腹腔镜前列腺根治术与耻骨后前列腺根治术的住院费用比较分析

发布时间：2018-04-04 16:06

  本文选题：前列腺癌　切入点：前列腺根治术　出处：《中国微创外科杂志》2017年02期

【摘要】：目的利用重庆市某高校附属医院住院费用数据,比较腹腔镜前列腺根治术(laparoscopic radical prostatectomy,LRP)和耻骨后前列腺根治术(radical retropubic prostatectomy,RRP)住院费用的差异,探讨导致两者住院费用差异的主要原因。方法回顾分析该院2013年1月~2014年12月所有病理诊断为前列腺癌并行前列腺根治术(radical prostatectomy,RP)的83例出院患者的病历资料(LRP 54例,RRP 29例)。摘录病案首页的社会人口学信息、住院诊疗信息和住院费用信息,住院费用信息包含药费、检查费、治疗费、手术室费用、外科材料费和其他费用,比较LRP和RRP住院费用的差异。结果在年龄、住院时间、Gleason评分、临床分期以及合并症方面2组无显著性差异(P0.05)。LRP住院总费用高于RRP[LRP(55 695±11 130)元,RRP(45 955±23 011)元,t=2.148,P=0.039],2组住院总费用的主要差异在治疗费(中位数LRP 5862元,RRP4587元,Z=-2.511,P=0.011),手术室费用(中位数LRP 9620元,RRP 9265元,Z=-2.197,P=0.028)以及外科材料费(中位数LRP 24 911元,RRP 16 692元,Z=-3.009,P=0.003)。2组检查费[(LRP(8521±2179)元,RRP(8256±3288)元,t=0.390,P=0.669]和药费(中位数LRP 10 274元,RRP 10 182元,Z=-0.096,P=0.924)无显著性差异(P0.05)。结论在临床教学医院,LRP的住院总费用高于RRP,其主要原因是LRP较高的手术室费用和外科材料费。
[Abstract]:Objective to compare the difference of hospitalization cost between laparoscopic radical prostatectomy (LRP) and retropubic radical prostatectomy (RRP) in a university affiliated hospital in Chongqing, and to explore the main reasons leading to the difference in hospitalization cost.Methods from January 2013 to December 2014, the medical records of 83 discharged patients with prostate cancer and radical prostatectomy were retrospectively analyzed. There were 54 cases with LRP and 29 cases with RRP.Extracts from the first page of the medical record of social demographic information, hospitalization information and hospitalization expenses information, including medical expenses, examination fees, treatment expenses, operating room expenses, surgical materials and other expenses,To compare the difference of hospitalization cost between LRP and RRP.Results at age, length of stay, Gleason score,涓村簥鍒嗘湡浠ュ強鍚堝苟鐥囨柟闈，

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