| 摘要: |
| ［摘要］ 目的 从经济学的角度探讨在南宁市进行人群宫颈癌筛查的最佳方法。方法 选择2006～2009年以单位工会或社区统一组织的适龄妇女进行宫颈癌筛查的人群为对象，按自愿选择新柏氏薄层液基细胞学（TCT）+人乳头瘤病毒（HPV）、TCT、宫颈刮片+HPV、宫颈刮片、醋酸染色肉眼观察法（VIA）+碘染色肉眼观察法（VILI）五种宫颈癌筛查方法进行筛查，细胞学诊断≥ASCUS，VIA或VILI阳性的妇女进行阴道镜检查+活检。以病理诊断为金标准。对选择宫颈癌筛查五种方式的团体个数进行比较分析。结果 506个团体进行宫颈癌筛查的25～59岁妇女共12 507人，五种宫颈癌筛查方法的团体个数分别为43、59、60、182和162个，五种宫颈癌筛查方法的阳性率分别为10.32%、9.52%、5.48%、2.69%和4.48%。结论 从经济学角度出发，VIA+VILI宫颈癌筛查方法是最适宜在南宁市开展人群宫颈癌筛查的方法。 |
| 关键词: 宫颈癌 筛查方法 经济学角度 |
| DOI：10.3969/j.issn.1674-3806.2011.09.12 |
| 分类号:R 446.8 |
| 基金项目: |
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| Investigation on cervical cancer screening method in the urban population in Nanning |
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YANG Mei
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Department of Obstetrics and Gynecology, Nanning Women and Children Health Hospital, Guangxi 530021, China
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| Abstract: |
| ［Abstract］ Objective To investigate the best cervical cancer screening method in the urban population in Nanning from the view of economics. Methods During 2006～2009, many women came to Nanning Maternity & Child Healthcare Hospital for screening cervical cancer. Most of them were organized by Trade-Union units or by neighborhood committee of the communities. There were five screening methods induding TCT + HPV, TCT, Cervical smears + HPV, Cervical smears and VIA + VILI. Those showing abnormalities needed to apply for further colposcopy and biopsy, for example cytology ≥ASCUS, VIA or VILI was positive. Pathologic-section diagnosis was the golden criterion, by comparing and analyzing the number of groups of screening examination. Results There were 506 groups of women aged 25～59(12507 people in total) to be screened for cervical cancer. Each screening examination group number was 43, 59, 60, 182, 162 respectively; the positive rate of each screening way was 10.32%, 9.52%, 5.48%, 2.69% and 4.48% respectively. Conclusion From the view of economics, VIA + VILI is the best screening method for cervical cancer in the urban population in Nanning. |
| Key words: Cervical cancer Screening View of economics |
