Anal findings in children with and without probable anal penetration: a retrospective study of 1115 children referred for suspected sexual abuse.

摘要: Interpreting the significance of anal findings in child sexual abuse can be difficult. The aim this study is to compare frequency features between children with and without penetration. This a retrospective blinded review consecutive charts seen for suspected at regional referral center from January 1. 2005 December 31. 2009 Based on predetermined criteria, were classified into two groups: low or high probability 1115 included, 84% girls 16% boys an age range 0.17 18.83 years (mean 9.20 year). 198 (17.8%) as belonging penetration group. Bivariate analysis showed significant positive association following penetration: Anal soiling (p=0.046), fissure (p=0.000), laceration (p=0.000) total dilatation (p=0.000). Logistic regression stratification confirmed soiling, lacerations fissures Total dilation was significantly correlated history girls, examined prone knee chest position symptoms. Several variables found associated penetration, including controversial finding dilatation. Due limitations design, should still interpreted caution absence clear disclosure child.