近端胃切除伴空肠间置术ICD-9-CM-3编码探讨  

ICD-9-CM-3 Classification for Proximal Gastrectomy with Jejunal Interposition

作　　者：张彬[1] 李瑞星[1] 弓丽娜[1] 段晓瑾[1] 高俊全 杨卫林 刘冰[1] 李书梅[1] Zhang Bin;Li Ruixing;Gong Li’na;Duan Xiaojin;Gao Junquan;Yang Weilin;Liu Bing;Li Shumei(The Fourth Hospital of Hebei Medical University,Shijiazhuang 050000,Hebei Province,China)

机构地区：[1]河北医科大学第四医院,石家庄市050000

出　　处：《中国病案》2021年第6期34-36,共3页Chinese Medical Record

基　　金：河北省医学科学研究重点课题(ZD20140471)

摘　　要：近端胃切除伴空肠间置术是胃上部癌常见的手术方式,改良空肠间置术则具有较好的抗反流作用,同时可降低食物潴留的发生率,因而在近端胃切除手术中的应用越来越广.本文对近端胃切除伴空肠间置术以及改良空肠间置术进行了阐述.空肠间置术编码有3部分,包括管腔切除、间置术、间置物的切除,编码为43.5+42.53+44.39+45.51,改良空肠间置术省略了间置物的切除这一步骤,包括管腔切除、间置术两部分,编码为43.5+42.53+44.39+45.91.在工作中编码人员应熟练掌握手术术式的基本知识,仔细阅读手术记录,以此提高手术编码的质量.Proximal gastrectomy accompanied by jejunal interposition is a common surgical method for upper gastric cancer.Modified jejunal interposition has better anti—reflux effect and can reduce the incidence of food retention.In order to enable the coders to understand the rules of this operation and improve the accuracy of the classification in the work,the proximal gastrectomy with jejunal interposition and modified jejunal interposition were described in detail in this paper.The classification of the roles of jejunal interposition is divided into three parts,including lumen resection,interposition surgery and interposition resection,and the classification are 43.5+42.53+44.39+45.51.The procedure of interposition resection is omitted in the modified jejunal interposition surgery,including two parts of lumen resection and interposition surgery,and the classification are 43.5+42.53+44.39+45.91.At the same time,we ask coders master the basic knowledge of surgery procedures in the work,read the operation records carefully,improve the quality of the operation code.

关 键 词：近端胃切除术 胃癌 空肠间置 手术编码 

分 类 号：R735.2[医药卫生—肿瘤] R197.323[医药卫生—临床医学]