摘要
目的分析某院神经外科手术谱,为神经外科学科发展提供数据支持。方法调取某院神经外科2023年1月1日-2023年12月31日出院的14422例住院病案首页。对神经外科出院患者的手术情况进行回顾性分析;应用例数和构成比描述分析神经外科手术谱情况。结果2023年某院神经外科出院人数14422人次,手术例数10431例,占72.33%,四级手术例数7535例,占72.24%,微创手术431例,占4.13%。前10种手术分类名称分别是头和颈部血管内栓塞1276例,占12.23%、颅内病损切除术1049例,占10.06%、脊柱融合术1004例,占9.63%、经导管颅内动脉瘤裸弹簧圈栓塞术759例,占7.28%、经皮椎基底动脉支架置入术536例,占5.14%、脑膜病损切除术516例,占4.95%、颈动脉内膜剥脱术494例,占4.74%、经皮颈动脉支架置入493例,占4.73%、颅神经减压术290例,占2.78%及垂体病损切除术278例,占2.67%。年龄分层中,≤10岁组手术占比最高76.16%,51岁~60岁组四级手术台次最多1930台次,出院患者四级手术比例最高的是31岁~40岁组82.93%,51岁~60岁组微创手术台次最多100台次,≤10岁组出院患者微创手术比例最高7.59%。性别分层中,男性手术台次5646台次高于女性4785台次。结论医院2023年神经外科手术谱中头和颈部血管的血管内栓塞手术排在首位,51岁~60岁年龄组患者四级手术台次最多、男性比女性多,为合理分配神经外科手术资源提供了数据支持。
Objectives To analyze the neurosurgery surgical spectrum of a certain hospital's neurosurgery department,thus to provide data support for the development of the neurosurgery discipline.Methods The front page of 14422 inpatients discharged from the neurosurgery department of a hospital from January 1st,2023 to December 31st,2023 was retrieved.The surgical operation status of discharged patients in neurosurgery department was analyzed retrospectively.The number of cases and component ratio were used to describe and analyze neurosurgical surgical spectrum.Results In 2023,a certain hospital's neurosurgery department discharged 14422 patients,with 10431 surgical cases(72.33%),7535 cases(72.24%)of fourth level surgery,and 431 cases(4.13%)of minimally invasive surgery.The top 10 surgical names were 1276 cases(12.23%)of head and neck intravascular embolization,1049 cases(10.06%)of intracranial lesion resection,1004 cases(9.63%)of spinal fusion,759cases(7.28%)of transcatheter intracranial aneurysm embolization with bare coil,536 cases(5.14%)of percutaneous vertebrobasilar artery stenting,516 cases(4.95%)of meningeal lesion resection,494cases(4.74%)of carotid endarterectomy,493 cases(4.73%)of percutaneous carotid artery stenting,290cases(2.78%)of cranial nerve decompression,and 278 cases(2.67%)of pituitary lesion resection.In the age stratification,the proportion of surgeries in the younger than 10 year old group was the highest at 76.16%,the 51-60 year old group had the highest number of fourth level surgeries at 1930,the 31-40 year old group had the highest proportion of fourth level surgeries among discharged patients at 82.93%,the 51-60 year old group had the highest number of minimally invasive surgeries at 100,and the younger than 10 year old group had the highest proportion of minimally invasive surgeries among discharged patients at 7.59%.In gender stratification,the number of surgeries performed by males was 5646,which was higher than that performed by females at 4785.Conclusions In 2023,endovascular embolization of head and neck vessels ranked first in the neurosurgery surgical spectrum in a certain hospital.Patients aged 51-60 years had the largest number of grade 4 surgery tables,and more men than women,which provided data support for rational allocation of neurosurgery resources.
作者
赵琳
边贺
邓应梅
Zhao Lin;Bian He;Deng Yingmei(Xuanwu Hospital,Capital Medical University,Beijing 100053,China;不详)
出处
《中国病案》
2024年第12期90-94,共5页
Chinese Medical Record
关键词
神经外科
手术谱
四级手术
微创手术
Neurosurgery
Surgical spectrum
Fourth level surgery
Minimally invasive surgery
