Sjöberg I, Bengtsson B, Jönsson B, Nylander-Lundquist E
Kvinnokliniken, Norrlands Universitetssjukhus, Umeå.
Lakartidningen. 1998 Nov 18;95(47):5344, 5347-8.
As vulvovaginal disease are nog very common in prepubescent girls, it may seem reasonable to suspect sexual abuse when a small girl presents with complaints in the genital area. However, the very fact that there are visible changes suggests that it is no a case of sexual abuse, the signs of which are usually more subtle. To arrive at a correct diagnosis, and avoid unnecessary, traumatic investigation into the possibility of sexual abuse, it is essential that such patients be examined from the outset by physicians experienced in this field.
由于外阴阴道疾病在青春期前女孩中并不十分常见,当一个小女孩出现生殖器区域的不适主诉时,怀疑性虐待似乎是合理的。然而,存在明显变化这一事实表明这不是性虐待的情况,性虐待的迹象通常更为隐匿。为了做出正确诊断并避免对性虐待可能性进行不必要的、创伤性的调查,至关重要的是,这类患者从一开始就应由该领域经验丰富的医生进行检查。