Muram D
Department of Obstetrics and Gynecology, University of Tennessee, Memphis 38103.
Child Abuse Negl. 1989;13(2):211-6. doi: 10.1016/0145-2134(89)90007-0.
A comparison was made between the findings observed during the examination of female victims of sexual abuse with the sexual acts to which the perpetrator confessed to have performed. In Shelby County, TN, during the calendar years 1985-1987, 30 individuals confessed to have sexually assaulted 31 girls. The mean age of the girls was 9.1 years, and that of the offenders was 30 years. In 18 of the 31 cases the offender admitted to vaginal penetration. Specific findings were observed in 11 of these 18 (61%) girls, compared with only 3 of 13 (23%) girls when penetration was denied. Although specific findings were more commonly observed when the perpetrator admitted to vaginal penetration, in 7 of 18 girls (39%) the examiner described normal appearing genitalia (n = 2), or nonspecific abnormalities only (n = 5). The author concludes that all complaints of sexual abuse must be considered potentially valid and should be investigated further, even if the physical examination fails to detect any abnormalities.
对性虐待女性受害者检查期间观察到的结果与犯罪者供认实施的性行为进行了比较。在田纳西州谢尔比县，1985年至1987年期间，30人供认对31名女孩实施了性侵犯。女孩的平均年龄为9.1岁，犯罪者的平均年龄为30岁。在31起案件中的18起，犯罪者承认有阴道插入行为。在这18名女孩中的11名（61%）观察到了特定结果，而在否认有插入行为的13名女孩中只有3名（23%）观察到特定结果。尽管当犯罪者承认有阴道插入行为时更常观察到特定结果，但在18名女孩中的7名（39%）中，检查者描述生殖器外观正常（n = 2），或仅存在非特异性异常（n = 5）。作者得出结论，即使体格检查未发现任何异常，所有性虐待投诉都必须被视为可能有效，应进一步调查。
