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总结
美国卫生与公众服务部等机构更新宫颈癌筛查指南，首次将居家自取样HPV检测纳入推荐，为不愿或不便进行巴氏涂片（Pap smear）的人群提供替代方案。多家媒体称，新指引扩大了可用检测方式，并将促使多数私人保险覆盖相关筛查。舆论认为此举有望提高筛查率、及早发现癌前病变并降低宫颈癌风险，但仍需配套取样规范、结果解释、随访与阳性转诊流程，确保检测质量与公平可及。
正文
Dread Pap smears? Federal guidelines now allow for a self-swab HPV test NBC News Expanded cervical cancer screenings to be covered by most private insurance The Washington Post New federal screening guidance expands cervical cancer testing with an at-home HPV option ABC News U.S. Endorses Home Pap-Smear Alternative to Prevent Cervical Cancer The Wall Street Journal HHS recommends home HPV testing for women for the first time CIDRAP
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