广州市某三级甲等医院2005年-2014年原发性胆囊癌手术患者住院情况分析  

Hospitalization Situation Survey on Operation Inpatients with Primary Gallbladder Carcinoma in a Grade A and Tertiary Hospital of Guangzhou from 2005 to 2014

作　　者：伍英[1] 熊环[1] 何睿[2] 焦兴元[2] 汪谦[2] 

机构地区：[1]中山大学附属第一医院病案科,广州市510080 [2]中山大学附属第一医普通外科,广州市510080

出　　处：《中国病案》2015年第9期72-75,共4页Chinese Medical Record

基　　金：国家自然科学基金面上项目(81071984);广东省科技计划项目(2013B021800241)

摘　　要：目的 了解某院原发性胆囊癌手术患者的住院情况,为改善患者体验和加强院内管理提供现实依据。方法 采取回顾性分析的方法分析2005年至2014年10年来收治的291例行手术治疗的原发性胆囊癌患者临床资料,综合统计其性别、年龄、病理类型、手术方式、治疗结果、住院天数及费用等数据资料。结果 男性144例（49.5%）,女性147例（50.5%）,男女比例为0.97：1。患者最小为27岁,最大为87岁,平均（57.81±18.53）岁,其中≤50岁69例,50岁~60岁89例,60岁~70岁79例,70岁~80岁49例,≥80岁为5例。病理类型以腺癌最为多见（84.5%）,腺瘤癌变治愈率最高（83.3%）。手术方式以根治性胆囊癌切除术为主。十年来,手术病例的治愈率为36.77%,术前住院日为（8.47±5.17）天,术后（16.63±8.26）天,平均住院日为（25.38±11.36）天;平均住院费用为（58276.23±5553.36）元,药费占总费用平均比例为（41.59±9.98）%。结论 某院原发性胆囊癌治疗效果逐年提高,住院费用增长较为合理。中老年人应警惕原发性胆囊癌的发生。Objectives To acquire the hospitalization situation operation inpatients with primary carcinoma in a hospital, and provide evidence for improving Methods The clinical materials of 291 cases of operation feelings gallbladder of patients and strengthen hospital management. inpatients with primary gallbladder carcinoma in the hospital during the past ten years from 2005 to 2014 with the application of retrospective survey method, the data of patients including gender, age, pathological type, treatment, results, hospitalized days, cost and so on were analyzed. Results Male cases were 144 （49. 5%）, female cases were 147 （50. 5%）, the ratio of male compared with female was 0.97：1, the youngest age was 27 years old, the oldest age was 87 years old, and average age was （57.81 ＋ 18.53） years, including 69 cases were smaller than 50 years old, 89 cases were from 50 years old to 60 years old, 79 cases were from 60 years old to 70 years old, 49 cases were from 70 years to 80 years old, 5 cases were bigger than 80 years old. The main approach of primary gallbladder carcinoma was radical resection. The cure rate of surgery was 36.77% during the 10 years. Period before and after operation were respectively （ 8.47±5.17 ）days and （ 16. 63 ± 8.26 ） days, and average hospital stay was （ 25.38 ± 11.36 ） days, and average hospitalization cost was RMB （ 58276. 23 ± 5553.36 ） yuan, proportion of drug fees up to （ 41.59 ± 9. 98 ） %. Conclusions The elderly should pay attention to the occurrence of primary gallbladder carcinoma. The curative effect on primary gallbladder cancer is improving year by year, and the increase of hospitalization expenses is reasonable.

关 键 词：胆囊肿瘤 因素分析 统计学 ICD-10编码 

分 类 号：R197.3[医药卫生—卫生事业管理] R735.8[医药卫生—公共卫生与预防医学]