首页|2634例内窥镜下十二指肠乳头肌切开取石术患者分析

2634例内窥镜下十二指肠乳头肌切开取石术患者分析

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目的 分析某三甲医院实施内窥镜下十二指肠乳头肌切开取石术操作患者的分布及疾病构成情况,为消化内科的发展提供基础数据支持.方法 收集2011年1月1日-2020年12月31日某三甲医院全部做过内窥镜下十二指肠乳头肌切开取石术患者住院病案首页,共2634例,对患者的性别、年龄、主要诊断、离院方式等信息进行描述性分析,采用Pearson相关系数和线性回归分析对患者住院人次及平均住院日进行分析.结果 2011年-2020年操作数量整体呈上升趋势;男性患者多于女性患者;大于70岁患者数量最多,占全部人次的34.89%.该项操作的主要治疗疾病为胆总管结石(38.76%)和胆总管结石伴急性胆管炎(23.5%).患者平均住院日从15.06天减少至10.48天,术后平均住院日从8.13天缩短至5.50天.结论 该三甲医院内窥镜下十二指肠乳头肌切开取石术患者以老年患者为主,近10年疾病构成变化明显,治疗疾病复杂程度逐渐增加,诊疗效率大幅提高.医院可根据以上变化特点调整科室医疗资源配置情况,为临床有针对性的开展科室管理工作及重点人才培养方向提供数据基础,一定程度上提高医疗服务效率.
Analysis of 2634 Patients Undergoing Endoscopic Sphincterotomy for Lithotomy(EST-L)
Objectives This study aims to analyze the distribution and disease composition of patients undergoing endoscopic sphincterotomy for lithotomy in a Grade-A tertiary hospital,so as to provide basic data support for the development of Gastroenterology.Methods A total of 2634 front pages of inpatient medical records who underwent endoscopic sphincterotomy for lithotomy in a Grade-A tertiary hospital from January 1,2011 to December 31,2020 were collected.Descriptive analysis was performed on the information of the patients,such as gender,age,main diagnosis,and discharge method.Pearson correlation coefficient and linear regression analysis were used to analyze the number of inpatients and the average length of stay.Results The number of operations was on the rise from 2011 to 2020.There were more male patients than female patients.Patients over 70 years old had the largest number,accounting for 34.89%of all patients.The main diseases treated by this operation were choledocholithiasis(38.76%)and choledocholithiasis with acute cholangitis(23.50%).The average length of hospital stay decreased from 15.06 days to 10.48 days,and the average length of hospital stay after surgery decreased from 8.13 days to 5.50 days.Conclusions The majority of patients undergoing endoscopic sphincterotomy for lithotomy in this Grade-A tertiary hospital are elderly patients.In the past decade,the disease composition has changed significantly,the complexity of treatment has gradually increased,and the diagnosis and treatment efficiency has been greatly improved.Hospitals can adjust the allocation of medical resources in departments according to the above changes to provide a data basis for targeted clinical department management and key personnel training and improve the efficiency of medical services to a certain extent.

Endoscopic Sphincterotomy for LithotomyDistribution of inpatientsDisease composition

李思成、张梦蝶

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首都医科大学附属北京友谊医院病案科,北京市,100050

首都医科大学附属复兴医院,北京市,100038

十二指肠乳头肌切开取石术 住院患者分布 疾病构成

2024

中国病案
中国医院协会

中国病案

CSTPCD
影响因子:1.197
ISSN:1672-2566
年,卷(期):2024.25(1)
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