摘要
目的 分析腹腔镜和开腹肝切除的费用效益,从经济学角度评估腹腔镜肝切除的实用性。方法 选择2 0 0 2年5月在解放军总医院肝胆三病区行肝切除的连续病例,其中腹腔镜肝切除(L aparoscopic Hepatectomy,L H ) 5 1例,开腹肝切除(Open Hepatectom y,OH) 75例。比较、分析L H和OH病人的全部直接医疗费用和相关的间接费用。结果 L H组的直接医疗费用高于OH组(P<0 .0 5 ) ;但是,间接费用却明显低于OH组(P<0 .0 1) ,总费用也低于OH组(P<0 .0 5 )。结论 通过降低间接费用,L H的总费用低于OH。费用效益分析提示L H是医患双赢的选择。
Objective To analyze the cost-benefit of laparoscopic and open hepatectomy and evaluate the practicality of laparoscopic hepatectomy in economics.Methods The consecutive patients undergone hepatectomy were selected in General Hospital of PLA from Jul.2002 to May 2004.51 patients received laparoscopic hepatectomy(LH) and 75 patients received open hepatectomy(OH).All relevant direct medical costs and indirect costs of these patients were compared and analyzed.Result The mean direct medical costs were higher for LH than for OH(P<0.05).However,the indirect and total costs were significantly lower for LH than for OH(P<0.01and P<0.05).Conclusion Compared with those of OH,the total costs of LH to patients decreased by reducing the indirect costs.Both of patients and hospitals could benefit from LH.
出处
《肝胆外科杂志》
2005年第2期130-133,共4页
Journal of Hepatobiliary Surgery
关键词
费用效益分析
腹腔镜
肝切除
Cost-benefit-analysis
Laparoscopy
Hepatectomy
