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

21～24岁年轻女性子宫颈癌筛查建议及子宫颈病变的处理

  

  1. 1.北京大学第一医院妇产科宫颈诊疗中心，北京100034；2.肇庆医学高等专科学校，广东 肇庆 526040
  • 出版日期:2020-07-02 发布日期:2020-06-30
  • 通讯作者: 赵健
  • 基金资助:
    国家自然科学基金（81773533）

Recommendations for cervical cancer screening and management of cervical lesions in young women aged 21-24.

  1. Cervical Diagnosis and Treatment Center，Department of Obstetrics and Gynecology，Peking University First Hospital，Beijing 100034，China
  • Online:2020-07-02 Published:2020-06-30

摘要： 21～24岁年轻女性子宫颈癌及癌前病变发生率较低，且该年龄段子宫颈病变逆转可能性大，因此对21～24岁年轻女性初级筛查建议采用单独子宫颈脱落细胞学检测；对于子宫颈细胞学筛查结果异常推荐随访为主；异常组织病理学趋于保守处理，根据病变级别和细胞学筛查结果实施分层管理，并采取子宫颈脱落细胞学、高危型HPV检测以及阴道镜检查随访。

关键词: 子宫颈病变, 21～24岁女性, 子宫颈癌筛查, 细胞学高危异常

Abstract: The incidence of cervical cancer and precancerous lesions in 21-24-year-old young women is relatively low，and the possibility of reversion of cervical lesions is high in this age group.Therefore，it is recommended to use a separate cervical exfoliative cytology test for the primary screening of 21-24-year-old young women.For the abnormal cervical cytology screening results，follow-up check is recommended； the women with abnormal histopathology tend to be treated conservatively.According to the pathological grade and cytological screening results，the management is carried out in different levels，and cervical exfoliative cytology，high-risk HPV detection and colposcopy are used for follow-up check.

Key words: cervical lesions；women aged 21-24；cervical cancer screening；high-risk abnormal , cytology

中图分类号: