关键词: 骨龄, 年龄推断, 法医临床学, 标准化建设, 操作规范

Abstract: Age identification is a common service of clinical forensic medicine. However, there is still no practice criterion or published guidelines for skeletal age identification. The absence of criterion brings negative influence to the objectivity, accuracy and justice of forensic age identification. Based on the practice of age identification and the development of skeletal age researches, the standard protocol for age identification was discussed in the present study. The authors presented four principles of age identification, including comprehensive, average, lower limit and in time principles, and pointed out that the skeletal age determination should be based on the comprehensive analysis of various skeletons development with various methods and standards, and the dental age, secondary sex characters, nutritional state and other factors that can effect skeleton development should also be considered. A standard protocol for age identification can enhance the evidence role of age identification and improve the standardization construction of forensic identification. Additionally, the four principles presented here can also provide guidelines for other complex forensic medicine identifications.

Key words: skeletal age, age identification, forensic clinical medicine, standardization, practice criterion