胸腔镜和开胸肺切除手术费用的比较分析.pdfVIP

中华胸心血管外科杂志 1999 年 10 月第 15 卷第 5 期 　Chin J Thorac Cardiovasc Surg ,October 1999 ,Vol. 15 No. 5 2·79 · 胸腔镜和开胸肺切除手术费用的比较分析 王俊　陈鸿义　何斌 　李剑锋　李曰民 　　摘要　目的:比较分析胸腔镜和开胸肺切除术病人的住院总费用和药费。方法:同一医院同期完成的 胸腔镜和开胸肺切除手术病人 ,其中胸腔镜组 17 例 ,开胸组 20 例 ,术后均无严重并发症。结果 :胸腔镜肺 ( ) 切除术的住院总费用和药费的平均值均低于常规开胸组 ,但差异无显著性 ,其中药费〔7246. 53 ±878. 87 ( ) ( ) 元对 14764. 75 ±1301. 84 元〕差异有极显著性 P 0. 001 。结论:胸腔镜肺切除手术和常规开胸术在住院 总费用上没有显著差别。只要通过技术改进 ,降低手术费用 ,胸腔镜手术将会在我国得到更广泛的应用。 关键词 　胸腔镜术　开胸手术　肺切除手术　费用 Cost analysis for two approaches of pulmonary resection :thoracoscopy and thoracotomy WANG Jun , CHEN Hongyi , HE Bin , et al . First Teaching Hospital of Beijing Medical University , Beijing 100034 Abstract Aim:The disposable instrument and video equipment used in video - assisted thoracic surgery (VATS ) are comparatively expensive . This study is to estimate whether VATS pulmonary resection is much more expensive than thoracotomy in China. Methods :This study included 17 patients with pulmonary resection by VATS and 20 through thoracotomy at one hospital during a three - year period. Hospital charges were obtained from records ,and the total charges and costs associated with drugs and surgery in both groups were ana lyzed and compared. Results :No hospital deaths and severe postoperative complications occurred in both groups. The average total hospital costs were reduced in the VATS group (average cost :VATS , 21198 ,thoracotomy , 25073 ,P = 0. 07) ,and the average cost of drugs in VATS group was much lower than thoracotomy ( 7246 vs 14764 ,P 0. 001) . Conclusions : The disposable instrument charges were higher for the VATS a