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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


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  • 13/10

  • 2%~3%6053904217

  • 550%

  • 10141


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  • :HPV

  • TCTTBSHPVDNA

  • HPV


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  • ,.


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CIN

CIN

CIN

CIS


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CIN


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*

CIN

*

* HPV


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  • 21-65


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HIVHPV


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  • cervical cytology)

    • TBS

    • (TCTLCT)

    • HPVHPV-hc2

  • (colposcopy)

  • cervical pathology)

    • (ECC)

    • LEEP


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TCT

TCT

TCT


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TCT

  • ASC

    • ASC-US

    • ASC-H

  • LSIL

    • HPV

    • CIN1

  • HSIL

    • CIN2CIN3

    • CIS

  • Scc


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TCT

  • AGC


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ASC

TBS

HPV

6

HPV

AGC

LSIL

HSIL


Hpv hc2

HPV-HC2

  • 2003FDA

  • 13HPV

  • CIN

  • LBC


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HPV

6HPV


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  • HG-SIL


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2005 v isual inspection with acetic acid via

2005Visual Inspection with Acetic Acid VIA


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ECC


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CKC

  • CIN

  • CINIII

  • CINIIIHPV


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CKC


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LEEP

  • ECC

  • CIN


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LEEP

  • CINECC

  • ECC


Cin 1

CIN 1

  • CKCLEEP

  • CIN 1


Cin 11

CIN 1

  • (LEEP)

    CKC CKCLEEP

  • LEEP


Cin 12

CIN 1

  • 10%CIN 23


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CINI

6HPVASCUSHPV


Cin 2 3

CIN 23


Cin 2 31

CIN 23

  • 7%


Cinii ciniii

CINIICINIII

26


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  • Denny

  • Numnum


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CIN

CIN4090/100,000458

CIN104-6

HPV


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HPV

  • HPVCINCIN

  • 611161810-20


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  • , , , ,

  • , .


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  • ,


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