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细胞学和阴道镜检查的计算机化记录与报告系统

Computerized recording and reporting system for cytology and colposcopy.

作者信息

Jimenez-Ayala M, Rubio F S, Bullon R, Rodriguez-Ardanaz C, Velasco-Rodriguez A

机构信息

Cytology Laboratory, Institute of Obstetrics and Gynecology, Madrid Provincial Hospital, Spain.

出版信息

Acta Cytol. 1988 Jul-Aug;32(4):593-8.

PMID:3400399
Abstract

The computerized system for recording and reporting cytologic and colposcopic data at the Madrid Provincial Hospital is discussed. Cytodiagnostic codes based on standard international nomenclature, and yet open to constant updating, were created for the anatomic sites from which samples are currently examined (vagina and cervix, endometrium, vulva and breast), with areas allocated for expansion to other sites. A similar novel code was devised for colposcopic data. Specific forms were developed for each anatomic site; the cervicovaginal and endometrial forms are used for both cytology and colposcopy. The system has provided the laboratory with automation of its managerial, clerical and administrative tasks, including (1) record keeping, (2) reporting, (3) statistics, (4) correlation of clinical, cytologic, colposcopic and histopathologic data, (5) patient follow-up, (6) technical support in research programs and (7) quality control. Use of the system led to an improvement in the efficiency of the laboratory and resulted in reports of better quality. The program has been of help in our research and has not increased the total cost of cytologic studies.

摘要

本文讨论了马德里省立医院用于记录和报告细胞学及阴道镜检查数据的计算机系统。基于标准国际命名法创建了细胞诊断代码,该代码可不断更新,用于目前进行样本检查的解剖部位(阴道和子宫颈、子宫内膜、外阴和乳房),并预留了扩展到其他部位的区域。为阴道镜检查数据设计了类似的新代码。为每个解剖部位开发了特定的表格;宫颈阴道和子宫内膜表格用于细胞学和阴道镜检查。该系统为实验室提供了管理、文书和行政任务的自动化,包括(1)记录保存,(2)报告,(3)统计,(4)临床、细胞学、阴道镜检查和组织病理学数据的关联,(5)患者随访,(6)研究项目中的技术支持,以及(7)质量控制。该系统的使用提高了实验室的效率,并产生了质量更高的报告。该程序对我们的研究有帮助,且未增加细胞学研究的总成本。

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