Hall M J, Kozak L J, Gillum B S
Division of Health Care Statistics National Center for Health Statistics, USA.
Stat Bull Metrop Insur Co. 1997 Jul-Sep;78(3):18-27.
In 1994, 27.7 million surgical and nonsurgical procedures were performed during 18.4 million visits to ambulatory surgery settings. Eighty-five percent of the ambulatory procedures (23.4 million) were performed in hospital-based settings and 15 percent (4.3 million) were in freestanding settings. More than half of the ambulatory procedures were in three major categories: operations on the digestive system, the eye and the musculoskeletal system. The leading ambulatory procedures were extraction of lens (performed almost 2 million times), endoscopy of large intestine with or without biopsy (1.8 million) and insertion of prosthetic lens (1.6 million). Women had significantly more ambulatory surgery procedures than men. The ambulatory procedure performed most frequently on children under 15 was myringotomy. Also common for children were tonsillectomies and adenoidectomies. For those aged 15-44, frequently performed ambulatory procedures included endoscopies of large and small intestine; dilation and curettage of uterus; bilateral destruction or occlusion of fallopian tubes; and arthroscopy of knee. In the 45-64 year old group, endoscopies of large and small intestine were the most commonly performed ambulatory procedures. Extraction of lens and insertion of prosthetic lens were the leading ambulatory procedures for those 65 years and older, though endoscopies of large and small intestine were also performed frequently for this age group.
1994年,在1840万次门诊手术中,共进行了2770万例外科手术和非外科手术。85%的门诊手术(2340万例)在医院环境中进行,15%(430万例)在独立机构进行。超过一半的门诊手术分为三大类:消化系统手术、眼部手术和肌肉骨骼系统手术。主要的门诊手术包括晶状体摘除术(近200万次)、有或无活检的大肠内窥镜检查(180万次)和人工晶状体植入术(160万次)。女性的门诊手术比男性多得多。15岁以下儿童最常进行的门诊手术是鼓膜切开术。扁桃体切除术和腺样体切除术在儿童中也很常见。对于15至44岁的人群,经常进行的门诊手术包括大肠和小肠内窥镜检查、子宫扩张刮宫术、双侧输卵管破坏或闭塞以及膝关节关节镜检查。在45至64岁年龄组中,大肠和小肠内窥镜检查是最常进行的门诊手术。晶状体摘除术和人工晶状体植入术是65岁及以上人群的主要门诊手术,不过这个年龄组的大肠和小肠内窥镜检查也经常进行。