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微创尸检——用于死后诊断的内镜方法。

Minimally invasive autopsy - endoscopic approach to post-mortem diagnostics.

作者信息

Świderski Paweł, Rzepczyk Szymon, Bożek Beata, Żaba Czesław

机构信息

Department of Forensic Medicine, Poznan University of Medical Sciences, Poznan, Poland.

出版信息

Wideochir Inne Tech Maloinwazyjne. 2024 Mar;19(1):122-128. doi: 10.5114/wiitm.2023.134122. Epub 2023 Dec 29.

Abstract

The noticeable decline in the number of autopsies performed in recent years requires investigation into the causes of the phenomenon and attempts to prevent it. One potential cause of this trend is fear of disfiguring the body. Carrying out autopsies using a minimally invasive method may reduce the decrease in the number of autopsies performed. The first work on the development of the method and its continuation gave promising results. This allows us to start a discussion on attempts to introduce the method. The solution seems especially justified when the alternative is to completely abandon post-mortem examinations using the traditional method. Laparoscopy and thoracoscopy are tools that allow for accurate imaging and analysis of organ changes. Enriching them with additional tests using endoscopic techniques may have a positive impact on the accuracy of autopsy diagnoses. The development of a clear protocol for minimally invasive post-mortem diagnosis requires further research to determine the accuracy of the method.

摘要

近年来尸体解剖数量显著下降,这需要对该现象的原因进行调查并尝试加以预防。这种趋势的一个潜在原因是担心损毁尸体。采用微创方法进行尸体解剖可能会减少尸体解剖数量的下降。该方法的首次研发工作及其后续进展取得了有前景的成果。这使我们能够开始讨论引入该方法的尝试。当替代方案是完全放弃传统方法的尸检时,该解决方案似乎尤为合理。腹腔镜检查和胸腔镜检查是能够对器官变化进行精确成像和分析的工具。使用内镜技术对其进行额外检测可能会对尸检诊断的准确性产生积极影响。制定清晰的微创尸检诊断方案需要进一步研究以确定该方法的准确性。

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