中国实用妇科与产科杂志

中国实用妇科与产科杂志

• 专题笔谈 • 上一篇    下一篇

老年女性子宫颈癌筛查及子宫颈病变的处理

  

  1. 1.四川大学华西第二医院妇产科，四川 成都 610041;2.四川大学华西第二医院出生缺陷与相关妇儿疾病教育部重点实验室，四川 成都 610041
  • 出版日期:2020-07-02 发布日期:2020-06-30
  • 通讯作者: 尹如铁
  • 基金资助:
    四川省科学技术厅重点研发项目（19ZDYF）

Cervical cancer screening and management of cervical lesions in elderly women.

  1. 1.Department of Obstetrics and Gynecology，West China Second University Hospital，Sichuan University，Chengdu 610041，China；2.Key Laboratory of Birth Defects and Related Diseases of Women and Children （Sichuan University），Ministry of Education，Chengdu 610041，China
  • Online:2020-07-02 Published:2020-06-30

摘要： 老年女性仍有较高的罹患子宫颈癌的风险，受多种因素致其子宫颈癌筛查不足且缺乏专门针对老年女性的筛查及处理指南，现行的子宫颈癌筛查指南中对不能满足停筛条件的老年女性，由于存在患病的风险，应当继续进行筛查，已达成共识。目前，那些满足停筛条件的老年女性，65岁为其终止筛查年龄的建议受到了争议。对于老年女性的子宫颈癌筛查及子宫颈病变的处理应注意充分利用机会性筛查，且在进行阴道镜检查及活检时应充分考虑到老年女性的特殊性，对于老年性阴道炎明显患者可在检查前2周局部使用雌激素；不满意的阴道镜检查时应利用特殊的暴露及活检技巧等。文章通过复习文献并结合自身经验成文，以期对临床老年女性子宫颈癌的筛查和子宫颈病变的处理提供帮助。

关键词: 老年女性, 子宫颈癌筛查, 处理

Abstract: Elderly women still have a higher risk of cervical cancer.However，due to a variety of factors，the cervical cancer screening is not enough and there is a lack of special guidance for screening and treatment of elderly women.In the current cervical cancer screening guidelines，there is a consensus that the elderly women who can not meet the screening conditions should continue to be screened due to the risk of disease.However，the suggestion that the 65 - year-old women who meet the criteria for stopping screening can't be screened is controversial.For the screening of cervical cancer and the treatment of cervical lesions in the elderly women，we should make full use of opportunistic screening，and take the particularity of the elderly women into full consideration when carrying out colposcopy and biopsy.For the elderly patients with obvious vaginitis，estrogen can be used locally two weeks before the examination； for those who are not satisfied with colposcopy，special exposure and biopsy techniques should be used.The author reviewed the literature and took advantage of her own experience，hoping to provide help for the screening of cervical cancer and the treatment for cervical lesions in elderly women.

Key words: elderly women, cervical cancer screening, management

中图分类号: