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妊娠滋养细胞疾病是指胚胎的滋养细胞发生异常增殖而形成的一组疾病,包含葡萄胎、侵蚀性葡萄胎、绒毛膜癌及胎盘部位滋养细胞肿瘤。根据ICD-10分类规则,葡萄胎分为部分性葡萄胎和完全性葡萄胎,分别编码为O01.1和O01.0;侵蚀性葡萄胎编码为D39.2;绒毛膜癌编码为C58;胎盘部位滋养细胞肿瘤编码为D39.2;未明确诊断的妊娠滋养细胞疾病编码为O01.9。然而在实际编码过程中,该组疾病不易被准确编码。通过选取6例妊娠滋养细胞疾病的典型病例进行回顾分析,探讨该组疾病诊断编码,指导编码人员准确编码,提高该类疾病的编码质量。
Gestational trophoblastic disease refers to the abnormal proliferation of trophoblastic embryos formed by a group of diseases, including hydatidiform mole, invasive hydatidiform mole, choriocarcinoma and placental trophoblastic tumor. According to ICD-10 classification rules, the mole is divided into partial mole and complete mole, respectively encoding O01.1 and O01.0; invasive mole coding D39.2; choriocarcinoma coding C58; placenta The site of trophoblastic tumor was coded as D39.2; the undetermined diagnosis of gestational trophoblastic disease was coded as O01.9. However, in the actual coding process, the group of diseases can not easily be accurately coded. By selecting 6 cases of gestational trophoblastic disease cases were retrospectively analyzed to explore the group of disease diagnosis code, guide the coding staff to accurately encode, improve the coding quality of the disease.