{"id":144182,"date":"2022-01-04T09:38:46","date_gmt":"2022-01-04T09:38:46","guid":{"rendered":"https:\/\/labinsights.com\/acf_article\/%e4%bf%83%e9%80%b2%e5%a5%b3%e6%80%a7%e5%81%a5%e5%ba%b7%ef%bc%9ap16-ki-67-%e9%9b%99%e9%87%8d%e6%9f%93%e8%89%b2%e6%8a%80%e8%a1%93%e5%8f%af%e6%94%b9%e5%96%84%e5%ad%90%e5%ae%ae%e9%a0%b8%e7%99%8c%e8%a8%ba\/"},"modified":"2026-02-03T04:38:26","modified_gmt":"2026-02-03T04:38:26","slug":"advancing-womens-health-p16-ki-67-dual-staining-technology-improves-cervical-cancer-diagnostics","status":"publish","type":"acf_article","link":"https:\/\/labinsights.com\/zhtw\/disease-area\/womens-health\/advancing-womens-health-p16-ki-67-dual-staining-technology-improves-cervical-cancer-diagnostics\/","title":{"rendered":"\u4fc3\u9032\u5973\u6027\u5065\u5eb7\uff1ap16\/Ki-67 \u96d9\u91cd\u67d3\u8272\u6280\u8853\u53ef\u6539\u5584\u5b50\u5bae\u9838\u764c\u8a3a\u65b7"},"content":{"rendered":"<p class=\"text-align-justify\"><strong><em>\u82e5\u8981\u9032\u4e00\u6b65\u77ad\u89e3\u5b50\u5bae\u9838\u764c\u5982\u4f55\u5f71\u97ff\u5168\u7403\u5973\u6027\u7684\u751f\u6d3b\uff0c\u4ee5\u53ca\u7d44\u7e54\u70ba\u5728\u5168\u7403\u6d88\u9664\u5b50\u5bae\u9838\u764c\u800c\u63a1\u53d6\u7684\u63aa\u65bd\uff0c\u8acb\u9020\u8a2a<a href=\"https:\/\/conqueringcancercampaign.com\/\" target=\"_blank\" rel=\"noopener\">\u5f81\u670d\u764c\u75c7\u904b\u52d5<\/a>\u3002\u6309\u4e00\u4e0b <a href=\"https:\/\/conqueringcancercampaign.com\/conquering-cancer-videos\/\" target=\"_blank\" rel=\"noopener\">\u6b64\u8655<\/a>\u89c0\u770b\u8207\u6d3b\u52d5\u76f8\u95dc\u7684\u5f71\u7247\u3002\u00a0<\/em><\/strong><\/p>\n<p class=\"text-align-justify\"><em>\u672c\u6587\u662f\u5973\u6027\u5065\u5eb7\u8a3a\u65b7\u7cfb\u5217\u65b0\u4f5c\u7684\u4e00\u90e8\u5206\u3002\u5168\u5e74\u6211\u5011\u5c07\u589e\u52a0\u66f4\u591a\u6545\u4e8b\u548c\u76f8\u95dc\u5167\u5bb9\u3002\u00a0<\/em><\/p>\n<p class=\"text-align-justify\">2020 \u5e74\uff0c\u7f8e\u570b FDA \u6279\u51c6\u4f7f\u7528 p16\/Ki-67 \u96d9\u91cd\u67d3\u8272\u6280\u8853 [1]\uff0c\u76f8\u8f03\u65bc\u76ee\u524d\u7684\u7d30\u80de\u5b78\u4f7f\u7528\u6216\u8207 HPV16\/18 \u57fa\u56e0\u5206\u578b\u7684\u806f\u5408\u6aa2\u6e2c\uff0c\u8a72\u6280\u8853\u6709\u671b\u85c9\u7531\u66f4\u6e96\u78ba\u7684\u8a3a\u65b7\u548c\u66f4\u9ad8\u7d1a\u5225\u7684\u98a8\u96aa\u5206\u5c64\uff0c\u4f86\u63a8\u9032\u5b50\u5bae\u9838\u764c\u5206\u8a3a [2]\u3002\u9019\u7a2e\u767c\u5c55\u70ba\u6539\u5584\u60a3\u8005\u7d50\u679c\u4e26\u964d\u4f4e\u7ba1\u7406\u53ef\u9ad8\u5ea6\u9810\u9632\u7684\u75be\u75c5\u7684\u6210\u672c\u5e36\u4f86\u5ee3\u95ca\u7684\u524d\u666f\u3002<\/p>\n<h2 class=\"text-align-justify\" style=\"font-family: Inter !important; font-weight: 500 !important; font-size: 28px !important; line-height: 36px !important; letter-spacing: 0px !important;\">p16\/Ki\u201167 \u96d9\u91cd\u67d3\u8272\u751f\u7269\u6a19\u7c64\u5728\u5206\u8a3a\u4e2d\u7684\u50f9\u503c<\/h3>\n<p class=\"text-align-justify\">\u8fd1\u5e74\u4f86\uff0c\u8a31\u591a\u570b\u5bb6\u7684\u521d\u7d1a HPV \u7be9\u6aa2\u5df2\u5f97\u5230\u6539\u5584\uff0c\u73fe\u5728\u9019\u4e9b\u570b\u5bb6\u63d0\u4f9b\u64f4\u5927\u7684 Pap \u7d30\u80de\u5b78\u548c HPV DNA \u6aa2\u6e2c\u8a08\u756b\u3002\u7531\u65bc HPV \u611f\u67d3\u4e0d\u4e00\u5b9a\u6703\u5c0e\u81f4\u5b50\u5bae\u9838\u764c\uff0c\u56e0\u6b64\u5973\u6027\u5728\u521d\u6b21 HPV \u6aa2\u6e2c\u5448\u967d\u6027\u5f8c\u4ecd\u9700\u8981\u63a5\u53d7\u5206\u8a3a\u7be9\u6aa2\uff0c\u4ee5\u78ba\u5b9a\u5979\u5011\u7f79\u60a3\u5b50\u5bae\u9838\u764c\u7684\u98a8\u96aa\u7a0b\u5ea6\u3002\u5b89\u6392\u6bcf\u500b\u967d\u6027\u75c5\u4f8b\u9032\u884c\u9670\u9053\u93e1\u6aa2\u67e5\u4e26\u4e0d\u5207\u73fe\u5be6\uff0c\u9670\u9053\u93e1\u662f\u4e00\u7a2e\u4fb5\u5165\u6027\u624b\u8853\uff0c\u4e0d\u50c5\u6210\u672c\u9ad8\u6602\uff0c\u800c\u4e14\u6703\u7d66\u60a3\u8005\u5e36\u4f86\u4e0d\u5fc5\u8981\u7684\u58d3\u529b\uff0c\u5c24\u5176\u662f\u8003\u616e\u5230\u5927\u591a\u6578 HPV \u611f\u67d3\u90fd\u662f\u77ed\u66ab\u4e14\u81ea\u6211\u6e05\u9664\u7684\u3002<\/p>\n<p class=\"text-align-justify\">\u76ee\u524d\u5927\u591a\u6578\u570b\u5bb6\u7684\u5206\u8a3a\u9078\u9805\u5305\u62ec\u55ae\u7368\u4f7f\u7528\u7d30\u80de\u5b78\u6216\u8207 HPV \u57fa\u56e0\u5206\u578b\u5171\u540c\u6aa2\u6e2c\u3002\u4e0d\u904e\uff0c\u5df2\u77e5\u57fa\u65bc\u7d30\u80de\u5b78\u7684\u65b9\u6cd5\u662f\u8cc7\u6e90\u5bc6\u96c6\u578b\u65b9\u6cd5\uff0c\u800c\u4e14\u7d50\u679c\u53ef\u4f9b\u89e3\u91cb [3]\u3002HPV \u57fa\u56e0\u5206\u578b\u65e8\u5728\u6e1b\u8f15\u8207 Pap \u7d30\u80de\u5b78\u76f8\u95dc\u7684\u4e00\u4e9b\u4e0d\u78ba\u5b9a\u6027\uff0c\u4f46\u5176\u7121\u6cd5\u70ba HPV \u7d50\u679c\u5448\u967d\u6027\u6642\u4e4b\u60a3\u8005\u53ca\u81e8\u5e8a\u91ab\u5e2b\u63d0\u4f9b\u5145\u5206\u4fdd\u8b49\u3002<\/p>\n<p class=\"text-align-justify\">\u591a\u5e74\u4f86\uff0c\u91dd\u5c0d\u5206\u8a3a\u4e2d\u7684\u751f\u7269\u6a19\u7c64\u7269 p16\/Ki-67 \u7684\u67d3\u8272\u4e00\u76f4\u662f\u591a\u9805\u7814\u7a76\u7684\u4e3b\u984c [4]\u3002\u7531\u65bc\u9019\u5169\u7a2e\u751f\u7269\u6a19\u7c64\u5728\u6b63\u5e38\u7d30\u80de\u4e2d\u662f\u76f8\u4e92\u6392\u65a5\u7684\uff0c\u56e0\u6b64\u5169\u8005\u7684\u6307\u793a\u8868\u660e\u7d30\u80de\u6b63\u5728\u7d93\u6b77\u8f49\u5316\u578b HPV \u611f\u67d3\uff0c\u4e26\u4e14\u60a3\u8005\u8655\u65bc\u66f4\u5927\u7684\u98a8\u96aa\u4e2d\u3002<\/p>\n<p class=\"text-align-justify\">\u5177\u6709\u91cc\u7a0b\u7891\u610f\u7fa9\u7684 Improving Primary Screening and Colposcopy Triage (IMPACT) \u8a66\u9a57 [2] \u65bc 2021 \u5e74 7 \u6708\u767c\u4f48\u5176\u767c\u73fe\uff0c\u6709\u8d85\u904e 35,000 \u540d\u7b26\u5408\u689d\u4ef6\u7684\u5973\u6027\uff08\u5e74\u9f61\u4ecb\u65bc 25 \u6b72\u81f3 65 \u6b72\u4e4b\u9593\uff09\u53c3\u8207\uff0c\u4e26\u5728\u7f8e\u570b\u8ffd\u8e64\u5979\u5011\u4e00\u5e74\u3002\u5b83\u8a55\u4f30\u8207 (a) \u55ae\u7368\u7684 Pap \u7d30\u80de\u5b78\u548c (b) \u8207 HPV16\/18 \u57fa\u56e0\u5206\u578b\u7684\u5171\u540c\u6e2c\u8a66\u76f8\u6bd4\uff0cp16 \u548c Ki-67 \u7684\u96d9\u91cd\u751f\u7269\u6a19\u7c64\u67d3\u8272\u7684\u4f7f\u7528\u60c5\u6cc1\u3002\u4ee5\u4e0b\u662f\u4e00\u4e9b\u91cd\u8981\u7684\u767c\u73fe\uff1a<\/p>\n<ul>\n<li class=\"text-align-justify\"><strong>\u96d9\u91cd\u67d3\u8272\u751f\u7269\u6a19\u7c64\u5728\u6aa2\u6e2c\u5b50\u5bae\u9838\u75be\u75c5\u65b9\u9762\u66f4\u6709\u6548\u3002<\/strong> \u5728 CIN2 \u7684\u75be\u75c5\u968e\u6bb5\uff0c\u50c5 Pap \u7d30\u80de\u5b78\u80fd\u5920\u4ee5 65.9% \u7684\u6bd4\u7387\u9032\u884c\u6aa2\u6e2c\uff0c\u4e14\u5171\u540c\u6e2c\u8a66\u986f\u793a\u70ba 76.4% \u7684\u6bd4\u7387\u3002\u96d9\u91cd\u751f\u7269\u6a19\u7c64\u7269\u67d3\u8272\u80fd\u5920\u4ee5 86.5% \u7684\u6bd4\u7387\u5075\u6e2c\u3002\u5c0d\u65bc\u5728 CIN3 \u968e\u6bb5\u6aa2\u6e2c\u75be\u75c5\u800c\u8a00\uff0c\u4e5f\u5448\u73fe\u6b64\u4e00\u8da8\u52e2\u3002\u5c0d\u65bc\u63a5\u53d7\u81f3\u9670\u9053\u93e1\u6aa2\u67e5\u7684\u60a3\u8005\uff0c\u767c\u73fe\u6bd4\u4f7f\u7528 Pap \u7d30\u80de\u5b78\u5206\u8a3a\u7684\u60a3\u8005\u6709\u66f4\u591a\u7d93\u96d9\u91cd\u67d3\u8272\u4e4b\u5206\u8a3a\u5973\u6027\u60a3\u6709\u8a72\u75be\u75c5\u3002<\/li>\n<li class=\"text-align-justify\"><strong>\u96d9\u91cd\u67d3\u8272\u751f\u7269\u6a19\u7c64\u80fd\u5920\u5c07\u98a8\u96aa\u5206\u5c64\u3002<\/strong> \u96d6\u7136 HPV16\/18 \u57fa\u56e0\u5206\u578b\u5728\u6aa2\u6e2c\u9ad8\u98a8\u96aa\u75c5\u6bd2\u682a 16 \u548c 18 \u7684\u5b58\u5728\u65b9\u9762\u5f88\u6709\u50f9\u503c\uff0c\u4f46\u5b83\u4e0d\u80fd\u89e3\u91cb\u5176\u4ed6 12 \u7a2e\u4e0d\u5e38\u898b\u4f46\u4ecd\u8207\u5f15\u8d77\u5b50\u5bae\u9838\u764c\u76f8\u95dc\u7684\u75c5\u6bd2\u682a\u3002\u5728\u5176\u4ed6 12 \u7a2e HPV \u967d\u6027\u83cc\u682a\u7684\u7d44\u4e2d\uff0c\u96d9\u91cd\u751f\u7269\u6a19\u7c64\u7269\u67d3\u8272\u80fd\u5920\u5c07\u60a3\u8005\u9032\u4e00\u6b65\u5206\u70ba\u986f\u8457\u98a8\u96aa\u7d44\u6216\u4f4e\u98a8\u96aa\u7d44\u3002<\/li>\n<li class=\"text-align-justify\"><strong>\u96d9\u91cd\u67d3\u8272\u751f\u7269\u6a19\u7c64\u80fd\u5920\u6bd4 Pap \u7d30\u80de\u5b78\u66f4\u78ba\u5be6\u5c0d\u98a8\u96aa\u9032\u884c\u5206\u5c64\u3002<\/strong> Pap \u7d30\u80de\u5b78\u4e5f\u7528\u65bc\u5206\u8a3a\uff0c\u4f46\u96d9\u91cd\u67d3\u8272\u751f\u7269\u6a19\u7c64\u5728\u98a8\u96aa\u5206\u5c64\u65b9\u9762\u986f\u793a\u51fa\u512a\u65bc\u57fa\u65bc\u7d30\u80de\u5b78\u65b9\u6cd5\u7684\u512a\u52e2\u3002\u5728\u986f\u8457\u98a8\u96aa\u7d44\u4e2d\uff0c\u96d9\u91cd\u67d3\u8272\u80fd\u5920\u6aa2\u51fa 19.6% \u7684\u98a8\u96aa\uff0c\u800c Pap \u7d30\u80de\u5b78\u98a8\u96aa\u6aa2\u51fa 17.8%\u3002\u5728\u4f4e\u98a8\u96aa\u7d44\u4e2d\uff0c\u96d9\u91cd\u67d3\u8272\u4ea6\u4ee5 3.6% \u81f3 7.4% \u512a\u65bc Pap \u7d30\u80de\u5b78\u3002<\/li>\n<\/ul>\n<p class=\"text-align-justify\">\u986f\u7136\uff0c\u96d9\u91cd\u751f\u7269\u6a19\u7c64\u67d3\u8272\u662f\u7cbe\u78ba\u4e14\u6c92\u6709\u8aa4\u89e3\u7a7a\u9593\u7684\u7be9\u6aa2\u65b9\u6cd5\u3002\u9019\u4e5f\u53ef\u4ee5\u8b93\u5973\u6027\u66f4\u78ba\u5be6\u638c\u63a7\u81ea\u5df1\u7684\u5065\u5eb7\u65c5\u7a0b &#8211; \u5f9e\u524d\u9670\u6027\u7d50\u679c\u610f\u5473\u8457\u6a21\u7a1c\u5169\u53ef\uff0c\u5230\u73fe\u5728\u5df2\u78ba\u5b9a\u662f\u7121\u75c5\u72c0\u614b\u3002\u96d9\u91cd\u67d3\u8272\u4e5f\u7d66\u81e8\u5e8a\u91ab\u5e2b\u63d0\u4f9b\u5f88\u5927\u7684\u50f9\u503c\uff0c\u56e0\u70ba\u4ed6\u5011\u4e0d\u9700\u8981\u64d4\u5fc3\u5f8c\u7e8c\u8ffd\u8e64\u7684\u640d\u5931\uff0c\u56e0\u70ba\u5df2\u8b49\u660e 10 \u4f4d\u5973\u6027\u4e2d\u6709 4 \u4f4d\u6703\u767c\u751f\u9019\u7a2e\u60c5\u6cc1 [5]\u3002<\/p>\n<p class=\"text-align-justify\">\u8003\u616e\u5230\u9019\u4e9b\u76ca\u8655\uff0c\u6cd5\u570b\u548c\u5fb7\u570b\u7b49\u570b\u5bb6\u5df2\u5c07\u00a0p16\/Ki-67\u00a0\u96d9\u91cd\u751f\u7269\u6a19\u7c64\u67d3\u8272\u7d0d\u5165\u81e8\u5e8a\u6307\u5357\uff0c\u6709\u66f4\u591a\u570b\u5bb6\u5c07\u5176\u7528\u65bc\u81e8\u5e8a\u5be6\u8e10\u3002<\/p>\n<h3 class=\"text-align-justify\" style=\"font-family: Inter !important; font-weight: 500 !important; font-size: 24px !important; line-height: 32px !important; letter-spacing: 0px !important;\">\u9054\u5230\u4e16\u754c\u885b\u751f\u7d44\u7e54\u7684 90-70-90 \u76ee\u6a19<\/h3>\n<p class=\"text-align-justify\">\u96d9\u91cd\u67d3\u8272\u6280\u8853\u662f HPV \u75ab\u82d7\u63a5\u7a2e\u7684\u91cd\u8981\u88dc\u5145\uff0cHPV \u75ab\u82d7\u63a5\u7a2e\u6709\u6642\u88ab\u8996\u70ba\u62b5\u79a6\u5b50\u5bae\u9838\u764c\u7684\u7b2c\u4e00\u9053\u9632\u7dda\u3002\u5728\u8207\u81f4\u764c HPV \u75c5\u6bd2\u682a\u76f8\u95dc\u7684 14 \u7a2e\u57fa\u56e0\u578b\u4e2d\uff0c\u5927\u591a\u6578 HPV \u75ab\u82d7\u90fd\u53ef\u91dd\u5c0d 2 \u7a2e\u6700\u5e38\u898b\u7684\u9ad8\u98a8\u96aa\u75c5\u6bd2\u682a HPV 16 \u548c HPV 18 \u63d0\u4f9b\u9ad8\u6548\u4fdd\u8b77 [3]\u3002\u4e0d\u904e\uff0c\u5176\u4ed6\u83cc\u682a\u7684\u611f\u67d3\u4ecd\u53ef\u80fd\u767c\u751f\uff0c\u9019\u4f7f\u5f97\u7be9\u6aa2\u53ca\u5206\u8a3a\u6210\u70ba\u4e00\u7a2e\u6301\u4e45\u7684\u5fc5\u8981\u689d\u4ef6\u3002<\/p>\n<p class=\"text-align-justify\">\u4e16\u754c\u885b\u751f\u7d44\u7e54 2020 \u5e74\u767c\u4f48\u7684\u300a\u52a0\u901f\u6d88\u9664\u5b50\u5bae\u9838\u764c\u5168\u7403\u7b56\u7565\u300b\u660e\u78ba\u986f\u793a\u8a3a\u65b7\u7684\u50f9\u503c\uff0c\u5176\u4e2d\u5305\u62ec\u75ab\u82d7\u3001\u7be9\u6aa2\u548c\u6cbb\u7642\u7684\u4e09\u7ba1\u9f4a\u4e0b\u3002\u5176\u300c90-70-90\u300d\u76ee\u6a19\u70ba\u78ba\u4fdd 90% \u7684\u5973\u6027\u5728 15 \u6b72\u4e4b\u524d\u5b8c\u5168\u63a5\u7a2e HPV \u75ab\u82d7\uff1b70% \u7684\u5973\u6027\u5728 35 \u6b72\u4e4b\u524d\u63a5\u53d7\u9ad8\u6548\u80fd\u6aa2\u6e2c\u7be9\u6aa2\uff0c\u4e26\u5728 45 \u6b72\u4e4b\u524d\u518d\u6b21\u63a5\u53d7\u7be9\u6aa2\uff1b90% \u7684\u78ba\u8a8d\u60a3\u6709\u5b50\u5bae\u9838\u75be\u75c5\u7684\u5973\u6027\u5c07\u63a5\u53d7\u6cbb\u7642\u3002<\/p>\n<p class=\"text-align-justify\">2020 \u5e74\u6709 604,000 \u540d\u5973\u6027\u88ab\u8a3a\u65b7\u51fa\u60a3\u6709\u5b50\u5bae\u9838\u764c\uff0c\u4e26\u4e14\u6709 342,000 \u4eba\u6b7b\u4ea1\uff0c\u5b50\u5bae\u9838\u764c\u4ecd\u7136\u662f\u5973\u6027\u4e2d\u7b2c\u56db\u5e38\u898b\u7684\u764c\u75c7\u578b\u5225 [6]\u3002\u5728\u7be9\u6aa2\u65b9\u9762\uff0c\u8207\u9ad8\u6548\u80fd\u6e2c\u8a66\u7684\u4e00\u81f4\u6027\u53ca\u65e9\u671f\u5075\u6e2c\u5c0d\u65bc\u6230\u52dd 100% \u53ef\u9810\u9632\u7684\u764c\u75c7\u6975\u70ba\u91cd\u8981\u3002<\/p>\n<p class=\"text-align-justify\">\u96a8\u8457\u5728\u5206\u8a3a\u7be9\u6aa2\u4e2d\u589e\u52a0\u5f37\u5927\u7684\u5de5\u5177\uff0c\u73fe\u5728\u53ef\u4ee5\u6709\u66f4\u591a\u7684\u570b\u5bb6\u8d70\u4e0a\u5230 2030 \u5e74\u5be6\u73fe 90-70-90 \u76ee\u6a19\u7684\u8ecc\u9053\uff0c\u4e26\u5728\u4e0b\u500b\u4e16\u7d00\u5167\u5efa\u7acb\u4e00\u500b\u7121\u5b50\u5bae\u9838\u764c\u968e\u6bb5\u3002<\/p>\n<p class=\"text-align-justify\"><em>\u53c3\u8003\u6587\u737b<\/em>\uff1a<br \/>\n<a href=\"https:\/\/www.accessdata.fda.gov\/scripts\/cdrh\/cfdocs\/cfpma\/pma.cfm?id=P190024\" target=\"_blank\" rel=\"noopener\">[1]<\/a> Accessdata.fda.gov\u30022022\u3002 \u4e0a\u5e02\u524d\u6838\u51c6 (PMA)\u3002[\u7dda\u4e0a] \u8acb\u9020\u8a2a\uff1a&lt;https:\/\/www.accessdata.fda.gov\/scripts\/cdrh\/cfdocs\/cfpma\/pma.cfm?id=P190024&gt; [\u5b58\u53d6\u65e5\u671f 2022 \u5e74 1 \u6708 4 \u65e5]\u3002<\/p>\n<p class=\"text-align-justify\"><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ijc.33812\" target=\"_blank\" rel=\"noopener\">[2]<\/a> \u00a0Wright, T.\u3001Stoler, M.\u3001Ranger\u2010Moore, J.\u3001Fang, Q.\u3001Volkir, P.\u3001Safaeian, M.\u53ca Ridder, R.\uff0c2021 \u5e74\u3002 \u5c0d HPV \u967d\u6027\u5973\u6027\u9032\u884c p16\/Ki-67 \u96d9\u91cd\u67d3\u8272\u7d30\u80de\u5b78\u5206\u8a3a\u7684\u81e8\u5e8a\u9a57\u8b49\uff1aIMPACT \u8a66\u9a57\u7684\u7d50\u679c\u3002International Journal of Cancer\uff0c150(3)\uff0c\u7b2c 461-471 \u9801\u3002<\/p>\n<p class=\"text-align-justify\"><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0889854507000861?via%3Dihub\" target=\"_blank\" rel=\"noopener\">[3]<\/a> Safaeian, M.\u3001Solomon, D.\u53ca Castle, P.\uff0c2007 \u5e74\u3002 Cervical Cancer Prevention\u2014Cervical Screening: Science in Evolution\u3002Obstetrics and Gynecology Clinics of North America\uff0c34(4)\uff0c\u7b2c 739-760 \u9801\u3002<\/p>\n<p class=\"text-align-justify\"><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/pmid\/22675168\/\" target=\"_blank\" rel=\"noopener\">[4]<\/a> Wentzensen\u3001N.\u3001Schwartz\u3001L.\u3001Zuna\u3001R.\u3001Smith\u3001K.\u3001Mathews\u3001C.\u3001Gold\u3001M.\u3001Allen\u3001R.\u3001Zhang\u3001R.\u3001Dunn\u3001S.\u3001Walker\u3001J.\u53ca Schiffman, M.\uff0c2012 \u5e74\u3002 p16\/Ki-67 \u514d\u75ab\u67d3\u8272\u5728\u9670\u9053\u93e1\u6aa2\u8f49\u8a3a\u4eba\u7fa4\u4e2d\u5075\u6e2c\u5b50\u5bae\u9838\u764c\u524d\u9a45\u7269\u7684\u6548\u80fd\u3002Clinical Cancer Research\uff0c18(15)\uff0c\u7b2c 4154-4162 \u9801\u3002<\/p>\n<p class=\"text-align-justify\"><a href=\"https:\/\/www.nature.com\/articles\/6605771.pdf\" target=\"_blank\" rel=\"noopener\">[5]<\/a> Rebolj, M.\u53ca Lynge, E.