在刚刚过去的三八妇女节，南京鼓楼医院、江苏省妇幼保健院、南京市妇幼保健院等多家医院都为女性朋友们举办了大型义诊活动。义诊上专家表示，宫颈癌发病年轻化的趋势明显，注射宫颈癌疫苗可以在一定程度上预防宫颈癌，而内地宫颈癌疫苗有望在年内面市。

In the last 38 women's days,Nanjing gulou hospital/Jiangsu province maternal and child health care/Nanjing maternity and child care hospitals such as large free clinic was held activities for women friends.Experts say free clinic,Cervical cancer onset younger trend is obvious,Cervical cancer vaccine can prevent cervical cancer to a certain extent,Cervical cancer vaccine in mainland and is expected to hit the market in years.

　　宫颈癌患病明显呈年轻化趋势

Cervical cancer significantly younger trend

　　南京鼓楼医院妇科主任洪颖教授说，宫颈癌的发病年龄以40－50岁为最多，但近年临床数据表明，宫颈癌患者中30岁以下年轻女性所占比例已近20%。江苏省妇幼保健院妇科程文俊、尤志学两位主任医师也告诉记者，临床上一个明显的感受就是，这两年宫颈癌发病明显增多了，省妇幼一周要开上10台宫颈癌的手术，一年处理的宫颈癌前病变也要达到500例左右。

Professor of nanjing drum tower hospital, director of department of gynaecology HongYing said,The onset of cervical cancer to 40 to 50 years old for up,But recent clinical data suggest,Cervical cancer patients under the age of 30 young women accounted for nearly 20%.Jiangsu province maternity and child care department of gynaecology Cheng Wenjun/Especially tzi-shue two chief physician told reporters,An obvious feeling is clinically,Cervical cancer incidence increased significantly over the past two years,Province women's and children's week to drive 10 sets of cervical cancer surgery,Treatment of cervical cancer lesion before a year also to reach about 500 cases.

　　江苏省人民医院两位主任医师接诊过的宫颈癌患者年龄最小的才20岁，有的二十五六岁才出大学没几年，发现宫颈癌已经是晚期了。而鼓楼医院妇产科接诊的宫颈癌患者当中，最年轻的只有17岁。实际上，从宫颈癌前病变到癌症要花上10年左右的时间，如果能及时检查出来，是完全有可能阻断癌症发生的。

Both in jiangsu province people's hospital chief physician exploded in cervical cancer patients with the youngest is only 20 years old,There s just out of college a few years,Found that cervical cancer is terminal.The drum tower hospital departments of obstetrics and gynecology in patients with cervical cancer,The youngest is only 17 years old.In fact,From cervical cancer lesion before to cancer takes 10 years or so,If you can check out in a timely manner,Is entirely possible to block cancer.

　　宫颈癌疫苗年底有望在内地面市

Cervical cancer vaccine at the end of the year is expected to hit the market in the mainland

　　尤志学告诉记者，宫颈癌主要和HPV（高危型人乳头瘤病毒）持续感染有关。HPV病毒离普通人都不遥远，80%的女性一生中都会感染HPV病毒，但仅25%会发生癌前病变。接种HPV疫苗是行之有效的预防措施。据了解，宫颈癌疫苗在美国、英国、澳大利亚、中国香港等国家和地区均已上市。据南京市鼓楼医院妇产科主任洪颖教授透露，今年年底，针对HPV感染的宫颈癌疫苗有望在内地上市。

Especially tzi-shue told reporters,Cervical cancer and HPV(High-risk human papillomavirus (HPV) type)Persistent infection associated.HPV is not far away from ordinary people,80% of the women in his life will be infected with HPV,But only 25% of the precancerous lesions will happen.The HPV vaccine is effective preventive measures.We have learned,Cervical cancer vaccines in the United States/The UK/Australia/Hong Kong, China and other countries and regions have been listed.According to professor HongYing director of nanjing drum tower hospital of obstetrics and gynecology,At the end of this year,Vaccine for HPV infection of cervical cancer is expected to be listed on the mainland.

　　不过，南京市妇幼保健院门诊部阚延静主任也提醒，目前HPV疫苗主要分为预防性和治疗性两种，临床使用的以预防性的疫苗为主，而治疗性疫苗的临床效果还在研究中。如果已经感染了疫苗包含的HPV类型，再接种预防性疫苗相当于“亡羊补牢”，意义有限。所以世界卫生组织认为，能获得疫苗保护的人群年龄为9—26岁；最适宜接种年龄为11—12岁，或在发生性行为前。

but,Nanjing maternity and child health care clinic director KanYanJing also reminds,The HPV prophylactic and therapeutic vaccines are mainly divided into two kinds,Clinical use is given priority to with prophylactic vaccines,And the clinical effect of therapeutic vaccines are still in the study.If you have already infected the vaccines contain HPV types,Preventive vaccination is equivalent to again"Better late than never",Meaning co., LTD..So the world health organization (who) said,To receive the vaccine to protect people at age 9-26;The most appropriate vaccination for 11-12 years old,Or before sex.

　　接种了疫苗也不能忽视筛查

The vaccine also cannot ignore screening

　　接种了疫苗是不是就高枕无忧了呢？阚延静主任表示，HPV病毒也有很多分型，其中的16和18型最常见，是引起约70％子宫颈癌的致病原。所以目前国际上使用的只有针对16和18两种“主流”分型，但中国女性58、32和33等分型感染的人也很多。也就是说，如果感染的是非16和18型，接种疫苗也起不到效果。

If vaccinated can rest easy?KanYanJing director said,HPV type also has a lot of,16 and 18 of them the most common type,Is the pathogenic agents cause about 70% of cervical cancer.So at present internationally used only for 16 and 18"The mainstream"parting,But Chinese women 58/32 and 33 uniform type of infection are also a lot.That is to say,If the type is 16 and 18 infection,Vaccination is not effect.

　　程文俊主任医师建议，在疫苗普及之前，预防宫颈癌首先要改变不良的性生活方式，定期到医院进行癌前病变的筛查。经过多年的宣传教育，大部分人对宫颈刮片检查比较接受，实际上，现在医学界最推荐的是宫颈液基细胞学检测(也就是TCT联合病毒检查)。

Cheng Wenjun chief physician recommendations,Before the vaccine popularization,Prevention of cervical cancer to change bad sexual lifestyle in the first place,Regularly to the hospital for screening precancerous lesions.After years of propaganda and education,The majority of people on the cervical smear examination is accepted,In fact,Now the medical profession is the most recommended by cervical liquid based cytology for detection(Is the TCT joint virus check).

　　据鼓楼医院统计，近3年机会性筛查5万人发现TCT异常的占5.4%。程文俊表示，如果宫颈刮片和病毒两样检查都是阴性，那么被检查者是比较安全的，三年内可不做相关筛查也可以。

According to the drum tower hospital,Nearly three years opportunistic screening 50000 people found abnormal TCT accounted for 5.4%.Cheng Wenjun said,If the cervical smear and virus checks are both negative,So inspection is more safe,Three years don't do relevant screening can also.

　　扬子晚报记者 杨彦 于丹丹

Yangzi evening news reporter Yang Yan Yu Dandan