阴道镜检查审核：提高宫颈癌高发地区服务质量。
Colposcopy audit for improving quality of service in areas with a high incidence of cervical cancer.
机构信息
Department of Obstetrics and Gynecology, Chiang Mai University, Chiang Mai, Thailand.
出版信息
Int J Gynaecol Obstet. 2010 Jan;108(1):4-6. doi: 10.1016/j.ijgo.2009.07.042.
OBJECTIVE
To audit routine colposcopy performance using 8 standard requirements of the National Health Service Cervical Screening Programme (NHSCSP).
METHODS
Records of women who underwent colposcopy for abnormal cervical cytology between January and December 2008 at Chiang Mai University Hospital, Thailand, were reviewed.
RESULTS
The standard requirements were not achieved in 2 practices: (1) the proportion of women who had recordings of visibility of the transformation zone (96.6%) did not achieve the NHSCSP requirement of 100%; and (2) the rate of excisional biopsy (87.8%) was lower than the 95% minimum required.
CONCLUSION
Colposcopic performance at Chiang Mai University Hospital was generally favorable. However, re-audit is necessary to ensure that unmet standards of performance are improved and achieved standards are maintained.
目的
使用国家卫生服务宫颈癌筛查计划（NHSCSP）的 8 项标准要求，对常规阴道镜检查的表现进行审核。
方法
对 2008 年 1 月至 12 月期间在泰国清迈大学医院接受异常宫颈细胞学检查的女性的记录进行了回顾。
结果
在 2 项实践中未达到标准要求：（1）可见转化区记录的女性比例（96.6%）未达到 NHSCSP 要求的 100%；（2）切除性活检率（87.8%）低于 95%的最低要求。
结论
清迈大学医院的阴道镜检查表现总体良好。但是，需要重新审核，以确保未达到的性能标准得到改进，已达到的标准得到保持。
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