陈九伟, 王琳. 山东省淄博市19家医院阴道镜检查质量控制效果分析[J]. 上海预防医学, 2022, 34(5): 487-490. DOI: 10.19428/j.cnki.sjpm.2022.21544
引用本文: 陈九伟, 王琳. 山东省淄博市19家医院阴道镜检查质量控制效果分析[J]. 上海预防医学, 2022, 34(5): 487-490. DOI: 10.19428/j.cnki.sjpm.2022.21544
CHEN Jiuwei, WANG Lin. Effect analysis of the colposcopy quality control in 19 hospitals in Zibo, Shandong Province[J]. Shanghai Journal of Preventive Medicine, 2022, 34(5): 487-490. DOI: 10.19428/j.cnki.sjpm.2022.21544
Citation: CHEN Jiuwei, WANG Lin. Effect analysis of the colposcopy quality control in 19 hospitals in Zibo, Shandong Province[J]. Shanghai Journal of Preventive Medicine, 2022, 34(5): 487-490. DOI: 10.19428/j.cnki.sjpm.2022.21544

山东省淄博市19家医院阴道镜检查质量控制效果分析

Effect analysis of the colposcopy quality control in 19 hospitals in Zibo, Shandong Province

  • 摘要:
    目的 分析山东省淄博市19家医院阴道镜检查质量控制(简称“质控”)结果,发现阴道镜检查中存在的问题和不足,提出改进建议。
    方法 选择淄博市能够开展阴道镜检查的21家医院作为研究对象,制定质控标准,评估前期的病例资料,有2家医院在前期的资料收集后发现每年完成病例数不足10例而未进行现场质控,进行现场质控的医院为19家,现场查看阴道镜仪器的操作流程、所用试剂的配制比例及使用期限,调取阴道镜检查报告,观察阴道镜从业人员现场操作情况,在病理科核对病理标本及其结果。统计各家医院合格率,进行统计学分析。
    结果 19家医院的质控结果显示,阴道镜从业人员资料统计中,2次阴道镜检查质控中100.00%阴道镜从业人员具有执业医师资格,从事妇产科临床工作3年以上者均达100.00%,新诊断病例≥100例/年者及具有3个月以上培训经历者有上升趋势。在阴道镜检查质量评价指标中,通过2次阴道镜检查质控,病理标本符合需要且高级别鳞状上皮内病变阳性预测值明显提升,差异均有统计学意义(均P<0.05)。在阴道镜检查报告基本要素中,通过2次阴道镜检查质控对比,检查的充分性、图像特征性描述、重点图像的判读、阴道镜拟诊及检查后处理建议5个方面差异均有统计学意义(均P<0.05)。
    结论 山东省淄博市阴道镜检查的整体水平明显提高,可通过定期进行规范的阴道镜质控,切实提高阴道镜检查质量。

     

    Abstract:
    Objective To find out the problems and deficiencies in colposcopy through the quality control of colposcopy in 19 hospitals in Zibo City, so as to put forward constructive opinions and suggestion to improve the accuracy and standardization of colposcopy by the doctors in local hospitals.
    Methods A total of 21 hospitals with colposcopy examination in Zibo City were selected as the research object. The quality control standards were formulated and the case data in the early stage were evaluated. Two hospitals had less than 10 cases completed each year and no on-site quality control.A total of 19 hospitals had on-site quality control with the operation process of colposcopy instrument on site, the configuration of colposcopy, the proportion of colposcopy examination reagents used in the department of pathology, and the operation period of colposcopy examination, as well as the on-site observation report. The qualified rate of each hospital were counted and analyzed.
    Results The quality control results of 19 hospitals showed that the qualifications and the clinical practice of obstetrics and gynecology for more than 3 years reached 100.00%. Those who complete more than 100 new diagnosis cases each year and those who have been trained for more than 3 months are gradually increasing. The pathological specimens met the needs and the positive predictive value of high-grade squamous intraepithelial lesion was significantly improved in the quality evaluation indicators of colposcopy (all P<0.05).In the basic elements of the colposcopy report, there were statistically significant differences in 5 aspects:adequacy of the examination, the description of specific images, the interpretation of key images, the diagnosis of the colposcopy, and the post-examination processing through 2 colposcopy quality control comparisons (all P<0.05).
    Conclusion The overall level of colposcopy in Zibo City has been significantly improved through the comparison of the quality control results of two colposcopy. We can improve the quality of colposcopy effectively through regular quality control.

     

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