بررسي هفت ساله شكايت از جراحي هاي زيبايي ناحيه صورت ارجاع شده به پزشكي قانوني استان فارس طي سالهاي 1385 تا 1392

Seven years survey study of complaints of facial cosmetic surgery referred to Shiraz Forensic administration since 2006 to 2013

مقدمه: امروزه بروز قصور و تخلفات پزشكي و به دنبال آن شكايت و دادخواهي بيماران و سر انجام درخواست غرامت از سوي ايشان، پزشكان و جامعه­ي پزشكي را با بحراني فزاينده روبرو ساخته است. هدف از انجام اين مطالعه، بررسي جوانب مختلف شكايت از جراحي­هاي زيبايي ناحيه صورت ارجاع شده به پزشكي قانوني استان فارس طي سال­هاي 1385 تا 1392 مي باشد. روش كار: در يك بررسي گذشته­نگر، با هدف تعيين هفت ساله شكايات مربوط به جراحي زيبايي ناحيه صورت ارجاع شده به پزشكي قانوني استان فارس تمامي پرونده هاي شكايت با موضوع تخلف در زمينه جراحي­هاي زيبايي صورت طي سال­هاي 1385 تا 1392 بررسي شدند. نتايج: در اين مطالعه، تعداد شاكيان از نظر جنسيت بين مرد (5/34%) و زن (5/65%) و همچنين از نظر وضعيت تاهل نيز تفاوت زيادي ميان افراد متاهل (4/36%) و افراد مجرد (5/54%) در ميزان شكايت ديده مي شود. بيشترين افراد متشاكي متخصصين (4/57 %) بودند و پس از آن تحصيلات فوق تخصص با فراواني 8/27 % و پزشك عمومي با فراواني13% ساير متشاكيان پرونده­ها را تشكيل مي­دادند. از نظر نوع تخصص افراد متشاكي، بيشترين فراواني مربوط به 28 نفر (9/50%) متخصصين گوش و حلق و بيني مي­باشد و پس از آن 16 نفر متخصص جراحي پلاستيك (1/29%) و پزشك عمومي (7/12%) داراي بيشترين فراواني بودند.

Introduction: Medical malpractice and violations and following that litigation by patients and finally recycling by them, is faced doctors and medical community with the growing crisis. Medical malpractice, ie, abuse of the specific requirements of the medical profession has the responsibility of doctor In fact, Including diagnosis and treatment and disease management mistakes Materials and Methods: This study is a retrospective cross-sectional study to determine Seven years old complaints about facial cosmetic surgery that referred to forensic medicine of Fars province that in 1385 to 92 years was conducted. Results: In terms of gender between men (34/5%) and women (65/5%) relatively large differences can be seen in the complaint. In our study in according to marital status a huge difference between married (36/4%) and single (54/6%) was seen in the complaint. Most physician were specialist with 57.4% (n = 31), and then Subspecialty with 27.8% (n = 15) and general practitioners were (13%) of cases. According to the results, 60% (n = 33) of physician were acquitted and 40% were sentences (n=22). The results of most frequent type of expertise (n=28) is related to ENT specialists (50.9%), followed by plastic surgery with 29.1% (n = 16) and GP (12.7%). The area of operation, the rhinoplasty is the most frequent complaint among the plaintiffs in 32 cases (58.2%). The type of malpractice, most malpractice was using inappropriate techniques with 27/3% of cases. In this regard, lack of skill, complications of treatment and compound, any 22/7% allocated to own.