Denny Lynette, Sankaranarayanan Rengaswamy
Int J Gynaecol Obstet. 2006 Nov;94 Suppl 1:S65-S70. doi: 10.1016/S0020-7292(07)60012-5.
Cervical cancer continues to be the commonest cause of death among women in developing countries, largely due to the failure to initiate or sustain effective cytology-based screening programs. Experience from countries with successful screening programs indicates that target age and the extent of coverage of the target group are key indicators of success in reducing cervical cancer. Alternative methods for the secondary prevention of cervical cancer have been evaluated in numerous studies over the past 10 years in different countries. These include visual inspection with acetic acid and linking screening to treatment. Although longitudinal data are scanty, these alternative approaches have been shown to be feasible, acceptable, and effective in reducing cervical cancer.
在发展中国家，宫颈癌仍是女性最常见的死因，这主要是由于未能启动或维持有效的基于细胞学的筛查项目。拥有成功筛查项目的国家的经验表明，目标年龄和目标群体的覆盖范围是降低宫颈癌成功率的关键指标。在过去10年里，不同国家对宫颈癌二级预防的替代方法进行了大量研究评估。这些方法包括醋酸目视检查以及将筛查与治疗相结合。尽管纵向数据匮乏，但这些替代方法已被证明在降低宫颈癌方面是可行的、可接受的且有效的。
