| 周玲玲,黄燕.2013—2017年某医院妇科出院手术病人疾病谱分析[J].安徽医药,2021,25(2):381-384. |
| 2013—2017年某医院妇科出院手术病人疾病谱分析 |
| Analysis on disease spectrum of gynecological discharged operative patients of a hospital from 2013 to 2017 |
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| DOI：10.3969/j.issn.1009-6469.2021.02.041. |
| 中文关键词: 妇科外科手术 生殖器疾病，女(雌)性 住院时间 疾病谱 住院费用 |
| 英文关键词: Gynecologic surgical procedures Genital diseases, female Length of stay Disease spectrum Hospitalization expenses |
| 基金项目: |
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| 中文摘要: |
| 目的分析妇科出院手术病人疾病谱特点，为妇科开展临床救治工作提供参考依据。方法采用 SAS 9.4软件对 2013年 1月 1日至 2017年 12月 31日陆军军医大学大坪医院妇科出院手术病人病例数据进行回顾性统计分析。结果 5年间前 10位妇科手术疾病顺位存在一致性，共占 76.57%。前 5位手术疾病依次为:子宫平滑肌瘤、卵巢良性肿瘤、异位妊娠、子宫颈恶性肿瘤、宫颈上皮内瘤变 Ⅲ级。前 5位手术疾病以腔镜手术为主(占 69.12%)阴式手术和腹式手术构成比相近， 5年间阴式手术构成比有递增趋势，腹式手术构成比在 2017年比 2012年降低了 43.40%。平均，住院日和平均住院费用均是子宫颈恶性 |
| 英文摘要: |
| Objective To analyze the characteristics of disease spectrum of discharged operative patients in gynecology departmentfor guiding the prevention and treatment of gynecologic diseases.Methods The cases of gynecological operative patients in DapingHospital of Army Medical University from January 1, 2013 to December 31, 2017 were analyzed retrospectively by using the SAS9.4software.Results Disease spectrum was consistent among the top 10 operative diseases during 5 years, accounting for 76.57%. Theleading five types of gynecological operative diseases were leiomyoma of uterus, benign neoplasm of ovary, ectopic pregnancy, malignant neoplasm of cervix uteri, and CIN grade Ⅲ, respectively. The major operation of the top 5 diseases was endoscope approaches, accounting for 69.12%. The constituent ratio of laparotomy and transvaginal approaches was similar, the constituent ratios of transvaginalapproaches increased year by year, while the constituent ratio of laparotomy approach in 2017 reduced by 43.40% compared with 2012.The average hospitalization days and the average hospitalization expenses were the highest in malignant neoplasm of cervix uteri andlowest in ectopic pregnancy.Conclusion In order to improve medical quality, the hospital must strengthen the technology researchand strengthen the management of hospitalization days and hospitalization expenses, according to the distribution characteristics of gynecological operative diseases. |
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