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目的 对中等及低收入国家和地区开展的基于肉眼观察、细胞学检测和HPV DNA检测技术的宫颈癌筛查方案的成本效果分析研究进行系统评价,衡量筛查方案的成本效果.方法 检索中等及低收入国家和地区宫颈癌筛查方案的成本效果评价研究.对纳入文章进行质量评价,运用描述性方法系统评价筛查策略的经济性.结果 根据纳入和排除标准,共纳入19篇文献.纳入文献经质量评价、描述性分析对文献的基本信息、评价方法、评价结果进行系统总结.结论 对于中等及低收入国家而言,在经济条件十分有限的情况下,文献推荐选择肉眼观察筛查方案,如果经济条件允许,则更为推荐HPV DNA筛查方案.“,”Objective To analyze and systematically evaluate cost-effectiveness of cervical screening strategies based on visual inspection,cytological test,and HPV DNA detection conducted in low-and middle-income countries and regions,measure the cost-effectiveness.Methods The literatures about cost-effectiveness evaluation of cervical screening strategies in low-and middle-income countries and regions were searched,the quality of the included literatures was evaluated,the economy of screening strategies for cervical cancer was evaluated by descriptive methods.Results A total of 19 literatures were included into the study according to the inclusion criteria and exclusion criteria.The basic information,evaluation methods and outcomes of the literatures were summarized systematically by quality evaluation and descriptive analysis.Conclusion For low-and middle-income countries and regions,visual inspection screening strategies are recommended under circumstance of limited economic condition,HPV DNA screening strategies can be considered if the economic conditions permit.