Budd J S, Reid A, Thompson M, Sayers R, Naylor R, Bell P R
Department of Surgery, University of Leicester, U.K.
Eur J Vasc Endovasc Surg. 1995 Feb;9(2):176-80. doi: 10.1016/s1078-5884(05)80087-5.
To examine the changing relationship between general and vascular surgical workload on a vascular "firm", over a 6-year period.
Retrospective review.
Leicester Royal Infirmary and Professorial Surgical Unit, U.K. 1987-1992.
Analysis of audit of all surgical admissions. Relation of vascular surgery to general surgery.
There has been a slight decrease (5%) in the number of general surgical elective admissions. Overall, the number of general surgical admissions, both elective and emergency, show a slight increase of about 3%. In contrast the number of vascular admissions increased by 42%. Of the general surgical procedures carried out 75.9% were either minor or intermediate, whereas 92.5% of vascular procedures were coded as major or higher. There has been a three times increase in the number of carotid endarterectomies, a similar increase in the number of the femorodistal bypass grafts and a halving of the number of major amputations. There has also been a five times increase in the number of angioplasties carried out.
Our figures show the progressive, rapid increase in vascular surgical workload, compared to general surgery, and the need for the continued expansion of vascular surgery as a speciality.
研究在6年期间，血管外科“病区”普通外科工作量与血管外科工作量之间不断变化的关系。
回顾性研究。
英国莱斯特皇家医院和教授级外科病房，1987 - 1992年。
分析所有外科住院病例的审核情况。血管外科与普通外科的关系。
普通外科择期住院病例数量略有下降（5%）。总体而言，普通外科住院病例（包括择期和急诊）数量略有增加，约为3%。相比之下，血管外科住院病例数量增加了42%。在实施的普通外科手术中，75.9%为小型或中型手术，而92.5%的血管外科手术被归类为大型或更大型手术。颈动脉内膜切除术数量增加了两倍，股腘动脉搭桥术数量有类似增长，而大型截肢手术数量减半。血管成形术的实施数量也增加了五倍。
我们的数据显示，与普通外科相比，血管外科工作量在逐步、快速增加，且血管外科作为一个专科需要持续扩张。
