{"id":1925,"date":"2017-07-31T17:49:22","date_gmt":"2017-07-31T17:49:22","guid":{"rendered":"http:\/\/cytologystuff1.wpengine.com\/gyn-atlas-table-of-contents\/low-grade-squamous-intraepithelial-lesion\/"},"modified":"2017-11-15T06:55:47","modified_gmt":"2017-11-15T06:55:47","slug":"low-grade-squamous-intraepithelial-lesion","status":"publish","type":"page","link":"https:\/\/dev.cytologystuff.com\/ja\/gyn-atlas-table-of-contents\/low-grade-squamous-intraepithelial-lesion\/","title":{"rendered":"\u8efd\u5ea6\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u5185\u75c5\u5909\uff08LSIL\uff09"},"content":{"rendered":"

[vc_row 0=””][vc_column 0=”” offset=”vc_hidden-lg vc_hidden-md”][vc_raw_html 0=””]PGNlbnRlcj48YSBjbGFzcz0ic2hpZnRuYXYtdG9nZ2xlIHNoaWZ0bmF2LXRvZ2dsZS1idXR0b24iIGRhdGEtc2hpZnRuYXYtdGFyZ2V0PSJzaGlmdG5hdi1tYWluIj48aSBjbGFzcz0iZmEgZmEtYmFycyI+PC9pPiBUYWJsZSBvZiBDb250ZW50cyA8L2E+PC9jZW50ZXI+[\/vc_raw_html][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=”\u8efd\u5ea6\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u5185\u75c5\u5909\uff08LSIL\uff09” font_container=”tag:h1|text_align:center” use_theme_fonts=”yes”][\/vc_column][\/vc_row][vc_row el_id=”acknowledgements”][vc_column width=”2\/3″][vc_column_text]
\n\u8efd\u5ea6\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u5185\u75c5\u5909\uff08LSIL\uff09 <\/strong>
Diane D. Davey, MD
\n<\/em> <\/p>\n

\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u306e\u7570\u5f62\u6210\u3068\u306f\u3001\u7570\u5e38\u7d30\u80de\u306e\u7d30\u80de\u8cea\u306b\u5c11\u306a\u304f\u3068\u3082\u3044\u304f\u3089\u306e\u6241\u5e73\u69d8\u306e\u7279\u5fb4\u3092\u5448\u3059\u308b\u3082\u306e\u3067\u3059\u3002 \uff08\u53c2\u8003\u6587\u732e1\uff09\u7570\u5f62\u6210\u306e\u5ea6\u5408\u3044\u306f\u3001\u95a2\u4e0e\u3059\u308b\u7d30\u80de\u306e\u6210\u719f\u5ea6\u3092\u6620\u3059\u93e1\u3067\u3059\u3002\u305f\u3068\u3048\u3070\u3001\u8efd\u5ea6\u306e\u7570\u5f62\u6210\u7d30\u80de\u3068\u3001\u8868\u5728\u306e\u6210\u719f\u5316\u751f\u4e2d\u5c64\u7d30\u80de\u3068\u306f\u4f3c\u3066\u3044\u308b\u304c\u3001\u4e0a\u76ae\u7d30\u80de\u306e\u7570\u5f62\u6210\u304c\u5f37\u304f\u306a\u308b\u3068\u3001\u508d\u57fa\u5e95\u7d30\u80de\u3084\u672a\u719f\u306a\u5316\u751f\u7d30\u80de\u306e\u3088\u3046\u306b\u6210\u719f\u3057\u3066\u3044\u306a\u3044\u6b63\u5e38\u4e0a\u76ae\u7d30\u80de\u3068\u306a\u3063\u3066\u73fe\u308c\u307e\u3059\u3002\u300c\u5b50\u5bae\u75c5\u5909\u306e\u8a3a\u65ad\u5206\u985e\u306e\u305f\u3081\u306e\u30d9\u30bb\u30b9\u30c0\u30b7\u30b9\u30c6\u30e0\u300d\u306e\u51fa\u73fe\u306b\u3088\u308a\u3001\u8efd\u5ea6\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u5185\u75c5\u5909\uff08LSIL\uff09\u307e\u305f\u306f\u9ad8\u5ea6\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u5185\u75c5\u5909\uff08HSIL\uff09\u306e\u305f\u3081\u306b\u300c\u7570\u5f62\u6210\u300d\u3068\u3044\u3046\u7528\u8a9e\u3092\u4f7f\u7528\u3059\u308b\u3053\u3068\u304c\u5c11\u306a\u304f\u306a\u308a\u307e\u3057\u305f\u3002\u5168\u7de8\u306b\u308f\u305f\u308a\u30d9\u30bb\u30b9\u30c0\u30b7\u30b9\u30c6\u30e0\u3068\u3044\u3046\u7528\u8a9e\u3092\u4f7f\u7528\u3057\u307e\u3059\u3002 <\/p>\n

