摘要
肝恶性肿瘤介入治疗主要涉及心血管系统手术、消化系统手术和一些诊断性、治疗性操作,参照《国际疾病分类第九版手术与操作ICD-9-CM-3》(2011修订版)一书,相关的病案首页手术编码操作集中在第九章心血管系统手术、第十一章消化系统手术及第十八章各种诊断性和治疗性操作相关章节。通过病案编码员阅读手术记录,提取手术步骤,进而查找到正确手术操作编码及其排序,已成为目前介入手术病案首页填写的难点。按照目前肝恶性肿瘤介入治疗的分类,主要以“动脉造影术”“栓塞”“灌注”“植入”“破坏”及“消融”为主导词进行查找。
Interventional therapy for hepatic malignant tumours primarily includes cardiovascular system surgery,digestive system surgery,and various diagnostic and therapeutic procedures.Referring to the“International Classification of Diseases,Ninth Edition,Clinical Modification,ICD-9-CM-3”(2011 revision),the relevant surgical procedure codes on the front page of the case are contained mainly in the 9th chapter for cardiovascular system surgery,the 11 th chapter for digestive system surgery,and the 18th chapter for various diagnostic and therapeutic procedures and other related chapters on diagnostic and therapeutic procedures.It has become a challenge for the history coders to complete the first page of interventional surgery cases by reviewing the surgery records,extracting the surgical steps,and then identifying the appropriate surgery codes and their sequencing.According to the current classification of interventional therapy for hepatic malignant tumors,it is suggested to conduct the search and retrieval using the keywords like“arteriography”“embolization”“perfusion”“implantation”“destruction”and“ablation”.
作者
李媛
王洪涛
张炜浩
李良
LI Yuan;WANG Hongtao;ZHANG Weihao;LI Liang(Tianjin Cancer Hospital,Tianjin Medical University,Tianjin 300060,China)
出处
《现代医院》
2024年第2期215-218,共4页
Modern Hospitals
基金
天津市医学重点学科(专科)建设项目(TJYXZDXK-012A)。
