通过CAP能力验证提高妇科细胞学检测质量

Improving Quality of Gynecologic Cytopathology Testing by Participating CAP Proficiency Testing

目的:通过参加美国病理学会(CAP)妇科细胞病理学能力验证计划的继续教育项目,评价临床检验室妇科细胞学检查水平,根据对回报结果的分析,来进一步提高妇科细胞学的检测质量。方法:将收到的CAP妇科细胞学传统涂片样本按照常规涂片进行检测,按CAP的要求分别在5个工作日内和10个工作日内将结果上报CAP,并及时对回报结果进行分析。结果:参加CAP能力验证计划13次65张涂片中,我室有6张涂片结果不吻合。其中3张将高度鳞状上皮细胞病变判读为低度鳞状上皮细胞病变,1张低度鳞状上皮细胞病变判读为高度鳞状上皮细胞病变,1张细胞修复性改变判读为低度鳞状上皮细胞病变,1张高度鳞状上皮内病变和(或)癌判读为不满意涂片。结论:通过参加CAP能力验证计划将我室妇科细胞病理学的检测流程标准化,将个人能力评估标准化,从整体上提高了妇科细胞学的检测质量。

Objective： To evaluate diagnostic ability of gynecologic cytopathology in our laboratory by participating in continuous education project of the College of American Pathologists（ CAP） gynecologic cytology proficiency testing program; to improve the detective quality of gynecologic cytopathology according to CAP requirement. Methods： The traditional smear samples of gynecologic cytopathology received from CAP process were examined by routine smear method. The results were respectively reported to CAP within 5 working days and 10 working days according to CAP requirement. The feedback results from CAP were analyzed timely. Results： A total of 65 smears in the 13 CAP proficiency tests were screened. The results of 6 smears did not match with the diagnosis of CAP; HSIL in 3 smears was considered as LSIL; LSIL in a smear was considered as HSIL;cytothesis change in a smear was considered as LSIL; HSIL / cancer in a smear was considered as unsatisfactory smear.Conclusion： Participating in CAP gynecologic cytology proficiency testing program enables a laboratory to standardize detection procedure and improve the evaluation of individual performance. Therefore,it will improve the quality of gynecologic cytology detection.