ThinPrep\u30b9\u30e9\u30a4\u30c9\u4e0a\u3067\u306f\u3001\u8efd\u5ea6\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u5185\u75c5\u5909\uff08LSIL\uff09\uff08\u30d2\u30c8\u30d1\u30d4\u30ed\u30fc\u30de\u30a6\u30a4\u30eb\u30b9\uff08HPV\uff09\u611f\u67d3\u306b\u3088\u308b\u5909\u5316\u306a\u3069\uff09\u306e\u5f62\u614b\u306f\u3001\u5f93\u6765\u306e\u30d1\u30d1\u30cb\u30b3\u30ed\u30fc\u6cd5\u306b\u898b\u3089\u308c\u308bLSIL\u3068\u672c\u8cea\u7684\u306b\u540c\u3058\u3067\u3059\u3002\u3053\u306e\u985e\u4f3c\u6027\u306f\u3001\u5f93\u6765\u306e\u67d3\u8272\u6cd5\u306b\u306f\u3001\u56fa\u5b9a\u304c\u4e0d\u5341\u5206\u3067\u3042\u3063\u305f\u308a\u3001\u56fa\u6709\u306e\u67d3\u8272\u30a2\u30fc\u30c1\u30d5\u30a1\u30af\u30c8\u304c\u3042\u3063\u3066\u3082\u3001\u6210\u719f\u3057\u305f\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u306f\u3042\u307e\u308a\u5f62\u614b\u5909\u5316\u306b\u5f71\u97ff\u53d7\u3051\u306a\u3044\u3053\u3068\u306b\u3088\u308b\u3082\u306e\u3067\u3082\u3042\u308a\u307e\u3059\u3002\u3053\u306e\u3053\u3068\u306f\u3001\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u306e\u7d30\u80de\u8cea\u306e\u89d2\u5316\u306b\u3088\u308a\u3001\u7d30\u80de\u304c\u5f37\u5316\u3057\u3066\u3044\u308b\u3053\u3068\u3068\u95a2\u4fc2\u3057\u3066\u3044\u307e\u3059\u3002 <\/p>\n

\u3053\u306e\u305f\u3081\u3001\u4e0a\u76ae\u5185\u306b\u3042\u3063\u3066\u3001\u691c\u51fa\u3055\u308c\u308b\u3053\u3068\u304c\u6700\u3082\u591a\u3044\u7570\u5e38\u306b\u3001\u8efd\u5ea6\u75c5\u5909\u7531\u6765\u306e\u7d30\u80de\u304c\u3042\u308a\u307e\u3059\u3002\u6bd4\u8f03\u3059\u308b\u3068\u3001\u8efd\u5ea6\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u5185\u75c5\u5909\uff08LSIL\uff09\u306e\u6838\u304c\u6700\u3082\u5927\u304d\u304f\u3001\u9ad8\u5ea6\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u5185\u75c5\u5909\uff08HSIL\uff09\u307e\u305f\u306f\u764c\u3088\u308a\u3001\u4f4e\u3044N\/C\u6bd4\u3092\u5448\u3057\u307e\u3059\u3002\u3053\u306e\u7d30\u80de\u306f\u3001\u610f\u7fa9\u4e0d\u660e\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\uff08ASCUS\uff09\u3088\u308a\u6838\u306e\u7570\u578b\u5ea6\u304c\u5927\u304d\u304f\u3001\u6838\u304c\u5927\u304d\u304f\u3001\u30af\u30ed\u30de\u30c1\u30f3\u304a\u3088\u3073\u6838\u819c\u306e\u4e0d\u63c3\u3044\u304c\u898b\u3089\u308c\u307e\u3059\u3002\u3068\u304d\u306b\u3001\u6838\u304c\u5f93\u6765\u306e\u67d3\u8272\u6cd5\u307b\u3069\u6fc3\u8272\u3067\u306f\u306a\u3044\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u5e38\u306b\u5468\u56f2\u306e\u6b63\u5e38\u7d30\u80de\u306b\u6bd4\u3079\u3066\u6fc3\u8272\u3067\u3059\u3002\u6e7f\u56fa\u5b9a\u3084\u7d30\u80de\u306e\u79fb\u5165\u6280\u8853\u306b\u3082\u3088\u308a\u307e\u3059\u304c\u3001\u30d2\u30c8\u30d1\u30d4\u30ed\u30fc\u30de\u30a6\u30a4\u30eb\u30b9\uff08HPV\uff09\u306b\u3088\u308b\u5909\u6027\uff08\u305f\u3068\u3048\u3070\u3001\u7d30\u80de\u8cea\u306e\u7a7a\u80de\u5316\uff09\u306f\u7279\u306b\u591a\u304f\u3001\u3053\u306e\u3053\u3068\u304c\u5f93\u6765\u306e\u67d3\u8272\u6cd5\u304c\u7d30\u80de\u306e\u5909\u5316\u3092\u5f15\u304d\u8d77\u3053\u3057\u3066\u3044\u308b\u3068\u3059\u308b\u8003\u3048\u65b9\u3092\u5426\u5b9a\u3057\u3066\u3044\u307e\u3059\u3002ThinPrep \u6cd5\u306f\u3001\u3053\u306e\u7d30\u80de\u306e\u5909\u5316\u3092\u826f\u597d\u306b\u7dad\u6301\u3057\u3001HPV\u306b\u3088\u308b\u7d30\u80de\u8cea\u5185\u7a7a\u80de\u5316\u3068\u3001\u826f\u6027\u5909\u6027\u5c0f\u7a7a\u80de\u304a\u3088\u3073\u30b0\u30ea\u30b3\u30fc\u30b2\u30f3\u4fdd\u6709\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u3068\u3092\u8b58\u5225\u3057\u3084\u3059\u304f\u306a\u3063\u3066\u3044\u307e\u3059\u3002 <\/p>\n

<\/a><\/p>\n

\n\u6ce8\uff1a\u753b\u50cf\u3092\u30af\u30ea\u30c3\u30af\u3059\u308b\u3068\u62e1\u5927\u3057\u307e\u3059\u3002<\/strong><\/p>\n
\n
\n\t\"Image<\/a><\/p>\n
\n\u5f93\u6765\u306e\u30d1\u30d1\u30cb\u30b3\u30ed\u30fc\u67d3\u8272\u6a19\u672c<\/strong>
\nLSIL\n<\/div>\n<\/div>\n
\n \t\u5f93\u6765\u306e\u30d1\u30d1\u30cb\u30b3\u30ed\u30fc\u67d3\u8272\u6a19\u672c<\/strong>
\nLSIL\n<\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\nThinPrep\u6cd5<\/strong>
\nLSIL<\/div>\n<\/div>\n
\n ThinPrep\u6cd5<\/strong>
\nLSIL\n<\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\n\t\u751f\u691c<\/strong>
\nCIN1
\n\u540c\u4e00\u60a3\u8005\u306e\u5206\u5272\u6a19\u672c<\/div>\n<\/div>\n
\n \t\u751f\u691c<\/strong>
\nCIN1
\n\u540c\u4e00\u60a3\u8005\u306e\u5206\u5272\u6a19\u672c<\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\n\tLSIL<\/strong>
\n\u7d30\u80de\u8cea\u5883\u754c\u306f\u660e\u77ad\u3067\u3042\u308a\u3001\u6210\u719f\u3057\u305f\u4e0a\u76ae\u5316\u751f\u7d30\u80de\u3067\u3042\u308b\u3053\u3068\u304c\u308f\u304b\u308a\u307e\u3059\u3002
\n60\u500d\n<\/div>\n<\/div>\n
\n \tLSIL<\/strong>
\n\u7d30\u80de\u8cea\u5883\u754c\u306f\u660e\u77ad\u3067\u3042\u308a\u3001\u6210\u719f\u3057\u305f\u4e0a\u76ae\u5316\u751f\u7d30\u80de\u3067\u3042\u308b\u3053\u3068\u304c\u308f\u304b\u308a\u307e\u3059\u3002
\n60\u500d<\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\n\tLSIL<\/strong>
\n\u7d30\u80de\u306f\u3001\u5e73\u5766\u306a\u30b7\u30fc\u30c8\u307e\u305f\u306f\u6577\u77f3\u72b6\u306e\u914d\u5217\u3067\u3001\u5358\u4e00\u306e\u7d30\u80de\u7a2e\u304c\u5727\u5012\u7684\u306b\u591a\u304f\u898b\u3048\u307e\u3059\u3002
\n60\u500d\n<\/div>\n<\/div>\n
\n \tLSIL<\/strong>
\n\u7d30\u80de\u306f\u3001\u5e73\u5766\u306a\u30b7\u30fc\u30c8\u307e\u305f\u306f\u6577\u77f3\u72b6\u306e\u914d\u5217\u3067\u3001\u5358\u4e00\u306e\u7d30\u80de\u7a2e\u304c\u5727\u5012\u7684\u306b\u591a\u304f\u898b\u3048\u307e\u3059\u3002
\n60\u500d<\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\n\tLSIL<\/strong>
\n\u6838\u306f\u3001\u6b63\u5e38\u306a\u4e2d\u5c64\u7d30\u80de\u306e\u6838\u306e3\uff5e4\u500d\u306e\u5927\u304d\u3055\u3067\u3059\u3002
\n60\u500d<\/p>\n<\/div>\n<\/div>\n
\n \tLSIL<\/strong>
\n\u6838\u306f\u3001\u6b63\u5e38\u306a\u4e2d\u5c64\u7d30\u80de\u306e\u6838\u306e3\uff5e4\u500d\u306e\u5927\u304d\u3055\u3067\u3059\u3002
\n60\u500d\n<\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\n\tLSIL<\/strong>
\n\u6838\u306f\u3001\u5927\u304d\u3055\u3082\u5f62\u72b6\u3082\u308f\u305a\u304b\u305a\u3064\u7570\u306a\u308a\u307e\u3059\u3002
\n60\u500d\n<\/div>\n<\/div>\n
\n \tLSIL<\/strong>
\n\u6838\u306f\u3001\u5927\u304d\u3055\u3082\u5f62\u72b6\u3082\u308f\u305a\u304b\u305a\u3064\u7570\u306a\u308a\u307e\u3059\u3002
\n60\u500d\n<\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\n\tLSIL<\/strong>
\n\uff12\u6838\u5316\u3084\u591a\u6838\u5f62\u6210\u304b\u3089\u3001HPV\u306e\u5b58\u5728\u304c\u660e\u3089\u304b\u3067\u3059\u3002
\n60\u500d\n<\/div>\n<\/div>\n
\n \tLSIL<\/strong>
\n\uff12\u6838\u5316\u3084\u591a\u6838\u5f62\u6210\u304b\u3089\u3001HPV\u306e\u5b58\u5728\u304c\u660e\u3089\u304b\u3067\u3059\u3002
\n60\u500d<\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\nLSIL<\/strong>
\n\u6838\u819c\u306f\u3001\u6ed1\u3089\u304b\u306a\u3082\u306e\u304b\u3089\u308f\u305a\u304b\u306b\u4e0d\u898f\u5247\u306a\u5f62\u3092\u898b\u305b\u308b\u3082\u306e\u3082\u3042\u308a\u307e\u3059\u3002
\n60\u500d\n<\/div>\n<\/div>\n
\n LSIL<\/strong>
\n\u6838\u819c\u306f\u3001\u6ed1\u3089\u304b\u306a\u3082\u306e\u304b\u3089\u308f\u305a\u304b\u306b\u4e0d\u898f\u5247\u306a\u5f62\u3092\u898b\u305b\u308b\u3082\u306e\u3082\u3042\u308a\u307e\u3059\u3002
\n60\u500d\n<\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\nLSIL<\/strong>
\n\u30af\u30ed\u30de\u30c1\u30f3\u306f\u3001\u308f\u305a\u304b\u306b\u7c97\u5927\u3067\u3059\u304c\u3001\u5747\u4e00\u306b\u62e1\u6563\u3057\u3066\u3044\u307e\u3059\u3002HPV\u306e\u7d30\u80de\u5909\u6027\u4f5c\u7528\u304c\u660e\u3089\u304b\u3067\u3042\u308c\u3070\u3001
\n\u5909\u6027\u3057\u3066\u3044\u308b\u304b\u3001\u300c\u6de1\u3044\u6838\u5909\u5316\u300d\u304c\u898b\u3048\u307e\u3059\u3002
\n60\u500d\n<\/div>\n<\/div>\n
\n LSIL<\/strong>
\n\u30af\u30ed\u30de\u30c1\u30f3\u306f\u3001\u308f\u305a\u304b\u306b\u7c97\u5927\u3067\u3059\u304c\u3001\u5747\u4e00\u306b\u62e1\u6563\u3057\u3066\u3044\u307e\u3059\u3002HPV\u306e\u7d30\u80de\u5909\u6027\u4f5c\u7528\u304c\u660e\u3089\u304b\u3067\u3042\u308c\u3070\u3001
\n\u5909\u6027\u3057\u3066\u3044\u308b\u304b\u3001\u300c\u6de1\u3044\u6838\u5909\u5316\u300d\u304c\u898b\u3048\u307e\u3059\u3002
\n60\u500d\n<\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\nLSIL<\/strong>
\n\u308f\u305a\u304b\u306a\u904e\u67d3\u304c\u898b\u3089\u308c\u307e\u3059\u3002
\n60\u500d\n<\/div>\n<\/div>\n
\n LSIL<\/strong>
\n\u308f\u305a\u304b\u306a\u904e\u67d3\u304c\u898b\u3089\u308c\u307e\u3059\u3002
\n60\u500d\n<\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\nLSIL<\/strong>
\n\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u306b\u306f\u3001\u7d30\u80de\u8cea\u8fba\u7e01\u90e8\u304c\u304f\u3063\u304d\u308a\u3068\u3057\u3066\u304a\u308a\u3001\u3053\u306e\u7a7a\u80de\u5316\u304c\u660e\u77ad\u3067\u3042\u308b\u3053\u3068\u304c\u6761\u4ef6\u3067\u3001
\nHPV\u7d30\u80de\u5909\u5316\u3092\u4f34\u3046LSIL\u3068\u8a3a\u65ad\u3067\u304d\u308b\u524d\u8ff0\u306e\u57fa\u6e96\u306b\u6cbf\u3046\u3082\u306e\u3067\u3059\u3002
\n60\u500d\n<\/div>\n<\/div>\n
\n LSIL<\/strong>
\n\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u306b\u306f\u3001\u7d30\u80de\u8cea\u8fba\u7e01\u90e8\u304c\u304f\u3063\u304d\u308a\u3068\u3057\u3066\u304a\u308a\u3001\u3053\u306e\u7a7a\u80de\u5316\u304c\u660e\u77ad\u3067\u3042\u308b\u3053\u3068\u304c\u6761\u4ef6\u3067\u3001
\nHPV\u7d30\u80de\u5909\u5316\u3092\u4f34\u3046LSIL\u3068\u8a3a\u65ad\u3067\u304d\u308b\u524d\u8ff0\u306e\u57fa\u6e96\u306b\u6cbf\u3046\u3082\u306e\u3067\u3059\u3002
\n60\u500d\n<\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\n\u30b0\u30ea\u30b3\u30fc\u30b2\u30f3<\/strong>
\n\u524d\u8ff0\u306e\u57fa\u6e96\u3092\u6e80\u305f\u3055\u306a\u3044\u5927\u578b\u6838\u5468\u56f2\u9593\u9699\u307e\u305f\u306f\u7a7a\u80de\u306f\u3053\u306e\u30ab\u30c6\u30b4\u30ea\u30fc\u306b\u5165\u308a\u307e\u305b\u3093\u3002
\n40\u500d\n<\/div>\n<\/div>\n
\n \u30b0\u30ea\u30b3\u30fc\u30b2\u30f3<\/strong>
\n\u524d\u8ff0\u306e\u57fa\u6e96\u3092\u6e80\u305f\u3055\u306a\u3044\u5927\u578b\u6838\u5468\u56f2\u9593\u9699\u307e\u305f\u306f\u7a7a\u80de\u306f\u3053\u306e\u30ab\u30c6\u30b4\u30ea\u30fc\u306b\u5165\u308a\u307e\u305b\u3093\u3002
\n 40\u500d\n<\/div>\n<\/div>\n
<\/div>\n

