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目的膀胱造口术在临床编码中出现高频错误率,通过探讨、比较术式的不同与手术分类的规则[1],找出解决错误编码的方法。方法参照国际疾病分类规则,结合临床病例,研究某三甲医院84例膀胱造口术分类情况。结果全年84例各类膀胱造口术中,经皮膀胱造口术有17例,错误编码11例,错误率64.7%;其他耻骨上膀胱造口术25例,错误编码6例,错误率24%;膀胱造口术35例,全部编码错误,错误率100%;全部病例总错误分类率为61.9%。结论经皮膀胱造口术是属于闭合性的手术编码于57.17,其他耻骨上膀胱造口术是开放性的手术编码于57.18,膀胱造口术是开放永久性保留的手术编码于57.21。
Objective The incidence of high frequency of bladder ostomy in clinical coding error rate, by discussing and comparing different surgical classification rules [1], to find out the solution to the error coding method. Methods According to the international classification rules of diseases, combined with clinical cases, to study the classification of 84 cases of bladder ostomy in a top three hospital. Results 84 cases of various types of bladder ostomy in the year, percutaneous cystostomy in 17 cases, 11 cases of error coding, the error rate was 64.7%; other suprapubic cystostomy in 25 cases, 6 cases of error coding, error rate 24%; 35 cases of cystostoma, all coding errors, the error rate of 100%; total case error classification rate was 61.9%. CONCLUSIONS: Percutaneous cystostomy is a closed surgical procedure coded at 57.17. The other suprapubic cystostomy is an open surgical procedure coded at 57.18 and the cystostomy is open at permanent surgical procedure coded at 57.21.