요추 추간판 탈출증 환자의 단기 입원에 대한 임상적 분석

The Clinical Analysis of Short Hospitalization for Patients with Lumbar Disc Herniation

  • 임병철 (이화여자대학교 의과대학 이대목동병원 신경외과학교실) ;
  • 송준혁 (이화여자대학교 의과대학 이대목동병원 신경외과학교실) ;
  • 박향권 (이화여자대학교 의과대학 이대목동병원 신경외과학교실) ;
  • 신규만 (이화여자대학교 의과대학 이대목동병원 신경외과학교실) ;
  • 박동빈 (이화여자대학교 의과대학 이대목동병원 신경외과학교실) ;
  • 김성학 (이화여자대학교 의과대학 이대목동병원 신경외과학교실)
  • 투고 : 2001.09.01
  • 심사 : 2001.11.15
  • 발행 : 2001.12.31

초록

Objective : The short hospitalization or outpatient care for patients undergoing laminectomy is not popular practice in Korea. We evaluated the clinical and economical significance of short hospitalization for patients undergoing microdiscectomy for their lumbar disc herniation. Material and Methods : From March 1999 to December 2000, patients were hospitalized for intended short period hospitalization for lumbar disc surgery. Their radiological and clinical data were analyzed for their clinical and economical results. We compared these data with 20 patients who hospitalized conventionally. Results : Total of 64 patients were evaluated. Three were lost to follow-up. Mean postoperative hospitalization period is 2.0 days(excluding one patient). Excellent to good outcome was achieved in 90.6 % of the patients. They payed about half expenses for hospitalization compared with conventional group. Their mean number of outpatient visit was 3.0. Conclusion : Short hospitalization for lumbar disc surgery is an acceptable option in Korea. It is also economically beneficial while achieving acceptable clinical results.

키워드