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[交通事故所致骨盆骨折伤残程度与Tile分型的相关性]

[Correlation of disability degree and Tile type of pelvic fracture caused by traffic accidents].

作者信息

Hu Xuan-Li, He Rong, Zhou Ping, Cai Xiao-Qiang

机构信息

Forensic Judical Appraisal Institute, Suzhou Municipal Hospital, Suzhou 215002, China.

出版信息

Fa Yi Xue Za Zhi. 2012 Feb;28(1):49-51.

Abstract

OBJECTIVE

To analyze the relevance of Tile type of pelvic fracture and the degree of disability and explore how to understand the malunion and severe malunion of pelvic fracture for the injured in the traffic accidents.

METHODS

Eighty-six cases of pelvic fractures caused by traffic accidents from August 2008 to August 2011 in Forensic Judical Appraisal Institute of Suzhou Municipal Hospital were collected. At first, the grade of disability for every case was evaluated by 3 senior forensic experts independently. Then, the Tile type of pelvic fractures for every case was determined by 3 radiologists independently. At last, the correlation of the types of the fracture with the grades of disabilities was analyzed.

RESULTS

In all the cases there were 19 cases determined as A-type fracture and evaluated as non-grade disability. There were 43 cases determined as B-type fracture. And in these cases there were 41 cases determined as tenth grade of disability, one case as non-grade disability and one case as ninth grade disability. There were 24 cases determined as C-type fracture. And in these cases there were 14 cases evaluated as tenth grade disability and 10 cases evaluated as ninth grade disability. There was a correlation between the grade of disability and the type of the fracture (r = 0.760).

CONCLUSION

The disability degree caused by pelvic fracture correlates significantly with the type of the fracture. The finding is potentially useful to understand the malunion and severe malunion of pelvic fracture in forensic practice.

摘要

目的

分析骨盆骨折Tile分型与伤残程度的相关性,探讨如何认识交通事故伤者骨盆骨折的畸形愈合与严重畸形愈合情况。

方法

收集苏州市立医院司法鉴定所2008年8月至2011年8月因交通事故导致骨盆骨折的86例病例。首先,由3名资深法医专家独立对每例病例的伤残等级进行评定。然后,由3名放射科医生独立确定每例病例的骨盆骨折Tile分型。最后,分析骨折类型与伤残等级的相关性。

结果

所有病例中,确定为A型骨折且评定为非伤残等级的有19例。确定为B型骨折的有43例,其中评定为十级伤残的有41例,评定为非伤残等级的1例,评定为九级伤残的1例。确定为C型骨折的有24例,其中评定为十级伤残的14例,评定为九级伤残的10例。伤残等级与骨折类型之间存在相关性(r = 0.760)。

结论

骨盆骨折所致伤残程度与骨折类型显著相关。该发现对法医实践中认识骨盆骨折的畸形愈合和严重畸形愈合可能具有重要意义。

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