<\/a>
\n\u7d30\u80de\u306f\u6210\u719f\u3057\u305f\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u3067\u3042\u308b\u305f\u3081\u3001\u591a\u8fba\u5f62\u3092\u7dad\u6301\u3057\u3001\u5927\u534a\u306f\u6b63\u5e38\u306a\u5927\u304d\u3055\u3092\u4fdd\u3061\u307e\u3059\u3002\u6838\u306f\u3001\u6b63\u5e38\u4e2d\u5c64\u7d30\u80de\u6838\u306e3\uff5e4\u500d\u4ee5\u4e0a\u306e\u5927\u304d\u3055\u3067\u3042\u308b\u304c\u3001HPV\u306b\u3088\u308b\u5909\u6027\u304c\u660e\u3089\u304b\u3067\u3042\u308b\u3068\u3001\u7d30\u80de\uff08\u307b\u307c\u89d2\u5316\u3057\u3066\u3044\u308b\uff09\u3082\u6838\u3082\u5c0f\u578b\u3067\u3042\u308a\u3001\u3044\u304f\u3076\u3093\u6838\u6fc3\u7e2e\u304c\u898b\u3089\u308c\u3001\uff12\u6838\u5316\u3084\u591a\u6838\u5f62\u6210\u3092\u5448\u3057\u307e\u3059\u3002\u3053\u306e\u6fc3\u7e2e\u6838\u3082\u3001\u904e\u67d3\u306a\u3069\u306e\u7570\u5e38\u306a\u6240\u898b\u3092\u793a\u3057\u3001\u6b63\u5e38\u306a\u8868\u5c64\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u3088\u308a\u5927\u304d\u304f\u3001\u5f62\u72b6\u304a\u3088\u3073\u5927\u304d\u3055\u306b\u308f\u305a\u304b\u306a\u5e45\u304c\u3042\u308a\u307e\u3059\u3002LSIL\/HPV\u306e\u89e3\u91c8\u306b\u306f\u3001\u7d30\u80de\u8cea\u7a7a\u80de\u5316\u304c\u660e\u77ad\u3067\u3042\u308b\u3053\u3068\u3001\u3055\u3089\u306b\u4e0a\u306b\u8a18\u8f09\u3057\u305f\u7570\u5e38\u306a\u6838\u306e\u5f62\u614b\u304c\u5fc5\u305a\u5fc5\u8981\u3067\u3059\u3002 <\/p>\n

