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["附件1"]
["颌面外科类医疗服务价格项目立项指南\n（试行）"]
["使用说明：\n1.本指南以颌面外科为重点，按照颌面外科相关医疗服务产出设立价格项目。\n2.根据《深化医疗服务价格改革试点方案》（医保发〔2021〕41号）关于“厘清价格项目与临床诊疗技术规范、医疗机构成本要素、不同应用场景和收费标准等的政策边界。分类整合现行价格项目，实现价格项目与操作步骤、诊疗部位等技术细节脱钩，增强现行价格项目对医疗技术和医疗活动改良创新的兼容性”的要求，服务产出相同的一类项目在操作层面存在差异，但在价格项目和定价水平层面具备合并同类项的条件，立项指南对此进行合并。地方医疗保障部门制定颌面外科类医疗服务项目价格时，要体现技术劳务价值，使收费水平覆盖绝大部分的差异化操作；各地医疗保障部门所定价格属于政府指导价为最高限价，下浮不限。同时，医疗机构申报的技术改良进步项目，可采取“现有项目兼容”方式简化处理，无需申报新增医疗服务价格项目，经向本地区医疗保障部门备案后可按照对应的项目执行。\n3.本指南所称“价格构成”，指项目价格应涵盖的各类资源消耗，用于确定计价单元的边界，是省市级医保部门制定调整项目价格的测算因子，不应作为临床技术标准理解，不是实际操作方式、路径、步骤、程序的强制性要求，价格构成中包含但临床实践中非必要、未发生的，无需强制要求公立医疗机构减计费用。所列“设备投入”包括但不限于操作设备、器具及固定资产投入。\n4.本指南所称“加收项”，指同一项目以不同方式提供或在不同场景应用时，确有必要制定差异化收费标准而细分的一类子项，包括在原项目价格基础上增加或减少收费的情况，具体的加/减收标准（加/减收率或加/减收金额）由省市级医疗保障部门依权限制定；实际应用中，同时涉及多个加收项的，以项目单价为基础计算相应的加/减收水平后，据实收费。\n5.本指南所称“扩展项”，指同一项目下以不同方式提供或在不同场景应用时，只扩展价格项目适用范围、不额外加价的一类子项，子项的价格按主项目执行。\n6.本指南所称\"基本物质资源消耗\"，指原则上限于不应或不必要与医疗服务项目分割的易耗品，属于医疗服务价格项目应当使用的、市场价格和使用数量相对稳定的医用耗材，包括但不限于各类消杀灭菌用品、储存用品、清洁用品、个人防护用品、垃圾处理用品、冲洗液、润滑剂、灌洗液、棉球（卷）、棉签、纱布（垫）、绷带、护垫、衬垫、手术巾（单）、治疗巾（单）、治疗护理盘(包）、注射器、压舌板、防渗漏垫、标签、可复用的操作器具、冲洗工具、备皮工具、口腔盒、印模材、咬合纸、引流条、一次性口杯、一次性吸唾管、报告打印耗材、软件（版权、开发、购买）成本等。基本物质资源消耗成本计入项目价格，不另行收费。除基本物质资源消耗以外的其他耗材，按照实际采购价格零差率销售。\n7.本指南中涉及“包括……”“…… 等”的，属于开放型表述，所指对象不仅局限于表述中列明的事项，也包括未列明的同类事项。\n8.涉及“复杂”等内涵未尽的表述，除立项指南中已明确的情形外，医院实践中按照“复杂”情形计费的，应以卫生行政主管部门最新版卫生技术规范、临床指南或专家共识中的明确定性为前提。满足复杂情况中的任意一种即算复杂，不同复杂情况不累计叠加收费。\n9.本指南中手术类项目服务对象为儿童时，统一落实儿童加收政策（以下简称“儿童加收”），加收比例或金额由各地医疗保障部门根据实际情况确定。手术类项目的具体范围以《全国医疗服务项目技术规范》的分类为准，对于立项指南同时映射技术规范中的手术类项目和治疗类项目的主项目，按手术类落实儿童加收政策；其他非手术类项目实行儿童加收范围，以立项指南加收项为准。本指南所称“儿童”，指6周岁及以下，周岁的计算方法以法律的相关规定为准。\n10.本指南中涉及皮瓣相关手术，按体被系统相关项目收费。\n11.本指南中涉及外部切口缝合的操作均为精细缝合，不再重复收取减张美容缝合费和切口美容改型费。\n12.可单独收费的一次性医用耗材：合导板、内固定材料、特殊缝线、压膜、导板、止血材料、扩弓器、牵张器、功能丝、充填材料、人工骨、屏障膜、功能丝、人工皮、补片、气管切开套管、衬垫材料、人工关节、唇弓、腭护板、修补材料、矫治器。"]
["序号","项目编码","项目名称","服务产出","价格构成","加收项","扩展项","计价单位","计价说明","初审备注","终审备注","指导价格",null,null,"医保支付类别","映射项目名称"]
[{"$nulls":11},"三级","二级","一级"]
[1,null,"上颌截骨内固定费（常规）","通过手术对上颌骨进行截骨、重新定位并固定。","所定价格涵盖手术计划、消毒、切开、截骨、移位、固定、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"单侧",null,"2200\n1200(设计费)+1000（手术费）\n国准设计费2医6小时；手术费（特I型）3医2护2小时","价格同初审一致\n拟定甲类",2200,1870,1589,"甲类","正颌外科手术设计\n颌骨缺损咬合导板制作\n正颌外科手术数字化设计与预测\n模型外科设计\n钛重建板弯制复制口内咬合关系\n颌面缺损重建手术设计\n颌面头骨模型制作\n牙槽突模型测绘\n上颌前牙骨段截骨后退术\n上颌雷弗特Ⅰ型截骨术\n上颌后部牙骨段截骨术\n上颌骨骨皮质截骨扩弓术\n上颌雷弗特Ⅰ型截骨术\n上颌前部根尖下截骨前移术\n上颌雷弗特Ⅰ型加分块截骨术\n上颌后部牙骨段截骨术\n上颌梨状孔周围截骨术"]
[2,null,"上颌截骨内固定费（复杂）","通过手术对复杂情况的上颌骨进行截骨、重新定位并固定。","所定价格涵盖手术计划、消毒、切开、截骨、移位、固定、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"单侧","本项目中的“复杂”指：指LefortII型截骨、LefortIII型截骨、分块截骨、陈旧性骨折、唇腭裂。","3000\n1200(设计费)+1800（手术费）\n国准设计费2医6小时；手术费（特III型）4医2护3小时","价格与初审一致\n拟定甲类",3000,2550,2167,"甲类","正颌外科手术设计\n正颌外科手术数字化设计与预测\n\n模型外科设计\n钛重建板弯制复制口内咬合关系\n颌面缺损重建手术设计\n颌面头骨模型制作\n牙槽突模型测绘\n口内外联合入路额眶上颌雷弗特Ⅱ型截骨术\n口内外联合入路额眶颧上颌雷弗特Ⅲ型截骨术\n上颌前牙骨段截骨后退术\n上颌雷弗特Ⅰ型截骨术\n上颌后部牙骨段截骨术\n联合入路额眶颧上颌截骨矫正术\n上颌骨骨皮质截骨扩弓术\n上颌雷弗特Ⅰ型截骨术\n上颌雷弗特Ⅰ型加分块截骨术\n上颌后部牙骨段截骨术\n上颌梨状孔周围截骨术"]
[3,null,"下颌截骨内固定费（常规）","通过手术对下颌骨进行截骨、重新定位并固定。","所定价格涵盖手术计划、消毒、切开、截骨、移位、固定、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"单侧",null,"1400\n200(设计费)+1200（高频手术费）","价格与初审一致\n拟定甲类",1400,1190,1011,"甲类","下颌升支异型截骨术\n下颌骨体部阶梯状截骨术\n下颌骨体后部截骨术\n下颌骨外板劈开植骨增宽术\n下颌体部截骨术\n下颌后部根尖下截骨术\n下颌前部根尖下截骨术\n正颌外科手术设计\n正颌外科手术数字化设计与预测\n模型外科设计\n钛重建板弯制复制口内咬合关系\n颌面缺损重建手术设计\n颌面头骨模型制作\n牙槽突模型测绘"]
[4,null,"下颌截骨内固定费（复杂）","通过手术对复杂情况的下颌骨进行截骨、重新定位并固定。","所定价格涵盖手术计划、消毒、切开、截骨、移位、固定、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"单侧","本项目中的“复杂”指：下颌骨分块截骨、陈旧性骨折。","1770\n200(设计费)+1570（平移“下颌骨陈旧性骨折截骨植骨整复术”价格","价格与初审一致\n拟定甲类",1770,1504,1278,"甲类","下颌升支异型截骨术\n下颌全牙列根尖下截骨术\n下颌骨体前部垂直截骨颌骨畸形矫正术\n下颌骨陈旧性骨折截骨植骨整复术\n下颌体部截骨术\n下颌后部根尖下截骨术\n下颌前部根尖下截骨术\n口内入路下颌升支矢状劈开颌骨畸形矫正术\n口内入路下颌升支垂直截骨术\n口内入路下颌升支矢状劈开颌骨畸形矫正术\n口外入路下颌升支垂直截骨术\n正颌外科手术设计\n正颌外科手术数字化设计与预测\n模型外科设计\n钛重建板弯制复制口内咬合关系\n颌面缺损重建手术设计\n颌面头骨模型制作\n牙槽突模型测绘\n下颌升支矢状劈开截骨术\n下颌升支异型截骨术"]
[5,null,"颏部截骨固定费","通过手术对颏部进行截骨、重新定位并固定。","所定价格涵盖手术计划、消毒、切开、分离、固定、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"1000\n参考外省价格","价格与初审一致\n拟定丙类",1000,850,722,"丙类","颏部截骨前徙舌骨悬吊术\n阶梯式颏成形术\n颏部截骨前徙舌骨下肌群切断术\n颏水平截骨植骨成形术\n水平截骨自体(人工)骨移植颏成形术"]
[6,null,"颧骨颧弓截骨固定费","通过手术对颧骨颧弓进行截骨、重新定位并固定。","所定价格涵盖手术计划、消毒、切开、分离、骨骼磨削或截除、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"单侧",null,"1800\n高频高价平移","1200\n价格平移\n拟定丙类",1200,1020,867,"丙类","颧骨颧弓截骨坚固内固定术"]
[7,null,"颌面部植骨费（颗粒骨）","通过手术对口腔颌面部的骨缺损使用颗粒骨进行植骨。","所定价格涵盖手术计划、消毒、切开、植骨、固定、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"部位","本项目中的“部位”指：左上颌、右上颌、左下颌、右下颌、左颧骨颧弓、右颧骨颧弓、左眼眶、右眼眶、颏部。","2000\n高价平移","价格与初审一致\n拟定甲类",2000,1700,1445,"甲类","上颌骨缺损网托加松质骨移植术\n颌骨增高术\n下颌骨缺损网托加松质骨移植术"]
[8,null,"颌面部植骨费（块状骨）","通过手术对口腔颌面部的骨缺损使用块状骨进行植骨。","所定价格涵盖手术计划、消毒、切开、植骨、固定、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"部位","本项目中的“部位”指：左上颌、右上颌、左下颌、右下颌、左颧骨颧弓、右颧骨颧弓、左眼眶、右眼眶、颏部。","1700\n高价平移","价格与初审一致\n拟定甲类",1700,1445,1228,"甲类","颏部及下颌外斜嵴取骨术\n下颌骨缺损游离植骨修复术\n髁突骨球截除血管化骨移植重建术\n下颌骨外板切取术\n缺牙区游离骨移植术"]
