硬脑(脊)膜修补材料在BS06B病组中临床使用评价  

Clinical Evaluation of Dural(Spinal)Membrane Repair Materials

作　　者：张林灵 苏畅[1,2] 董婷婷 郑焜 ZHANG Linling;SU Chang;DONG Tingting;ZHENG Kun(Department of Medical Equipment Department,Children's Hospital,Zhejiang University School of Medicine,Hangzhou,310057;National Clinical Research Center for Child Health,Hangzhou,310057)

机构地区：[1]浙江大学医学院附属儿童医院医疗设备部,杭州市310057 [2]国家儿童健康与疾病临床医学研究中心,杭州市310057

出　　处：《中国医疗器械杂志》2024年第3期312-314,351,共4页Chinese Journal of Medical Instrumentation

基　　金：国家中心自主设计项目软科学研究专项(R23E0001);基于真实世界证据的医疗器械临床使用评价项目(20220407)。

摘　　要：目的选择质优价廉的硬脑(脊)膜修补材料,以降低耗材采购成本,节省医保基金,并优化医院的运营管理。方法以本院BS06B病组为例,该病组包括脊髓和椎管手术,不伴有极重度或严重的并发症和伴随症,主诊断为先天性脊髓栓系综合征。回顾性分析2021年1月—2023年6月进行的手术治疗先天性脊髓栓系综合征的相关数据。比较不同品牌硬脑(脊)膜修补材料在临床应用中的安全性和有效性指标,包括术后硬脊膜外出血发生率、术后化脓性脑脊髓膜炎发生率、脑脊液漏液发生率、手术时长以及术后住院天数。结果在安全性和有效性方面,各品牌的硬脑(脊)膜修补材料之间未见显著差异。结论对于修复小创口的硬脑膜手术,可以选择质优价廉的硬脑(脊)膜修补材料来降低医院成本,进而控制病组费用。Objective To select high-quality and cost-effective dural(spinal)membrane repair materials,in order to reduce the cost of consumables procurement,save medical insurance funds,and optimize hospital operation and management.Methods Taking the BS06B disease group(spinal cord and spinal canal surgery without extremely severe or severe complications and comorbidities,mainly diagnosed as congenital tethered cord syndrome)as an example,a retrospective analysis was conducted on the relevant data of surgical treatment for congenital tethered cord syndrome conducted in our hospital from January 2021 to June 2023.Safety and efficacy indicators in clinical application(incidence of postoperative epidural hemorrhage,incidence of postoperative purulent cerebrospinal meningitis,incidence of cerebrospinal fluid leakage,surgical duration,and postoperative hospital stay)were compared.Results There was no difference in safety and effectiveness between different brands of dura mater repair materials.Conclusion For the repair of small incisions in dura mater surgery,high-quality and cost-effective dura mater repair materials can be selected to reduce hospital costs and control expenses for the disease group.

关 键 词：疾病诊断相关分组 硬脑(脊)膜修补材料 安全性 有效性 费用控制 

分 类 号：R197.39[医药卫生—卫生事业管理]