人乳头瘤病毒感染相关下生殖道病变的阴道镜评估与分流策略OA
Colposcopic evaluation and referral strategy for lower genital tract lesions associated with human papillomavirus infection
高危型人乳头瘤病毒(HPV)持续感染是子宫颈癌等下生殖道癌及癌前病变的重要致病原因,阴道镜检查能为活检精准定位,对HPV阳性等异常筛查结果进行风险分流及评估,是上述病变早期诊断中不可或缺的手段,能显著提高诊断的准确性并减少过度诊疗.临床上应根据筛查结果、阴道镜及组织病理学诊断、病史和临床表现对病变做出全面评估.
Persistent high-risk HPV(hr-HPV)infection serves as the primary etiological driver of cervical and other lower genital tract malignancies and precancerous lesions.The colposcopy enables the precise localization of biopsy sites and facilitates risk stratification and assessment following abnormal screening results,playing a pivotal role in the early diagnosis of the above lesions,which can significantly increase the diagnostic precision while mitigating the risks of overdiagnosis and overtreatment.A comprehensive assessment of the lesions should be made based on screening findings,colposcopic results,histopathological diagnosis,disease history and clinical manifestations.
耿力;游珂;梁华茂
北京大学第三医院国家妇产科疾病临床医学研究中心女性健康与妇产疾病国家临床医学研究中心(北京大学第三医院)人口质量前沿技术协同创新北京市重点实验室,北京 100191北京大学第三医院国家妇产科疾病临床医学研究中心女性健康与妇产疾病国家临床医学研究中心(北京大学第三医院)人口质量前沿技术协同创新北京市重点实验室,北京 100191北京大学第三医院国家妇产科疾病临床医学研究中心女性健康与妇产疾病国家临床医学研究中心(北京大学第三医院)人口质量前沿技术协同创新北京市重点实验室,北京 100191
医药卫生
高危型人乳头瘤病毒阴道镜定位活检子宫颈癌癌前病变
high risk human papilloma viruscolposcopycolposcopically directed biopsycervical cancerprecancer-ous lesions
《中国实用妇科与产科杂志》 2026 (7)
677-680,4
国家中西医协同"旗舰"医院试点单位北京大学第三医院"博采合璧"项目(2404-01-14) The pilot unit of the national"flagship"hospital for collaboration between traditional Chinese and Western medicine,Peking University Third Hospital's"Bo Cai He Bi"project(2404-01-14)
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