[9,null,"颌骨畸形矫正费","通过手术矫正颌骨畸形。","所定价格涵盖手术计划、消毒、切开、磨削或截除、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"部位","本项目中的“部位”指：左上颌、右上颌、左下颌、右下颌。","1000\n高频平移","价格与初审一致\n暂定丙类",1000,850,722,"丙类","颌面骨骨纤维异常增殖症病变铲除术\n下颌骨骨质打磨术\n口内入路下颌骨不对称畸形材料衬垫矫正术\n颏部衬垫术\n颧骨过低衬垫成形术\n上颌结节成形术\n下颌下缘去骨成形术\n下颌下缘去骨成形术\n颌骨骨纤维异常增殖症切除成形术"]
[10,null,"颌骨骨折固定费（常规）","通过手术对颌骨骨折进行复位并固定。","所定价格涵盖手术计划、消毒、切开、骨折复位、固定、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"部位","本项目中的“部位”指：左上颌、右上颌、左下颌、右下颌。","1400\n加权平均","1200\n加权平均(1400)并参考河北\n拟定甲类",1200,1020,867,"甲类","口内入路下颌骨骨折切开复位内固定术\n颌骨骨折外固定术\n口外入路下颌骨骨折内固定术\n上颌骨雷弗特Ⅰ型骨折切开复位内固定术\n颧骨上颌骨骨折切开复位内固定术\n口内入路下颌骨骨折切开复位内固定术"]
[11,null,"颌骨骨折固定费（复杂）","通过手术对复杂情况的颌骨骨折进行复位并固定。","所定价格涵盖手术计划、消毒、切开、骨折复位、固定、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"部位","1.本项目中的“复杂”指：陈旧性骨折、粉碎性骨折、多发性骨折、伴骨缺损骨折、骨不连骨折。\n2.本项目中的“部位”指：左上颌、右上颌、左下颌、右下颌。","1900\n按照比价关系，以“上颌骨陈旧性骨折截骨整复术”为基础","价格与初审一致\n拟定甲类",1900,1615,1372,"甲类","上颌骨陈旧性骨折截骨整复术\n下颌骨陈旧性骨折截骨再复位固定术\n上颌骨骨折截骨复位内固定术\n上颌骨雷弗特Ⅱ型/Ⅲ型骨折切开复位内固定术\n全面部骨折手术复位内固定术\n全面部陈旧性复杂骨折畸形整复术\n上颌雷弗特Ⅰ型截骨术\n上颌雷弗特Ⅰ型加分块截骨术"]
[12,null,"髁突骨折固定费（常规）","通过手术对髁突骨折进行复位并固定。","所定价格涵盖手术计划、消毒、切开、面神经解剖、骨折复位、固定、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01口腔内镜操作200(三级调平)",null,"部位","本项目中的“部位”指：左髁突、右髁突。","1500\n国准3医2 护3小时","价格与初审一致\n拟定甲类",1500,1275,1083,"甲类","髁突骨折切开复位内固定术"]
[null,null,"髁突骨折固定费（常规）-口腔内镜操作（加收）",{"$nulls":4},"部位",{"$nulls":3},200,200,200,"甲类"]
[13,null,"髁突骨折固定费（复杂）","通过手术对复杂情况的髁突骨折进行复位并固定。","所定价格涵盖手术计划、消毒、切开、面神经解剖、骨折复位、固定、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01口腔内镜操作200(三级调平)",null,"部位","1.本项目中的“复杂”指：陈旧性骨折、粉碎性骨折。\n2.本项目中的“部位”指：左髁突、右髁突。","1850\n参照原项目比价关系","价格与初审一致\n拟定甲类",1850,1572,1336,"甲类","髁突陈旧性骨折复位内固定术\n髁突陈旧性骨折髁状突摘除术\n髁突粉碎性骨折骨折片摘除术"]
[null,null,"髁突骨折固定费（复杂）-口腔内镜操作（加收）",{"$nulls":4},"部位",{"$nulls":3},200,200,200,"甲类"]
[14,null,"颧骨颧弓骨折固定费（常规）","通过手术对颧骨颧弓骨折进行复位并固定。","所定价格涵盖手术计划、消毒、切开、骨折复位、固定、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01口腔内镜操作200(三级调平)",null,"单侧","颧弓骨折复位按照50%收费","1400\n加权平均","价格与初审一致\n拟定甲类",1400,1190,1011,"甲类","颞部入路颧弓骨折复位术\n颞部入路颧弓骨折复位内固定术\n口内入路颧弓骨折复位术\n齿钩牵拉颧弓骨折复位术-口外法\n颧骨上颌骨骨折切开复位内固定术\n颧骨颧弓骨折复位内固定术\n颧骨颧弓截骨坚固内固定术\n口内入路人工材料植入颧骨充填术\n颧骨骨折复位内固定术\n颧骨过低衬垫成形术\n颧骨颧弓骨折复位内固定术\n颧骨截骨自体骨移植增宽术\n颧骨上颌骨骨折切开复位内固定术\n颧骨凿低术\n下睑入路人工材料植入颧骨充填术"]
[null,null,"颧骨颧弓骨折固定费（常规）-口腔内镜操作（加收）",{"$nulls":4},"单侧",{"$nulls":3},200,200,200,"甲类"]
[15,null,"颧骨颧弓骨折固定费（复杂）","通过手术对复杂情况的颧骨颧弓骨折进行复位并固定。","所定价格涵盖手术计划、消毒、切开、骨折复位、固定、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01口腔内镜操作200(三级调平)",null,"单侧","本项目中的“复杂”指：陈旧性骨折、粉碎性骨折、多发性骨折、伴骨缺损骨折、骨不连。","1500\n加权平均（1457）","价格与初审一致\n拟定甲类",1500,1275,1083,"甲类","颧骨上颌骨骨折切开复位内固定术\n颧骨陈旧性骨折截骨复位固定术\n颧骨颧弓骨折复位内固定术\n颧骨颧弓截骨坚固内固定术\n口内入路人工材料植入颧骨充填术\n颧骨陈旧性骨折截骨复位固定术\n颧骨陈旧性骨折植骨矫治术\n颧骨骨折复位内固定术\n颧骨过低衬垫成形术\n颧骨截骨自体骨移植增宽术\n颧骨磨削术\n颧骨上颌骨骨折切开复位内固定术\n颧骨凿低术\n下睑入路人工材料植入颧骨充填术"]
[null,null,"颧骨颧弓骨折固定费（复杂）-口腔内镜操作（加收）",{"$nulls":4},"单侧",{"$nulls":3},200,200,200,"甲类"]
[16,null,"鼻眶筛区骨折固定费（常规）","通过手术对鼻眶筛区骨折进行复位并固定。","所定价格涵盖手术计划、消毒、切开、骨折复位、固定、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"单侧",null,"1500\n价格平移参考外省价格","价格与初审一致\n拟定甲类",1500,1275,1083,"甲类","MarkowitzⅠ类鼻眶筛骨折复位内固定术"]
[17,null,"鼻眶筛区骨折固定费（复杂）","通过手术对复杂情况的鼻眶筛区骨折进行复位并固定。","所定价格涵盖手术计划、消毒、切开、骨折复位、固定、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"单侧","本项目中的“复杂”指：陈旧性骨折、粉碎性骨折、多发性骨折、伴骨缺损骨折、骨不连。","1800\n价格平移","价格与初审一致\n拟定甲类",1800,1530,1300,"甲类","MarkowitzⅡ类鼻眶筛骨折复位内固定术\nMarkowitzⅢ类鼻眶筛骨折复位内固定术"]
[18,null,"颌面部软组织清创缝合费","通过手术对颌面部软组织伤口进行清创、精细化缝合。","所定价格涵盖手术计划、消毒、清创、止血、精细化缝合、处理用物等步骤所需要的人力资源和基本物质资源消耗。",null,null,"次","本项目中的“次”指：3厘米及以下长度，3厘米以上每增加1厘米按20%收费。","500\n中清创（95）+头皮外伤清创缝合中（400）","价格与初审一致\n拟定甲类",500,425,361,"甲类","口腔颌面软组织浅表创伤清创术\n颌面部软组织挫裂伤清创缝合术\n颌面部严重软组织挫裂伤清创缝合术\n颌面创伤性软组织缺损局部组织瓣修复术\n口腔颌面部软组织缺损带蒂皮瓣修复术\n颊部洞穿性损伤修复术\n口腔颌面部软组织缺损游离皮瓣移植修复术"]
[19,null,"口腔颌面部软组织病变切除费（常规）","通过手术切除口腔颌面部的良性病变。","所定价格涵盖手术计划、消毒、切开、分离、切除、冲洗、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"部位","本项目中的“部位”指：颏、唇、颊、舌、腭、额、牙龈、口底、口咽。","520元\n量价加权平均512元，定价","价格与初审一致\n拟定甲类",520,442,375,"甲类","颌面小肿物切除整形术\n唇部肿物局部切除术\n口外入路颊部肿物切除术\n舌肿物切除术\n腭部良性肿物切除术\n口底粘液囊肿摘除术\n口内入路口底皮样囊肿摘除术\n口外入路口底皮样囊肿摘除术"]
[20,null,"口腔颌面部软组织病变切除费（复杂）","通过手术切除复杂情况的口腔颌面部病变。","所定价格涵盖手术计划、消毒、切开、分离、切除、冲洗、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"部位","1.本项目中的“复杂”指：恶性肿瘤、良性肿物最大径大于等于3厘米、放化疗后、复发。\n2.本项目中的“部位”指：颏、唇、颊、舌、腭、额、牙龈、口底、口咽。","1600元\n平移口底恶性肿瘤扩大切除术 ","价格与初审一致\n拟定甲类",1600,1360,1156,"甲类","颞部肿物切除术\n腭部良性肿物切除术\n口咽部肿物局部切除术\n口内外联合入路口底皮样囊肿摘除术\n口内外联合入路口咽部肿瘤扩大切除术\n正中进路舌根肿瘤切除术\n舌骨上进路舌根部肿瘤切除术\n颌面部软组织缺损远位肌皮瓣修复术\n唇部恶性肿物切除术\n唇部恶性肿物扩大切除术\n口内入路颊部恶性肿物扩大切除术\n口腔颌面部巨大静脉畸形切除术\n口腔颌面部巨大动静脉畸形切除术\n口底恶性肿瘤扩大切除术\n半舌切除术\n全舌切除术\n舌恶性肿物扩大切除术\n带蒂复合组织瓣舌再造术\n血管化组织瓣舌再造术\n腭部恶性肿瘤扩大切除术\n面部软组织不对称畸形局部组织瓣矫正术\n面部软组织不对称畸形游离组织矫正术"]
[21,null,"颈部软组织病变切除费（常规）","通过手术切除颈部的良性病变。","所定价格涵盖手术计划、消毒、切开、分离、切除、冲洗、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01口腔内镜操作200(三级调平)",null,"单侧",null,"1100\n加权平均（1027）","价格与初审一致\n拟定甲类",1100,935,794,"甲类","鳃裂瘘管切除术\n鳃裂囊肿瘘切除术\n颈部囊状水瘤切除术\n第一鳃裂囊肿摘除术\n第二鳃裂囊肿摘除术\n鳃裂囊肿切除术"]
