HPV、TCT报告单怎么看？1分钟教你读懂宫颈癌筛查报告！
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">非常多</span>女性<span style="color: black;">伴侣</span>都<span style="color: black;">晓得</span>想要预防宫颈癌的话，除了接种HPV疫苗，<span style="color: black;">定时</span>做宫颈癌筛查<span style="color: black;">亦</span>很<span style="color: black;">要紧</span>。<span style="color: black;">不外</span>筛查是做了，拿到手里的报告又该怎么看呢？今天就来教你看懂宫颈癌筛查报告！</p>
<h2 style="color: black; text-align: left; margin-bottom: 10px;">宫颈癌筛查怎么做？</h2>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">宫颈癌筛查<span style="color: black;">包含</span>TCT（宫颈液基细胞学<span style="color: black;">检测</span>）和HPV 两个，<span style="color: black;">按照</span>女性年龄段不<span style="color: black;">同样</span>，做的筛查项目有所差别，有的仅<span style="color: black;">必须</span>单项筛查，有的<span style="color: black;">必须</span>联合筛查。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic3.zhimg.com/80/v2-3c2a281600b39429eff788b6d1c34ef2_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">宫颈癌筛查应始于21岁。21-29岁的女性应每3年接受1次TCT筛查。30-65岁的女性<span style="color: black;">举荐</span>每5年进行1次TCT加HPV检测的联合筛查，<span style="color: black;">亦</span>可<span style="color: black;">选取</span>每3年进行1次TCT单项筛查。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">65岁以上女性如之前10年内连续3次TCT检测阴性或连续2次联合检测阴性，且<span style="color: black;">近期</span>1次检测在5年以内，应终止筛查。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">女性<span style="color: black;">伴侣</span>们<span style="color: black;">能够</span><span style="color: black;">按照</span>自己的<span style="color: black;">状况</span><span style="color: black;">定时</span>接受宫颈癌筛查。</p>
<h2 style="color: black; text-align: left; margin-bottom: 10px;">TCT报告<span style="color: black;">检测</span>单怎么看？</h2>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">那样</span>做完<span style="color: black;">检测</span>，拿到报告之后，你会<span style="color: black;">发掘</span>上面有<span style="color: black;">各样</span>各样的术语，非常难懂，<span style="color: black;">哪些</span>术语是什么意思呢？</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1：未见上皮内病变细胞或恶性细胞（NILM）</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">宫颈细胞正常，不<span style="color: black;">必须</span>特殊处理。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2：炎症（<span style="color: black;">包含</span>轻度炎症、中度炎症、重度炎症）</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">可能有宫颈炎症，基本<span style="color: black;">能够</span>排除有恶性病变。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">意见</span>到医院进一步<span style="color: black;">检测</span>，<span style="color: black;">大夫</span>会<span style="color: black;">按照</span>炎症类型制定治疗<span style="color: black;">方法</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3：霉菌感染、滴虫感染、放线菌感染（或细菌过度生长）</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">阴道正常菌群失调，或有滴虫等病原微生物入侵，从而<span style="color: black;">引起</span>有感染。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">大夫</span>可能会<span style="color: black;">意见</span>再做一个白带常规和细菌性阴道病<span style="color: black;">检测</span>，<span style="color: black;">按照</span><span style="color: black;">检测</span>结果制定治疗<span style="color: black;">方法</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">4：ASC-US，非典型<span style="color: black;">道理</span>的鳞状细胞或<span style="color: black;">不可</span><span style="color: black;">知道</span><span style="color: black;">道理</span>的不典型鳞状细胞</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">这个结果提示不确定这些细胞<span style="color: black;">是不是</span><span style="color: black;">反常</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">能够</span>查一下“高危型HPV”：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">①HPV阴性，且<span style="color: black;">无</span>症状（如阴道不规则<span style="color: black;">流血</span>、同房<span style="color: black;">流血</span>、血性白带等），<span style="color: black;">能够</span>观察一年后复查TCT。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">②HPV阴性，但有症状，提示可能有炎症，<span style="color: black;">能够</span>抗炎治疗3~6个月后复查TCT。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">③<span style="color: black;">倘若</span>HPV阳性，<span style="color: black;">意见</span>行阴道镜和宫颈活检。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic2.zhimg.com/80/v2-3475744c8c42a4d7c2beede964046535_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">5：ASC-H，非典型鳞状细胞不排除高度鳞状上皮内病变</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">虽<span style="color: black;">不可</span><span style="color: black;">知道</span><span style="color: black;">道理</span>，但倾向于有病变。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">意见</span>查“高危型HPV”，行阴道镜+宫颈活检。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">6：LSIL，低度鳞状上皮内病变</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">可能有宫颈癌前病变，但<span style="color: black;">不消</span>太紧张，这个<span style="color: black;">周期</span>的癌前病变大部分会<span style="color: black;">自动</span>消退。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">意见</span>查“高危型HPV”，行阴道镜+宫颈活检。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">7：HSIL，高度鳞状上皮内病变</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">有可疑癌前病变细胞，<span style="color: black;">必须</span>进一步确诊+治疗，<span style="color: black;">否则</span>发展为癌的可能性比<span style="color: black;">很强</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">意见</span>查“高危型HPV”，尽快行阴道镜+宫颈活检，<span style="color: black;">按照</span>病变程度进行病变切除术（leep环切术或冷刀锥切术）。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">8：AGC，非典型腺细胞</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">极有可能是癌前病变。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">尽快进行阴道镜<span style="color: black;">检测</span>+宫颈活检+宫颈管骚刮术以<span style="color: black;">知道</span>诊断。</p>
<h2 style="color: black; text-align: left; margin-bottom: 10px;">HPV检查单怎么看？</h2>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">看完了TCT的<span style="color: black;">检测</span>单，接下来<span style="color: black;">咱们</span>来看H</p>
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