St Mary's Sexual Assault Referral Centre, St Mary's Hospital, York Place, Manchester M13 9WL, UK.
Best Pract Res Clin Obstet Gynaecol. 2013 Feb;27(1):113-30. doi: 10.1016/j.bpobgyn.2012.08.011. Epub 2012 Dec 5.
The examination of the rape victim should focus on the therapeutic, forensic and psychological needs of the individual patient. One aspect will be an examination for ano-genital injuries. From a medical perspective, they tend to be minor and require little in the way of treatment. They must be considered when assessing the risk of blood-borne viruses and the need for prophylaxis. From a forensic perspective, an understanding of genital injury rates, type of injury, site and healing may assist the clinician to interpret the findings in the context of the allegations that have been made. There are many myths and misunderstandings about ano-genital injuries and rape. The clinician has a duty to dispel these.
对强奸受害者的检查应侧重于患者个体的治疗、法医和心理需求。其中一个方面是对肛门生殖器损伤的检查。从医学角度来看，这些损伤往往较为轻微，治疗需求不大。在评估血源性病毒感染风险和预防措施的必要性时，必须考虑这些损伤。从法医学的角度来看，了解生殖器损伤的发生率、损伤类型、部位和愈合情况，可能有助于临床医生根据提出的指控来解释检查结果。关于肛门生殖器损伤和强奸，存在许多误解和误解。临床医生有责任消除这些误解。
