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在强奸检查中使用阴道镜检查:医疗保健、法医和刑事司法问题。

Using colposcopy in the rape exam: health care, forensic, and criminal justice issues.

作者信息

Sommers Marilyn Sawyer, Fisher Bonnie S, Karjane Heather M

机构信息

University of Cincinnati, College of Nursing, Cincinnati, OH, USA.

出版信息

J Forensic Nurs. 2005 Spring;1(1):28-34, 19. doi: 10.1111/j.1939-3938.2005.tb00008.x.

DOI:10.1111/j.1939-3938.2005.tb00008.x
PMID:17073052
Abstract

In the setting of a forensic examination following rape, colposcopy allows practitioners to identify and photograph genital injury not readily visible to the unaided eye, thereby clarifying the location and extent of injury as well as providing evidence for court proceedings. Since the 1980s, the technique once reserved for victims of child abuse has been used across the lifespan and has been shown to identify genital injury in up to 87% of women who have been raped. The role of colposcopic findings as evidence in court testimony, however, remains controversial. This paper explores the history of colposcopy in the rape exam and describes the epidemiology of genital injury in consensual sex as well as rape.

摘要

在强奸案后的法医检查中,阴道镜检查可让从业者识别并拍摄肉眼不易察觉的生殖器损伤,从而明确损伤的位置和程度,并为法庭诉讼提供证据。自20世纪80年代以来,这项曾专为虐待儿童受害者保留的技术已应用于各个年龄段的人群,并且已证实在高达87%的强奸女性受害者中可识别出生殖器损伤。然而,阴道镜检查结果在法庭证词中作为证据的作用仍存在争议。本文探讨了阴道镜检查在强奸检查中的历史,并描述了自愿性行为以及强奸中生殖器损伤的流行病学情况。

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1
Using colposcopy in the rape exam: health care, forensic, and criminal justice issues.在强奸检查中使用阴道镜检查:医疗保健、法医和刑事司法问题。
J Forensic Nurs. 2005 Spring;1(1):28-34, 19. doi: 10.1111/j.1939-3938.2005.tb00008.x.
2
Patterns of genital injury in female sexual assault victims.女性性侵犯受害者的生殖器损伤模式。
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3
Using colposcopy in the rape exam: health care, forensic, and criminal justice issues.在强奸检查中使用阴道镜检查:医疗保健、法医和刑事司法问题。
J Forensic Nurs. 2005 Fall;1(3):99; author reply 99-100.
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Current issues in the use of colposcopy for examination of sexual assault victims.阴道镜检查用于性侵犯受害者检查的当前问题。
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The (in)significance of genital injury in rape and sexual assault.生殖器损伤在强奸和性侵犯中的(无)意义
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[Practical guide to the examination and interpretation of genital lesions of minor female victims of sexual assault].[性侵犯未成年女性受害者生殖器损伤检查与解读实用指南]
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Colposcopy to establish physical findings in rape victims.进行阴道镜检查以确定强奸受害者的身体检查结果。
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引用本文的文献

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Characterization of male sexual assault in the state of São Paulo, Brazil: an epidemiological study from 2014 to 2017.巴西圣保罗州男性性侵犯的特征:一项2014年至2017年的流行病学研究。
Int J Legal Med. 2024 Mar;138(2):571-581. doi: 10.1007/s00414-023-03104-z. Epub 2023 Oct 7.
2
Physical evidence of rape against children and adolescents in Brazil: Analysis of 13,870 reports of sexual assault in 2017.巴西儿童和青少年遭受强奸的物证:对2017年13870起性侵犯报告的分析。
SAGE Open Med. 2022 Mar 21;10:20503121221088682. doi: 10.1177/20503121221088682. eCollection 2022.
3
Health disparities in the forensic sexual assault examination related to skin color.
法医性侵犯检查中与肤色相关的健康差异。
J Forensic Nurs. 2009;5(4):191-200. doi: 10.1111/j.1939-3938.2009.01054.x.
4
Comparison of methods for identifying ano-genital injury after consensual intercourse.自愿性交后肛门生殖器损伤识别方法的比较
J Emerg Med. 2010 Jul;39(1):113-8. doi: 10.1016/j.jemermed.2008.08.024. Epub 2009 Feb 13.
5
Relationship of genital injuries and age in adolescent and young adult rape survivors.青少年及年轻成年强奸幸存者生殖器损伤与年龄的关系。
J Obstet Gynecol Neonatal Nurs. 2008 May-Jun;37(3):282-9. doi: 10.1111/j.1552-6909.2008.00239.x.
6
Defining patterns of genital injury from sexual assault: a review.界定性侵犯导致的生殖器损伤模式:综述
Trauma Violence Abuse. 2007 Jul;8(3):270-80. doi: 10.1177/1524838007303194.