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目的探讨颈椎病的ICD—10编码与影像学及临床表现之间的关系,以了解与颈椎病临床症状相同或相近的几种疾病之间的相互联系及区别。方法结合影像,从本病的病因与病理改变来鉴别颈椎病不同分型、不同病因及同一病因在不同阶段时所给予的不同ICD-10编码。结果2006年和2007年对颈椎病及其相关疾病进行同期对比,2007年椎基底动脉供血不足、单纯颈椎骨质增生在该组疾病的构成比例中,均比2006年同期减少,这与分类方法有关。结论颈椎病要结合影像及临床表现进行ICD编码,是编码正确的关键。
Objective To explore the relationship between ICD-10 coding and imaging and clinical manifestations of cervical spondylosis so as to understand the interrelationships and differences between several diseases with the same or similar clinical symptoms of cervical spondylosis. Methods Combined with images, the different ICD-10 codes of different types of cervical spondylosis, different etiologies and the same cause at different stages were identified from the etiology and pathological changes of this disease. Results In 2006 and 2007, cervical vertebra disease and its related diseases were compared in the same period. In 2007, vertebrobasilar insufficiency and simple cervical hyperosteogeny were all decreased compared with the same period of 2006, which was different from the classification method related. Conclusion Cervical spondylosis should be integrated with ICD imaging and clinical manifestations, is the key to the correct coding.