醫院建置子宮頸抹片篩檢異常自動通報系統之成效分析

子宮頸抹片篩檢是早期發現子宮頸癌的重要方法，可有效減少子宮頸癌發生率與死亡率。但子宮頸抹片細胞學檢查只是一種篩檢工具，其結果和病理組織學的診斷仍有相當的差異，抹片結果若有異常應做進一步的檢查來確定診斷。衛生署新竹醫院管理部門，於2005年開始建立子宮頸抹片篩檢異常病患自動通報系統，主動提醒抹片異常民眾回診接受進一步檢查，以早日確定診斷及接受治療。篩檢為四級以上的異常人數共173人，系統發出通報的時間平均為2.3日（0~7日），接到通報後，一週內回診人數為120人(69%)。平均回診日數為2.05日（0~7日）；經過再次跟催後，總回診人數為146人(84%)。總計返診146位病患中，病理組織檢查確認有57位(39%)是危險性低的第二級或第三級患者；高危險性的第四級的患者計65位(45%)；侵襲癌或其他癌症共22位(15%)。本系統之建置有助於提高回診率、早期發現和早期治療。

關鍵字

子宮頸抹片；自動通報系統

並列摘要

Pup smear screening is an important approach for early detecting of cervical cancer. Early detection has been known to be an effective way to reduce the incidence and mortality rate of cervical cancer. Since smear screening is not as accurate as pathologic examination, it is required that patients with abnormal smears should revisit the hospital for further examinations and even treatments if necessary. The administrative department of Hsin-Chu general hospital built up an abnormal Pap smear auto-reporting system in 2005 to recall patients with abnormal smear results to the hospital for further examination to clarify the diagnosis and to decide the follow-up treatments. Of the 173 patients diagnosed as Class Ⅳ and above, 120 (69%) revisited on the first recall with an average of 2.05 (0-7) revisiting days and 146 (84%) revisited on the second recall. Among the 146 revisiting patients, 57 (39%) and 65 (45%) were pathologically diagnosed as low risk (Class Ⅱ or Ⅲ) and high risk (Class Ⅳ), respectively. Twenty-two (15%) were pathologically diagnosed as invasive or other cancers. The outcome of this study showed that building up an auto-reporting system in hospital had significant effect on the revisiting rate, early detection, and early treatment.

並列關鍵字

Pap smear ； auto-reporting system

國際替代計量

醫院建置子宮頸抹片篩檢異常自動通報系統之成效分析

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