摘要
宫颈癌是危害女性身心健康的主要癌症之一,其发病率在全球范围内女性相关癌症中的排名仅次于乳腺癌、结直肠癌和肺癌,位居第四。在中国每年约有2~3万人次女性因患宫颈癌而死亡,因此宫颈癌的防治任务尤为艰巨。宫颈癌前病变和早期宫颈癌能够通过宫颈癌筛查达到早诊断、早治疗的目的,从而降低宫颈癌的发病率和死亡率。目前宫颈筛查方式包括细胞学筛查(宫颈细胞学检查、人乳头瘤病毒检测)、阴道镜检查、肉眼观察法等单独或联合检测,如何针对特定地区和人群因地制宜选择最佳筛查策略是目前亟待解决的难题。对国内外文献的复习并结合我国国情,探讨适合我国不同卫生资源区域的宫颈癌筛查方案。
Cervical cancer is one of the major cancers that harm women's physical and mental health.Its incidence ranks the fourth in all female-related cancers,only after breast cancer,colorectal cancer and lung cancer worldwide.The task of preventing cervical cancer is especially difficult in China,where about 20,000 to 30,000 women die from it every year.Cervical cancer screening can find out precancerous lesion and early cervical cancer,serving as a way to early diagnosis and early treatment,thus reducing the incidence and mortality of cervical cancer.At present,cervical screening methods include cytology screening(cervical cytology,human papillomavirus detection),colposcopy,visual observation and other single or combined detection.How to select the best screening strategy for specific regions and populations is an urgent problem to be solved.Through reviewing the domestic and foreign literatures and combining the national conditions of China,this paper discusses the cervical cancer screening program suitable for areas with different health resources in China.
作者
卿清
刘洋
周红林
QING Qing;LIU Yang;ZHOU Hong-lin(Dept.of Genecology,The 2nd Affliated Hospital of Kunming Medical University,Kunming Yunnan 650101,China;Dept.of Reproduction,The 2nd Affliated Hospital of Kunming Medical University,Kunming Yunnan 650101,China)
出处
《昆明医科大学学报》
CAS
2020年第6期162-166,共5页
Journal of Kunming Medical University
基金
国家自然科学基金资助项目(81860515)
云南省卫生计划生育委员会医学后备人才培养项目(H-201629)
云南省卫生科技计划项目(2014NS092,2014NS091,2016NS286,2016NS287,2017NS277)
云南省科技厅-昆明医科大学应用基础研究联合专项基金资助项目[2018FE001(-055)]
云南省万人计划“青年拔尖人才”培养项目(云人社发[2018]73号)。
关键词
宫颈癌
筛查策略
人乳头瘤病毒
宫颈细胞学
Cervical cancer
Screening strategies
Human papillomavirus
Cervical cytology
