首页|某医院2023年神经外科出院患者手术谱分析

某医院2023年神经外科出院患者手术谱分析

扫码查看
目的 分析某院神经外科手术谱,为神经外科学科发展提供数据支持.方法 调取某院神经外科2023年 1月 1 日-2023年 12月 31日出院的 14 422例住院病案首页.对神经外科出院患者的手术情况进行回顾性分析;应用例数和构成比描述分析神经外科手术谱情况.结果 2023 年某院神经外科出院人数 14 422人次,手术例数 10 431例,占 72.33%,四级手术例数 7535例,占 72.24%,微创手术 431例,占 4.13%.前10种手术分类名称分别是头和颈部血管内栓塞1276例,占12.23%、颅内病损切除术1049例,占10.06%、脊柱融合术 1004 例,占 9.63%、经导管颅内动脉瘤裸弹簧圈栓塞术 759 例,占 7.28%、经皮椎基底动脉支架置入术 536例,占 5.14%、脑膜病损切除术 516 例,占 4.95%、颈动脉内膜剥脱术 494 例,占 4.74%、经皮颈动脉支架置入493例,占4.73%、颅神经减压术290例,占2.78%及垂体病损切除术278例,占2.67%.年龄分层中,≤10岁组手术占比最高 76.16%,51岁~60岁组四级手术台次最多 1930 台次,出院患者四级手术比例最高的是 31岁~40岁组 82.93%,51岁~60岁组微创手术台次最多 100台次,≤10岁组出院患者微创手术比例最高 7.59%.性别分层中,男性手术台次 5646台次高于女性 4785台次.结论 医院 2023年神经外科手术谱中头和颈部血管的血管内栓塞手术排在首位,51岁~60 岁年龄组患者四级手术台次最多、男性比女性多,为合理分配神经外科手术资源提供了数据支持.
Analysis on the Surgical Spectrum of Discharged Neurosurgical Patients in a Certain Hospital in 2023
Objectives To analyze the neurosurgery surgical spectrum of a certain hospital's neurosurgery department,thus to provide data support for the development of the neurosurgery discipline.Methods The front page of 14 422 inpatients discharged from the neurosurgery department of a hospital from January 1st,2023 to December 31st,2023 was retrieved.The surgical operation status of discharged patients in neurosurgery department was analyzed retrospectively.The number of cases and component ratio were used to describe and analyze neurosurgical surgical spectrum.Results In 2023,a certain hospital's neurosurgery department discharged 14422 patients,with 10431 surgical cases(72.33%),7535 cases(72.24%)of fourth level surgery,and 431 cases(4.13%)of minimally invasive surgery.The top 10 surgical names were 1276 cases(12.23%)of head and neck intravascular embolization,1049 cases(10.06%)of intracranial lesion resection,1004 cases(9.63%)of spinal fusion,759 cases(7.28%)of transcatheter intracranial aneurysm embolization with bare coil,536 cases(5.14%)of percutaneous vertebrobasilar artery stenting,516 cases(4.95%)of meningeal lesion resection,494 cases(4.74%)of carotid endarterectomy,493 cases(4.73%)of percutaneous carotid artery stenting,290 cases(2.78%)of cranial nerve decompression,and 278 cases(2.67%)of pituitary lesion resection.In the age stratification,the proportion of surgeries in the younger than 10 year old group was the highest at 76.16%,the 51-60 year old group had the highest number of fourth level surgeries at 1930,the 31-40 year old group had the highest proportion of fourth level surgeries among discharged patients at 82.93%,the 51-60 year old group had the highest number of minimally invasive surgeries at 100,and the younger than 10 year old group had the highest proportion of minimally invasive surgeries among discharged patients at 7.59%.In gender stratification,the number of surgeries performed by males was 5646,which was higher than that performed by females at 4785.Conclusions In 2023,endovascular embolization of head and neck vessels ranked first in the neurosurgery surgical spectrum in a certain hospital.Patients aged 51-60 years had the largest number of grade 4 surgery tables,and more men than women,which provided data support for rational allocation of neurosurgery resources.

NeurosurgerySurgical spectrumFourth level surgeryMinimally invasive surgery

赵琳、边贺、邓应梅

展开 >

首都医科大学宣武医院,北京市,100053

神经外科 手术谱 四级手术 微创手术

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(12)