Du Bois M, Donceel P, Debbaut B
Department of Occupational and Insurance Medicine, School of Public Health, Katholieke Universiteit Leuven, Belgium.
Acta Orthop Belg. 1998 Jun;64(2):144-9.
A retrospective review of social insurance claim files of male blue collar workers was conducted to compare the social insurance costs of percutaneous lumbar nucleotomy with standard lumbar discectomy ; 29 percutaneous nucleotomy procedures were matched with 58 standard discectomies all carried out between January 1992 and December 1994. It was concluded that a standard discectomy procedure results in significantly higher costs during hospitalisation with respect to surgery, anaesthesia and hospital stay. A percutaneous nucleotomy leads to a significantly higher outpatient expenditure especially in radiology and medical devices. The relative proportion of outpatient practitioner's visits and hospital stay costs was significantly higher for the standard discectomy whereas medical devices had a relatively higher share in outpatient expenditure for the percutaneous nucleotomy. In this population of 87 compensation claimants, the average social insurance costs did not significantly differ between the percutaneous nucleotomy and the standard discectomy.
对男性蓝领工人的社会保险理赔档案进行了回顾性研究，以比较经皮腰椎间盘切除术与标准腰椎间盘切除术的社会保险费用；在1992年1月至1994年12月期间，对29例经皮腰椎间盘切除术与58例标准腰椎间盘切除术进行了匹配。研究得出结论，标准腰椎间盘切除术在手术、麻醉和住院期间的住院费用显著更高。经皮腰椎间盘切除术导致门诊支出显著更高，尤其是在放射学和医疗设备方面。标准腰椎间盘切除术的门诊医生诊疗次数和住院费用的相对比例显著更高，而医疗设备在经皮腰椎间盘切除术的门诊支出中所占份额相对较高。在这87名索赔者群体中，经皮腰椎间盘切除术和标准腰椎间盘切除术的平均社会保险费用没有显著差异。
