Treatment of high-grade squamous intraepithelial lesions in an area of Thailand with a high incidence of cervical cancer

被引：0

作者：

Sriprasert, Intira ^{[1
]}

Kietpeerakool, Chumnan ^{[1
]}

Cheewakriangkrai, Chalong ^{[1
]}

Siriaree, Sitthicha ^{[1
]}

Tantipalakorn, Charuwan ^{[1
]}

Srisomboon, Jatupol ^{[1
]}

机构：

[1] Chiang Mai Univ, Fac Med, Dept Obstet & Gynecol, Chiang Mai 50200, Thailand

来源：

INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS | 2010年 / 111卷 / 03期

关键词：

Audit; High-grade squamous intraepithelial lesion; Performance; Quality assurance; COLD-KNIFE CONIZATION; LOOP EXCISION; NEOPLASIA; WOMEN; COLPOSCOPY; BIOPSY; LLETZ;

D O I：

10.1016/j.ijgo.2010.07.011

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objective: To audit the treatment of high-grade squamous intraepithelial lesions (HSILs) at Chiang Mai University Hospital based on 12 standard requirements of the National Health Service Cervical Screening Programme. Methods: Records were reviewed of all women with histologically proven HSIL undergoing treatment at Chiang Mai University Hospital between January 2005 and May 2009. Results: Four of the standard requirements were not met: not all women underwent colposcopy before definitive treatment; the rate of specimen fragmentation was high; among women with ectocervical lesions, the rate of tissue removal to a depth of greater than 7 mm was low; and among women aged over 50 years with endocervical-margin involvement, the rate of repeat excision was low. Conclusion: This audit highlights four treatment practices that do not meet standard requirements and require detailed exploration. The development of guidelines for the treatment of cervical precancerous lesions in Thailand is challenging and merits further attention. (C) 2010 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

引用

页码：253 / 255

页数：3

共 18 条

[1] Randomized study comparing two techniques of conization: Cold knife versus loop excision [J].