稳定术的分类规则及应用浅析

Classification rules and application of stabilization techniques

在ICD-9-CM-3中并没有对稳定术给出具体含义。81.44髌骨稳定术通过查询索引可知,还包括Roux-Goldthwait手术、Ellison手术、Hauser手术。在临床上对于不同病因的髌骨脱位手术策略不同,但手术目的相同,都是为了维系髌骨稳定状态。髌骨稳定术作为治疗髌骨脱位的手术方式,它可以是单一术式,也可以是几种术式组成的联合术式,是为了恢复稳定状态一系列术式的总称。肩锁关节稳定术和下胫腓联合弹性固定术是采用纽扣钢板固定维系关节微动功能的新型手术方式。编码员在编码时遇到工具书中无法检索的主导词时,可以参考临床对于该疾病手术方式的分类方法,再结合手术记录和ICD工具书,确定主导词查找编码,既符合编码规则,又可以准确反应临床实际,确保分类的准确性。

The ICD-9-CM-3 does not provide a specific definition for patellar stabilization procedures.According to the index,the code 81.44 for patellar stabilization surgery encompasses Roux-Goldthwait procedure,Ellison procedure,and Hauser procedure.Clinically,surgical strategies for patellar dislocation vary on the etiology,but the purpose remains the same,which is to sustain the stability of the patella.As a surgical method for the treatment of patellar dislocation,patellar stabilization can be a single procedure or a combination of procedures,collectively referred to as a series of procedures aimed at restoring its stability.Acromioclavicular joint stabilization and distal tibiofibular syndesmosis elastic fixation are new surgical methods for maintaining joint micromotion function by using loop plate fixation.When coders encounter dominant terms that cannot be retrieved in reference books during coding,they can refer to the clinical classification method of the surgical procedure for the disease,and then integrate surgical records and the ICD reference books to determine the dominant word for finding the code.This approach complies with the coding rules and can accurately mirror the clinical practice,ensuring the accuracy of classification.