摘要
目的研究子宫内膜异位症（内异症）和子宫腺肌症（腺肌症）手术治疗的住院费用和住院时间。方法对1994年1月至2008年12月间在北京协和医院臀记、且经手术证实为内膜症和腺肌症的病例，分析影响住院费用和住院时间的因素。这些因素包括：不同时期、不同病理类型、不同手术类型、不同手术入路、不同年龄分组和不同手术操作。结果记录完整的内异症和腺肌症手术病例共12003例，与所有妇科手术的平均水平相比，前者的平均住院费用更多（7073元比6847元，P〈0．01）、平均住院时间更短（6．8d比8．6d，P〈0．01）。2006至2008年内异症的平均住院费用是1994至1996年的2．3倍（7853元比3382元，P〈0．01），但平均住院时间缩短了1／3（6．4d比9．5d，P〈0．01）。多因素分析显示，年龄是影响盆腔内异症和腺肌症手术住院费用最重要的因素（P〈0．01），其次是病理类型和手术类型。手术入路是影响盆腔内异症和子宫腺肌症手术住院时间最重要的因素（P〈0．01）。结论各种病理类型中腺肌症手术费用最高，而年轻患者手术治疗的经济负担最小。腹腔镜手术和盆腔内异症保守手术可以降低内异症和腺肌症手术的经济学负担。
Objective To explore the hospital expenses and hospital stay of surgical management for endometriosis and adenomyosis. Methods The average hospital expenses and average hospital stay were compared for a total of 12003 patients of endometriosis and adenomyosis confirmed operatively at our hospital from January 1994 to December 2008. And the relevant factors consisted of surgical phases, pathological types, surgical approaches, surgical routes, definite procedures and age groups. Results The average hospital expenses were significantly higher than average gynecologic surgical expenses （ RMB 7073 vs RMB 6847, P 〈0. 01 ）while and the average hospital stays significantly shorter than the latter（6. 8 vs 8.6 days, P 〈 0. 01 ）. The periods of 2006 -2008 and 1994 - 1996 had significantly different average hospital expenses （ RMB 7853 vs RMB 3382, P 〈 0. 01 ） and average hospital stay（6.4 vs 9.5 days, P 〈 0. 01 ）. Multivariate analysis showed age was the most important correlated factor for the hospital expenses of endometriosis and adenomyosis surgeries （ all P 〈 0. 01 ） . And surgical approach was one of the most important factors for hospital stay（ all P 〈 0. 01 ）. Conclusion Adenomyosis has the highest cost and younger endometriosis patients carry the lowest economic burden. Laparoscopy and conservative surgery may reduce the economic burden of endometriosis and adenomyosis operations.
出处
《中华医学杂志》
CAS
CSCD
北大核心
2011年第37期2619-2622,共4页
National Medical Journal of China
关键词
子宫内膜异位症
腹腔镜手术
保守手术
住院费用
住院时间
Endometriosis
Laparoscopic surgery
Conservative surgery
Hospital expenses
Hospital stay
