盆腔区域断层研究的新方法和人类的克罗恩

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研究现实性：大多数情况下，骨盆区域的各种损伤都需要对损伤的性质、机制和状况进行法医评估。然而，到目前为止，还没有专门的分段方法来研究骨盆和会阴区域。只有 K.I. Khizhnyakova 提出了一种方法，用于在疑似流产的情况下检查女性生殖器官。因此，对交通事故、任何物体伤害、性犯罪、医源性伤害等发生在该领域的伤害和病理现象的案件，制定专门的断层法医学研究具有重要意义。

该研究的目的是开发用于骨盆和会阴法医检查的标准化截面方法。

研究材料和方法。在确认死亡后12小时内，对10具老年人和老年人尸体（5具男性尸体和5具女性尸体）进行了技术测试。

结果。研究骨盆和会阴的三种新的分段方法已经开发出来：1）会阴区域器官复合体的分离方法。允许对小骨盆的器官复合体和尸体的会阴区域进行专家研究，同时保持器官和组织的地形和解剖关系； 2）一种突出会阴部肌肉的方法。设计用于对骨盆膈肌、肌间空间和/或组织取样进行组织学检查的视觉检查； 3）一种进入会阴中心和加强它的肌肉的方法。目的研究泌尿外科或产科会阴和盆底肌肉。

结论。建议在人的骨盆和会阴部疑似受伤和各种起源的病理过程的情况下进行分段法医检查。这些方法在技术执行上很简单，包括对体重较大的尸体进行专家研究，不需要复杂的技能和特殊设备。

作者简介

Sergey N. Chemidronov

Samara State Medical University

Email: s.n.chemidronov@samsmu.ru
ORCID iD: 0000-0002-9843-1065
SPIN 代码: 1030-5920

MD, Cand. Sci. (Med.)

俄罗斯联邦, Samara

Vadim D. Kornilov

Samara State Medical University

Email: v.d.kornilov@samsmu.ru
ORCID iD: 0000-0003-3380-1958
SPIN 代码: 5860-6770

Graduate Student

俄罗斯联邦, Samara

Kornilov V. Kolsanov

Samara State Medical University

Email: a.v.kolsanov@samsmu.ru
ORCID iD: 0000-0002-4144-7090
SPIN 代码: 2028-6609

MD, Dr. Sci. (Med.), Professor

俄罗斯联邦, Samara

Anatoly P. Ardashkin

Samara State Medical University

编辑信件的主要联系方式.
Email: a.p.ardashkin@samsmu.ru
ORCID iD: 0000-0002-9357-3566
SPIN 代码: 4228-8082

MD, Dr. Sci. (Med.), Assistant Professor

俄罗斯联邦, Samara

参考

  1. Baranov AV. Medical and tactical characteristics of pelvic injuries in victims of road traffic and other emergency accidents in the conditions of the regional center of the European North of Russia [abstract dissertation]. Arkhangelsk; 2013. 19 p. (In Russ).
  2. Dyatlov MM. Severe and combined pelvic injury [abstract dissertation]. Minsk; 2004. 41 p. (In Russ).
  3. Badyaev VV, Shulga IP, Terentyev KL. Expert errors when conducting examinations on medical documents. In: Selected issues of forensic medical examination: proceedings of the conference. Ed. by A.I. Avdeev, I.V. Vlasyuk, A.V. Nesterov. Issue 17. Khabarovsk; 2018. Р. 29–34. (In Russ).
  4. Dmitrieva OA, Smirnova EV. Forensic medical assessment of injuries to the anorectal region and rectum in violent sexual acts. Forensic Medical Examination. 2011;(2):23–26. (In Russ).
  5. Kryukov VN, Kuznetsov LE, Novoselov VP, et al. Diagnosticum of mechanisms and morphology of fractures in blunt trauma of the skeleton. Vol. 2. Mechanisms and morphology of pelvic injuries. Novosibirsk: Nauka; 1997. 176 p. (In Russ).
  6. Khizhnyakova KI. Modification of the technique of sectional examination of female genitalia regarding abortion. Forensic Medical Examination. 1959;(2):53–56. (In Russ).
  7. Ivanova VD, Kolsanov AV, Chaplygin SS, et al. Clinical anatomy and operative surgery of the pelvis. Study guide. 2nd ed. Samara; 2011. 112 p. (In Russ).
  8. Chemidronov SN, Kornilov VD, Sharafullin IT, Larina TV. Variant anatomy of some perineal muscles in elderly and senile people. Morphology. 2019;155(2):311. (In Russ).
  9. Miroshnikov VM. Human perineum: anatomical, embryological and clinical aspects. (Scientific ed.). Astrakhan: Astrakhan State Medical University; 2001. 235 p. (In Russ).
  10. Korotkov NN, Olshansky MS, Kazarezov OV. Anatomical and angiographic features of angioarchitectonics of rectal arteries and their clinical significance. Coloproctology. 2016;(3):31–36. (In Russ). doi: 10.33878/2073-7556-2016-0-3-31-36
  11. Patent RUS 2683889 C1. Chemidronov SN, Sharifullin IT, Suvorova GN, et al. A method for isolating the organ complex of the perineal region of a person. (In Russ). Available from: https:// yandex.ru/patents/doc/RU2683889C1_20190402. Accessed: 15.02.2022.
  12. Patent RUS 2688797 C1. Chemidronov SN, Sharifullin IT, Suvorova GN, et al. A method of isolating the muscles of the perineum of a person. (In Russ). Available from: https://yandex.ru/patents/doc/RU2688797C1_20190522. Accessed: 15.02.2022.
  13. Patent RUS 2708056 C1. Chemidronov SN, Sharifullin IT, Suvorova GN, Kornilov VD. A method for isolating the tendon center of the perineum and the muscles that strengthen it in humans. (In Russ). Available from: https://yandex.ru/patents/doc/RU2708056C1_20191203. Accessed: 15.02.2022.

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2. Fig. 1. Scheme of performing incisions with the method of perineal muscles separating in female corpse (а) and male corpse (b): 1 ― anal orifice; 2 ― incision lines; 3 ― scrotum; 4 ― projection of coccyx apex; 5 ― labia majora pudendi.

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3. Fig. 2. Photos of sectional incisions to perineal area access female body (а); male body (b).

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4. Fig. 3. Scheme of incisions to perineal center access in females (а) and males (b): 1 ― labia majora; 2 ― incision lines; 3 ― anal orifice; 4 ― projection of coccyx apex; 5 ― the area of incision lines intersection ― corresponding to the perineal center; 6 ― holders; 7 ― scrotum.

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5. Fig. 4. Photo of incisions to male perineal center access.

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版权所有 © Chemidronov S., Kornilov V., Kolsanov A., Ardashkin A., 2022

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