腹腔镜在妇科日间手术中心的应用分析

Laparoscopy Application in the Gynecological Day Surgery Center

目的探讨腹腔镜在妇科日间手术中心应用的可行性。方法选择合适的病例作为研究组(日间手术组,不孕症患者及卵巢囊肿患者100例),选择同类非日间手术患者110例作为对照组,比较两组患者的住院费用、住院时间及用药费用,病情康复情况。结果日间手术患者的住院治疗总费用平均为(3840±53)元,用药费用平均为(331±18)元,平均住院天数为(2.63±0.26)d;而同类非日间手术患者的住院治疗总费用平均为(5410±96)元,用药费用平均为(575±37)元,住院天数平均为(10.30±0.35)d;两组间以上指标差异有统计学意义(P<0.01)。结论选择合适的病例进行腹腔镜日间手术安全可行,该医疗方式可显著减少患者的医疗费用及减少药物费用。

Objective To explore the feasibility of laparoscopy application in the gynecological day surgery center.Methods Totally 100 appropriate patients with infertility surgery or ovarian cysts were selected as trial group （day surgery group）,with another 110 patients with the same kinds diseases concurrently as the controls （non-day surgery group）.The respects of hospitalization costs and time,drug expenses,and recovery conditions were compared between the two groups.Results In the trial group the average total cost was （3 840±53） RMB,the average medication fee was （331±18）RMB,and the average hospitalization days was（2.63±0.26）,which were lower than （5 410±96）RMB,（575±37） RMB,and（10.30±0.35）in the control group respectively （P〈0.01）.Conclusion The performance of laparoscopy surgery in the day surgery center is safe and feasible,and it can effectively reduce the patient＇s medical costs and medication fee.