\u6241\u5e73\u4e0a\u76ae\u5185\u75c5\u5909\uff08SIL\uff09\u306e\u4f8b\u306e\u3044\u304f\u3064\u304b\u306b\u3001LSIL\u3068HSIL\u306e\u7d30\u80de\u306e\u6df7\u5408\u304c\u898b\u3089\u308c\u3001ThinPrep \u6cd5\u306e\u89e3\u91c8\u306b\u306f\u3001\u6700\u3082\u5f37\u3044\u7570\u5e38\u3092\u512a\u5148\u3057\u307e\u3059\u3002\u3068\u304d\u306b\u3001LSIL\u3068HSIL\u3068\u3092\u8b58\u5225\u3059\u308b\u306e\u304c\u56f0\u96e3\u306a\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002HSIL\u3092\u80af\u5b9a\u3059\u308b\u7279\u5fb4\u306b\u306f\u3001\u9ad8\u3044N\/C\u6bd4\u3001\u672a\u719f\u306a\u7d30\u80de\u8cea\u3001\u5f37\u3044\u6838\u7570\u5e38\u304c\u3042\u308a\u307e\u3059\u3002SIL\u4f8b\u304c\u3001\u7570\u5e38\u7d30\u80de\u304c\u5c11\u306a\u3044\u304b\u3001\u5b9f\u969b\u306b\u57fa\u6e96\u306e\u4e2d\u9593\u306b\u3042\u308b\u3053\u3068\u306b\u3088\u308a\u3001\u5206\u985e\u3055\u308c\u308b\u3053\u3068\u306f\u3081\u3063\u305f\u306b\u3042\u308a\u307e\u305b\u3093\u3002 \u305d\u306e\u3088\u3046\u306a\u5834\u5408\u306b\u306f\u3001\u9032\u884c\u3059\u308b\u53ef\u80fd\u6027\u304c\u9ad8\u304f\u3001\u300cSIL\u5ea6\u3092\u5224\u5b9a\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u306a\u3044\u300d\u306a\u3069\u306e\u89e3\u91c8\u304c\u6700\u3082\u8ce2\u660e\u3067\u3059\u3002LSIL ThinPrep\u751f\u691c\u306e\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u8a66\u9a13\u3067\u306f\u3001LSIL\u306e\u751f\u691c\u6a19\u672c\u306e\u5909\u5316\u304c\u898b\u3089\u308c\u308b\u983b\u5ea6\u304c\u6700\u3082\u9ad8\u3044\u304c\u3001LSIL\u60a3\u8005\u306e\u3046\u3061\u7d0415\uff5e20%\u304b\u3089HSIL\u751f\u691c\u6a19\u672c\u3092\u5f97\u3066\u3044\u307e\u3059\u3002 <\/p>\n

\n\u6ce8\uff1a\u753b\u50cf\u3092\u30af\u30ea\u30c3\u30af\u3059\u308b\u3068\u62e1\u5927\u3057\u307e\u3059\u3002<\/strong><\/p>\n
\n
\n\t\"Image<\/a><\/p>\n
\nLSIL<\/strong>
\n\u305d\u308c\u3067\u3082\u3001\u5fae\u751f\u7269\uff08\u3053\u306e\u5834\u5408\u306f\u30ab\u30f3\u30b8\u30c0\uff09\u306b\u611f\u67d3\u3057\u3066\u3044\u308bLSIL\u306f\u3001ThinPrep \u6cd5\u3067\u306f\u5bb9\u6613\u306b\u7279\u5b9a\u3067\u304d\u307e\u3059\u3002
\n60\u500d\n<\/div>\n<\/div>\n
\n LSIL<\/strong>
\n\u305d\u308c\u3067\u3082\u3001\u5fae\u751f\u7269\uff08\u3053\u306e\u5834\u5408\u306f\u30ab\u30f3\u30b8\u30c0\uff09\u306b\u611f\u67d3\u3057\u3066\u3044\u308bLSIL\u306f\u3001ThinPrep \u6cd5\u3067\u306f\u5bb9\u6613\u306b\u7279\u5b9a\u3067\u304d\u307e\u3059\u3002
\n60\u500d\n<\/div>\n<\/div>\n
<\/div>\n

