Schmitt H P
Virchows Arch A Pathol Anat Histol. 1975 Oct 30;368(3):213-27. doi: 10.1007/BF00432524.
Investigation of the cranial vaults of 336 adult autopsy cases from two continuous series, one from the Institute of Forensic Medicine of Cologne and the other from the Institute of Pathology of Heidelberg, revealed the incidence of an open sutura frontalis in 15 cases and an open sutura mendosa in one case. In the Cologne series the persistent sutura frontalis was found in 4.2 percent, in the Heidelberg series in 5.7 percent of the cases. A further analysis of the Cologne cases displayed a frequency of 8.6 percent suturae frontales in suicide cases as opposed to 2.5 percent in the compared cases. From two suicide cases of the Heidelberg series, 1 showed an open sutura mendosa together with an os incae bipartitum; the other revealed several suture bones accompanied by accessorial suture courses of the sutura lambdoidea. The differences in open-suture incidence between suicide cases and the others was significant by the X2-test. The small sample size, however, is inconclusive and another controlled observation of a larger sample is necessary. The possible mechanims for delayed suture closure and its relation to suicide are discussed.
对来自两个连续系列的336例成人尸检病例的颅顶进行研究，其中一个系列来自科隆法医学研究所，另一个来自海德堡病理学研究所，结果显示15例存在额缝开放，1例存在缝间骨开放。在科隆系列中，持续性额缝的发生率为4.2%，在海德堡系列中为5.7%。对科隆病例的进一步分析显示，自杀病例中额缝的发生率为8.6%，而在对照病例中为2.5%。在海德堡系列的两例自杀病例中，1例显示缝间骨开放并伴有二分印加骨；另1例显示几块缝间骨以及人字缝的副缝合线走行。通过X²检验，自杀病例与其他病例之间开放缝发生率的差异具有显著性。然而，样本量较小，尚无定论，有必要对更大样本进行另一项对照观察。文中讨论了缝线闭合延迟的可能机制及其与自杀的关系。
