HSIL合并HPV16阳性的即查即治实施策略探讨  

Discussion of the implementation strategy of cervical cancer screening and treatment of patients with highly squamous intraepithelial lesions and human papillomavirus 16 infection

作　　者：陈颖 张帝开 CHEN Ying;ZHANG Dikai(The Third Affiliated Hospital of Shenzhen University,Luohu District People's Hospital of Shenzhen,Guangdong Province,518001)

机构地区：[1]深圳大学第三附属医院罗湖区人民医院,518001

出　　处：《中国计划生育学杂志》2022年第11期2644-2646,共3页Chinese Journal of Family Planning

摘　　要：目的:探讨宫颈癌筛查的“即查即治”策略。方法:选择2017年1月-2020年12月于本院诊治的宫颈细胞学高级别异常(ASC-H、≥HSIL)合并人乳头瘤病毒16型(HPV16)感染(ASC-H/HPV16,≥HSIL/HPV16)或合并HPV其他高危型感染(ASC-H/HPV其他高危型、≥HSIL/HPV其他高危型)的115例为研究对象,分析其阴道镜活检病理与LEEP环切病理结果的一致性。结果:宫颈癌筛查高级别异常HSIL/HPV16者≥CINⅢ的检出率为93.1%(27/29),HSIL/HPV其他高危型阳性的检出率为73.3%(22/30)。结论:宫颈癌筛查结果为HSIL/HPV16者可直接行宫颈锥切术。Objective:To discuss the implementation strategy of cervical cancer screening and treatment of patients.Methods:From January 2017 to December 2020,115 patients with high-grade cervical cytology abnormalities,such as atypical squamous cells-highly squamous intraepithelial lesions(ASC-H)and≥highly squamous intraepithelial lesions(HSIL),complicated with human papillomavirus(HPV)16 or other high-risk types of HPV were selected as the research objects.The consistency of colposcopic biopsy pathology and LEEP circumcision pathology results for diagnosing the patients with ASC-H or≥HSIL and HPV 16 or other high-risk types of HPV infection was analyzed.Results:The detection rate of≥CINⅢof the patients with HSIL and HPV16 infection was 93.1%(27/29),and the detection rate of≥CINⅢof the patients with HSIL and HPV of other high-risk types was 73.3%(22/30).Conclusion:The patients with cervical cancer screening results of HSIL/HPV16 can be conducted the cervical conization directly.

关 键 词：宫颈细胞学检查 人乳头瘤病毒 宫颈癌筛查高级别异常 宫颈活检 

分 类 号：R737.33[医药卫生—肿瘤]