穿皮石切除术与无手术内孔束计算机断层扫描的成本比较:18个月的术后分析
Rosanne van Ee1, Chris A Suijker1, Antoinette D I van Asselt2,3
1Department of Urology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
European urology open science
|January 9, 2026
概括
皮肤穿神经切除术 (PCNL) 期间的手术内形电脑断层扫描 (CBCT) 增加了预付费用,但减少了与石头有关的事件和整体医疗保健费用. 这种技术为石患者提供可预测的资源使用和高效的护理.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗成像医学成像
- 卫生经济学 卫生经济学
背景情况:
- 通过皮肤结石切除术 (PCNL) 后的残留碎片 (RF) 会导致与石头相关事件 (SREs) 的增加,包括重新干预和急诊室 (ED) 访问.
- 术内形束计算断层扫描 (CBCT) 有助于检测和去除射频,可能提高无石头率并减少SREs.
研究的目的:
- 为了比较18个月的标准PCNL与CBCT辅助PCNL (CBCT-PCNL) 的住院医疗保健总成本.
- 为了确定混合手术室 (OR) 中CBCT的外科手术成本增加是否会因减少SRE而减少总体费用而抵消.
主要方法:
- 来自一项随机对照试验的数据分析,该试验涉及CBCT-PCNL组的80名患者和传统PCNL组的80名患者.
- 根据操作时间和可支配费用计算程序费用.
- 包括并发症的后续费用,SRE (再干预,ED访问,排水,入院),成像和18个月的咨询费用.
主要成果:
- 每名患者的平均总成本为CBCT组8725欧元,对照组8564欧元,差异为167.7欧元.
- 尽管混合OR PCNL的程序成本高出了40.2%,但后续,并发症和SRE成本却下降了38.3%.
- 即使混合OR利用率明显较低 (42%对92%),也观察到可比的医疗保健总成本.
结论:
- 混合OR中PCNL与CBCT增加了运营成本,但有效降低了SRE和计划外护理费用.
- CBCT-PCNL促进可预测的资源使用和高效的患者护理,为患者和医疗保健系统提供潜在的好处.
- 该技术通过降低与剩余石片相关的下游成本,证明了有利的成本效益概况.
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