[null,null,"颈部软组织病变切除费（常规）-口腔内镜操作（加收）",{"$nulls":4},"单侧",{"$nulls":3},200,200,200,"甲类"]
[22,null,"颈部软组织病变切除费（复杂）","通过手术切除复杂情况的颈部病变。","所定价格涵盖手术计划、消毒、切开、分离、切除、冲洗、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01口腔内镜操作200(三级调平)",null,"单侧","本项目中的“复杂”指：恶性肿瘤、良性肿物最大径大于等于3厘米、放化疗后、复发。","1400\n按照比价关系（\"颈部软组织病变切除费（常规）\"+300）","价格与初审一致\n拟定甲类",1400,1190,1011,"甲类","第三､四鳃裂囊肿摘除术\n复发性鳃裂瘘管切除术"]
[null,null,"颈部软组织病变切除费（复杂）-口腔内镜操作（加收）",{"$nulls":4},"单侧",{"$nulls":3},200,200,200,"甲类"]
[23,null,"腮腺病变切除费（常规）","通过手术切除腮腺的良性病变或部分腮腺。","所定价格涵盖手术计划、消毒、切开、分离、切除、冲洗、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01口腔内镜操作200(三级调平)","01颌下腺病变切除\n11舌下腺病变切除","单侧",null,"1200\n加权平均（1197）","价格与初审一致\n拟定甲类",1200,1020,867,"甲类","腮腺浅叶肿物切除术\n腮腺部分切除术\n颌下腺摘除术\n舌下腺摘除术\n腮腺咬肌区静脉畸形切除术\n舌下腺囊肿袋形术"]
[null,null,"腮腺病变切除费（常规）-口腔内镜操作（加收）",{"$nulls":4},"单侧",{"$nulls":3},200,200,200,"甲类"]
[null,null,"腮腺病变切除费（常规）-颌下腺病变切除（扩展）",{"$nulls":4},"单侧",{"$nulls":3},1200,1020,867,"甲类"]
[null,null,"腮腺病变切除费（常规）-舌下腺病变切除（扩展）",{"$nulls":4},"单侧",{"$nulls":3},1200,1020,867,"甲类"]
[24,null,"腮腺病变切除费（复杂）","通过手术切除复杂情况的腮腺病变。","所定价格涵盖手术计划、消毒、切开、分离、切除、冲洗、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01口腔内镜操作200(三级调平)","01颌下腺病变切除\n11舌下腺病变切除","单侧","本项目中的“复杂”指：恶性肿瘤、良性肿物最大径大于等于3厘米、放化疗后、复发、累及面神经。","1800\n按照比价关系","价格与初审一致\n拟定甲类",1800,1530,1300,"甲类","腮腺浅叶肿物切除术\n腮腺恶性肿瘤扩大切除术\n颌下腺摘除术\n舌下腺摘除术\n腮腺全切除术\n腮腺咬肌区静脉畸形切除术\n舌下腺囊肿袋形术"]
[null,null,"腮腺病变切除费（复杂）-口腔内镜操作（加收）",{"$nulls":4},"单侧",{"$nulls":3},200,200,200,"甲类"]
[null,null,"腮腺病变切除费（复杂）-颌下腺病变切除（扩展）",{"$nulls":4},"单侧",{"$nulls":3},1800,1530,1300,"甲类"]
[null,null,"腮腺病变切除费（复杂）-舌下腺病变切除（扩展）",{"$nulls":4},"单侧",{"$nulls":3},1800,1530,1300,"甲类"]
[25,null,"颞下颌关节病变切除费（常规）","通过手术切除颞下颌关节病变。","所定价格涵盖手术计划、消毒、切开、切除、清理、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01口腔内镜操作200(三级调平)",null,"单侧",null,"1500\n高价平移","价格与初审一致\n拟定甲类",1500,1275,1083,"甲类","髁状突良性肿物切除术\n髁状突高位切除术\n颞下颌关节盘摘除术\n髁状突高位切除术"]
[null,null,"颞下颌关节病变切除费（常规）-口腔内镜操作（加收）",{"$nulls":4},"单侧",{"$nulls":3},200,200,200,"甲类"]
[26,null,"颞下颌关节病变切除费（复杂）","通过手术切除复杂情况的颞下颌关节病变。","所定价格涵盖手术计划、消毒、切开、切除、清理、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01口腔内镜操作200(三级调平)",null,"单侧","本项目中的“复杂”指：肿物侵犯关节外及周围软组织和骨组织。","1800\n按照比价关系","价格与初审一致\n拟定甲类",1800,1530,1300,"甲类","髁状突恶性肿物扩大切除术"]
[null,null,"颞下颌关节病变切除费（复杂）-口腔内镜操作（加收）",{"$nulls":4},"单侧",{"$nulls":3},200,200,200,"甲类"]
[27,null,"颅底/颞下窝病变切除费（非开颅）","通过手术切除颅底/颞下窝的病变。","所定价格涵盖手术计划、消毒、切开、分离、切除、冲洗、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01恶性肿瘤切除30%\n11口腔内镜操作200(三级调平)",null,"次","涉及开颅的颅底/颞下窝肿物切除按神经系统项目”颅底病变切除费”收取。","4000\n参考外省价格与本省“颅底病变切除费”价格","价格与初审一致\n拟定甲类",4000,3400,2890,"甲类"]
[null,null,"颅底/颞下窝病变切除费（非开颅）-恶性肿瘤切除",{"$nulls":4},"次",{"$nulls":3},{"$f":"L46*0.3","v":1200},1020,867,"甲类"]
[null,null,"颅底/颞下窝病变切除费（非开颅）",{"$nulls":4},"次",{"$nulls":3},200,200,200,"甲类"]
[28,null,"上颌骨部分切除费","通过手术切除低位上颌骨。含牙槽突以内上颌骨切除。","所定价格涵盖手术计划、消毒、切开、分离、切除、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01恶性肿瘤切除30%",null,"单侧",null,"1100\n高频平移","价格与初审一致\n拟定甲类",1100,935,794,"甲类","上颌骨部分切除术\n上颌骨缺损网托加松质骨移植术\n颌骨中心性血管畸形切除术\n颌骨骨纤维异常增殖症切除成形术\n上颌骨囊肿摘除术\n上颌骨次全切除术"]
[null,null,"上颌骨部分切除费-恶性肿瘤切除（加收）",{"$nulls":4},"单侧",{"$nulls":3},{"$f":"L49*0.3","v":330},280.5,238.2,"甲类"]
[29,null,"上颌骨切除费","通过手术切除部分、全部上颌骨或上颌骨及其周围骨组织。","所定价格涵盖手术计划、消毒、切开、分离、切除、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"单侧",null,"2000\n国准3医2护4小时","价格与初审一致\n拟定甲类",2000,1700,1445,"甲类","上颌骨全切术\n上颌骨扩大切除术\n口腔颌面部复合组织缺损游离骨肌皮瓣移植修复术\n上颌骨缺损带蒂骨移植术\n上颌骨缺损吻合血管骨移植修复术\n上颌骨缺损吻合血管复合瓣移植修复术"]
[30,null,"下颌骨部分切除费","通过手术切除部分下颌骨，仍保持下颌骨连续性。","所定价格涵盖手术计划、消毒、切开、分离、切除、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01恶性肿瘤切除30%",null,"单侧",null,"1100\n平移价格","价格与初审一致\n拟定甲类",1100,935,794,"甲类","口内入路下颌骨部分切除术\n口外入路下颌骨部分切除术\n下颌骨骨质打磨术\n下颌骨去皮质术解剖下牙槽神经血管束\n颌骨骨纤维异常增殖症切除成形术\n下颌下缘去骨成形术"]
[null,null,"下颌骨部分切除费-恶性肿瘤切除（加收）",{"$nulls":4},"单侧",{"$nulls":3},{"$f":"L52*0.3","v":330},280.5,238.2,"甲类"]
[31,null,"下颌骨切除费","通过手术切除下颌骨，使下颌骨连续性中断。","所定价格涵盖手术计划、消毒、切开、分离、切除、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"单侧",null,"1400\n平均价","价格与初审一致\n拟定甲类",1400,1190,1011,"甲类","半侧下颌骨切除术\n下颌骨大部切除术\n全下颌骨切除术\n下颌骨缺损带蒂骨移植术\n下颌骨缺损带血管蒂游离骨瓣移植术\n下颌骨缺损游离植骨修复术\n口腔颌面部复合组织缺损游离骨肌皮瓣移植修复术"]
[32,null,"颧骨切除费","通过手术切除部分或全部颧骨。","所定价格涵盖手术计划、消毒、切开、分离、切除、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01恶性肿瘤切除30%",null,"单侧",null,"1500\n国准3医2护4小时（2000），参考外省价格","价格与初审一致\n拟定甲类",1500,1275,1083,"甲类","颧骨磨削术"]
[null,null,"颧骨切除费-恶性肿瘤切除（加收）",{"$nulls":4},"单侧",{"$nulls":3},{"$f":"L55*0.3","v":450},{"$f":"M55*0.3","v":382.5},{"$f":"N55*0.3","v":324.9},"甲类"]
[33,null,"面瘘切除费","通过手术切除面瘘。","所定价格涵盖手术计划、消毒、切开、分离、切除、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"瘘道",null,"500\n参照“口腔颌面部软组织病变切除费（常规）”","200\n参照“浅表肿物切除”拟定甲类",200,170,144,"甲类","颌面皮肤瘘管病灶切除术"]
