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[小儿胸腔镜治疗脓胸的经济效益]

[Economic efficacy of thoracoscopic treatment for pleural empyema in children].

作者信息

Khasanov R R, Gumerov A A, Mamleev I A, Sataev V U

出版信息

Khirurgiia (Mosk). 2009(11):42-7.

Abstract

Results of treatment carried out during 1989-2000 years were analyzed in 164 children with pleural empyema. Economic analysis proves that videothoracoscopic pleural cavity sanation is more beneficial in acute period in 1.7 times and in long-term period--in 1.9 times, compared with traditional method (puncture and drainage). "Cost-efficacy" analysis shows that videothoracoscopic pleural cavity sanation allows increasing of clinical efficacy in 3.6 times in comparison with traditional treatment mode. "Cost-value" analysis shows improvement of life quality in 1.2 times after application of videothoracoscopic pleural cavity sanation compared with traditional method. Cost effectiveness of videothoracoscopic pleural cavity sanation for better life quality achievement is higher in 2.3 times compared with traditional method.

摘要

对1989年至2000年期间接受治疗的164例小儿胸膜腔积脓患者的治疗结果进行了分析。经济分析表明,与传统方法(穿刺引流)相比,电视胸腔镜胸膜腔清创术在急性期的效益高1.7倍,在长期的效益高1.9倍。“成本-效果”分析表明,与传统治疗方式相比,电视胸腔镜胸膜腔清创术可使临床疗效提高3.6倍。“成本-价值”分析表明,应用电视胸腔镜胸膜腔清创术后,生活质量比传统方法提高了1.2倍。与传统方法相比,电视胸腔镜胸膜腔清创术实现更好生活质量的成本效益高2.3倍。

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