39例性别重置术后法医临床性别鉴定案例分析

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

目的 分析易性症人群性别重置术后法医临床性别鉴定案例的特点,结合国内外性别变更政策及相关案例,探讨我国对性别重置术人群的性别鉴定要点,旨在规范相关鉴定。方法 收集复旦大学上海医学院司法鉴定中心近年39例法医临床性别鉴定案例,对性别比例、鉴定时间、手术地点、第二性征等进行统计分析。结果 跨性别女性案例占97.4%,手术地点在泰国者占94.9%,全部案例均在完成性别重置术后进行鉴定,均至少有一项第二性征与术后第一性征相符,辅助检查应用案例仅有2例。结论 法医临床性别鉴定应以第一性征、第二性征与变更后的性别相符为原则。

Objective 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 col‐lected 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 reassign‐ment surgery,and at least one of the secondary sex characteristics was consistent with the postopera‐tive primary sexual characters.There were only 2 cases in which auxiliary examination was applied.Conclusion Forensic clinical sex identification should be based on the principle that the primary and secondary sex characteristics are consistent with the changed sex.