国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2015, Vol. 34 ›› Issue (6): 471-474.

• 讲座 • 上一篇    下一篇

HPV感染的阴道镜表现

赵昀，魏丽惠   

  1. 100044 北京大学人民医院妇科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-11-15 发布日期:2015-11-15

Findings of HPV Infection by Colposcope

ZHAO Yun，WEI Li-hui   

  1. Department of Gynecology, Peking University People′s Hospital，Beijing 100044，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-11-15 Online:2015-11-15

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摘要： 部分患者持续性人乳头状瘤病毒（HPV）感染可导致宫颈上皮内瘤样变（CIN），CIN分为低级别病变和高级别病变，而高级别病变是真正的癌前病变。在醋酸、复方碘的辅助下，放大的阴道镜检查可以识别这些病变。阴道镜检查的主要目的是识别主要病变，即高级别病变；难以鉴别低级别病变和不成熟化生。阴道镜检查应用统一的术语进行描述，有利于交流和对疾病的理解。阴道镜检查不仅是取活检，识别病变并初步判断病变程度是阴道镜检查的重要组成部分，对病变图像特点、部位、范围的认识和其他临床特点一起，有助于对患者制定个体化的管理方案。现阶段加强阴道镜图像识别和质量控制是宫颈癌防治工作的重要组成部分，随着一级预防和二级预防的广泛普及，将来识别HPV感染相关病变是阴道镜检查要面临的更大挑战。

关键词: 乳头状瘤病毒科, 感染, 阴道镜检查

Abstract: A few patients with persistent human papillomavirus（HPV） infections could develop cervical intraepithelial neoplasia（CIN）. CINs are divided into two kinds, high-grade lesion and low-grade lesion, while the high-grade lesion is the true precancerous lesion. With the help of acetic acid and Lugol′s solution, CIN could be recognized by colposcopist. Colposcopy is mainly used to find the high-grade lesion. It is difficult to differentiate the low-grade lesion from immature metaplasia by colposcope. The International Federation of Cervical Pathology and Colposcopy（IFCPC） terminology should be used in clinical practice, so as to academic exchange and the unified understanding. Besides tissue biopsy, colposcopy is used to locate the lesion and to estimate the degree. All these information would be benefit to make an individual management for patient. Nowadays, it is very important for the cervical cancer prevention to strengthen the colposcopy training and quality control. With the increasing coverage of primary and secondary prevention, colposcopy will face the challenge how to preferably distinguish the HPV related lesion.

Key words: Human papillomavirus, Infection, Colposcopy