\u985e\u4f3c\u7d30\u80de\u6240\u898b\uff08\u9451\u5225\u8a3a\u65ad\uff09 <\/p>\n

\u4f8b\u306b\u6f0f\u308c\u305a\u3001LSIL\u7d30\u80de\u306b\u306f\u3001\u6570\u5c11\u306a\u3044\u304c\u91cd\u8981\u3068\u306a\u308b\u7d30\u80de\u6240\u898b\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u8b58\u5225\u304c\u3044\u304f\u3076\u3093\u5bb9\u6613\u3067\u3059\u3002ThinPrep\u00ae<\/sup> \u6cd5\u3067\u306f\u3001\u8fc5\u901f\u306a\u56fa\u5b9a\u306b\u3088\u308a\u3001\u7d30\u80de\u3068\u3053\u306e\u7279\u5fb4\u306e\u89b3\u5bdf\u304c\u826f\u597d\u3067\u3059\u3002LSIL\u304b\u3089\u610f\u7fa9\u4e0d\u660e\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\uff08ASCUS\uff09\u307e\u3067\u306e\u5206\u985e\u57fa\u6e96\u304a\u3088\u3073\u753b\u50cf\u306b\u3064\u3044\u3066\u306f\u3001ASCUS\u306e\u7ae0\u3092\u53c2\u7167\u3057\u3066\u304f\u3060\u3055\u3044\u3002 <\/p>\n\n\n\n\n\n\n\n\n\n
<\/td>\n\t\u53cd\u5fdc\u6027\uff08\u5fae\u751f\u7269\u307e\u305f\u306f\u708e\u75c7\uff09<\/td>\n\u4fee\u5fa9\uff08\u5178\u578b\u4f8b\uff09\t<\/td>\nLSIL\uff08HPV\uff09\t<\/td>\n<\/tr>\n
\u7d30\u80de\u306e\u69d8\u76f8\t<\/td>\n\u5358\u4e00\u7a2e\u307e\u305f\u306f\u30b7\u30fc\u30c8\u72b6\t<\/td>\n\u5e73\u677f\u72b6\u304a\u3088\u3073\u96c6\u56e3\t<\/td>\n\u5358\u4e00\u7a2e\u307e\u305f\u306f\u30b7\u30fc\u30c8\u72b6\t<\/td>\n<\/tr>\n
\u7d30\u80de\u7a2e\t<\/td>\n\u5f71\u97ff\u3092\u53d7\u3051\u305f\u3042\u3089\u3086\u308b\u7d30\u80de\u7a2e\t<\/td>\n\u5b50\u5bae\u981a\u7ba1\/\u5316\u751f\u7d30\u80de\t<\/td>\n\u6210\u719f\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\t<\/td>\n<\/tr>\n
\u6838 \t<\/td>\n 1.5\u500d\u306b\u81a8\u5927 <\/p>\n
\n

\uff12\u6838\u5316\u307e\u305f\u306f\u591a\u6838\u5f62\u6210\u306e\u5b58\u5728\t<\/p>\n

\n

\u6ed1\u3089\u304b\u306a\u6838\u819c\t <\/td>\n

\u3055\u307e\u3056\u307e\u306a\u81a8\u5927\u2015\u8efd\u5ea6\u306a\u81a8\u5927\u304b\u3089\u8457\u660e\u306a\u81a8\u5927\u307e\u3067\t<\/p>\n
\n

\uff12\u6838\u5316\u307e\u305f\u306f\u591a\u6838\u5f62\u6210\u306e\u5b58\u5728\t<\/p>\n

\n

\u6ed1\u3089\u304b\u306a\u6838\u819c\t<\/td>\n

3\uff5e4\u500d\u306e\u81a8\u5927\t<\/p>\n
\n

HPV\u306b\u3088\u308b\uff12\u6838\u5316\u307e\u305f\u306f\u591a\u6838\u5f62\u6210\u306e\u5b58\u5728\t<\/p>\n

\n

\u6ed1\u3089\u304b\u306a\u6838\u819c\u304b\u3089\u308f\u305a\u304b\u306b\u4e0d\u898f\u5247\u306a\u5f62\u307e\u3067\t<\/td>\n<\/tr>\n

\u30af\u30ed\u30de\u30c1\u30f3\t<\/td>\n\u7d30\u9846\u7c92\u72b6\u3067\u5747\u4e00\u306a\u62e1\u6563\t<\/p>\n
\n

\u904e\u67d3\u304c\u898b\u3089\u308c\u306a\u3044\t<\/td>\n

\u7d30\u9846\u7c92\u72b6\u3067\u5747\u4e00\u306a\u62e1\u6563\t<\/p>\n
\n

\u904e\u67d3\u304c\u898b\u3089\u308c\u306a\u3044\t<\/td>\n

\u7d30\u9846\u7c92\u72b6\u304b\u3089\u7c97\u5927\u9846\u7c92\u307e\u3067\u3042\u308a\u3001\u5747\u4e00\u306a\u62e1\u6563\t<\/p>\n
\n