\uff0c2010 \u5e74\u3002 HPV \u6aa2\u6e2c\u967d\u6027\u7d50\u679c\u7684\u4e0d\u5b8c\u6574\u8ffd\u8e64\uff1a\u521d\u6b21\u5b50\u5bae\u9838\u7be9\u6aa2\u7684\u96a8\u6a5f\u5c0d\u7167\u8a66\u9a57\u6982\u8ff0\u3002British Journal of Cancer\uff0c103(3)\uff0c\u7b2c 310-314 \u9801\u3002<\/p>\n<p class=\"text-align-justify\"><a href=\"https:\/\/gco.iarc.fr\/today\/data\/factsheets\/cancers\/23-Cervix-uteri-fact-sheet.pdf\" target=\"_blank\" rel=\"noopener\">[6]<\/a> \u4e16\u754c\u885b\u751f\u7d44\u7e54\u95dc\u65bc\u5b50\u5bae\u9838\u764c\u7684\u5be6\u6cc1\u5831\u5c0e\u3002\u8acb\u9020\u8a2a\uff1a&lt;https:\/\/gco.iarc.fr\/today\/data\/factsheets\/cancers\/23-Cervix-uteri-fact-sheet.pdf&gt; [\u5b58\u53d6\u65e5\u671f 2022 \u5e74 1 \u6708 4 \u65e5]\u3002<\/p>\n<p class=\"text-align-justify\">\n","protected":false},"excerpt":{"rendered":"<p>\u82e5\u8981\u9032\u4e00\u6b65\u77ad\u89e3\u5b50\u5bae\u9838\u764c\u5982\u4f55\u5f71\u97ff\u5168\u7403\u5973\u6027\u7684\u751f\u6d3b\uff0c\u4ee5\u53ca\u7d44\u7e54\u70ba\u5728\u5168\u7403\u6d88\u9664\u5b50\u5bae\u9838\u764c\u800c\u63a1\u53d6\u7684\u63aa\u65bd\uff0c\u8acb\u9020\u8a2a\u5f81\u670d\u764c\u75c7\u904b\u52d5\u3002\u6309\u4e00\u4e0b \u6b64\u8655\u89c0\u770b\u8207\u6d3b\u52d5\u76f8\u95dc\u7684\u5f71\u7247\u3002\u00a0 \u672c\u6587\u662f\u5973\u6027\u5065\u5eb7\u8a3a\u65b7\u7cfb\u5217\u65b0\u4f5c\u7684\u4e00\u90e8\u5206\u3002\u5168\u5e74\u6211\u5011\u5c07\u589e\u52a0\u66f4\u591a\u6545\u4e8b\u548c\u76f8\u95dc\u5167\u5bb9\u3002\u00a0 2020 \u5e74\uff0c\u7f8e\u570b FDA \u6279\u51c6\u4f7f\u7528 p16\/Ki-67 \u96d9\u91cd\u67d3\u8272\u6280\u8853 [1]\uff0c\u76f8\u8f03\u65bc\u76ee\u524d\u7684\u7d30\u80de\u5b78\u4f7f\u7528\u6216\u8207 HPV16\/18 \u57fa\u56e0\u5206\u578b\u7684\u806f\u5408\u6aa2\u6e2c\uff0c\u8a72\u6280\u8853\u6709\u671b\u85c9\u7531\u66f4\u6e96\u78ba\u7684\u8a3a\u65b7\u548c\u66f4\u9ad8\u7d1a\u5225\u7684\u98a8\u96aa\u5206\u5c64\uff0c\u4f86\u63a8\u9032\u5b50\u5bae\u9838\u764c\u5206\u8a3a [2]\u3002\u9019\u7a2e\u767c\u5c55\u70ba\u6539\u5584\u60a3\u8005\u7d50\u679c\u4e26\u964d\u4f4e\u7ba1\u7406\u53ef\u9ad8\u5ea6\u9810\u9632\u7684\u75be\u75c5\u7684\u6210\u672c\u5e36\u4f86\u5ee3\u95ca\u7684\u524d\u666f\u3002 p16\/Ki\u201167 \u96d9\u91cd\u67d3\u8272\u751f\u7269\u6a19\u7c64\u5728\u5206\u8a3a\u4e2d\u7684\u50f9\u503c \u8fd1\u5e74\u4f86\uff0c\u8a31\u591a\u570b\u5bb6\u7684\u521d\u7d1a HPV \u7be9\u6aa2\u5df2\u5f97\u5230\u6539\u5584\uff0c\u73fe\u5728\u9019\u4e9b\u570b\u5bb6\u63d0\u4f9b\u64f4\u5927\u7684 Pap \u7d30\u80de\u5b78\u548c HPV DNA \u6aa2\u6e2c\u8a08\u756b\u3002\u7531\u65bc HPV \u611f\u67d3\u4e0d\u4e00\u5b9a\u6703\u5c0e\u81f4\u5b50\u5bae\u9838\u764c\uff0c\u56e0\u6b64\u5973\u6027\u5728\u521d\u6b21 HPV \u6aa2\u6e2c\u5448\u967d\u6027\u5f8c\u4ecd\u9700\u8981\u63a5\u53d7\u5206\u8a3a\u7be9\u6aa2\uff0c\u4ee5\u78ba\u5b9a\u5979\u5011\u7f79\u60a3\u5b50\u5bae\u9838\u764c\u7684\u98a8\u96aa\u7a0b\u5ea6\u3002\u5b89\u6392\u6bcf\u500b\u967d\u6027\u75c5\u4f8b\u9032\u884c\u9670\u9053\u93e1\u6aa2\u67e5\u4e26\u4e0d\u5207\u73fe\u5be6\uff0c\u9670\u9053\u93e1\u662f\u4e00\u7a2e\u4fb5\u5165\u6027\u624b\u8853\uff0c\u4e0d\u50c5\u6210\u672c\u9ad8\u6602\uff0c\u800c\u4e14\u6703\u7d66\u60a3\u8005\u5e36\u4f86\u4e0d\u5fc5\u8981\u7684\u58d3\u529b\uff0c\u5c24\u5176\u662f\u8003\u616e\u5230\u5927\u591a\u6578 HPV \u611f\u67d3\u90fd\u662f\u77ed\u66ab\u4e14\u81ea\u6211\u6e05\u9664\u7684\u3002 \u76ee\u524d\u5927\u591a\u6578\u570b\u5bb6\u7684\u5206\u8a3a\u9078\u9805\u5305\u62ec\u55ae\u7368\u4f7f\u7528\u7d30\u80de\u5b78\u6216\u8207 HPV \u57fa\u56e0\u5206\u578b\u5171\u540c\u6aa2\u6e2c\u3002\u4e0d\u904e\uff0c\u5df2\u77e5\u57fa\u65bc\u7d30\u80de\u5b78\u7684\u65b9\u6cd5\u662f\u8cc7\u6e90\u5bc6\u96c6\u578b\u65b9\u6cd5\uff0c\u800c\u4e14\u7d50\u679c\u53ef\u4f9b\u89e3\u91cb [3]\u3002HPV \u57fa\u56e0\u5206\u578b\u65e8\u5728\u6e1b\u8f15\u8207 Pap \u7d30\u80de\u5b78\u76f8\u95dc\u7684\u4e00\u4e9b\u4e0d\u78ba\u5b9a\u6027\uff0c\u4f46\u5176\u7121\u6cd5\u70ba HPV \u7d50\u679c\u5448\u967d\u6027\u6642\u4e4b\u60a3\u8005\u53ca\u81e8\u5e8a\u91ab\u5e2b\u63d0\u4f9b\u5145\u5206\u4fdd\u8b49\u3002 \u591a\u5e74\u4f86\uff0c\u91dd\u5c0d\u5206\u8a3a\u4e2d\u7684\u751f\u7269\u6a19\u7c64\u7269 p16\/Ki-67 \u7684\u67d3\u8272\u4e00\u76f4\u662f\u591a\u9805\u7814\u7a76\u7684\u4e3b\u984c [4]\u3002\u7531\u65bc\u9019\u5169\u7a2e\u751f\u7269\u6a19\u7c64\u5728\u6b63\u5e38\u7d30\u80de\u4e2d\u662f\u76f8\u4e92\u6392\u65a5\u7684\uff0c\u56e0\u6b64\u5169\u8005\u7684\u6307\u793a\u8868\u660e\u7d30\u80de\u6b63\u5728\u7d93\u6b77\u8f49\u5316\u578b HPV \u611f\u67d3\uff0c\u4e26\u4e14\u60a3\u8005\u8655\u65bc\u66f4\u5927\u7684\u98a8\u96aa\u4e2d\u3002 \u5177\u6709\u91cc\u7a0b\u7891\u610f\u7fa9\u7684 Improving Primary Screening and Colposcopy Triage (IMPACT) \u8a66\u9a57 [2] \u65bc [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":115229,"parent":0,"menu_order":0,"template":"","meta":{"_acf_changed":false,"site-sidebar-layout":"no-sidebar","site-content-layout":"","ast-site-content-layout":"full-width-container","site-content-style":"unboxed","site-sidebar-style":"unboxed","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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