腹腔镜与开腹胆囊切除术的卫生经济学评价

目的比较腹腔镜胆囊切除术（LC）与开腹胆囊切除术（OC）的费用,并进行卫生经济学评价。方法对2009年5-7月行胆囊择期手术的124例患者,随机分为LC组72例、OC组52例。比较两组的手术住院情况、直接和间接医疗成本、总成本。结果 LC组的直接医疗成本、间接医疗成本、总成本分别为（4891±231）元、（338±76）元、（5229±387）元,均低于OC组的（5505±389）元、（540±82）元、（5945±412）元,两组间各项成本比较有统计学意义（P〈0.001）。结论 LC能缩短手术时间、住院时间,降低医疗费用,加快床位周转,提高卫生资源的利用效率。

Health Ecomomics Eualuation of Laparoscopic Versus Open Cholecystectomy

Objective To compare the cost of the laparoscopic cholecystectomy（LC）versus open cholecystectomy（OC）and make the health economic evaluation.Methods From May to July 2009,124patients who underwent selective cholecystectomy were divided into LC group（72cases）,and OC group（52cases）.The hospitalizations,direct and indirect medical costs and the total costs were analyzed and evaluated.Results The direct,indirect health care costs and the total costs of the LC group were（4891±231）,（338±76）,（5229±387）yuan;and were lower than those of the OC group[（5505±389）,（540±82）,（5945±412）yuan].The cost comparison between the two groups were significant different（P 〈0.001）.Conclusion LC could shorten the operative time,hospitalization time,lower the medical cost,speed up the bed turnover and increase the efficiency in the use of health resource.