肋骨骨折的法医学鉴定研究与分析

Research and Analysis of Forensic Identification of Rib Fractures

目的分析肋骨骨折的法医学鉴定结果。方法对鉴定所2017年6月-2019年6月受理的144例肋骨骨折经法医学鉴定的案例的临床资料进行回顾性分析。对早期就诊的临床医学资料与鉴定过程的法医学鉴定资料进行对比分析研究。结果法医学鉴定结果与临床医学诊断结果有一定误差,临床医学诊断结果准确率为73.61%,漏诊率达20.83%,误诊率达5.56%。鉴定过程中结合多排螺旋CT扫描、三维重建等技术的丰富影像学图像,可以减少鉴定误差,提高鉴定准确度。结论肋骨骨折伤者在临床医学诊断与法医学鉴定上都可能存在一定误差,为提高鉴定结果准确性,提升法医学鉴定价值,需要在鉴定过程中结合影像学检查方式综合分析考虑。

Objective To analyze the results of forensic identification of rib fractures.Methods A retrospective analysis of the clinical data of 144 cases with rib fractures forensically identified by the laboratory from June 2017 to June 2019 was performed.A comparative analysis of the clinical medical data and the forensic identification of the identification process in the early consultation.Results There was a certain error between the forensic identification results and clinical medical diagnosis results.The accuracy rate of clinical medical diagnosis results was 73.61%,the missed diagnosis rate was 20.83%,and the misdiagnosis rate was 5.56%.The rich imaging images combined with multi-row spiral CT scanning,three-dimensional reconstruction and other technologies in the identification process can reduce identification errors and improve identification accuracy.Conclusion wounded with rib fractures may have certain errors in clinical medical diagnosis and forensic identification.In order to improve the accuracy of the identification results and enhance the value of forensic identification,comprehensive analysis and consideration should be taken in the identification process in combination with imaging examination methods.