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“妇科癌症筛查”还是“宫颈癌筛查”?以匈牙利为例。

"Gynaecological cancer screening" or "cervical screening?" The case of Hungary.

作者信息

Döbrőssy L, Koiss R

出版信息

Eur J Gynaecol Oncol. 2016 Aug;37(4):445-450.

Abstract

In Hungary, "gynaecological cancer screening" by gynaecologists having interest in oncology has had a long history. The screening tool was colposcopy alone embedded in complete gynaecological examination. Later on smear-taking for cytology has been added. This screening protocol has survived until now both in the gynaecological community and public. In the meantime, as it proved its ef- fectiveness, cytological examination has been internationally recommended,\ as sole method of organized cervical screening; in case of non-negative test result, gynaecological examination including colposcopy is justified. Smear-taking can be undertaken by trained paramedical personnel. The authors have made an attempt to argue the use of "cervical screening" instead of "gynaecological cancer screening", which is deeply entrenched into both professional and public consciousness in Hungary.

摘要

在匈牙利,对肿瘤学感兴趣的妇科医生开展“妇科癌症筛查”已有很长历史。筛查工具最初是单纯的阴道镜检查,它包含在完整的妇科检查中。后来增加了细胞学涂片检查。这一筛查方案至今在妇科领域和公众中都仍在实施。与此同时,由于其有效性得到证实,细胞学检查已被国际上推荐为有组织的宫颈癌筛查的唯一方法;如果检查结果为非阴性,则进行包括阴道镜检查在内的妇科检查是合理的。涂片检查可由经过培训的医护辅助人员进行。作者试图论证用“宫颈癌筛查”取代“妇科癌症筛查”的合理性,因为“妇科癌症筛查”在匈牙利的专业人士和公众意识中都已根深蒂固。

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