桐乡市宫颈癌筛查成本效益分析

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。

Cost-benefit analysis on cervical cancer screening in Tongxiang city

Objective:To explore the effectiveness of cervical cancer screening projects.Methods:Cost-benefit analysis on cervical cancer screening projects was conducted in Tongxiang city from 2009 to 2011.Results:Among 20 000 respondents,754 cases were found with positive cytological results,the positive detection rate was 1.51%.Colposcopy was carried out in 731 cases,386 cases received biopsy and pathological diagnosis,finally,218 cases with cervical intraepithelial neoplasia(CIN) were diagnosed definitely,including 38 cases with CIN Ⅰ,101 cases with CIN Ⅱ,and 79 cases with CIN Ⅲ;7 cases were diagnosed as microinvasive carcinoma,and 2 cases were diagnosed as invasive carcinoma.It was estimated that 22 911.60 Yuan were spend to save one person per year,which was lower than per capita GDP in Tongxiang city in 2010(60 830 Yuan),the benefit-cost ratio was 2.65∶ 1.Conclusion:The current cervical cancer screening mode used in Tongxiang city has good economic benefit,which is worthy to be further spread as routine public health project.