目的提高血清质量控制水平,规范和标准化实验室流程。方法罗氏cobas p612QSI照相系统中建立溶血、脂血和黄疸血清图库,照相系统对干扰配置的血清拍照、与图谱库比对后筛选出问题血清,并检测其血清指数,供审核报告参考。对16 710份标本的系统筛查结果与肉眼判断结果比较,以验证QSI照相功能的准确性。结果图谱库储存了195张问题血清图片。QSI照相系统对溶血、脂血、黄疸血清标本的检出与肉眼判断结果的符合率分别为94.2%、87.4%、60.9%。结论 QSI照相系统能够替代肉眼筛查问题血清。
Objective To improve the serum quality controlling level,in order to regularize and standardize the laboratory processes.Methods Gallery of hemolysis,lipidemia or icterus serum specimens was established by Roche cobas p612 QSI camera system.The trouble serum specimens were screened out through taking photos of interfere serum and comparing with the gallery.The serum indexes of hemolysis,lipidemia and icterus were detected respectively as reference information of inspection report.Comparing the results of 16 710 specimens detected by system screening and visual judgment,the accuracy of QSI camera system was verified.Results 195 trouble serum pictures were elected in the gallery.The compliance rates of hemolysis,lipidemia and icterus serum specimen between QSI camera system and visual judgment were 94.2%,87.4%,and 60.9%respectively.Conclusion The QSI camera system can replace visual judgment to screen the trouble serum specimens.