直肠恶性肿瘤的手术编码分析

Analysis on the Operations Coding of Colorectal Malignant Tumors

肿瘤根治术是直肠恶性肿瘤病人主要的治疗方法,目前临床常用的术式主要有经腹会阴直肠切除术(Miles手术)、经腹直肠前切除术(Dixon手术)和经腹直肠前切除术伴结肠造口术(Hartmann手术)3种。通过回顾3例直肠恶性肿瘤患者的病案来了解这3种直肠癌根治术的不同术式及手术步骤,分析针对不同的术式和手术步骤,如何按照ICD-9-CM-3编码原则进行3种术式的手术编码,每种术式在查找手术编码时有几种查找方法,3种术式手术编码的区别,以及需要注意的编码提示,即另编码、另见、包括、不包括及省略编码等,给予3种术式准确的手术编码。总结直肠恶性肿瘤的手术编码方法,强调编码的查找方法的重要性,编码员需要具备良好的专业素质和责任心。

Radical resection is the main treatment for colorectal malignant tumors. The common surgical methods include abdominoperineal resection（Miles）,abdominosacral resection（Dixon）,and abdominosacral resection with colostomy（Hartmann）.In this paper,three cases of colorectal malignant tumors will help you understand the different surgical methods of these three kinds of radical resection and the codes in ICD-9-CM-3.It will also introduce how to get the accurate codes by telling the methods of searching for the codes,the differences in codes and the importance of tips behind each code.To emphasize the importance of coding search method,the qualified coders should have good professional quality and sense of responsibility.