摘要
人乳头瘤病毒(HPV)相关疾病已成为严重威胁人类健康的公共卫生问题。然而,目前仅宫颈癌已具备较为完善的以HPV疫苗接种和筛查为主的预防手段,但对于HPV相关的非宫颈疾病如外阴癌、阴道癌、阴茎癌、肛门癌、头颈部恶性肿瘤、尖锐湿疣、复发性呼吸道乳头状瘤病等,国内尚未有指南和共识系统指导其早期预防策略和措施。为此,中华预防医学会肿瘤预防与控制专业委员会与中华预防医学会疫苗与免疫分会全面总结HPV病原学和流行病学、HPV相关非宫颈疾病的疾病负担以及早期预防证据并形成13条推荐意见,旨在为相关疾病防控、妇幼保健、临床诊治、卫生管理、政策制定等相关人员提供建议和参考依据,进而减少HPV感染风险,促进HPV相关非宫颈疾病的早诊早治,降低疾病负担。
Human papillomavirus(HPV)-related diseases have become a significant public health issue,posing a serious threat to human health.However,currently,only cervical cancer has well-established prevention measures,primarily based on HPV vaccination and screening.For other HPV-related non-cervical diseases such as vulvar cancer,vaginal cancer,penile cancer,anal cancer,head and neck cancer,genital warts,and recurrent respiratory papillomatosis,there are no specific guidelines or consensus to systematically guide their early prevention strategies and measures in China.Therefore,Cancer Prevention and Control Committee,Chinese Preventive Medicine Association and Vaccine and Immunization Branch,Chinese Preventive Medicine Association comprehensively summarized the etiology and epidemiology of HPV,the disease burden of HPV-related non-cervical diseases,and the evidence for early prevention,and formed 13 recommendations.This consensus aims to comprehensively summarize the etiology and epidemiology of HPV infection,the disease burden of HPV-related non-cervical diseases,and the evidence for early prevention,providing recommendations and references for relevant personnel in disease prevention and control,maternal and child health care,clinical diagnosis and treatment,health management,policy-making,etc.,and finally,reducing the risk of HPV infection,promoting early diagnosis and treatment of HPV-related non-cervical diseases,and decreasing the disease burden.
作者
中华预防医学会肿瘤预防与控制专业委员会
中华预防医学会疫苗与免疫分会
赵方辉
王华庆
张海增
胡尚英
张莉
赵雪莲
杨欢
Cancer Prevention and Control Committee,Chinese Preventive Medicine Association;Vaccine and Immunization Branch,Chinese Preventive Medicine Association;Zhao Fanghui;Wang Huaqing;Zhang Haizeng(不详;Department of Epidemiology,National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100021,China;National Immunization Program,Chinese Center for Disease Control and Prevention,Beijing 100050,China;Department of Colorectal Surgery,National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100021,China)
出处
《中华医学杂志》
北大核心
2025年第30期2536-2550,共15页
National Medical Journal of China
基金
中国医学科学院医学健康科技创新工程(2021-I2M-1-004)。
关键词
人乳头瘤病毒
一级预防
二级预防
人乳头瘤病毒疫苗
早期诊断
Human papillomavirus
Primary prevention
Secondary prevention
Human papillomavirus vaccines
Early diagnosis
