,Zhejiang Dian Institute of Forensic Sciences,Hangzhou 310007,China;Forensic Science Center of Deqing County’s Public Security Bureau,Huzhou 313200,China;Forensic Science Center of Huzhou City’s Public Security Bureau,Huzhou 313000,China;Forensic Science Center of Zhejiang Province’s Public Security Department,Hangzhou 310009,China;Forensic Science Center of China's Ministry of Public Security,Beijing 100038,China)

机构地区：[1]浙江迪安鉴定科学研究院迪安鉴定虚拟解剖研究中心,浙江杭州310007 [2]浙江省德清县公安司法鉴定中心,浙江湖州313200 [3]湖州市公安司法鉴定中心,浙江湖州313000 [4]浙江省公安厅物证鉴定中心,浙江杭州310009 [5]公安部鉴定中心,北京100038

出　　处：《中国法医学杂志》2023年第6期660-663,共4页Chinese Journal of Forensic Medicine

基　　金：迪安鉴定虚拟解剖专项研究基金(DIFS202201A);国家留学基金(201707070113)。

摘　　要：目的 探究尸体影像学方法在肠穿孔诊断方面的价值。方法 对2例肠穿孔(和4例对照案例)的尸体影像资料(PMCT和PMCTA)进行回顾性研究,分析尸体影像学方法用于肠穿孔的诊断能力。结果 PMCT对于肠穿孔引起的游离气体、液体的检测具有较高的敏感性,有时还可观察到腹盆腔低下部位的脓性分泌物,PMCTA能够发现肠穿孔部位造影剂的渗漏,因此可用于穿孔部位的准确定位。结论 尸体影像学方法(PMCT和PMCTA)在肠穿孔诊断方面具有重要价值,可以作为法医学肠穿孔诊断或解剖前穿孔定位的方法。Objective To study the value of postmortem imaging on the diagnosis of intestinal perforation.Method Postmortem imaging(PMCT and PMCTA)data of 2 intestinal perforation deaths(and 4 controlled cases)were reviewed retrospectively.Diagnosing capacities of intestinal perforation by postmortem imaging method were further investigated.Results PMCT is sensitive in detecting the free air and liquid induced by intestinal perforation.PMCT can sometimes detect the gravity-dependent purulent secretions in the abdominopelvic cavity.PMCTA can visualize the extravasation of contrast agent from the perforation,which can be used to locate the accurate perforation region.Conclusion Postmortem imaging method(PMCT and PMCTA)is an important tool for the diagnosis of intestinal perforation,which can not only be used as a forensic diagnosis method,but is also useful to locate the perforation site before an forensic autopsy.

关 键 词：穿孔 尸体影像学 虚拟解剖 PMCT PMCTA 

分 类 号：D919.4[医药卫生—法医学]