[34,null,"颌下腺移植费","通过手术将自体颌下腺移植于颞部，导管引入同侧眼内。","所定价格涵盖手术计划、消毒、切开、分离、制备、改道、吻合、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,"01小唾液腺移植","单侧",null,"1800\n价格平移","价格与初审一致\n拟定丙类",1800,1530,1300,"丙类","颌下腺移植术"]
[null,null,"颌下腺移植费-小唾液腺移植（扩展）",{"$nulls":4},"单侧",{"$nulls":3},1800,1530,1300,"丙类"]
[35,null,"颞下颌关节切开复位费","通过手术将脱位、移位的颞下颌关节复位。","所定价格涵盖手术计划、消毒、切开、复位、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01口腔内镜操作200(三级调平)",null,"单侧",null,"1700\n参考河北考虑价区后定价","价格与初审一致\n拟定甲类",1700,1445,1228,"甲类"]
[null,null,"颞下颌关节切开复位费-口腔内镜操作（加收）",{"$nulls":4},"单侧",{"$nulls":3},200,200,200,"甲类"]
[36,null,"颞下颌关节闭合复位费","通过手法或牵引将脱位的颞下颌关节复位。","所定价格涵盖手术计划、闭合、复位、处理用物等步骤所需的人力资源和基本物质资源消耗。","01陈旧性脱位10%\n11口腔内镜操作200(三级调平)",null,"单侧",null,"200\n参照中医骨伤“手法整复术（关节脱位）”200元定价","价格与初审一致\n拟定乙类",200,170,144,"乙类","颞下颌脱位关节复位术"]
[null,null,"颞下颌关节闭合复位费-陈旧性脱位（加收）",{"$nulls":4},"单侧",{"$nulls":3},{"$f":"L62*0.1","v":20},17,14.4,"乙类"]
[null,null,"颞下颌关节闭合复位费-口腔内镜操作（加收）",{"$nulls":4},"单侧",{"$nulls":3},200,200,200,"乙类"]
[37,null,"颞下颌关节盘复位固定费","通过手术将移位的颞下颌关节盘复位。","所定价格涵盖手术计划、消毒、切开、松解、黏连清除、复位、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01口腔内镜操作200(三级调平)",null,"单侧",null,"1900\n国准4医2护4小时考虑与“颞下颌关节切开复位费”比价关系","价格与初审一致\n拟定甲类",1900,1615,1372,"甲类","颞下颌关节盘复位固定术"]
[null,null,"颞下颌关节盘复位固定费-口腔内镜操作（加收）",{"$nulls":4},"单侧",{"$nulls":3},200,200,200,"甲类"]
[38,null,"颞下颌关节成形费","通过手术将颞下颌修整成形。","所定价格涵盖手术计划、消毒、切开、成形、缝合等步骤所需的人力资源和基本物质资源消耗。","01粘连或病变累及关节外30%",null,"单侧",null,"1900\n国准4医2护4小时","价格与初审一致\n拟定甲类",1900,1615,1372,"甲类","颞下颌关节成形术"]
[null,null,"颞下颌关节成形费-粘连或病变累及关节外（加收）",{"$nulls":4},"单侧",{"$nulls":3},{"$f":"L67*0.3","v":570},{"$f":"M67*0.3","v":484.5},{"$f":"N67*0.3","v":411.6},"甲类"]
[39,null,"颞下颌关节部分切除费（常规）","通过手术切除部分髁突或颞下颌关节区其他病变。","所定价格涵盖手术计划、消毒、切开、切除、清理、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01口腔内镜操作200(三级调平)",null,"单侧",null,"1400\n价格平移“髁状突良性肿物切除术”","价格与初审一致\n拟定甲类",1400,1190,1011,"甲类","髁状突良性肿物切除术\n颞下颌关节成形术"]
[null,null,"颞下颌关节部分切除费（常规）-口腔内镜操作（加收）",{"$nulls":4},"单侧",{"$nulls":3},200,200,200,"甲类"]
[40,null,"颞下颌关节部分切除费（复杂）","通过手术切除复杂情况的部分髁突或颞下颌关节区其他病变。","所定价格涵盖手术计划、消毒、切开、切除、清理、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01口腔内镜操作200(三级调平)",null,"单侧","本项目中的“复杂”指：病变累及周围软组织和骨组织。","1800\n国准3医2护3小时参考外省价格，考虑技术难度。","价格与初审一致\n拟定甲类",1800,1530,1300,"甲类","髁状突高位切除术\n颞下颌关节盘摘除术"]
[null,null,"颞下颌关节部分切除费（复杂）-口腔内镜操作（加收）",{"$nulls":4},"单侧",{"$nulls":3},200,200,200,"甲类"]
[41,null,"颞下颌关节盘修复费（常规）","通过手术对缺损的关节盘进行修复。","所定价格涵盖手术计划、消毒、切开、修复、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01口腔内镜操作200(三级调平)",null,"单侧",null,"1600\n高价平移","价格与初审一致\n拟定甲类",1600,1360,1156,"甲类","关节镜下颞下颌关节盘复位固定术\n颞下颌关节盘复位固定术\n颞下颌关节镜手术治疗"]
[null,null,"颞下颌关节盘修复费（常规）-口腔内镜操作（加收）",{"$nulls":4},"单侧",{"$nulls":3},200,200,200,"甲类"]
[42,null,"颞下颌关节盘修复费（复杂）","通过手术对复杂情况的颞下颌关节盘进行修复。","所定价格涵盖手术计划、消毒、切开、修复、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01口腔内镜操作200(三级调平)",null,"单侧","本项目中的“复杂”指：使用自体游离组织、带蒂组织瓣或人工材料进行修复。不包含制备皮瓣的费用。","2000\n按照比价关系","价格与初审一致\n拟定甲类",2000,1700,1445,"甲类"]
[null,null,"颞下颌关节盘修复费（复杂）-口腔内镜操作（加收）",{"$nulls":4},"单侧",{"$nulls":3},200,200,200,"甲类"]
[43,null,"颞下颌关节重建费（常规）","通过手术对缺损的颞下颌关节进行重建。","所定价格涵盖手术计划、消毒、切开、重建、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01口腔内镜操作200(三级调平)",null,"单侧",null,"1700\n价格平移","价格与初审一致\n拟定甲类",1700,1445,1228,"甲类","颞下颌关节成形加游离植骨重建术\n颞下颌关节成形术"]
[null,null,"颞下颌关节重建费（常规）-口腔内镜操作（加收）",{"$nulls":4},"单侧",{"$nulls":3},200,200,200,"甲类"]
[44,null,"颞下颌关节重建费（复杂）","通过手术对复杂情况的缺损颞下颌关节进行重建。","所定价格涵盖手术计划、消毒、切开、重建、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01口腔内镜操作200(三级调平)",null,"单侧","本项目中的“复杂”指：下颌升支截骨、髁突/全关节置换。","2100\n按照比价关系（价差400）","价格与初审一致\n拟定甲类",2100,1785,1517,"甲类","颞下颌关节置换术\n髁突陈旧骨折错位升支截骨矫正术\n髁突骨球截除血管化骨移植重建术"]
[null,null,"颞下颌关节重建费（复杂）-口腔内镜操作（加收）",{"$nulls":4},"单侧",{"$nulls":3},200,200,200,"甲类"]
[45,null,"颞下颌关节紊乱病矫治费","通过矫治器安装调整来治疗颞下颌关节紊乱病。","所定价格涵盖方案设计、矫治器安装、评估、调整、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"疗程","1.不包含颌垫设计及制备的费用。\n2.本项目中的“疗程”指：治疗从开始到结束的整个过程。","1200\n参考河北价格","价格与初审一致\n拟定丙类",1200,1020,867,"丙类"]
[46,null,"下颌骨喙突切除费","通过手术切除部分或全部下颌骨喙突。","所定价格涵盖手术计划、消毒、切开、分离、切除、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01恶性肿瘤切除30%",null,"单侧",null,"1800\n参考外省价格\n加入映射（喙突成形）","价格与初审一致\n拟定甲类",1800,1530,1300,"甲类"]
[null,null,"下颌骨喙突切除费-恶性肿瘤切除（加收）",{"$nulls":4},"单侧",{"$nulls":3},{"$f":"L82*0.3","v":540},{"$f":"M82*0.3","v":459},{"$f":"N82*0.3","v":390},"甲类"]
[47,null,"唇裂修复费","通过手术修复唇部裂隙，重建唇部外形。","所定价格涵盖手术计划、消毒、切开、分离、调整、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01鼻底封闭成型30%",null,"单侧","唇裂修复不涉及鼻畸形修复，正中裂修复按单侧收费。","1000\n价格平移“单侧Ⅱ度唇裂修复术”","价格与初审一致\n拟定乙类",1000,850,722,"乙类","部分唇缺损局部组织瓣修复术\n单侧Ⅰ度唇裂修复术\n单侧Ⅱ度唇裂修复+鼻畸形修复术\n单侧Ⅱ度唇裂修复术\n单侧Ⅲ度唇裂修复+鼻畸形修复术\n双侧Ⅰ度唇裂修复术\n双侧Ⅱ度唇裂修复+鼻畸形修复术\n双侧Ⅲ度唇裂修复+鼻畸形修复术\n梨状孔周围植骨术\n单侧唇皮下裂修复术\n唇瘘切除术\n唇正中裂修复术"]
[null,null,"唇裂修复费-鼻底封闭成型（加收）",{"$nulls":4},"单侧",{"$nulls":3},{"$f":"L84*0.3","v":300},{"$f":"M84*0.3","v":255},{"$f":"N84*0.3","v":216.6},"乙类"]
