摘要
目的对剖宫产瘢痕妊娠（cesarean scar pregnancy,CSP）介入治疗医疗费用及分布特征进行分析,为临床治疗决策提供依据。方法选择2011年11月至2014年9月在九江市妇幼保健院住院诊治的CSP患者56例,36例行双侧子宫动脉化疗栓塞＋病灶清除为研究组,20例甲氨蝶呤＋甲酰四氢叶酸＋病灶清除为对照组,比较两组医疗费用分布及差异。结果 1医疗总费用分布特征：最大值、最小值、25%分位、75%分位、〈10 000元占比、10 000~15 000元占比、〉15 000元占比,研究组为26 926.35元、8 913.97元、19 584.03元、15 446.36元、2.78%、13.89%、83.33%;对照组为30 823.37元、5 859.33元、18 908.12元、10 601.96元、20%、35%、45%;研究组医疗总费用〉15 000元占83.33%。2医疗费用差异：研究组住院费用高,但误工交通费用少,与对照组比较差异有统计学意义（P〈0.05）;研究组门诊费用少,医疗总费用高,与对照组比较差异有统计学意义（P〈0.05）。结论子宫动脉栓塞费用相对昂贵,用于治疗CSP主要体现住院费用高,门诊费用及误工交通费用少;由于介入治疗能迅速控制和预防子宫出血,仍是临床首选方案。
Objective To analyze medical costs and its distribution characteristics in interventional treatment of cesarean scar pregnancy（ CSP）,provide the basis for clinical treatment decisions. Methods Selected 56 patients of CSP treated in Maternal and Child Health Hospital of Jiujiang City from November 2011 to September 2014,in which 36 cases treated by bilateral uterine artery embolism chemotherapy and lesions cleared were taken as the study group,the other 20 cases treated by methotrexate,leucovorin and lesions cleared were taken as control group. Compared the medical expenses and distribution differences of two groups. Results1 The distribution characteristics of total health expenses： maximum value,minimum value,25 % points,75 % points,accounted for less than 10 000 yuan,the proportion of 10 000- 15 000 yuan and more than 15 000 yuan of the study group were 26 926. 35 yuan,8 913. 97 yuan,19 584. 03 yuan,15 446. 36 yuan,2. 78 %,13. 89 %,83. 33 % respectively,and those of the control group were30 823. 37 yuan,5 859. 33 yuan,18 908. 12 yuan,10 601. 96 yuan,20 %,35 %,45 %; the total medical expenses more than 15 000 yuan accounted for 83. 33 % in the study group. 2 The differences of medical costs： the cost of hospitalization of study group was higher,but transportation costs less,there were significant differences compared with the control group（ P 〈 0. 05）. The cost of outpatient costs of study group was less,but total medical cost higher,there were significant differences compared with the control group（ P 〈 0. 05）. Conclusion The cost of uterine artery embolization for the treatment of CSP is relatively expensive,and has features of higher cost of hospitalization,less outpatient cost 、lost income and transportation cost. The intervention treatment can control and prevent uterine bleeding quickly,is still the preferred clinical scheme.
出处
《中国计划生育和妇产科》
2016年第2期69-71,共3页
Chinese Journal of Family Planning & Gynecotokology
关键词
剖宫产瘢痕妊娠
子宫动脉栓塞
甲氨蝶呤
医疗费用
分布特征
cesarean scar pregnancy（CSP）
uterine artery embolization
methotrexate
medical expenses
distribution characteristics
