阴道镜技术在女性下生殖道疾病中的临床应用——从局部治疗到风险分层OA
Clinical application of colposcopy in female lower genital tract diseases:from local treatment to risk stratification
传统阴道镜作为子宫颈癌诊断"三阶梯"中的一环,其临床应用主要为形态学观察和定位活检.随着人乳头瘤病毒(HPV)高感染率与低病变率的矛盾、年轻女性生育力保护、临床需避免过度治疗及治疗不足等差异化需求,阴道镜从全面观察子宫颈并对可疑病变定位活检的检查工具,延伸为覆盖外阴、阴道、子宫颈整个下生殖道病变的"诊断分层-精准治疗-风险预警"的平台.随着人工智能(AI)技术不断发展,AI阴道镜也显示了其广阔的临床应用前景.
Traditional colposcopy,as an integral component of the three-step diagnostic approach to cervical cancer,is primarily employed for morphological observation and targeted biopsy.However,given the contradiction between high HPV infection rates and low lesion prevalence,the need for fertility preservation in young women,and the clinical imperative to avoid both overtreatment and undertreatment,colposcopy has evolved from a diagnostic tool for comprehensive cervical examination and targeted biopsy of suspicious lesions into a platform of"diagnostic stratification-precision treatment-risk warning"encompassing the entire lower genital tract,including the vulva,vagina,and cervix.With the continuous advancement of artificial intelligence(AI)technology,AI-assisted colposcopy also demonstrates promising clinical application prospects.
吴安玥;邱丽华
上海交通大学医学院附属仁济医院妇产科,上海 200127||上海市妇科肿瘤重点实验室,上海 200127上海交通大学医学院附属仁济医院妇产科,上海 200127||上海市妇科肿瘤重点实验室,上海 200127
医药卫生
阴道镜下生殖道疾病风险分层精准治疗甲基化检测人工智能
colposcopylower genital tract diseasesrisk stratificationprecision treatmentmethylation detectionar-tificial intelligence
《中国实用妇科与产科杂志》 2026 (7)
698-701,4
国家重点研发计划(2025YFE0205200) National Key Research and Development Program of China(2025YFE0205200)
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