摘要
背景与目的肺癌手术方式变化对其住院费用和快速康复的影响不太明确,本研究旨在探讨肺癌患者外科治疗住院费用和术后快速康复的临床影响因素。方法收集2010年1月-2011年10月华西医院胸外科单个医疗组176例肺癌手术病例的临床资料进行分析。结果胸腔镜肺叶切除术组住院费用(video-assisted thoracic surgery,VATS)(47,308.21$)高于开胸手术组(45,664.31$)(P=0.007);体重指数(body mass index,BMI)≥24 kg/m2患者的住院费用(51,186.99$)高于BMI<24 kg/m2(41,701.64$)的肺癌患者(P=0.032)。住院日VATS手术组(5.70 d)短于开胸手术组(7.10 d)(P<0.001)。结论手术方式和肺康复训练有助于肺癌手术患者术后的快速康复,但也增加了住院费用。
Background and objective It is unknown that the postoperation fast-track recovery and in hospital cost of the lobectomy in lung cancer, we explored the inlfuencing factor of postoperative fast-track recovery and in hospital cost atfer undergoing lobectomy for lung cancer. Methods We retrospectively reviewed the medical records of all patients （n=176） who underwent lobectomy for lung cancer between January 2010 and November 2011 by a thoracic surgeon. Results hTe hospital costs of video-assisted thoracic surgery （VATS） lobectomy （47,308.21 ￥） is signiifcantly higher than open lobectomy （45,664.31 ￥）（P=0.007）. hTe hospital costs of body mass index （BMI）≥24 kg/m2 （51,186.99 ￥） is signiifcantly higher than BMI〈24 kg/m2 （41,701.64 ￥）（P=0.032）. hTe hospital stay of VATS lobectomy （5.70 d） is signiifcantly less than open lobectomy （7.10 d）（P〈0.001）. Conclusion hTese ifndings indicate that preoperative pulmonary rehabilitation and VATS lobectomy is contrib-uted to fast-track recovery for patients who undergo lobectomy, but increase the hospital costs.
出处
《中国肺癌杂志》
CAS
北大核心
2014年第7期536-540,共5页
Chinese Journal of Lung Cancer
关键词
住院费用
快速康复
外科治疗
肺癌
In-hospital cost
Fast-track recovery
Surgery treatment
Lung neoplasms
