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目的探讨高频超声检查体表软组织损伤的法医学意义。方法选择经法医检查后128例体表软组织损伤患者,其中男性108例,女性20例;年龄4~65岁,平均年龄31.4岁。对其受伤部位进行高频超声检查,主要包括体表损伤部位、损伤深度及宽度、伤及内容及创道在软组织走行方向。回顾分析超声影像特点。结果 128例体表软组织损伤患者中伤及皮肤及皮下组织223处,伤及肌肉及肌腱102处,伤及神经19处,伤及血管2处,伤及骨皮质7处,合并异物10处,合并血肿21处。创道在软组织内走行方向:垂直型144处,斜型52处,水平型27处。结论高频超声可以清楚地显示并明确体表软组织损伤是否伤及肌肉、肌腱、血管、神经、异物存留及合并症,可以作为法医司法鉴定上有力的补充及提供医学影像科学依据。
Objective To explore the forensic significance of high-frequency ultrasound in detecting body surface soft tissue injury. Methods 128 cases of body surface soft tissue injury were examined by forensic examination, including 108 males and 20 females; aged from 4 to 65 years, with an average age of 31.4 years. High-frequency ultrasonography was performed on the injured parts, including the parts of the body surface, the depth and width of the injury, the content of injury and the direction of the soft tissue in the direction of the soft tissue. Review the characteristics of ultrasound imaging. Results 128 cases of skin soft tissue injury were injured in 223 cases of skin and subcutaneous tissue, 102 muscles and tendons were injured, 19 nerve injuries, 2 blood vessels were injured, 7 cortical bone were injured, 10 foreign bodies were merged, 21 hematoma. Innocene walking in the soft tissue direction: 144 vertical type, ramp type 52, 27 horizontal type. Conclusion High-frequency ultrasonography can clearly show and clarify whether body surface soft tissue injury can damage the muscles, tendons, blood vessels, nerves, foreign body and complications. It can be used as a powerful supplement to forensic forensic science and provide scientific basis of medical imaging.