摘要
目的:对宫颈癌多种筛查方案的效果进行卫生经济学评价,并探讨最具有成本-效果的筛查方案。方法:选取黑龙江省大兴安岭地区35～64岁的3 500名适龄农村妇女进行液基细胞学检测、细胞DNA定量分析方法及人乳头瘤病毒(HPV)DNA检测3种筛查方法的检测,对单一使用以及每两种筛查方法联合的几种方案分别进行卫生经济学效果分析。结果:应用细胞DNA定量分析方法筛查成果-效果比最佳,HPV联合细胞DNA定量分析方法宫颈病变检出率最高。结论:农村妇女宫颈癌筛查采用单一技术方案——细胞DNA定量分析法是最具成果-效果的筛查方案。
Objective: To conduct the health economics evaluation on the effectiveness of various screening strategies for cervical cancer, and to explore the optimized cost-effective screening program. Methods: A total of 3 500 women aged 35-64 years old from Greater Khingan Mountains were involved. Cervical sample were taken to screen by TCT, DNA quantitative analysis and detection of human papillomavirus (HPV) DNA. The effects of health economics on the single use and each of the two screening methods were analyzed respectively. Results: The application of DNA quantitative analysis could lead the best result. The method of HPV combined with DNA quantitative analysis could screen the highest lesions detection rate. Conclusion: DNA quantitative analysis was the optimized cost-effectiveness screen program for women in rural areas based on single technical program.
出处
《中国卫生经济》
北大核心
2018年第12期84-86,共3页
Chinese Health Economics
基金
黑龙江省中医管理局资助项目(ZHY-Z113)
作者简介
王佳俣(1970一),男,硕士学位,主任医师;研究方向:不孕症和盆底疾病;E-mail:zyyjywjy@163.com;通信作者:刘桂兰,E-mail:lglzyfk@126.com
