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目的探讨病理科痰细胞学检查的质量控制与职业安全防护措施。方法回顾分析228例痰细胞学检查结果;从痰细胞学涂片制片质量与诊断水平等方面,探讨痰细胞学检查的质量控制要点;从防护管理、防护设施、安全防护措施等方面,探讨痰细胞学检查的职业安全防护措施。结果痰细胞学检查准确率为82.0%(187/228),分型符合率为70.3%(83/118);提高送检痰液质量、制作痰液切片、增加痰送检次数、挑选痰液有效部位制片、提高染色对比清晰度、提高镜检诊断水平,可提高痰细胞学检查的质量,提高肺癌诊断准确率;加强安全教育、强化管理、提高防护意识、改进设施、加强安全防护,能有效地预防和控制病理科痰细胞学检查的职业危害。结论痰细胞学检查简单易行、准确率高,提高制片质量与诊断水平可提高其诊断率;加强安全防护,能有效地预防和控制其职业危害。
Objective To investigate the quality control and occupational safety precautions of pathology sputum cytology. Methods The results of sputum cytology were retrospectively analyzed in 228 cases. The quality control of sputum cytology was discussed in terms of the quality and diagnostic level of sputum cytology smears, and the aspects of protection management, protective facilities, safety measures and so on Occupational safety precautions for sputum cytology. Results The accuracy of sputum cytology was 82.0% (187/228). The coincidence rate of typing was 70.3% (83/118). The sputum quality was improved, sputum slices were made, the number of sputum samples was increased, sputum Improve the quality of sputum cytology examination and improve the diagnostic accuracy of lung cancer; strengthen safety education, strengthen management, raise awareness of protection, improve facilities, enhance safety and protection, Can effectively prevent and control pathology sputum cytology occupational hazards. Conclusions Sputum cytology is simple and easy to operate, with high accuracy. Improving the quality and diagnosis of filmmaking can improve its diagnosis rate. Strengthening the safety protection can effectively prevent and control its occupational hazards.