摘要
目的探讨一种可用于对玻璃体切除手术病例进行大样本临床研究的疾病分类方法。方法对429例玻璃体切除手术连续病例的全部ICD-10编码进行分析和归类,统计方法使用描述性统计、频次分析。结果将全部玻璃体切除手术疾病分为相互独立的10类:(1)眼外伤,(2)糖尿病相关眼病,(3)眼内肿瘤,(4)非外伤性眼内炎,(5)视网膜脱离,(6)无视网膜脱离的玻璃体视网膜病变,(7)黄斑病变,(8)白内障/晶体病变,(9)青光眼,(10)其他。ICD编码的出现频次和条目数分别反映了各类疾病在玻璃体切除手术病例中的普遍性和内在病变多样性。结论基于ICD编码的手术疾病分类方法简明、合理,反映了玻璃体切除手术的疾病特征和复杂性,可有效用于对玻璃体切除手术病例的大样本临床研究。
Objective To explore a disease classification that can be used in large sample clinical study for vitrectomy.Methods All ICD-10 diagnostic codes in 429 consecutive cases of vitrectomy were analyzed and classified.Statistical methods were descriptive statistics and frequency analysis.Results All vitrectomy diseases were divided into 10 independent categories：（1）ocular trauma, （2）diabetes-related eye disease,（3）intraocular tumor,（4）non traumatic endophthalmitis,（5）retinal detachment,（6）vitreoretinopathy without retinal detachment,（7）macular disease,（8）cataract/lenticular disorders,（9）glaucoma,（10）Miscellaneous.The frequency of ICD diagnosis and number of the entries reflect respectively the universality of each category in all vitrectomy cases and the diversity of internal lesions in that category.Conclusion This ICD diagnosis code-based operative disease classification is concise and reasonable,it reflects the characteristics and complexity of disease for vitrectomy,and can be effectively used in large sample clinical studies for vitrectomy.
出处
《中国病案》
2014年第11期62-63,共2页
Chinese Medical Record
