宫颈癌及其癌前病变筛查方法现状

本文评价了目前新发展和常用的几种筛查宫颈癌及其癌前病变的方法。按照国家和地区的资源条件和人群风险度不同,肉眼观察,阴道镜检,HPVDNA检测,薄层液基细胞学和自动阅片系统单独或联合使用。均是很有价值的筛查手段。新发展的技术有利于在资源较差的贫困地区扩大宫颈癌普查的范围,通过对高风险人群的重点防治,可获得更好的成本-效益性。

Status of screening tests for cervical cancer and its precancerous lesion

Several screening methods for cervical cancer and its precancerous lesion are reviewed.Cervical cancer screening using visual inspection,colposcopy,oncogenic human papillomavirus DNA testing,liq uid-based monolayers and automated Pap smear screening instruments are all potentially valuable when used alone or in combination.Newly developed techniques pro vide an opportunity to extend practical cervical cancer screening to large population in limited resource are as,and help do more cost-effec-tive ness of screening tests in high risk population.