[宫颈癌筛查、人乳头瘤病毒(HPV)疫苗接种]。

Q4 Medicine Magyar onkologia Pub Date : 2022-12-31
Zsuzsa Schaff, Balázs Járay
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引用次数: 0

摘要

宫颈癌筛查在世界范围内得到广泛应用,这使得一些国家的发病率和死亡率显著下降。20世纪50年代,作为二级预防宫颈癌的机会性方法,宫颈癌筛查在匈牙利开始实施,但后来成为国家免疫方案的一部分。在一些国家,检测人乳头瘤病毒(HPV)是细胞学检查之前的一线筛查方法,匈牙利已由几个小组提议将其引入。首先采用2价HPV疫苗,然后采用4价HPV疫苗,最近又采用9价HPV疫苗,可进一步降低甚至完全消除宫颈癌的发病率和死亡率。匈牙利于2014年推出了针对12岁女孩的全国性疫苗接种计划,并于2020年将该计划扩展至同龄男孩,涉及匈牙利目标人口的60-80%。下一步将是扩大疫苗接种规划,作为迎头赶上和接种前后疫苗,以接近世卫组织消除HPV感染和宫颈癌的目标。
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[Screening for cervical cancer, human papillomavirus (HPV) vaccination].

Cervical cancer screening is widely used worldwide, which led to a significant decrease both in incidence and mortality of the disease in several countries. Cervical cancer screening was introduced in the 1950s as opportunistic method for secondary prevention of cervical cancer in Hungary, later, however, became a part of National Immunization Program. Detection of human papillomavirus (HPV) is the first-line method of screening in several countries before cytology, which has been proposed to be introduced in Hungary by several groups. The incidence and mortality of cervical cancer can be reduced further or even completely eliminated by the application of HPV vaccines first by 2- , followed by 4- and recently by 9- valent HPV vaccines. Nationwide vaccination program for 12-year-old girls was introduced in 2014 which was extended for boys of the same age in 2020 involving 60-80% of the target population in Hungary. The next step would be to extend the vaccination program as catch up and pre- or postconization vaccination to approach the WHO goal for elimination of HPV infection and cervical cancer.

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来源期刊
Magyar onkologia
Magyar onkologia Medicine-Medicine (all)
CiteScore
0.60
自引率
0.00%
发文量
30
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