An audit of standards of the 'see and treat' approach in women with a high-grade squamous intraepithelial lesion on Pap smears.

摘要: This study was undertaken to audit the performances of 'see and treat' approach in women with a high-grade squamous intraepithelial lesion (HSIL) cytology at Chiang Mai University Hospital using selective criteria from National Health Service Cervical Screening Programme (NHSCSP) 2004 guidelines. Women HSIL smear, who had undergone colposcopy immediate loop electrosurgical excision procedure (LEEP) during June 2006 September 2008, were reviewed. The standard measurement determined by following criteria: (1) proportion treated first visit have evidence cervical neoplasia (CIN) on histology be >90%; (2) primary haemorrhage must <5%; (3) patients admitted as inpatients owing treatment complication <2%. Of 247 this study, histopathological results follows: CIN II-III, 188 (76.1%); cancer, 31 (12.6%); adenocarcinoma situ, 5 (2.0%); I, no CIN, 18 (7.3%). prevalence I or higher 92.7%. Primary observed 13 (5.3%) women. Four (1.6%) because LEEP-related complications. In conclusion, our institute has acceptable overtreatment rates.