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腰椎间盘突出症两种手术方式治疗住院费用分析
引用本文:刘红,刘金宝,黄卫民. 腰椎间盘突出症两种手术方式治疗住院费用分析[J]. 医学与哲学(人文社会医学版), 2010, 31(6): 25-27
作者姓名:刘红  刘金宝  黄卫民
作者单位:[1]新疆医科大学第六附属医院科教科,新疆乌鲁木齐830002 [2]新疆医科大学公共卫生学院卫生经济学教研室,新疆乌鲁木齐830011 [3]新疆医科大学第六附属医院脊柱外科,新疆乌鲁木齐830002
摘    要:比较腰椎间盘突出症单纯减压手术与减压并植骨融合手术所需费用,探讨腰椎间盘突出症手术治疗医疗费用的影响因素,为患者选择合理的手术方案提供依据。选择某专科医院2005年1月至2007年10月期间851例行单纯减压手术与242例减压并植骨融合术的病例,对其手术时间、术中出血量、术后住院时间、术后抗菌素使用时间、住院各项费用进行比较。材料费、药费、手术费、床位费是影响住院总费用的主要因素。腰椎间盘突出症的患者可根据自身的经济条件、所患疾病的具体情况在两种手术方式之间权衡决定最适宜的手术方案。

关 键 词:腰椎间盘突出症  单纯减压术  减压并植骨融合术  住院费用

Analyze the Costs of Decompression With and Without Fusion in the Treatment of lumbar Disc Herniation
LIU Hong,LIU Jin -bao,HUANG Wei-min. Analyze the Costs of Decompression With and Without Fusion in the Treatment of lumbar Disc Herniation[J]. Medicine & Philosophy:Humanistic & Social Medicine Edition, 2010, 31(6): 25-27
Authors:LIU Hong  LIU Jin -bao  HUANG Wei-min
Affiliation:. (The Sixth Affiliated Hospital of Xinjiang Medical University ,Wulumuqi 830002, China)
Abstract:To analyze the costs of decompression with and without fusion in the treatment of lumbar disc herniation. The se-lected patients of lumbar disc herniation, we studied lumbar disc herniation,patients operated in a hospital from Jan. 2005 to Oct. 2007. 851 received decompression and 242 received decompression with fusion. The length of operation, intraoperative blood loss,postoperative stay and off--work day, hospital charge, and total costs were analyzed and compared. The main influence factors of hospitalize costs are material costs, medical costs, operative costs and beds costs. The patients could choose the suitable operative style according to their economic condition and concrete state of illness.
Keywords:lumbar disc herniation   decompression   fusion   costs
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