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宫颈癌筛查设备的全面综述:优缺点。

A Comprehensive Review of Cervical Cancer Screening Devices: The Pros and the Cons.

机构信息

School of Engineering, Faculty of Innovation & Technology, Taylor's University, 1, Jalan Taylors, Subang Jaya, 47500, Selangor, Malaysia.

School of Biosciences, Faculty of Health & Medical Sciences, Taylor's University, 1, Jalan Taylors, Subang Jaya, 47500, Selangor, Malaysia.

出版信息

Asian Pac J Cancer Prev. 2023 Jul 1;24(7):2207-2215. doi: 10.31557/APJCP.2023.24.7.2207.

Abstract

OBJECTIVE

The low screening coverage and reluctance of women in participation lead to low uptake in cervical screening tests. Hence the majority of cervical cancer patients visiting the hospitals are diagnosed at advanced stage, often leading to poor survival rate. This paper aims to review and compile available cancer screening devices so that more people in this field will adopt suitable devices in cervical cancer screening routine depending on requirements which may encourage the uptake in cervical screening tests.

METHODS

This paper reviews devices invented for different cervical cancer screening methods, which are Pap smear test, visual inspection with acetic acid (VIA) or Lugol's iodine (VILI), and HPV (human papillomavirus)-DNA (deoxyribonucleic acid) self-test in terms of functionality, performance in solving the limitations of screening procedure and additionally where applicable, the cervical cell collection efficacy and abnormality detection accuracy. The devices are either available in the market, published in research articles or published in international patent databases.

RESULT

The reviewed devices either simplified the screening procedure to improve the clinical efficiency and accuracy in screening, reduced the pain and discomfort experienced by women during screening procedures, or achieved both outcomes.

CONCLUSION

Many devices have been invented to improve the screening procedures which may potentially improve the uptake in cervical screening tests and encourage the organization of screening campaigns to reduce cervical cancer incidence.

摘要

目的

女性参与筛查的比例低且不情愿,导致宫颈癌筛查检测的参与率低。因此,大多数到医院就诊的宫颈癌患者都处于晚期诊断,往往导致生存率低。本文旨在回顾和编译现有的癌症筛查设备,以便该领域的更多人能够根据需求在宫颈癌筛查常规中采用合适的设备,从而鼓励更多人参与宫颈癌筛查检测。

方法

本文从功能、在解决筛查程序局限性方面的性能以及在适用的情况下,对宫颈细胞采集效果和异常检测准确性等方面,回顾了巴氏涂片检查、醋酸视觉检查(VIA)或卢戈氏碘液视觉检查(VILI)以及 HPV(人乳头瘤病毒)-DNA(脱氧核糖核酸)自我检测等不同宫颈癌筛查方法所使用的设备。这些设备要么已经在市场上销售,要么已经在研究文章中发表,要么已经在国际专利数据库中发表。

结果

所回顾的设备要么简化了筛查程序,提高了筛查的临床效率和准确性,要么减少了女性在筛查过程中的疼痛和不适,或者同时实现了这两个结果。

结论

已经发明了许多设备来改进筛查程序,这可能会提高宫颈癌筛查检测的参与率,并鼓励组织筛查活动,以降低宫颈癌的发病率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a60/10676510/40b22609c13d/APJCP-24-2207-g001.jpg

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