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结肠镜在HPV疫苗接种时代的作用

Jacopo DI Giuseppe¹, Leonardo Natalini¹, Carolina Marzocchini¹

¹Section of Gynecology, Department of Woman's Health Sciences, Polytechnic University of Marche, Ancona, Italy.

Minerva obstetrics and gynecology

|November 8, 2024

概括

人类乳头瘤病毒 (HPV) 疫苗接种正在改变宫癌查的格局. 本综述研究了HPV疫苗接种如何影响大肠镜检查,强调需要适应以保持其在预防中的作用.

科学领域:

妇科妇科医生妇科
在瘤学瘤学.
公共卫生公共卫生

背景情况:

结肠镜检查对于管理异常的宫细胞学和与HPV相关的病变至关重要.
广泛使用HPV疫苗正在促使人们重新评估结肠镜检查的传统作用.
由于疫苗接种减少了高风险 (HR) 的HPV类型,需要审查当前的做法.

研究的目的:

审查关于HPV疫苗接种对大肠镜检查的影响的最新证据.
探索镜在HPV疫苗接种时代的未来作用.
为了确定挑战和必要的适应对colposcopic实践.

主要方法:

科学文献的叙述性审查.
在PubMed,MEDLINE,Scopus和Web of Science数据库中进行了搜索.
包括到2024年6月发表的相关文章.

主要成果:

接种HPV疫苗可能会减少镜转诊,并改变CIN 2+的积极预测值.
越来越多的HPV阴性腺癌发病率带来了新的诊断挑战.
结肠镜的作用将受到疫苗接种状态,类型和时间的影响.

结论:

结肠镜检查必须适应不断变化的HPV疫苗接种环境和个体风险概况.
通过减少变异性和增强专业知识来提高镜质量至关重要.
结肠镜对于预防宫癌至关重要,需要不断改进.

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