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骨折法医鉴定中常规X线与CT漏诊、误诊的技术因素分析

陈祥民,王子轩,徐海滨,罗世广,史为栋,马洪春

THE JOURNAL OF LAW & MEDICINE（2005）

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Abstract
目的探讨X线平片和常规CT检查技术对骨折漏、误诊的影响.方法对366例已接受普通X线或常规CT检查的骨折法医鉴定者行MSCT扫描并行对照性研究.结果骨折法医鉴定中普通X线、常规CT漏、误诊率分别为40.83%和29.73%,存在显著统计学差异(x2=4.69,P＜0.05).二者漏、误诊病例中与技术因素相关者分别占66.29%和88.63%,亦存在显著统计学差异(x2=7.58,P＜0.01).结论普通X线与常规CT的设备和技术缺陷与失误是造成漏、误诊的重要因素.
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Key words
fracture,forensic identification,misdiagnosis,underdiagnosis,x-ray
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