摘要
目的观察日间宫腔镜电切术的安全性和有效性。方法采集新疆医科大学第一附属医院妇科门诊2019年1月至12月筛选需要进行日间和住院行宫腔镜电切手术的患者为研究对象,对日间和住院患者安全性、卫生经济学指标的比较。结果日间组和住院组患者的在院时间分别为(6.4±0.5)h和(130.0±5.9)h,患者误工时间分别为(2.5±0.5)d和(4.5±1.3)d,家属误工时间分别为(0.4±0.1)d和(2.5±0.5)d,差异均有统计学意义(P<0.05),日间组和住院组患者的误工经济损失分别为(250±50)元和(450±130)元,家属的误工经济损失分别为(40±10)元和(250±50)元,差异均有统计学意义(P<0.05),两组患者术前费用分别为(622±64)元和(1511±145)元、手术费用分别为(2370±307)元和(3390±273)元、术后费用分别为(411±19)元和(2823±104)元、总费用分别为(4023±263)元和(10301±324)元,差异均有统计学意义(P<0.05),日间组复发率为0.9%(6/658),住院组复发率为1.0%(7/650),两组复发率比较,差异无统计学意义(χ^(2)=0.099,P>0.05),均无近,远期并发症。结论日间宫腔镜电切手术的探索分析,开展日间宫腔镜子宫手术是完全安全可行的,社会经济效益显著。
Objective To explore and observe the safety and effectiveness of hysteroscopic electrotomy by daytime ward.Methods From January to December 2019,the patients admitted to the department of Gynaecology of the first affiliated hospital of Xinjiang medical university who were screened for the need of daytime and inpatient hysteroscopic electrotomy were collected.The safety and health economics indexes of outpatients and inpatients were compared.Results In the daytime group and the inpatient group,the hospital stay was(6.4±0.5)h and(130.0±5.9)h,the downtime was(2.5±0.5)d and(4.5±1.3)d,and the downtime of family members was(0.4±0.1)d and(2.5±0.5)d,respectively.The differences were statistically significant(P<0.05).The economic loss at daytime group and the inpatient group was(250±50)d and(450±130)d,respectively.Economic loss of families,was(40+10)RMB and(250-50)RMB,respectively,the difference had statistical significance(P<0.05).Preoperative cost between two groups were(622+64)RMB and(1511+145)RMB,respectively.Operation expenses,were(2370+307)RMB and(3390+273)RMB,respectively.Postoperative cost between two groups were(411+19)RMB and(2823+104)RMB,respectively.The total costs between two groups were(4023+263)RMB and(10301+324)RMB,respectively.The recurrence rate was 0.9%(6/658)in the daytime group and 1.0%(7/650)in inpatient group.There was no significant difference in the recurrence rate between two groups(χ^(2)=0.099,P>0.05),and there were no immediate and long-term complications.Conclusion It is safe and feasible to perform hysteroscopic hysterectomy with significant social and economic benefits.
作者
刘念
郭春凤
马俊旗
LIU Nian;GUO Chun-feng;MA Jun-qi(Department of Gynaecology,The First Affiliated Hospital of Xinjiang Medical University,Urumqi,830054,China)
出处
《新疆医学》
2021年第12期1357-1360,共4页
Xinjiang Medical Journal
基金
新疆医科大学人文社会科学基金(项目编号:2017XYFG25)。
关键词
宫腔镜手术
日间病房
并发症
卫生经济
Hysteroscopic surgery
day ward
complications
health economics