[48,null,"面裂修复费","通过手术修复面部裂隙，重建面部外形。","所定价格涵盖手术计划、消毒、切开、分离、调整、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"单侧","不与“唇裂修复费”同时收取。","1370\n价格平移“面横裂修复术”","价格与初审一致\n拟定乙类",1370,1164,989,"乙类","面斜裂修复术\n面横裂修复术\n大口畸形矫正术\n复杂面裂修复术"]
[49,null,"唇缺损修复费","通过手术修复唇部缺损，重建唇部外形。","所定价格涵盖手术计划、消毒、切开、分离、调整、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"1200\n平均价","价格与初审一致\n拟定乙类",1200,1020,867,"乙类","上唇缺损鼻唇沟瓣修复术\n唇缺损皮管修复术\n交叉唇瓣(Abbes′瓣)断蒂术\n唇缺损交叉唇瓣修复术\n全唇缺损局部组织瓣修复术"]
[50,null,"唇裂术后继发唇畸形整复费","通过手术修复唇部功能障碍，重建唇部外形。","所定价格涵盖手术计划、消毒、切开、分离、修复、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"单侧",null,"1300\n2医2护2-4小时\n按照比价关系（唇缺损修复费）","价格与初审一致\n拟定乙类",1300,1105,939,"乙类","唇粘连术\n人中沟成形术\n单侧唇裂术后继发唇畸形矫正术"]
[51,null,"腭裂修复费","通过手术修复腭部裂隙，重建腭部外形。","所定价格涵盖手术计划、消毒、切开、调整、成形、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01Ⅲ度腭裂30%",null,"单侧",null,"1300\n加权平均（1254）","价格与初审一致\n拟定乙类",1300,1105,939,"乙类","Ⅰ度腭裂修复术\nⅡ度腭裂修复术\n犁骨瓣修复术\n单瓣后退腭裂修复术\n颊肌黏膜瓣转移腭裂修复术\n萨氏微创腭裂修复术\n腭咽环扎腭裂修复术\n腭帆缩短术\n腭弓成形术\nⅢ度腭裂修复术"]
[null,null,"腭裂修复费-Ⅲ度腭裂（加收）",{"$nulls":4},"单侧",{"$nulls":3},{"$f":"L89*0.3","v":390},{"$f":"M89*0.3","v":331.5},{"$f":"N89*0.3","v":281.7},"乙类"]
[52,null,"腭咽闭合不全修复费","通过手术恢复腭部完整性。","所定价格涵盖手术计划、消毒、切开、调整、成形、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01腭裂术后复裂30%",null,"次",null,"1500\n按比价关系，操作难度高于上一项","价格与初审一致\n拟定乙类",1500,1275,1083,"乙类","反向双\"Z\"腭裂修复术\n咽后壁瓣腭咽成形术"]
[null,null,"腭咽闭合不全修复费-腭裂术后复裂（加收）",{"$nulls":4},"次",{"$nulls":3},{"$f":"L91*0.3","v":450},{"$f":"M91*0.3","v":382.5},{"$f":"N91*0.3","v":324.9},"乙类"]
[53,null,"腭瘘修复费","通过手术修补腭瘘，封闭口鼻腔。","所定价格涵盖手术计划、消毒、切开、分离、调整、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"1100\n高频平移","价格与初审一致\n拟定乙类",1100,935,794,"乙类","腭瘘修复术\n口鼻腔前庭瘘修补术\n颊肌黏膜瓣转移腭瘘修复术"]
[54,null,"牙槽突裂修复费","通过手术修复缺损的牙槽突裂隙，恢复患者牙槽外形。","所定价格涵盖手术计划、消毒、切开、调整、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"单侧","不包括植骨费。","1000\n平移价格“单侧齿槽嵴裂修复术”","价格与初审一致\n拟定乙类",1000,850,722,"乙类","牙槽突裂植骨成形术\n带血管游离骨复合组织瓣移植下颌骨缺损修复术\n单侧齿槽嵴裂修复术\n牙槽嵴植骨增高术\n颌骨缺损修复术\n面颌骨缺损移植术\n上颌骨缺损带蒂骨移植术\n上颌骨缺损吻合血管复合瓣移植修复术\n上颌骨缺损吻合血管骨移植修复术\n上颌骨缺损游离植骨修复术\n上颌骨缺损阻塞器修复\n下颌骨缺损带蒂骨移植术\n下颌骨缺损带血管蒂游离骨瓣移植术\n下颌骨缺损牵张成骨修复术\n下颌骨缺损钛板重建术\n下颌骨缺损修复体植入修复术"]
[55,null,"唇裂鼻畸形修复费","通过手术修复唇裂鼻部畸形，重建鼻部外形。","所定价格涵盖手术计划、消毒、切开、调整、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"单侧","正中裂修复按单侧收费。","1400\n参考外省价格","价格与初审一致\n拟定乙类",1400,1190,1011,"乙类"]
[56,null,"舌畸形修复费","通过手术修复舌部形态异常，改善功能和外观。","所定价格涵盖手术计划、消毒、切开、分离、切除、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"1270\n高价平移","价格与初审一致\n拟定乙类",1270,1079,917,"乙类","局部皮瓣舌整形术\n巨舌畸形矫正术"]
[57,null,"唇鼻系统重建费","通过手术系统调整唇鼻部解剖结构和相关肌肉生物力学结构，重建唇鼻部功能和外形。","所定价格涵盖手术计划、消毒、切开、分离、切除、调整肌肉力学结构、重建或修复外形、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"单侧","不与“唇裂修复费” “唇裂术后继发唇畸形整复费”“唇裂鼻畸形修复费”同时收取。","2400\n1400唇裂鼻畸形修复费+1300唇裂术后继发唇畸形整复费*0.8=2440","价格与初审一致\n拟定乙类",2400,2040,1734,"乙类","部分唇缺损局部组织瓣修复术\n唇正中裂修复术\n唇粘连术"]
[58,null,"腭咽系统重建费","通过手术系统调整腭咽部解剖结构和相关肌肉生物力学结构，重建腭咽部功能和外形。","所定价格涵盖手术计划、消毒、切开、分离、切除、调整肌肉力学结构、重建或修复外形、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"单侧","不与“腭裂修复费”同时收取。","参考外省2900","价格与初审一致\n拟定乙类",2900,2465,2095,"乙类","Ⅰ度腭裂修复术\nⅡ度腭裂修复术\n腭咽环扎腭裂修复术\n咽后壁瓣腭咽成形术\n悬雍垂缩短术\n咽腭弓成形术\n软腭前移术\nT形瓣上提腭咽成形术\n腭咽成形术\n腭咽过度闭合矫正术\n腭咽肌瓣成形术\n颊肌黏膜瓣转移+腭咽成形术\n伸母短肌游离腭咽环扎成形术\n悬雍垂腭咽成形术\n腭帆缩短术\n腭弓成形术\nⅢ度腭裂修复术"]
[59,null,"口咽颌面部手术探查费","通过手术探查口咽颌面部情况。","所定价格涵盖手术计划、消毒、切开、探查、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","1.不与同台同部位其他手术同时收费。\n2.术后口咽颌面部出血、脓/血肿行手术探查及处理适用本项目收费。","740参考外省","价格与初审一致\n拟定甲类",740,629,534,"甲类"]
[60,null,"颈部手术探查费","通过手术探查颈部情况。","所定价格涵盖手术计划、消毒、切开、探查、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","不与同台同部位其他手术同时收费。","参考腹腔探查1000","价格与初审一致\n拟定甲类",1000,850,722,"甲类"]
[61,null,"唾液腺导管改道费","通过手术为腮腺或者颌下腺导管重新建立出口。","所定价格涵盖手术计划、消毒、切开、分离唾液腺导管、建立导管新出口、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"腺体•单侧",null,"参考外省900","价格与初审一致\n拟定甲类",900,765,650,"甲类"]
[62,null,"唾液腺导管吻合费","通过手术吻合断裂的腮腺或颌下腺导管。","所定价格涵盖手术计划、消毒、切开、分离唾液腺导管、吻合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"腺体•单侧",null,"1100\n平移价格","价格与初审一致\n拟定甲类",1100,935,794,"甲类","涎腺瘘切除导管重建术"]
[63,null,"颌面部间隙感染切开引流费（常规）","通过手术对颌面部间隙感染切开引流。","所定价格涵盖手术计划、消毒、切开、引流、冲洗、放置引流装置等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","本项目中的“次”指：2个及以下间隙感染，3个及以上每增加1个间隙按15%收费。","480\n加权平均（240）*2部位","价格与初审一致\n拟定甲类",480,408,346,"甲类","颌面部多间隙脓肿切开引流术\n口底颌下脓肿切开引流术"]
[64,null,"颌面部间隙感染切开引流费（复杂）","通过手术对复杂情况的颌面部间隙感染切开引流。","所定价格涵盖手术计划、消毒、切开、引流、冲洗、放置引流装置等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","本项目中的“复杂”指：累及咽后、颌下、椎前或颈根临近纵膈。","760\n与上项目保持比价关系","价格与初审一致\n拟定甲类",760,646,549,"甲类","颌面部多间隙脓肿切开引流术\n口底颌下脓肿切开引流术"]
[65,null,"颌面颈部深部异物取出费","通过手术取出颌面颈部异物或移位牙齿、牙体组织、骨片等。","所定价格涵盖手术计划、消毒、切开翻瓣、异物取出、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"部位","1.本项目中的“深部”指：异物穿过颌面部2个及以上解剖部位，距离面部体表3cm以上。\n2.颌面颈部浅表异物取出按照体被系统的“浅表异物取出费”收取。","1000\n价格平移“面颈深部异物探查取出术”","500\n平移价格（计价单位由“次”变为“部位”）\n拟定甲类",500,425,361,"甲类","面颈深部异物探查取出术\n颌下腺导管探查取石术\n上颌窦开窗异物取出术"]
