2013—2017年某医院妇科出院手术病人疾病谱分析

Analysis on disease spectrum of gynecological discharged operative patients of a hospital from 2013 to 2017

目的分析妇科出院手术病人疾病谱特点,为妇科开展临床救治工作提供参考依据。方法采用SAS 9.4软件对2013年1月1日至2017年12月31日陆军军医大学大坪医院妇科出院手术病人病例数据进行回顾性统计分析。结果5年间前10位妇科手术疾病顺位存在一致性,共占76.57%。前5位手术疾病依次为:子宫平滑肌瘤、卵巢良性肿瘤、异位妊娠、子宫颈恶性肿瘤、宫颈上皮内瘤变Ⅲ级。前5位手术疾病以腔镜手术为主(占69.12%),阴式手术和腹式手术构成比相近,5年间阴式手术构成比有递增趋势,腹式手术构成比在2017年比2012年降低了43.40%。平均住院日和平均住院费用均是子宫颈恶性肿瘤最高,异位妊娠的最低。结论应根据妇科各手术疾病的分布特点,有针对性加强技术研究,加强住院日和住院费用的管理,提高医疗质量。

Objective To analyze the characteristics of disease spectrum of discharged operative patients in gynecology department for guiding the prevention and treatment of gynecologic diseases.Methods The cases of gynecological operative patients in Daping Hospital of Army Medical University from January 1,2013 to December 31,2017 were analyzed retrospectively by using the SAS9.4 software.Results Disease spectrum was consistent among the top 10 operative diseases during 5 years,accounting for 76.57%.The leading five types of gynecological operative diseases were leiomyoma of uterus,benign neoplasm of ovary,ectopic pregnancy,malignant neoplasm of cervix uteri,and CIN gradeⅢ,respectively.The major operation of the top 5 diseases was endoscope approaches,accounting for 69.12%.The constituent ratio of laparotomy and transvaginal approaches was similar,the constituent ratios of transvaginal approaches increased year by year,while the constituent ratio of laparotomy approach in 2017 reduced by 43.40%compared with 2012.The average hospitalization days and the average hospitalization expenses were the highest in malignant neoplasm of cervix uteri and lowest in ectopic pregnancy.Conclusion In order to improve medical quality,the hospital must strengthen the technology research and strengthen the management of hospitalization days and hospitalization expenses,according to the distribution characteristics of gynecological operative diseases.