HYMEN AS AN OBJECT OF FORENSIC MEDICAL OBSTETRIC AND GYNECOLOGICAL EXPERTISE AND ERRORS IN ITS STUDY

A. A. Tenkov, A. A. Krivokhatko
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Abstract

The aim of the work was to assess the morphofunctional status of the hymen in children and to demonstrate the most frequent mistakes made by forensic experts in its study. The sample included 323 cases of forensic medical expertise, during which the hymen was examined in female children. Statistical processing of the data was descriptive: the results were shown as absolute values, percentages, medians and their 95% confidence intervals, first and third quartiles. Before calculating some of these criteria, the distribution of the data was determined. In the general population, the hymen in children most often has the following morphological and functional characteristics: ring-shaped; low or medium; elastic; significantly extensible; with notches on the free edge; with a middle hymenal opening; «miscellaneous» histological type. For all these characteristics, the corresponding 95% confidence intervals were calculated, which did not intersect with others, and their ranges, in quantitative terms, were the largest. That is why the information obtained was extrapolated to the general population. When studying the hymen, forensic medical experts are least likely to evaluate the following parameters: elasticity and extensibility. The lack of an adequate assessment of them may call into question the subsequent expert conclusions.
处女膜作为法医对象的妇产科专业知识及其研究误区
这项工作的目的是评估儿童处女膜的形态功能状态,并证明法医专家在研究中最常犯的错误。样本包括323例法医专业知识,在此期间对女童的处女膜进行了检查。数据的统计处理是描述性的:结果显示为绝对值、百分比、中位数及其95%置信区间、第一和第三四分位数。在计算其中一些标准之前,确定了数据的分布。在一般人群中,儿童处女膜最常具有以下形态和功能特征:环状;低或中等;弹性;明显可扩展;自由边缘有缺口;有中间处女膜开口的;“杂项”组织学类型。对于所有这些特征,我们都计算了相应的95%置信区间,这些置信区间不与其他特征相交,从数量上看,它们的范围是最大的。这就是为什么获得的信息是外推到一般人群。在研究处女膜时,法医专家最不可能评估以下参数:弹性和延伸性。缺乏对它们的适当评估可能会使随后的专家结论受到质疑。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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