腹腔镜下卵巢囊肿手术的卫生经济学分析

Cost analysis of laparoscopy vs.laparotomy in the treatment of ovarian cysts

目的 对卵巢囊肿腹腔镜手术与开腹手术的成本进行分析和比较。 方法 采用回顾性队列研究的方法 ,选择北京大学第三医院 2 0 0 0年 6月～ 2 0 0 1年 8月间卵巢囊肿 (良性 )腹腔镜手术与开腹手术的患者分别为 83例和65例 ,对其住院时间、术后恢复工作时间、误工时间、住院费用及其总费用 (包括直接医疗费用、直接非医疗费用和间接费用 )进行比较。 结果 腹腔镜组的住院时间、术后恢复工作时间及误工时间明显低于开腹手术组 ,而住院及相关治疗费用前者明显高于后者 ,但误工等间接费用前者明显低于后者 ,总费用两组无统计学差异。 结论 基于北京市民的人均收入 。

Objective To compare the costs of laparoscopy and laparotomy in the operative treatment of ovarian cysts. Methods Patients with ovarian cysts who were operated on by laparoscopy (83) or by laparotomy (65) in the Peking University Third Hospital from June 2000 to August 2001 were retrospectively analyed.Patients' hospital stay,time taken for the patients to return to work,hospital charges,costs because of inability to work and total costs (including the direct medical costs,direct non-medical costs and indirect costs) were compared between the two groups. Results The mean hospital stay and the mean time taken for the patients to return to work were statistically shorter in the laparoscopy group than those in the laparotomy group.The mean hospital charges were significantly higher and the mean costs of without work were significantly lower in the laparoscopy group.The total costs in the two groups were similar (no significant difference). Conclusions According to the mean income of the people in Beijing,the costs of laparoscopy in the operative of the ovarian cysts are not higher than that of lapatomy.