Analysis of 39 Forensic Clinical Sex Identification Cases after Sex Reassignment Surgery.

Q3 Medicine 法医学杂志 Pub Date : 2024-08-25 DOI:10.12116/j.issn.1004-5619.2023.230602

Yu-Jiao Wu, Yue-Qin Zhou, Yi-Wen Shen, Jie-Qing Jiang

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Abstract

Objectives: To analyze the characteristics of forensic clinical sex identification cases after sex reassignment surgery for transsexualism, discuss the main point of forensic clinical sex identification in China based on domestic and foreign sex change policies and related cases, so as to standardize relevant identification.

Methods: A total of 39 cases of forensic clinical sex identification were collected from Center for Forensic Science, Shanghai Medical College of Fudan University in recent years, and the ratio of sex, identification time, the location of surgery, secondary sex characteristic and other information were statistically analyzed.

Results: Transgender woman accounted for 97.4% of the cases, and 94.9% of the cases were operated in Thailand. All cases were identified after the sex reassignment surgery, and at least one of the secondary sex characteristics was consistent with the postoperative primary sexual characters. There were only 2 cases in which auxiliary examination was applied.

Conclusions: Forensic clinical sex identification should be based on the principle that the primary and secondary sex characteristics are consistent with the changed sex.

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变性手术后法医临床性别鉴定39例分析。

目的：分析易性癖变性手术后法医临床性别鉴定案例的特点，结合国内外变性政策及相关案例，探讨中国法医临床性别鉴定的要点，以规范相关鉴定。方法：收集复旦大学上海医学院法医学中心近年来的39例法医临床性别鉴定病例，对其性别比例、鉴定时间、手术部位、第二性征等信息进行统计分析。结果：泰国跨性别女性患者占97.4%，其中94.9%为手术患者。所有病例均在变性手术后确定，且至少有一个第二性征与术后原生性征一致。辅助检查仅2例。结论：法医临床性别鉴定应以第一、第二性征与变性人一致为原则。

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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