实用医学杂志 ›› 2022, Vol. 38 ›› Issue (15): 1865-1871.doi: 10.3969/j.issn.1006⁃5725.2022.15.004

• 专家笔谈 • 上一篇    下一篇

宫颈癌筛查策略的变迁及思考 

冯同富    

  1. 华中科技大学同济医学院附属湖北妇幼保健院妇科(武汉 430070)

  • 出版日期:2022-08-10 发布日期:2022-08-10
  • 基金资助:
    武汉市中青年医学骨干人培养工程(编号:[2018]116)

Changes and reflections on cervical cancer screening strategies 

FENG Tongfu   

  1. Department of Gynecology Maternal and Child Health Hospital of Hubei ProvinceTongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430070China
  • Online:2022-08-10 Published:2022-08-10

摘要:

宫颈癌在包括中国在内的发展中国家仍然是一个严重的公共卫生问题。宫颈癌的防控不 仅需要 HPV 疫苗的接种,更需要科学、有效、精准的筛查策略。宫颈癌的筛查策略近 30 年来一直在不断 的改变和优化,其在筛查方法、开始时间、时间间隔、结束时间等方面在不断的探索和研究,从以细胞学为 主体的筛查逐步过渡到以 HPV 检测为主体的筛查。全方位地回顾宫颈癌筛查策略的历史变迁,深入地思 考筛查过程中的关键问题,总结筛查经验和不足,对规范我国的宫颈癌筛查有着重要的理论意义和临床 指导作用。

关键词:

 , 宫颈癌,  , 筛查,  , 细胞学,  , 人乳头瘤病毒.

Abstract:

Cervical cancer remains a serious public health problem in developing countries,including China. The prevention and control of cervical cancer requires not only the vaccination of HPV vaccine,but also a scientific,effective and accurate screening strategy. The screening strategy of cervical cancer has been continuously changed and optimized in the past 30 years,and its screening methods,start time,time interval,end time,etc. are constantly being explored and studied,with the transition from cytology⁃based screening to HPV testing⁃based screening gradually. Reviewing the historical changes of cervical cancer screening strategies in an all ⁃ round way,thinking deeply about the key issues in the screening process,and summarizing screening experience and deficiencies have important theoretical significance and clinical guiding role in regulating cervical cancer screening in China. 

Key words:

cervical cancer, screening, cytology, human papillomavirus