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目的:探讨宫颈癌筛查项目有效性。方法:对2009～2011年桐乡市宫颈癌筛查项目进行成本效益分析。结果:50 000例中,细胞学阳性754例,阳性检出率1.51%。731例行阴道镜检查,活体组织检查(活检)病理诊断386例,最后诊断CIN 218例(CINⅠ38例,CINⅡ101例,CINⅢ79例),微小浸润癌7例,浸润癌2例。据估算挽救1个寿命年平均需花费22 911.60元,小于桐乡市2010年人均GDP60 830元,效益成本比2.65∶1。结论:桐乡市现行宫颈癌筛查模式具有良好的经济效益,值得作为常规性公共卫生项目进一步推广。
Objective: To investigate the effectiveness of cervical cancer screening program. Methods: The cost-benefit analysis of cervical cancer screening project in Tongxiang from 2009 to 2011 was conducted. Results: Among 50 000 cases, 754 were positive cytology, the positive rate was 1.51%. 731 routine colposcopy, biopsy (biopsy) pathological diagnosis of 386 cases, the final diagnosis of CIN 218 cases (CINⅠ38 cases, CINⅡ101 cases, CINⅢ79 cases), microinvasive carcinoma in 7 cases, invasive carcinoma in 2 cases. It is estimated that saving an average of 22 911.60 yuan to save one life, less than Tongxiang 2010 per capita GDP 60 830 yuan, the cost-benefit ratio of 2.65: 1. Conclusion: The current screening model of cervical cancer in Tongxiang has good economic benefits and should be further popularized as a routine public health project.