Sebok János, Magyar Eva, Csanádi Csilla, Csáky András, Schönfeld Tibor
Ceglédi Toldy Ferenc Kórház, Pathologiai Osztály.
Orv Hetil. 2005 Aug 14;146(33):1711-20.
The authors have examined the importance of the autopsy from several aspects of view as the primary cause of death, comparison between clinical and pathological diagnosis, recognition of clinically unknown diseases, as well as new anatomical constellations, epidemiological data, assessment of effectiveness of modern imaging technics, authenticity of statistic concerning the cause of death and the quality control in medicine general. Data of the literature and computer system of authors based on several thousands autopsies proves that the post mortem investigation is the most effective method in evaluation of reliability of imaging technics too. The autopsy even in the XXI. century seems to be of greatest value for quality control of medical activity, except in cases when clinical diagnosis can be made biochemically only. In order to fulfill these requirements mentioned above a high level technical control of the autopsy technic itself is also needed.
作者从多个角度审视了尸检的重要性,包括作为主要死因、临床诊断与病理诊断的比较、对临床未知疾病的识别、新的解剖结构组合、流行病学数据、现代成像技术有效性的评估、死因统计的真实性以及医学总体质量控制等方面。基于数千例尸检的文献数据和作者的计算机系统证明,尸检也是评估成像技术可靠性的最有效方法。即使在21世纪,尸检对于医疗活动的质量控制似乎仍具有最大价值,但仅能通过生化手段进行临床诊断的情况除外。为了满足上述要求,对尸检技术本身也需要进行高水平的技术控制。