摘要
Abstract
Objective To evaluate the feasibility of low-cost laparoscopic appendectomy in the clinical pathway of single disease quota payment. Methods A total of 100 cases of acute appendicitis performing appendectomy by the clinical pathway in our hospital from January to November 2015 were retrospectively analyzed and randomly divided into the study group and the con-trol group,50 cases in each group. The study group adopted the low-cost laparoscopic appendectomy by monopolar electrocoagu-lation,while the control group adopted the traditional open appendectomy. The average hospitalization costs ,average hospitaliza-tion days,pathway change rate and patient′s satisfaction were compared between the two groups. Results Compared with the control group,the average hospitalization days and pathway change rate in the study group were significantly decreased , and the patient′s satisfaction was significantly improved,the differences were statistically significant(P<0.05),but the average hospitaliza-tion costs had no statistical difference between the two groups(P>0.05). Conclusion Adopting the low-cost laparoscopic appen-dectomy by the monopolar electrocoagulation is feasible in the clinical pathway of single disease quota pay ,is superior to the tra-ditional open appendectomy in the aspects of the average hospitalization time ,pathway change rate and the patient′s satisfaction and deserves to be clinically promoted.关键词
阑尾切除术/腹腔镜检查/临床路径/费用,医疗/电凝术Key words
Appendectomy/Laparoscopy/Critical pathways/Fees,medical/Electrocoagulation
