腰椎间盘突出症2种手术方案的决策树分析

Decision tree analysis of 2 operation schemes on treating lubar intervertebral disc protrusion

目的:评价治疗腰椎间盘突出症的显微内镜椎间盘切除术(MED)和开窗手术(OLD)方案的成本-效益。方法:调查搜集38例MED手术患者与42例OLD手术患者的治疗费用,追踪观察其术后疗效,并构建决策树模型分析比较这2种手术方案的成本-效益。结果:以显效作为治疗结点,MED方案与OLD方案的例均治疗费用分别为6364元和5808元,期望治疗成本MED方案为7111元,OLD方案为6252元。结论:OLD手术是成本-效益较好的的方案。

Objective To evaluate the cost-effectiveness of microendoscopic discectomy （MED） scheme and the open lumbar diseectomy（OLD） scheme on treating lubar intervertebral disc protrusion. Methods To investigate and collect the fee for treating, then follow-up to survey the curative effect after operation of 38 patients who were done MED and 42 patients treating for OLD, and build a decision tree model to discuss the cost-effectiveness of these two operations. Results Make excellence as the end of treatment, to cure 1 person the cost of MED scheme and OLD scheme were 6364 yuan and 5808yuan, respeotively; and the expected cost of MED scheme and OLD scheme were 7111yuan and 6252yuan, respectively. Conclusion OLD is a better scheme for cost-effectiveness analysis.