[66,null,"颌间挛缩松解费","通过手术切除或松解颌部的挛缩组织、纤维化的肌组织，恢复颌间的正常功能和活动度。","所定价格涵盖手术计划、消毒、切开/切除、松解、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"单侧",null,"1500\n价格平移","价格与初审一致\n拟定甲类",1500,1275,1083,"甲类","口内入路颌间挛缩瘢痕切除松解术\n口内外联合入路颌间挛缩松解术"]
[67,null,"颌面部牵引器植入费","通过手术植入牵引器，逐渐扩张骨骼。","所定价格涵盖手术计划、消毒、切开、牵引器植入、固定、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"部位","本项目中的“部位”指：左上颌、右上颌、左下颌、右下颌、颏部、左颧骨颧弓、右颧骨颧弓。","1700\n价格平移","1200\n参考河北价格\n拟定丙类",1200,1020,867,"丙类","上颌骨截骨外置式牵张器置入牵张成骨术\n牙槽嵴低平牵张成骨增高术\n牙槽嵴低平种植型牵张器增高术\n上颌骨内置式牵引器置入牵张成骨术\n下颌骨畸形截骨外牵张器牵张成骨术"]
[68,null,"颌面部植入物取出费","通过手术取出颌面部植入物。","所定价格涵盖手术计划、消毒、切开、植入物取出、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"部位","本项目中的“部位”指：左上颌、右上颌、左下颌、右下颌、左颧骨颧弓、右颧骨颧弓、左眼眶、右眼眶、颏部。","1200\n参考骨科固定物取出","300\n参考河北价格\n拟定乙类",300,255,216,"乙类","外置式牵张器支架拆除术\n内置式骨牵张器拆除术"]
[69,null,"咀嚼肌部分切除费","通过手术切除部分咀嚼肌。","所定价格涵盖手术计划、消毒、切开、分离、切除、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"单侧",null,"1300\n价格平移","价格与初审一致\n拟定丙类",1300,1105,939,"丙类","嚼肌部分切除术"]
[70,null,"神经吻合面瘫畸形整复费","通过手术将神经或移植神经进行吻合，矫正面瘫畸形。","所定价格涵盖手术计划、消毒、切开、分离、吻合、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"每根神经",null,"3000\n过会价格+参考外省价格","1600\n参考“周围神经修复吻合费”（800）增加服务产出并参考外省价格\n拟定丙类",1600,1360,1156,"丙类","面神经吻合面瘫畸形整复术\n跨面神经移植面瘫畸形整复术\n神经移植面瘫矫正术\n吻合血管神经肌瓣移植面瘫矫正术"]
[71,null,"悬吊面瘫畸形矫正费","通过应用自体阔筋膜或人工合成材料等，对移位的面部组织进行悬吊，矫正面瘫畸形。","所定价格涵盖手术计划、消毒、切开、剥离、悬吊、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"单侧",null,"1250\n价格平移“静态悬吊面瘫畸形矫正术”","价格与初审一致\n拟定丙类",1250,1062,902,"丙类","陈旧性面瘫血管化游离肌瓣矫正术\n带蒂肌筋膜瓣游离阔筋膜移植悬吊面瘫畸形矫正术\n去神经肌肉游离移植悬吊面瘫畸形矫治术\n应用去神经的肌肉游离移植面瘫畸形矫正术\n静态悬吊面瘫畸形矫正术"]

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[]
["消化系统医疗服务价格项目立项指南"]
["使用说明：\n1.本指南以消化系统为重点，按照消化系统相关医疗服务产出设立价格项目。\n2.根据《深化医疗服务价格改革试点方案》（医保发〔2021〕41号）关于“厘清价格项目与临床诊疗技术规范、医疗机构成本要素、不同应用场景和收费标准等的政策边界。分类整合现行价格项目，实现价格项目与操作步骤、诊疗部位等技术细节脱钩，增强现行价格项目对医疗技术和医疗活动改良创新的兼容性”的要求，服务产出相同的一类项目在操作层面存在差异，但在价格项目和定价水平层面具备合并同类项的条件，立项指南对此进行合并。地方医疗保障部门制定消化系统医疗服务项目价格时，要体现技术劳务价值，使收费水平覆盖绝大部分的差异化操作；各地医疗保障部门所定价格属于政府指导价为最高限价，下浮不限。同时，医疗机构申报的技术改良进步项目，可采取“现有项目兼容”方式简化处理，无需申报新增医疗服务价格项目，经向本地区医疗保障部门备案后可按照对应的项目执行。\n3.本指南所称“价格构成”，指项目价格应涵盖的各类资源消耗，用于确定计价单元的边界，是省市级医保部门制定调整项目价格的测算因子，不应作为临床技术标准理解，不是实际操作方式、路径、步骤、程序的强制性要求，价格构成中包含但临床实践中非必要、未发生的，无需强制要求公立医疗机构减计费用。所列“设备投入”包括但不限于操作设备、器具及固定资产投入。\n4.本指南所称“加收项”，指同一项目以不同方式提供或在不同场景应用时，确有必要制定差异化收费标准而细分的一类子项，包括在原项目价格基础上增加或减少收费的情况，具体的加/减收标准（加/减收率或加/减收金额）由省市级医疗保障部门依权限制定；实际应用中，同时涉及多个加收项的，以项目单价为基础计算相应的加/减收水平后，据实收费。\n5.本指南所称“扩展项”，指同一项目下以不同方式提供或在不同场景应用时，只扩展价格项目适用范围、不额外加价的一类子项，子项的价格按主项目执行。\n6.本指南所称“基本物质资源物耗”，指原则上限于不应或不必要与医疗服务项目分割的易耗品，包括但不限于各类消杀灭菌用品、储存用品、清洁用品、个人防护用品、垃圾处理用品、滑石粉、标签、防渗漏垫、中单、护（尿）垫、棉球、棉签、纱布（垫）、治疗护理盘（包）、治疗巾（单）、手术巾（单）、手术包、普通注射器、可复用的操作器具、非药品类对比剂、影像存储介质、铅制防护用品、标本采集存放用品、咬口器或牙垫、口/吹嘴、气体收集袋、肠道菌液制备用物或菌液制成品、染色剂、辅助试剂、肛门扩张器具、肛诊指套、圈套皮筋、挂线材料、报告打印耗材、软件（版权、开发、购买）成本等。基本物质资源消耗成本计入项目价格，不另行收费。除基本物质资源消耗以外的其他耗材，按照实际采购价格零差率销售。\n7.本指南中的“无创”为无需切开皮肤，经过自然腔道入路，利用无创入路方式进行的操作，包括但不限于食管镜、胃镜、十二指肠镜、结肠镜、小肠镜、直肠镜、胆管镜、胰管镜、超声内镜、共聚焦激光显微内镜等各类内镜。不包含因其他操作需求而涉及皮肤切开、组织切除等有创性操作内容。\n8.本指南中的“部位”为食管、胃、小肠、阑尾、盲肠、结肠、直肠、胆囊、胆管、胰腺、胰管等。\n9.本指南中消化内科内镜治疗或手术类项目，如需使用相关内镜可按内镜检查费用收取，如行消化内镜息肉去除时使用“内镜”，可收取“无创消化道息肉去除费+上消化道内镜检查费（常规）”。\n10.本指南中普通外科的各类手术项目的价格构成，已包含手术涉及的各类内镜使用成本，地方定价时应结合内镜使用成本综合确定价格水平。医疗机构在开展相关操作时，开放手术与经内镜手术执行相同的价格标准，内镜辅助操作不再另行收费。\n11.本指南价格构成中所称的“穿刺”为主项操作涉及的必要穿刺技术，价格构成中的穿刺操作不可收取相关费用；独立穿刺项目可按相应治疗价格项目收取。\n12.本指南中价格构成中所称的“止血”为压迫、填塞、包扎等常规止血方法，其他止血方式可收取相应费用。\n13.本指南中所称的“恶性肿瘤扩大根治性切除”，可参照各地省及省以上卫生健康部门技术规范中扩大根治性切除进行加收。\n14.本指南中涉及“包括……”“……等”的，属于开放型表述，所指对象不仅局限于表述中列明的事项，也包括未列明的同类事项。\n15.本指南中未尽事项，如等离子、激光、射频、微波等手术辅助操作、活检取材等，将在辅助操作类、检验病理类、一般治疗类等其他立项指南中单独列示，各地医保部门可暂按现行价格政策执行。\n16.本指南中其他学科开展相应项目时，可据实收费。\n17.本指南中手术项目若需病理取样，地方定价时应考虑在原项目的价格构成中包含标本的留取和送检的人力资源和基本物质资源消耗。\n18.本指南中价格项目可应用人工智能辅助进行的，可直接按主项目收费，不同时收费。\n19.公立医疗机构开展相关放射检查须提供符合要求的“数字影像处理和上传存储服务”并执行现行放射检查项目价格，对于不能提供符合要求的“数字影像处理和上传存储服务”的，执行的相关放射检查项目价格减收5元。\n20.允许公立医疗机构在患者自愿选择基础上，若提供“数字胶片云储存服务”，可不再提供实体胶片。将减少实体胶片打印节约的成本，用于补偿数字胶片服务成本。医疗机构在常规提供影像资料后，如需额外提供影像资料，可收取相应费用。\n21.本指南中手术类项目服务对象为儿童时，统一落实儿童加收政策（以下简称“儿童加收”），加收比例或金额由各地医疗保障部门根据实际情况确定。手术类项目的具体范围以《全国医疗服务项目技术规范》的分类为准，对于立项指南同时映射技术规范中的手术类项目和治疗类项目的主项目，按手术类落实儿童加收政策；其他非手术类项目实行儿童加收范围，以立项指南加收项为准。本指南所称“儿童”，指6周岁及以下，周岁的计算方法以法律的相关规定为准。\n22.可收费耗材：17.造影导管、导丝、血管夹、透析器、一次性体外循环配套血管路、吻合器、特殊缝线、止血材料、胶囊、润滑剂、括约肌切开刀、活检钳、水囊、导管、扩张管、胆管引流管、血管鞘组、球囊扩张导管、支架、栓塞材料、胰管引流管、腔镜材料、硬化剂、粘合剂、内镜用注射针、套扎器、息肉勒除器、圈套器、一次性黏膜切开刀、取石网篮、扩张材料、扩张器、输尿管支架管、球囊、肠道支架、食管支架、胆道支架、取石球囊、取石球囊导管、专用引流管、扩张球囊、碎石器、鼻肠喂养管、内固定材料、气管切开套管、闭合器、防粘连材料、补片、止血材、料特殊缝线、切口保护器、打孔器、双极电凝镊、射频刀头、射频针、射频毁损电极、射频探头、射频脉冲、射频纤维、射频消融导管、激光刀头,特殊激光刀头,激光探头,激光光纤,激光脉冲、活检针\n（增-介入材料）：内窥镜超声活检穿刺针、液电电极、"]
["序号","项目编码","项目名称","服务产出","价格构成","加收项","扩展项","计价单位","计价说明",{"$nulls":3},"指导价格",null,null,"医保支付类别","映射项目名称"]
[{"$nulls":12},"三级","二级","一级"]
[1,null,"消化道pH值监测费","通过各种方式监测消化道ph值。","所定价格涵盖设备准备、插管、测定、撤除、数据提取分析、出具报告、处理用物等步骤所需的人力资源和基本物质资源消耗。（不含内镜操作）","01阻抗测定10%",null,"次",null,null,"400（广东400、河北250、江西300）\n该项目监测时间为24小时，高频平移","400\n乙类",400,340,289,"乙类","24小时胃食管pH值监测      \n小儿24小时食管pH及运动连续监测"]
