Scherer Susanne, Hansen Steen Holger, Lynnerup Niels
Afdeling for Retspatologi, Retsmedicinsk Institut, Frederik V's Vej 11, 2100 Copenhagen, Denmark.
Dan Med J. 2014 Sep;61(9):A4899.
From the clinical forensic examination reports made at the Department of Forensic Medicine, the University of Copenhagen, in 2007 concerning rape, attempted rape and sexual assault (RAS), information about the assault, including both violence and the perpetrator's line of sexual action was extracted, analysed and compared to the observed lesions (LE).
A total of 184 girls and women were included in this retrospective study.
75.5% of the victims were under 30 years of age. Observed LE: 79% had observed LE. 41% had body LE only, 19% genito-anal LE only, and 40% had both body and genito-anal LE. Half of the victims, who reported no exposure to violence, had body LE. Five victims also had LE of a self-inflicted character. Genito-anal LE: 47% had genito-anal LE, 64% of whom had one or two, commonest a tear. Body LE: 64% had body LE. 57% was caused by slight, blunt force. Information on line of sexual action was present in 148 cases. A total of 123 victims reported penetration: 94% vaginal, 16% anal and 20% oral. Three were exposed to anal penetration only. Eleven perpetrators used a condom. 50% of the cases with vaginal and/or anal penetration had genito-anal LE. Victims with both vaginal and anal penetration and victims who reported more than one perpetrator did not show more genito-anal LE. Anal penetration or attempted anal penetration has increased to 21% of cases.
Young victims are exposed to RAS. Half of them have genito-anal LE, typically one. Anal penetration or attempted anal penetration is increasing. This will often cause genito-anal LE. This finding stresses the importance that these examinations take place where both forensic and health-care expertise are offered.
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从哥本哈根大学法医学系2007年出具的关于强奸、强奸未遂和性侵犯（RAS）的临床法医检查报告中，提取了有关侵犯行为的信息，包括暴力行为和犯罪者的性侵犯方式，并与观察到的损伤（LE）进行了分析和比较。
本回顾性研究共纳入184名女孩和妇女。
75.5%的受害者年龄在30岁以下。观察到的损伤情况：79%的受害者有观察到的损伤。41%仅有身体损伤，19%仅有生殖器-肛门损伤，40%既有身体损伤又有生殖器-肛门损伤。一半报告未遭受暴力的受害者有身体损伤。五名受害者还有自残性质的损伤。生殖器-肛门损伤：47%的受害者有生殖器-肛门损伤，其中64%有一处或两处损伤，最常见的是撕裂伤。身体损伤：64%的受害者有身体损伤。57%是由轻微钝器暴力造成的。148例案件中有关于性侵犯方式的信息。共有123名受害者报告有插入行为：94%为阴道插入，16%为肛门插入，20%为口交插入。三名受害者仅遭受肛门插入。11名犯罪者使用了避孕套。50%有阴道和/或肛门插入行为的案件有生殖器-肛门损伤。同时有阴道和肛门插入行为的受害者以及报告有多名犯罪者的受害者并未表现出更多的生殖器-肛门损伤。肛门插入或肛门插入未遂的案件已增至21%。
年轻受害者易遭受强奸、强奸未遂和性侵犯。其中一半有生殖器-肛门损伤，通常为一处。肛门插入或肛门插入未遂的情况正在增加。这通常会导致生殖器-肛门损伤。这一发现强调了在提供法医和医疗专业知识的地方进行这些检查的重要性。
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