膀胱造口术手术操作分类探讨.pfg.pdfVIP

膀胱造口术手术操作分类的探讨 518020深圳市广东省深圳市人民医院病案室林佩珊陈彩霞’岳月英刘波苑尹劲峰 摘要 目的膀胱造口术在临床编码中出现高频错误率，通过探讨、比较术式的不同与手术分类的规则，找出解决错 误编码的方法。方法参照国际疾病分类规则，结合临床病例．研究某三甲医院84例膀胱造口术分类情况。结果全年84例 各类膀胱造口术中，经皮膀胱造口术有17例．错误编码ll例．错误率64．7％；其他耻骨上膀胱造口术25例，错误编码6 术是属于闭合性的手术编码于57．17，其他耻骨上膀胱造口术是开放性的手术编码于57．18，膀胱造12术是开放永久性保留的 手术编码于57．2l。 关键词 CM3 膀胱造口术；ICD…9 Discussionof classificationof LinPeishanChenCaixia*YueLiu Ym Operative cystostomy YueyingBoyuanJingfeng MedicalRecordsRoomofShenzbcn china． PeoplesHospital，Shenzhen518020，Guangdong Abstract Thecodeof has elforrateatwork．Wefindthesolutiontothe and Objective higll disussing Cystostomy problemby the different andtherulesof classification．Methodclassificationof84 comparing surgicaloptionsby operative Cystostomy Study Casesinthe therulesofintemationalclassificationofdiseaseand with hathe hospital,though clinicalCases．Result84 combinging 17 ale CasesofPereutaneouscase5oferrorcode，64．7％oferror CaseSayearallkindsofcystostomy，Themcystostomy，II rate； Thereare25casesofOther casesoferror Error Cases code，24％of ale35 of suprapubiccystostomy．6 rate；There Vesicostomy thecodeiserror,100％oferrortotalmisclassificationrateofoldthecasesis61．9％．ConclusionPercutaneous surgery,All rate；The toclosed at57．17．Other to at57．18． cystostomybelongs surgical coding suprapubiccystostomybelong