[null,null,"消化道pH值监测费-阻抗测定（加收）",{"$nulls":4},"次",{"$nulls":4},{"$f":"M6*0.1","v":40},{"$f":"N6*0.1","v":34},{"$f":"O6*0.1","v":28.9},"乙类"]
[2,null,"消化道压力测定费","通过各种方式测定消化道压力。","所定价格涵盖设备准备、插管、测定、撤除、数据提取分析、出具报告、处理用物等步骤所需的人力资源和基本物质资源消耗。（不含内镜操作）",null,null,"项","本指南中的“消化道压力测定”指：食管测压、高分辨率食管测压、24小时食管动态测压、胃肠测压、24小时胃肠测压、胃幽门十二指肠测压、奥迪氏括约肌测压、结肠测压、肛门直肠测压、胆道测压等，以上不同测压按本项目收费，同一入路同一操作时间仅可计费1 次。",null,"430\n加权平均","430\n乙类",430,365,310,"乙类","肛门直肠测压                \n食管测压                \n胃-幽门-十二指肠压力测定    \n24小时食管胃肠压力测定      \n经电子内镜奥迪括约肌压力测定 "]
[3,null,"胃肠电图检查费","通过传导生物电，记录胃肠生物电活动并绘图，检查胃肠的蠕动情况及动力的强弱。","所定价格涵盖设备准备、电极安放、记录、分析、出具报告、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","仅做胃/肠电图按50%收费",null,"160（80+80）\n价格平移，仅做胃/肠电图按50%收费","160\n乙类",160,136,115,"乙类","胃电图检查(EGG)"]
[4,null,"呼气试验费（炎症检测）","测定呼出气体中特定气体的含量，判断气道炎症或全身炎症反应。","所定价格涵盖设备准备、指导呼气、测定、分析、出具报告、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","本项目中的“特定气体”指：一氧化氮。",null,"200\n价格平移","200\n乙类",200,170,144,"乙类","呼出气一氧化氮测定"]
[5,null,"呼气试验费（红细胞寿命检测）","测定呼出气体中特定气体的含量，判断红细胞寿命。","所定价格涵盖设备准备、指导呼气、测定、分析、出具报告、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","本项目中的“特定气体”指：一氧化碳。",null,"参考外省价格\n广州250河北390江西358","280\n乙类\n价格平移",280,238,202,"乙类","红细胞生存时间测定"]
[6,null,"呼气试验费（幽门螺旋杆菌检测）","通过测定呼出气体中标记同位素的含量，判断是否存在幽门螺杆菌感染。","所定价格涵盖设备准备、指导呼气、采集气体、底物及服用、再次采集气体、测定、分析、出具报告、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","碳13、碳14检测所用药物及试剂均不得单独收费",null,"55\n(碳14吹卡一套38元+15设备人工)\n三级调平","75(三级调平)\n乙类\n（河北130、广东120、江西100）加权平均",75,75,75,"乙类","碳13尿素呼气试验             \n碳[14C]呼气试验            \n碳14尿素呼气试验 "]
[7,null,"呼气试验费（胃肠功能检测）","通过测定呼出气体中特定气体的含量，评估胃肠功能、小肠细菌过度生长。","所定价格涵盖设备准备、底物及服用、指导呼气、多次采集气体、测定、分析、出具报告、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"项","本项目中的“特定气体”指：氢气、甲烷、二氧化碳；其中氢气和甲烷的测定各计为1项，二氧化碳的测定不额外计费。",null,"130\n平移价格","130\n乙类",130,110,93,"乙类","甲烷-氢呼气诊断"]
[8,null,"胃肠传输时间检查费","根据标记物在消化道不同时间的分布情况，判断胃肠道动力。","所定价格涵盖标记物准备、指导服用、拍片、数据处理、出具报告、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","拍片可单独收费",null,"285参考外省价格\n广东350江西285河北250","285\n丙类",285,242,205,"丙类"]
[9,null,"肝功能储备检查费","通过监测特定状态下，肝脏对相关物质的滞留、排泄清除率，判断肝储备功能。","所定价格涵盖准备、静脉注射、定时取血或探头监测含量、记录、计算、出具报告、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","肝功能排泄试验按此收费。",null,"165\n价格平移","165\n乙类",165,140,119,"乙类","肝脏储备功能测定"]
[10,null,"肠道菌群移植费","收集并检测供者肠道样本制备菌液或菌制成品，通过消化道植入患者肠道。","所定价格涵盖准备、供体筛查、采集、采集物检测、分离、制备、保存、植入、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","需胃肠道内镜或置管辅助完成移植的，可收取“内镜检查”及“胃肠道置管”费用。",null,"1800\n支持新技术发展\n参考22个中心价格，最低价甘肃、河北、新疆1450元","1800\n丙类",1800,1530,1300,"丙类"]
[11,null,"腹水回输治疗费","收集腹水，处理后回输患者进行治疗。","所定价格涵盖准备、穿刺、置管、引流采集、过滤、回输、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,"01胸水回输治疗","次",null,null,"500\n高频平移","500\n乙类",500,425,361,"乙类","腹水直接回输治疗           \n腹水超滤间接回输治疗"]
[null,null,"腹水回输治疗费-胸水回输治疗（扩展）",{"$nulls":4},"次",{"$nulls":4},500,425,361,"乙类"]
[12,null,"肠异位灌注整复费","通过灌注复位肠套叠、肠扭转等各类异位情况。","所定价格涵盖设备准备、灌注、观察、复位、处理用物等步骤所需的人力资源和基本物质资源消耗。（不含内镜操作）",null,"01胃异位整复","次","手法复位按此收费",null,"160\n价格平移","160\n乙类",160,136,115,"乙类","肠套叠充气造影及整复         \n肠套叠手法复位             \n嵌顿疝手法复位"]
[null,null,"肠异位灌注整复费-胃异位整复（扩展）",{"$nulls":4},"次",{"$nulls":4},160,136,115,"乙类"]
[13,null,"胶囊内镜检查费（非操控）","各类胶囊内镜借助消化道自身蠕动，无需外界干预，自然通过消化道完成检查。","所定价格涵盖准备、指导吞服胶囊内镜、收集影像信息、出具报告、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"市场调节价","市场调节价\n丙类","市场调节价","市场调节价","市场调节价","丙类","胶囊内镜检查"]
[14,null,"胶囊内镜检查费（受操控）","医务人员以磁控等方式操作胶囊内镜，使其在受操控下通过消化道，实现定向定位检查。","所定价格涵盖准备、指导吞服胶囊内镜、操控、收集影像信息、出具报告、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"市场调节价","市场调节价\n丙类","市场调节价","市场调节价","市场调节价","丙类","胶囊内镜检查"]
[15,null,"上消化道内镜检查费（常规）","通过消化道内镜观察和诊断上消化道的疾病。","所定价格涵盖设备准备、体位摆放、入镜、观察、图像采集、撤镜、出具报告、处理用物等步骤所需的人力资源和基本物质资源消耗。","01单气囊小肠镜按1120元加收（参考广东价格并支持本省技术）\n02双气囊小肠镜按2300元加收（参考广东价格并支持本省技术）\n03胆/胰管内镜检查150%（胆/胰合并后参考外省价格）\n04胆/胰管内镜子镜检查800%(超高难度操作参考外省价格)\n11放大/染色检查150%（平移）",null,"次","1.单次入路检查经过多个部位的，以最终到达的部位计费1次。\n2.同时行放大、染色检查仅计费1次\n3.“经皮经肝胆道镜检查”按“胆/胰管内镜检查”收费。",null,"240\n高频平移\n加收项参考外省价格","240\n乙类",240,204,173,"乙类","硬式食管镜检查\n硬质食管镜食管探查术\n纤维食管镜检查\n电子食管镜检查\n纤维胃镜检查\n电子胃镜检查\n经鼻电子胃镜检查\n经内镜胃黏膜血流量测定\n开腹胆道镜检查\n经口电子胆管镜检查\n经口电子胰管镜检查\n经皮经肝胆道镜检查\n内镜色素检查"]
[null,null,"上消化道内镜检查费（常规）-单气囊小肠镜（加收）",{"$nulls":4},"次",{"$nulls":4},1120,{"$f":"M24*0.85","v":952},809,"乙类"]
[null,null,"上消化道内镜检查费（常规）-双气囊小肠镜（加收）",{"$nulls":4},"次",{"$nulls":4},2300,{"$f":"M25*0.85","v":1955},1661,"乙类"]
[null,null,"上消化道内镜检查费（常规）-胆/胰管内镜检查（加收）",{"$nulls":4},"次",{"$nulls":4},360,306,259.5,"乙类"]
[null,null,"上消化道内镜检查费（常规）-胆/胰管内镜子镜检查（加收）",{"$nulls":4},"次",{"$nulls":4},1920,1632,{"$f":"O23*8","v":1384},"乙类"]
[null,null,"上消化道内镜检查费（常规）-放大/染色检查（加收）",{"$nulls":4},"次",{"$nulls":4},360,306,259.5,"乙类"]
