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采用食管、贲门细胞双腔管采集器,在高发现场进行普查,癌的检出率可高达2.08％,准确率为95.95％。但在各高发区报道中很不一致,有的结果也很低。为此,分析存在问题,商讨改进办法,探讨其质量控制的方法,很有必要。美国North carolina大学将细胞病理学质控法建立在三条原则基础上:一、同事间复查,二、同行会诊讨论,三、建立随访制度。根据我们的工作经验,认为食管、贲门脱落细胞学的质控主要有下述几个方面。
Using esophageal and cardial cell double-lumen tube collectors, a high-risk field was screened. The detection rate of cancer was as high as 2.08%, and the accuracy rate was 95.95%. However, the reports in various high-income areas are inconsistent and some of the results are very low. For this reason, it is necessary to analyze the problems, discuss ways to improve, and discuss methods for quality control. The United States University of North Carolina has established a cytopathology quality control method based on three principles: First, peer review, second, peer consultation, and third, establishment of a follow-up system. According to our working experience, the quality control of esophageal and cardiac cytology is considered to have the following aspects.