腰椎间盘突出症两种手术方式治疗住院费用分析

Analyze the Costs of Decompression With and Without Fusion in the Treatment of lumbar Disc Herniation

比较腰椎间盘突出症单纯减压手术与减压并植骨融合手术所需费用,探讨腰椎间盘突出症手术治疗医疗费用的影响因素,为患者选择合理的手术方案提供依据。选择某专科医院2005年1月至2007年10月期间851例行单纯减压手术与242例减压并植骨融合术的病例,对其手术时间、术中出血量、术后住院时间、术后抗菌素使用时间、住院各项费用进行比较。材料费、药费、手术费、床位费是影响住院总费用的主要因素。腰椎间盘突出症的患者可根据自身的经济条件、所患疾病的具体情况在两种手术方式之间权衡决定最适宜的手术方案。

To analyze the costs of decompression with and without fusion in the treatment of lumbar disc herniation. The se-lected patients of lumbar disc herniation, we studied lumbar disc herniation,patients operated in a hospital from Jan. 2005 to Oct. 2007. 851 received decompression and 242 received decompression with fusion. The length of operation, intraoperative blood loss,postoperative stay and off--work day, hospital charge, and total costs were analyzed and compared. The main influence factors of hospitalize costs are material costs, medical costs, operative costs and beds costs. The patients could choose the suitable operative style according to their economic condition and concrete state of illness.