标题: 美国最新子宫颈癌筛查指南学习与思考 [打印本页] 作者: wwwkkk83 时间: 2015-2-4 11:09 标题: 美国最新子宫颈癌筛查指南学习与思考 美国最新子宫颈癌筛查指南学习与思考
孙丽芳
【摘要】 虽然子宫颈癌筛查已较为普及,但规范诊治仍有待进一步加强。美国2012 子宫颈癌筛查指南细化了不同年龄各种宫颈细胞学异常的处理原则,特别强化了宫颈细胞学+人乳头状瘤病毒(HPV)联合检测是30 岁以上女性最好的筛查方法。
【关键词】 宫颈疾病; 乳头状瘤病毒感染; 筛查; 宫颈细胞学异常
Reflections on the ACS-ASCCP-ASCP Cervical Cancer Screening Guidelines 2012 Sun Lifang.
Department of Obstetrics and Gynecology, Beijing Jishuitan Hospital, Beijing 100035, China
Email: 13661161029@163.com
【Abstract】 Cervical cancer screening has become a widely accepted practice to reduce the incidence of cervical cancer. Standardized protocols of screening would help prevent the failure of
diagnosis and therapy. ACS-ASCCP-ASCP Cervical Cancer Screening Guidelines 2012 recommends standardized screening methods for females of different ages with different types of abnormal cervical
cytology. Specifically, it states that the joint screening on cervical cytology and HPV (co-test) is the most effective practice for females of 30 years old and older.
【Key words】 Uterine cervical diseases; Papillomavirus infections; Screening; Abnormal
cervical cytology
子宫颈癌是女性最常见的妇科恶性肿瘤之一,虽然目前中国尚无准确的全国范围子宫颈癌筛查及发病统计数字,但近期文献报道提示宫颈上皮内瘤变(CIN)Ⅱ和CINⅢ总体发生率分别为1.5%和
1.6%[1],2008 年WHO 估计中国子宫颈癌发生率为9.6/10 万[2]。而与宫颈癌及宫颈癌前病变密切相关的高危型人乳头状瘤病毒(HPV)总体阳性率为17.7%[1]
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