\u308f\u305a\u304b\u306b\u904e\u67d3\u3067\u3042\u308b\t<\/td>\n<\/tr>\n

\u6838\u5c0f\u4f53\t <\/td>\n\u5c0f\u578b\u3067\u591a\u6570\u3067\u3042\u308b\u3053\u3068\u304c\u591a\u304f\u3001\u4e00\u69d8\u3067\u3042\u308b\t<\/td>\n\u5c0f\u578b\u306e\u3082\u306e\u304b\u3089\u8457\u660e\u306a\u3082\u306e\u307e\u3067\u3042\u308a\u3001\u591a\u6570\u3067\u3042\u308b\u3053\u3068\u304c\u591a\u3044\t<\/td>\n\u76ee\u7acb\u305f\u306a\u3044\u304b\u8a8d\u3081\u3089\u308c\u306a\u3044\t<\/td>\n<\/tr>\n
\u7d30\u80de\u8cea\u306e\u69d8\u76f8\t<\/td>\n\u6838\u5468\u5468\u9699\u304c\u8a8d\u3081\u3089\u308c\u308b\u3053\u3068\u304c\u591a\u304f\u3001\u5909\u5316\u306b\u3088\u308b\u5c0f\u578b\u3067\u591a\u6570\u306e\u5c0f\u7a7a\u80de\u304c\u8a8d\u3081\u3089\u308c\u308b\t<\/td>\n\u7d44\u7e54\u57f9\u990a\u7d30\u80de\u306e\u3088\u3046\u306a\u758e\u306a\u7d50\u5408\u306b\u7a7a\u80de\u5316\u304c\u8a8d\u3081\u3089\u308c\u308b\t<\/td>\nHPV\u306b\u3088\u308b\u7a7a\u80de\u5316\u306e\u6709\u7121\u306b\u9650\u3089\u305a\u3001\u5bc6\u5ea6\u306e\u9ad8\u3044\u591a\u89d2\u5f62\u3067\u3001\u7d30\u80de\u8cea\u8fba\u7e01\u90e8\u304c\u306f\u3063\u304d\u308a\u3068\u3057\u3066\u3044\u308b\t <\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n
\n\u6ce8\uff1a\u753b\u50cf\u3092\u30af\u30ea\u30c3\u30af\u3059\u308b\u3068\u62e1\u5927\u3057\u307e\u3059\u3002<\/strong><\/p>\n
\n
\n\t\"Image<\/a><\/p>\n
\n\u985e\u4f3c\u7d30\u80de\u50cf<\/strong>
\n\u53cd\u5fdc\u6027
\n60\u500d\n<\/div>\n<\/div>\n
\n \u985e\u4f3c\u7d30\u80de\u50cf<\/strong>
\n\u53cd\u5fdc\u6027
\n60\u500d<\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\n\t\u985e\u4f3c\u7d30\u80de\u50cf<\/strong>
\n\u4fee\u5fa9
\n60\u500d\n<\/div>\n<\/div>\n
\n \t\u985e\u4f3c\u7d30\u80de\u50cf<\/strong>
\n\u4fee\u5fa9
\n60\u500d\n<\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\n\t\u985e\u4f3c\u7d30\u80de\u50cf<\/strong>
\nLSIL\/HPV
\n60\u500d\n<\/div>\n<\/div>\n
\n \t\u985e\u4f3c\u7d30\u80de\u50cf<\/strong>
\nLSIL\/HPV
\n60\u500d\n<\/div>\n<\/div>\n
<\/div>\n

<\/a>\u53c2\u8003\u6587\u732e<\/strong><\/p>\n

    \n
  1. Austin RM: Follow-up of Abnormal Gynecologic Cytology. A College of American Patholgists Q-Probes Study of 16,312 Cases from 306 Laboratories. Arch Pathol Lab Med 2000;124(8):1113-4\n <\/li>\n
  2. Carpenter AB, Davey D: ThinPrep Pap Test: performance and biopsy follow-up in a university hospital. Cancer 1999;41:39-44.\n <\/li>\n
  3. DeMay RM: The Art and Science of Cytopathology. Chicago: ASCP Press; 1996\n <\/li>\n
  4. Diaz-Rosario LA et al: Performance of a fluid-based, thin-layer Papanicolaou smear method in the clinical setting of an independent laboratory and an outpatient screening population in New England. Arch Pathol Lab Med 1999; Sep 123(9):817-21.\n<\/li>\n
  5. Grace, A, et al: Comparative study: Conventional cervical and ThinPrep Pap Tests in a routine clinical setting. Cytopathol 2002;13:200-05.\n <\/li>\n
  6. Guidos BJ, Selvaggi SM: Use of the ThinPrep Pap Test inclinical practice. Diagn Cytopathol 1999;20:70-73.\n<\/li>\n
  7. Lee KR et al: Comparison of conventional Papanicolaou smears and a fluid-based, thin-layer system for cervical cancer screening. Obstet Gynecol 1997;90:278-284.\n<\/li>\n
  8. Luthra, UH, et al: Performance of monolayered cervical smears in a gynecology outpatient setting in Kuwait. Acta Cytol 2001; 46(2):303-10.\n<\/li>\n
  9. Weintraub J, Morabia A: Efficacy of a liquid-based thin layer method for cervical cancer screening in a population with a low incidence of cervical cancer. Diagn Cytopathol 2000 Jan;22(1):52-9.\n <\/li>\n<\/ol>\n

    \u30c8\u30c3\u30d7\u306b\u623b\u308b<\/a><\/p>\n

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