本文由小咖机器人翻译整理

期刊来源：Ann Intern Med

原文链接：https://doi.org/10.7326/M23-2735

摘要内容如下：

汉斯·欣塞尔曼（Hans Hinselmann）首次发表阴道镜检查的百年纪念即将到来。在这位发明者的开创性论文发表后的100年里，阴道镜检查在宫颈癌的诊断和治疗中变得不可或缺。自20世纪中期以来，它仍然是诊断癌前病变和癌性宫颈病变的核心，并显著降低了宫颈癌的发病率和死亡率。

先前医学文献中对阴道镜检查发展的描述掩盖了其最早时期的黑暗历史，即德国纳粹主义的中心。阴道镜检查的先驱得益于纳粹政府对公共卫生的关注，并利用了纳粹医疗机构培育的环境。他们利用奥斯维辛集中营的设备，将阴道镜检查定位于战后扩大应用，最终实现了欣塞尔曼的既定目标，即阴道镜检查成为妇科检查和护理的常规部分。这一历史性的阐述澄清了阴道镜检查的纳粹历史，强调了对奥斯维辛受害者的不道德治疗在全球标准宫颈癌筛查项目中巩固这一程序所起的重要作用，并提供了应对这一悲剧性遗产的步骤。

英文原文如下：

Abstracts

The centennial anniversary of Hans Hinselmann's initial publication describing colposcopy is approaching. In the 100 years since the inventor's seminal paper, colposcopy has become indispensable in the diagnosis and management of cervical cancer. It remains central in diagnosing precancerous and cancerous cervical lesions and has dramatically reduced cervical cancer incidence and mortality since the mid-20th century.

Previous descriptions of colposcopy's development in medical literature obscure the dark history of its earliest days, arising within the center of German Nazism. The pioneers of colposcopy benefited from the Nazi government's public health focus and exploited the environment fostered by the Nazi medical establishment. They made use of the apparatus of the Auschwitz concentration camp to position colposcopy for expanded postwar adoption, ultimately accomplishing Hinselmann's stated goal that colposcopy become a routine part of gynecologic examination and care. This historical exposition clarifies the Nazi past of colposcopy, highlights the important role that unethical treatment of victims of Auschwitz played in cementing this procedure within standard cervical cancer screening programs globally, and offers steps to reckon with this tragic legacy.

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