Döbrőssy Lajos, Kovács Attila, Budai András, Cornides Agnes
Országos Tisztifőorvosi Hivatal Budapest Gyáli út 2-6.
Orv Hetil. 2012 Aug 19;153(33):1302-13. doi: 10.1556/OH.2012.29432.
The "gynecological screening" that is composed of complex gynecological examination including colposcopy and cytological examinations has traditionally been incorporated into the gynecological protocol and practice. Over the past few decades, unfortunately, this screening practice has entrenched in the mind both of the gynecological community and the general public. As a result, the government-supported, organized cervical screening program of the population has come to a standstill. In order to adjust the cervical screening practice to the international public health recommendations in which cytology is the only screening test applied, the authors decided to involve primary care nurses and health visitors in smear taking, and to refer those with abnormal findings to a gynecologist for further clinical examination.
由包括阴道镜检查和细胞学检查在内的复杂妇科检查组成的“妇科筛查”，传统上已纳入妇科诊疗方案和实践中。然而，在过去几十年里，这种筛查做法在妇科界和普通公众的观念中都已根深蒂固。结果，政府支持的、有组织的针对全体人群的宫颈癌筛查项目陷入了停滞。为了使宫颈癌筛查实践符合国际公共卫生建议（即细胞学是唯一应用的筛查检测方法），作者决定让初级保健护士和健康访视员参与涂片采集，并将检查结果异常者转诊给妇科医生进行进一步临床检查。
