de la Grandmaison Geoffroy Lorin, Charlier Philippe, Durigon Michel
Department of Forensic Medicine and Pathology, Raymond Poincaré Hospital, AP-HP, Versailles Saint-Quentin University, 104 Boulevard Raymond Poincaré, 92380 Garches, France.
J Forensic Sci. 2010 Jan;55(1):85-8. doi: 10.1111/j.1556-4029.2009.01240.x. Epub 2009 Dec 2.
The forensic community does not agree on the need to perform histological examination at forensic autopsy. The aim of our study was to determine the usefulness of systematic standard histology in forensic autopsies. A prospective study was carried out on 428 autopsy cases for which standard histological examination was systematic. Mechanism of death not shown by gross anatomic findings was discovered by histology in about 40% of the cases. Cause of death was established by only histology in 8.4% of the cases. Microscopic findings affected the manner of death in 13% of the cases. Histology provided complementary information about prior medical condition of the deceased in about 49% of the cases. Traumatic lesions were better documented by histology in about 22% of the cases. According to the results of our study, systematic standard histology for the main organs should be used in routine forensic autopsies.
法医界对于在法医尸检时进行组织学检查的必要性尚未达成共识。我们研究的目的是确定系统标准组织学在法医尸检中的作用。对428例进行了系统标准组织学检查的尸检病例进行了一项前瞻性研究。在约40%的病例中，组织学发现了大体解剖结果未显示的死亡机制。仅通过组织学确定死因的病例占8.4%。显微镜检查结果在13%的病例中影响了死亡方式。在约49%的病例中，组织学提供了关于死者既往病史的补充信息。在约22%的病例中，组织学能更好地记录创伤性病变。根据我们的研究结果，常规法医尸检应采用对主要器官进行系统标准组织学检查的方法。
