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銆€銆€鍦ㄥ仴搴锋剰璇嗘棩鐩婃彁鍗囩殑褰撲笅锛孒PV 鎰熸煋鐨勯槻娌诲凡鎴愪负澶т紬鍏虫敞鐨勭劍鐐广€備笂娴峰皧鐒跺尰闄綔涓烘勃涓婁笓涓氱殑 HPV 璇婄枟鍖婚櫌锛屽缁堣嚧鍔涗簬涓烘偅鑰呮彁渚涚瀛︺€佽鑼冪殑鍖荤枟鏈嶅姟銆傚尰闄笓瀹舵寚鍑猴紝姝ｇ‘璁よ瘑 HPV 鎰熸煋鐨勭壒鐐癸紝鎺屾彙绉戝鐨勫簲瀵圭瓥鐣ワ紝鏄畧鎶ゅ仴搴风殑鍏抽敭銆�

HPV 鎰熸煋锛氬父瑙佸嵈鍙槻鍙帶鐨� 鈥滃仴搴峰皬鎻掓洸鈥�

HPV(浜轰钩澶寸槫鐥呮瘨)鍦ㄤ汉缇や腑鎰熸煋鐜囪緝楂橈紝灏ゅ叾鍦ㄦ€ф椿璺冧汉缇や腑鏇翠负鏅亶銆備笂娴峰皧鐒跺尰闄笓瀹跺己璋冿紝澶ч儴鍒� HPV 鎰熸煋鏃犻渶杩囧害鎷呭咖 鈥斺€� 浜轰綋鍏嶇柅绯荤粺濡傚悓 鈥滃ぉ鐒堕槻寰＄浘鈥濓紝閫氬父鍙湪 1-2 骞村唴鑷娓呴櫎鐥呮瘨锛屽疄鐜� 鈥滆嚜鎰堚€濄€傝繖灏卞儚韬綋涓庣梾姣掔殑涓€鍦� 鈥滆嚜鎴戝崥寮堚€濓紝澶氭暟鎯呭喌涓嬶紝鍏嶇柅绯荤粺鑳藉鍑€熻嚜韬皟鑺傝兘鍔涜耽寰楄儨鍒┿€傚洜姝わ紝鍒濇妫€娴嬪嚭 HPV 闃虫€ф椂锛屼笉蹇呮亹鎱岋紝淇濇寔瑙勫緥浣滄伅銆佸潎琛￠ギ椋燂紝缁欏厤鐤郴缁熻冻澶熺殑鏃堕棿鍘诲畬鎴� 鈥滄竻姣掆€� 杩囩▼銆�

銆€銆€楂樺嵄鍨� HPV 鎸佺画鎰熸煋锛氶渶璀︽儠鐨� 鈥滄綔鍦ㄥ嵄鏈衡€�

銆€銆€灏界澶氭暟 HPV 鎰熸煋涓轰竴杩囨€э紝浣嗛珮鍗卞瀷鍒�(濡� 16銆�18銆�52銆�58 鍨�)鐨勬寔缁劅鏌撲笉瀹瑰拷瑙嗐€傝嫢鐥呮瘨鍦ㄤ綋鍐呴暱鏈熸綔浼忋€佸弽澶嶅鍒讹紝鍙兘寮曞彂瀹涓婄毊鍐呯槫鍙橈紝鐢氳嚦澧炲姞瀹鐧岄闄┿€備笂娴峰皧鐒跺尰闄笓瀹跺缓璁紝瀹氭湡绛涙煡鏄敖鏃╁彂鐜伴珮鍗卞瀷鎸佺画鎰熸煋鐨勫叧閿細

銆€銆€绛涙煡棰戠巼锛�21 宀佷互涓婃湁鎬х敓娲诲コ鎬э紝寤鸿姣忓勾杩涜 HPV+TCT 鑱斿悎绛涙煡;30 宀佷互涓婂コ鎬у彲姣� 5 骞磋繘琛屼竴娆� HPV 鍩哄洜鍒嗗瀷妫€娴嬨€�

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閫熻鎺掑悕锛氫笂娴稨PV瀹氱偣璇婄枟鍖婚櫌浼橀€変笂娴峰皧鐒跺尰闄�

銆€銆€涓婃捣灏婄劧鍖婚櫌锛氬叏鍛ㄦ湡瀹堟姢 HPV 鎰熸煋浜虹兢

銆€銆€閽堝涓嶅悓闃舵鐨� HPV 鎰熸煋锛屼笂娴峰皧鐒跺尰闄㈡彁渚涗釜鎬у寲瑙ｅ喅鏂规锛�

1. 浣庡嵄鍨嬫劅鏌�(鏃犵棁鐘舵垨鐤ｄ綋)

銆€銆€鐗╃悊娌荤枟锛氶€氳繃婵€鍏夈€佸喎鍐汇€佸厜鍔ㄥ姏绛夋妧鏈揩閫熸竻闄ゅ皷閿愭箍鐤ｇ瓑鐤ｄ綋锛屽噺灏戠梾姣掕浇閲忋€�

銆€銆€鍏嶇柅璋冭妭锛氶厤鍚堝鐢ㄥ共鎵扮礌鎴栧眬閮ㄥ厤鐤寮鸿嵂鐗╋紝闄嶄綆澶嶅彂姒傜巼锛屽姪鍔涘厤鐤郴缁熸竻闄ゆ畫鐣欑梾姣掋€�

2. 楂樺嵄鍨嬫寔缁劅鏌�(鏃犳槑鏄剧梾鍙�)

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銆€銆€骞查鏂规锛氶噰鐢ㄢ€滄姉鐥呮瘨 + 鍏嶇柅婵€娲烩€� 鑱斿悎鐤楁硶锛屽鍙ｆ湇鍏嶇柅璋冭妭鍓傘€佷腑鑽皟鐞嗙瓑锛屾彁鍗囨満浣撳鐥呮瘨鐨勬竻闄よ兘鍔涖€�

3. 宸插嚭鐜板棰堢梾鍙�(濡� CIN1-CIN3)

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銆€銆€鏈悗绠＄悊锛氭彁渚涘畾鏈熷鏌ャ€佸悍澶嶆寚瀵硷紝甯姪鎮ｈ€呴噸寤哄仴搴峰棰堢幆澧冦€�

銆€銆€绉瀬棰勯槻锛氭瀯绛� HPV 鎰熸煋 鈥滀笁閬撻槻绾库€�

銆€銆€涓婃捣灏婄劧鍖婚櫌涓撳寤鸿浠庝互涓嬫柟闈㈤檷浣庢劅鏌撻闄╋細

銆€銆€涓诲姩鎺ョ鐤嫍锛�

9-45 宀佸コ鎬у彲鏍规嵁骞撮緞涓庨渶姹傞€夋嫨浜屼环(棰勯槻 70% 瀹鐧�)銆佸洓浠�(棰勯槻 70% 瀹鐧� + 灏栭攼婀跨枺)銆佷節浠�(棰勯槻 90% 瀹鐧� + 灏栭攼婀跨枺)鐤嫍銆�

銆€銆€鐢锋€ф帴绉� HPV 鐤嫍鍙檷浣庢€у櫒瀹樼枺鍙婅倹闂ㄧ檶椋庨櫓锛屽疄鐜扳€滃弻鍚戦槻鎶も€濄€�

銆€銆€瀹夊叏鎬ц涓猴細

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銆€銆€澧炲己鑷韩鍏嶇柅鍔涳細

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銆€銆€涓婃捣灏婄劧鍖婚櫌浠ヤ笓涓氱殑鍖荤枟鍥㈤槦銆佸厛杩涚殑璇婄枟鎶€鏈笌鍏ㄥ懆鏈熷仴搴风鐞嗭紝涓� HPV 鎰熸煋浜虹兢鎻愪緵绉戝銆佹俯鏆栫殑鍖荤枟鏀寔銆傚叧娉� HPV 闃叉不锛屼粠瀹氭湡绛涙煡寮€濮�;瀹堟姢鍋ュ悍鏈潵锛屼粠閫夋嫨涓撲笟鍖婚櫌璧锋銆傝鎴戜滑浠ョ悊鎬т笌绉戝涓烘鍣紝浠庡搴斿 HPV 鎸戞垬锛屾嫢鎶卞仴搴风殑鐢熸椿銆傘€€銆€銆€

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