中华普通外科学文献（电子版）
中華普通外科學文獻（電子版）
중화보통외과학문헌（전자판）
Chinese Archives of General Surgery(Electronic Edition)
2015年
5期
360-364
,共5页
伍英%何睿%焦兴元%汪谦
伍英%何睿%焦興元%汪謙
오영%하예%초흥원%왕겸
胆囊肿瘤%胆管癌%因素分析%统计学%ICD-10编码
膽囊腫瘤%膽管癌%因素分析%統計學%ICD-10編碼
담낭종류%담관암%인소분석%통계학%ICD-10편마
Gallbladder neoplasms%Cholangiocarcinoma%Factor analysis%Statistical code analy-sis%ICD-10 code
目的 探讨某院肝外胆道癌的发病﹑诊断及治疗情况.方法 用ICD-10编码总结并分析了1950年至2010年广州市某三甲医院收治的肝外胆道癌1 430例临床资料, 其中胆囊癌417例,胆道癌1 013例. 结果 肝外胆道癌占同期肝外胆道疾病患者的 3 . 73%, 10 年发病率增加 87.03%;胆囊癌占肝外胆道癌的 29.2%,中位年龄为 47.3 岁,男女比例为 1:1.12;手术率为63.5%,肿瘤切除率为 55.5%;胆管癌占肝外胆道肿瘤的 70.8%,中位年龄为47.3 岁,男女比例为1.56:1,手术率为76.0%,肿瘤切除率为45.1%. 肝外胆道癌病案首页信息编码错码率为37.8%(391/1 035).结论 胆囊癌及胆管癌的发病率均有上升趋势;肿瘤切除率有所提高,ICD-10错码率有待优化.
目的 探討某院肝外膽道癌的髮病﹑診斷及治療情況.方法 用ICD-10編碼總結併分析瞭1950年至2010年廣州市某三甲醫院收治的肝外膽道癌1 430例臨床資料, 其中膽囊癌417例,膽道癌1 013例. 結果 肝外膽道癌佔同期肝外膽道疾病患者的 3 . 73%, 10 年髮病率增加 87.03%;膽囊癌佔肝外膽道癌的 29.2%,中位年齡為 47.3 歲,男女比例為 1:1.12;手術率為63.5%,腫瘤切除率為 55.5%;膽管癌佔肝外膽道腫瘤的 70.8%,中位年齡為47.3 歲,男女比例為1.56:1,手術率為76.0%,腫瘤切除率為45.1%. 肝外膽道癌病案首頁信息編碼錯碼率為37.8%(391/1 035).結論 膽囊癌及膽管癌的髮病率均有上升趨勢;腫瘤切除率有所提高,ICD-10錯碼率有待優化.
목적 탐토모원간외담도암적발병﹑진단급치료정황.방법 용ICD-10편마총결병분석료1950년지2010년엄주시모삼갑의원수치적간외담도암1 430례림상자료, 기중담낭암417례,담도암1 013례. 결과 간외담도암점동기간외담도질병환자적 3 . 73%, 10 년발병솔증가 87.03%;담낭암점간외담도암적 29.2%,중위년령위 47.3 세,남녀비례위 1:1.12;수술솔위63.5%,종류절제솔위 55.5%;담관암점간외담도종류적 70.8%,중위년령위47.3 세,남녀비례위1.56:1,수술솔위76.0%,종류절제솔위45.1%. 간외담도암병안수혈신식편마착마솔위37.8%(391/1 035).결론 담낭암급담관암적발병솔균유상승추세;종류절제솔유소제고,ICD-10착마솔유대우화.
Objective To explore the morbidity change of extrahepatic biliary carcinoma and choices of surgical approach, and to analyze the file error rate of ICD-10 code. Methods Clinical data of 1 430 patients with extrahepatic biliary carcinoma treated in a tertiary hospital in Guangzhou from 1950 to 2010 with ICD-10 code were analyzed. Among them, 417 patients had gallbladder carcinomas, and 1 430 cholangiocarcinomas. Results The extrahepatic bile duct carcinoma consisted 3.73%of bile duct diseas-es of the same period, while the incidence rate raised 87.03%during 10 years. Gallbladder carcinomas and cholangiocarcinomas accounted for 29.2% and 70.8% of extrahepatic bile duct carcinomas, while both mean ages were 47.3 years old, respectively. The sex ratio (male:female) was 1:1.12 and 1.56:1. The oper-ation rate and resection rate were 63.5%and 55.5%in gallbladder carcinoma while 76.0% and 45.1% in cholangiocarcinoma. The ICD-10 code error rate of extrahepatic biliary carcinoma reached 37.8%(391/1 035). Conclusion Both the incidence rate and resection rate of extrahepatic biliary carcinoma are elevated gradually. The error rate of ICD-10 code needs to be optimized.
