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宫颈病变与宫颈癌 PowerPoint PPT Presentation


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宫颈病变与宫颈癌. 山西省运城市中心医院妇产科 主任医师 王溥淑. 概 述. 宫颈癌为女性癌瘤 第二位 , 妇癌 第一位 , 2000 年 WHO 报道世界每年新发病例 50 万,其中 40 万在发展中国家( 80% ),中国新发病例占世界 30% ,每年死于宫颈癌患者约 5 万人。. 我国新发病例 13 万 / 年,高于美国 10 倍,高发区:山西,江西,陕西 发病呈年轻化趋势,年轻宫颈癌发病每年以 2%~3% 速度增长,发病年龄由 60 年代平均 53 岁到 90 年代平均 42 岁,最年青病人 17 岁。 总 5 年生存率在 50% 左右徘徊 。

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宫颈病变与宫颈癌

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,2000WHO504080%30%5


  • 13/10

  • 2%~3%6053904217

  • 550%

  • 10141



  • :HPV

  • TCTTBSHPVDNA

  • HPV



  • ,,,,

  • ,.



CIN

CIN

CIN

CIS



CIN


*

CIN

*

* HPV


  • 21-65


HIVHPV


  • cervical cytology)

    • TBS

    • (TCTLCT)

    • HPVHPV-hc2

  • (colposcopy)

  • cervical pathology)

    • (ECC)

    • LEEP


TCT

TCT

TCT


TCT

  • ASC

    • ASC-US

    • ASC-H

  • LSIL

    • HPV

    • CIN1

  • HSIL

    • CIN2CIN3

    • CIS

  • Scc


TCT

  • AGC



ASC

TBS

HPV

6

HPV

AGC

LSIL

HSIL


HPV-HC2

  • 2003FDA

  • 13HPV

  • CIN

  • LBC


HPV

6HPV



  • HG-SIL







2005Visual Inspection with Acetic Acid VIA



ECC


CKC

  • CIN

  • CINIII

  • CINIIIHPV


CKC


LEEP

  • ECC

  • CIN


LEEP

  • CINECC

  • ECC


CIN 1

  • CKCLEEP

  • CIN 1


CIN 1

  • (LEEP)

    CKC CKCLEEP

  • LEEP


CIN 1

  • 10%CIN 23


CINI

6HPVASCUSHPV


CIN 23


CIN 23

  • 7%


CINIICINIII

26


  • Denny

  • Numnum


CIN

CIN4090/100,000458

CIN104-6

HPV


HPV

  • HPVCINCIN

  • 611161810-20


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