2017
骞寸編鍥介槾閬撻暅鍜屽瓙瀹鐥呯悊瀛︿細
闃撮亾闀滄鏌ユ爣鍑嗚В璇?/p>
缇庡浗瀹鐧岀瓫鏌ユ寚鍗楄縿浠婁负姝㈠凡缁忓彂甯冨拰鏇存柊浜嗚嫢骞茬増鏈?/p>
,
涓�鐩磋嚧鍔涗簬瀹屽杽
鍜屾湁鏁堝湴瀹炴柦瀹鐧岀瓫鏌ュ強鐩稿簲鐥呭彉鐨勬不鐤楀拰绠＄悊銆?/p>
闃撮亾闀滅殑搴旂敤鏄棰堢檶棰勯槻
鐨勪竴涓噷绋嬬銆?/p>
鍦ㄨ繃鍘荤殑
50
骞翠腑
,
闃撮亾闀滅粨鍚堝棰堢檶绛涙煡鍜屾不鐤楃檶鍓嶇梾鍙?/p>
,
鍦ㄩ檷浣庡棰堢檶鐨?/p>
鍙戠梾鐜囧拰姝讳骸鐜囨柟闈㈠彂鎸ヤ簡鍏抽敭浣滅敤銆?/p>
灏界闃撮亾闀滃湪瀹鐧岄闃蹭腑璧风潃鏍稿績浣滅敤
,
浣嗗叾鍑嗙‘鎬у拰鍙噸澶嶆�у彈鍒颁竴瀹氶檺鍒躲�傜編鍥介槾閬撻暅鍜屽瓙瀹鐥呯悊瀛︿細
(The
American Society for Colposcopy and Cervical Pathology, ASCCP)
涓撳缁?/p>
璁や负瀵艰嚧杩欎簺闄愬埗鐨勪富瑕佸洜绱犲寘鎷?/p>
:(1)
缂轰箯鏍囧噯鍖栭槾閬撻暅鏈銆?/p>
(2)
缂轰箯瀵归槾閬?/p>
闀滃疄璺靛拰姝ラ鐨勬寚鍗楀缓璁�?/p>
(3)
缂轰箯璐ㄩ噺淇濊瘉鎺柦銆?/p>
鏈夐壌浜庢
,
鑷?/p>
2015
骞?/p>
1
鏈堣捣
,
ASCCP
涓庣編鍥藉浗瀹剁檶鐥囩爺绌舵墍
(NCI
鍦ㄩ槾閬撻暅鏈銆?/p>
鍩轰簬椋庨櫓鐨勯槾閬撻暅妫�鏌ヤ互鍙婇槾
閬撻暅妫�鏌ョ▼搴忚繖
3
涓鍩熷埗瀹氫簡缇庡浗闃撮亾闀滄鏌ユ爣鍑嗐�?/p>
鍑犵粡璁ㄨ淇敼
,
浜?/p>
2017
骞?/p>
4
鏈?/p>
,
鍦ㄤ經缃楅噷杈惧窞濂ュ叞澶氫妇琛岀殑绗?/p>
16
灞婂浗闄呭棰堢梾鐞嗕笌闃撮亾闀滆仈鐩?/p>
(
the
International Federation for Cervical Pathology and Colposcopy, IFCPC)
澶т細涓婅繘琛屼簡鍏ㄤ綋璁ㄨ
,
缁忚繃鏈�鍚庝慨璁?/p>
,
浜?/p>
2017
骞?/p>
9
鏈?/p>
28
鏃ュ彂甯冮槾閬撻暅妫�鏌ユ爣
鍑嗐�傝鏍囧噯闄や簡
1
绡囧鏂囧
,
鍙︽湁
5
绡囨枃鐚粠闃撮亾闀滄湳璇�佸熀浜庨闄╃殑闃撮亾闀滄
鏌ョ瓑鏂归潰鍋氬嚭璇﹀疄鐨勫垎鏋愬拰闃愯堪
,
绡囧箙棰囬暱銆傚叿浣撳唴瀹圭粡鍒嗙被鍚庤В璇讳粙缁嶅涓嬶細
1
闃撮亾闀滄鏌ョ殑浣滅敤鍙婂埄寮?/p>
1.1
闃撮亾闀滅殑浣滅敤
闃撮亾闀滄鏌ユ槸閫氳繃闃撮亾闀滆繖涓壒瀹氫华鍣?/p>
,
瀹炴椂鍙鍖栬瘎浼板
棰?/p>
,
灏ゅ叾鏄棰堣浆鍖栧尯
(
transformation
zone,
TZ),
浠ュ彂鐜板棰堜笂鐨唴鐦ゅ彉
(
cervical
intraepithelial
neoplasia,
CIN)
鎴栭碁鐘朵笂鐨唴鐥呭彉
(SL)
鍜屾蹈娑?/p>
鐧屻�?/p>
褰撶劧
,
闃撮亾闀滆繕鍙敤浜庡叾浠栨儏鍐?/p>
,
濡傚闃撮亾澶栭槾璇勪及
,
鐢ㄤ綔楂樺垎杈ㄧ巼鑲涢棬闀?/p>
,
浠?/p>
鍙婃�т镜鍙楀鑰呯殑妫�鏌ョ瓑銆?/p>
闃撮亾闀滄鏌ュ疄璺靛寘鎷粠瀛愬棰堣瑙夎瘎浼板埌娲绘閲囨牱鐨勫畬
鏁撮槾閬撻暅鎿嶄綔銆傜敱浜庨槾閬撻暅鍗拌薄鐨勪富瑙傛�у拰涓嶇簿纭�?/p>
,
蹇呴』瀵规墍鏈夋綔鍦ㄧ梾鍙樿繘琛?/p>
娲绘
,
浠ユ槑纭渶涓ラ噸鐥呭彉鐨勭粍缁囩梾鐞嗗璇婃柇銆?/p>
闃撮亾闀滃簲琚涓轰竴绉嶉闄╄瘎浼板伐鍏?/p>
,
鐢ㄤ簬鎸囧闅忓悗鐨勬椿妫�銆佹不鐤楁垨闅忚鐨勭鐞嗐�?/p>
闃撮亾闀滄鏌ョ殑涓昏鎸囧緛锛?/p>
鍦ㄤ簬璇勪及涓嬪垪鍏锋湁瀹鑲跨槫楂橀闄╁濂?/p>
:(1)
寮傚父鎴?/p>
涓嶇‘瀹氱殑瀹鐧岀瓫鏌ョ粨鏋溿�?/p>
(2)
鍙兘鎻愮ず瀹鐧岀殑鐥囩姸鎴栦綋寰?/p>
,
鍖呮嫭鐩嗚厰妫�鏌ユ椂鍙?