[16,null,"下消化道内镜检查费（常规）","通过消化道内镜观察和诊断下消化道的疾病。","所定价格涵盖设备准备、体位摆放、入镜、观察、图像采集、撤镜、出具报告、处理用物等步骤所需的人力资源和基本物质资源消耗。","01单气囊小肠镜按1120元加收（参考广东价格并支持本省技术）\n02双气囊小肠镜按2300元加收（参考广东价格并支持本省技术）\n11放大/染色检查150%",null,"次","1.单次入路检查经过多个部位的，以最终到达的部位计费1次。\n2.同时行放大、染色检查仅计费1次。",null,"350\n高频平移","350\n乙类",350,297,252,"乙类","直肠镜检查\n电子结肠镜检查\n纤维结肠镜检查\n纤维小肠镜检查\n纤维乙状结肠镜检查\n经手术切口纤维内镜检查\n电子乙状结肠镜检查\n内镜色素检查\n经瘘管胆道镜检查\n经瘘口电子内镜检查\n经手术切口电子内镜检查\n经瘘口纤维内镜检查\n推进式小肠镜检查\n双气囊小肠镜检查"]
[null,null,"下消化道内镜检查费（常规）-单气囊小肠镜（加收）",{"$nulls":4},"次",{"$nulls":4},1120,952,809,"乙类"]
[null,null,"下消化道内镜检查费（常规）-双气囊小肠镜（加收）",{"$nulls":4},"次",{"$nulls":4},2300,1955,1661,"乙类"]
[null,null,"下消化道内镜检查费（常规）-放大/染色检查（加收）",{"$nulls":4},"次",{"$nulls":4},525,445.5,378,"乙类"]
[17,null,"上消化道内镜检查费（超声内镜）","通过微探头、环扫 、线阵式等不同消化道超声内镜观察和诊断疾病。","所定价格涵盖设备准备、体位摆放、入镜、观察、图像采集、撤镜、出具报告、处理用物等步骤所需的人力资源和基本物质资源消耗。","01胆/胰超声内镜检查80%(价格平移)",null,"次","单次入路检查经过多个部位的，以最终到达的部位计费1次。",null,"610\n高频平移","610\n乙类",610,518,440,"乙类","经内镜胰管腔内超声检查\n经内镜胆管腔内超声检查\n超声胃镜检查"]
[null,null,"上消化道内镜检查费（超声内镜）-胆/胰超声内镜检查（加收）",{"$nulls":4},"次",{"$nulls":4},488,414.4,352,"乙类"]
[18,null,"下消化道内镜检查费（超声内镜）","通过微探头、环扫 、线阵式等不同消化道超声内镜观察和诊断疾病。","所定价格涵盖设备准备、体位摆放、入镜、观察、图像采集、撤镜、出具报告、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","单次入路检查经过多个部位的，以最终到达的部位计费1次。",null,"650\n高频平移","650\n乙类",650,552,469,"乙类","超声结肠镜检查                经电子胃镜超声微探头检查    "]
[19,null,"上消化道内镜检查费（共聚焦激光显微内镜）","通过共聚焦激光显微内镜观察和诊断上消化道的疾病。","所定价格涵盖设备准备、体位摆放、应用对比剂（静脉或喷涂）、入镜、观察、图像采集、撤镜、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","1.单次入路检查经过多个部位的，以最终到达的部位计费1次。\n2.超声内镜引导针基共聚焦激光显微内镜行胆/胰检查时，可收取“上消化道内镜检查费（超声内镜）-胆/胰超声内镜检查（加收）”及“上消化道内镜检查费（共聚焦激光显微内镜）”。",null,"1600\n参考广东、江西价格","1600\n丙类",1600,1360,1156,"丙类"]
[20,null,"下消化道内镜检查费（共聚焦激光显微内镜）","通过共聚焦激光显微内镜观察和诊断下消化道的疾病。","所定价格涵盖设备准备、体位摆放、应用对比剂（静脉或喷涂）、入镜、观察、图像采集、撤镜、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","单次入路检查经过多个部位的，以最终到达的部位计费1次。",null,"2000\n参考广东、江西价格","2000\n丙类",2000,1700,1445,"丙类"]
[21,null,"无创逆行胰胆管造影费","通过无创操作，将导管插入胆管和（或）胰管内进行造影。","所定价格涵盖准备、置管、注入对比剂、摄取成像、撤除、出具报告、数字影像处理与上传存储（含数字方式）、处理用物等步骤所需的人力资源、设备运转成本和基本物质资源消耗。（不含内镜检查）",null,null,"次",null,null,"450\n高频平移","450\n乙类",450,382,325,"乙类","经纤维内镜逆行胰胆管造影术(ERCP)  经电子内镜逆行胰胆管造影术(ERCP)"]
[22,null,"经皮经肝胆管造影费","通过经皮经肝穿刺胆管造影。","所定价格涵盖准备、穿刺、置管、注入对比剂、摄取成像、撤除、出具报告、数字影像处理与上传存储（含数字方式）、处理用物等步骤所需的人力资源、设备运转成本和基本物质资源消耗。",null,null,"次",null,null,"120（参考T管造影价格）","120\n乙类",120,102,86,"乙类"]
[23,null,"经皮经肝穿刺胆管外引流费","经皮经肝穿刺胆管并置入引流管，实现外引流。","所定价格涵盖设备准备、体位摆放、穿刺、观察、必要时扩张、置管、引流、处理用物等步骤所需的人力资源、设备运转成本和基本物质资源消耗。 （不含内镜检查和经皮经肝胆管造影）",null,"01经皮经肝穿刺胆囊外引流费","次",null,null,500,"500\n乙类",500,425,361,"乙类","经皮经肝胆道引流管调管术\n经皮肝穿胆道引流术(PTCD)\n经皮胆囊穿刺造瘘术\n经皮经肝肝门部肿物支架管外引流术"]
[null,null,"经皮经肝穿刺胆管外引流费-经皮经肝穿刺胆囊外引流费（扩展）",{"$nulls":4},"次",{"$nulls":4},500,425,361,"乙类"]
[24,null,"经皮经肝穿刺胆管内引流费","通过经皮经肝穿刺进入胆管通路，实现内引流。","所定价格涵盖设备准备、体位摆放、穿刺、观察、必要时扩张、置管、引流、处理用物等步骤所需的人力资源、设备运转成本和基本物质资源消耗。 （不含内镜检查和经皮经肝胆管造影）",null,"01经皮经肝穿刺胆囊内引流费","次",null,null,"1000（平移有频次项目）","1000\n乙类",1000,850,722,"乙类","经皮经肝胆道狭窄球囊扩张术        经皮经肝肝门部肿物支架置入内引流术     "]
[null,null,"经皮经肝穿刺胆管内引流费-经皮经肝穿刺胆囊内引流费（扩展）",{"$nulls":4},"次",{"$nulls":4},1000,850,722,"乙类"]
[25,null,"无创胆管外引流费","通过无创方式在胆管内放置引流管使胆汁引流至体外。","所定价格涵盖设备准备、体位摆放、观察、置管、引流、处理用物等步骤所需的人力资源、设备运转成本和基本物质资源消耗。（不含内镜检查及无创逆行胰胆管造影）","01内穿刺引流加收100%","01无创胰管外引流","次",null,null,"1000（平移高频项目）","1000\n乙类",1000,850,722,"乙类","经电子内镜鼻-胆管引流术(ENBD)      经电子内镜鼻-胰管引流术     "]
[null,null,"无创胆管外引流费-内穿刺引流（加收）",{"$nulls":4},"次",{"$nulls":4},1000,850,722,"乙类"]
[null,null,"无创胆管外引流费-无创胰管外引流（扩展）",{"$nulls":4},"次",{"$nulls":4},1000,850,722,"乙类"]
[26,null,"无创胆管内引流费","通过无创方式在胆管内放置引流管使胆汁引流至体内。","所定价格涵盖设备准备、体位摆放、观察、置管、引流、处理用物等步骤所需的人力资源、设备运转成本和基本物质资源消耗。（不含内镜检查及无创逆行胰胆管造影）","01内穿刺引流加收100%","01无创胰管内引流","次",null,null,"1200（加权平均）","1200\n乙类",1200,1020,867,"乙类","经内镜胆管内引流术\n胰腺假性囊肿内引流术\n经超声内镜引导下胰腺囊肿内引流术\n经超声内镜引导下胰腺囊肿内引流术\n经电子内镜胰管内引流术"]
[null,null,"无创胆管内引流费-内穿刺引流（加收）",{"$nulls":4},"次",{"$nulls":4},1200,1020,867,"乙类"]
[null,null,"无创胆管内引流费-无创胰管内引流（扩展）",{"$nulls":4},"次",{"$nulls":4},1200,1020,867,"乙类"]
[27,null,"腹腔脏器穿刺治疗费（常规）","行腹腔脏器穿刺，对病灶组织进行注射、冲洗、引流等常规治疗。","所定价格涵盖定位、消毒、穿刺、注射、冲洗、引流、记录、处理用物等所需的人力资源和基本物质资源消耗。",null,null,"次","1.同一治疗位置行多种治疗方式只可收取一次。\n2.胆管、胰管引流按相关项目收费。",null,"650(加权平均)","650\n乙类",650,552,469,"乙类","经皮肝囊肿穿刺药物注射治疗\n经皮腹腔脓肿穿刺引流术\n经皮脾囊肿穿刺引流术\n经皮脾脓肿穿刺引流术\n经皮肝囊肿穿刺引流术\n经皮肝脓肿穿刺引流术\n经皮肝血管瘤硬化剂注射栓塞术\n肝血管瘤硬化剂注射栓塞术\n经皮胰腺穿刺引流术\n经皮胰腺囊肿穿刺引流术\n经皮胰腺脓肿穿刺引流术\n超声造影引导经皮脾脏创伤出血栓塞术\n经阴道盆腔脓肿穿刺引流术\n经阴道盆腔液性包块穿刺引流术\n经皮盆腔脓肿穿刺引流术\n经皮肝管栓塞术\n经直肠阑尾脓肿穿刺引流术"]
[28,null,"腹腔脏器穿刺治疗费（特殊）","行腹腔脏器穿刺，对病灶组织进行射频、微波、激光、冷冻、电凝、脉冲等各种特殊治疗。","所定价格涵盖定位、消毒、穿刺、治疗、处理用物等步骤所需的人力资源、设备运转成本和基本物质资源消耗。",null,null,"次","1.同一治疗位置使用多种能量源只可收取一次。\n2.针对同一目的，常规治疗转特殊治疗，按照“腹腔脏器穿刺治疗费（特殊）”收费。",null,"1400（参考物理治疗消融2000，减上/下消化道超声内镜检查费平均值600）","1400\n乙类",1400,1190,1011,"乙类","经皮肿物放化疗粒子置入术\n肝脏肿物放化疗粒子置入术\n经腹腔镜肝脏肿物放疗化疗粒子置入术\n胰腺肿瘤放化疗粒子置入术"]
[29,null,"消化内镜治疗费（常规）","通过消化内镜对消化系统病灶行注射、引流、止血、冲洗等常规治疗。","所定价格涵盖准备、镜下治疗、处理用物等步骤所需的人力资源和基本物质资源消耗。（不含内镜检查）",null,null,"次","1.同一治疗位置行多种治疗方式只可收取一次。\n2.涉及消化道静脉曲张治疗按照“消化道静脉曲张治疗费”收取。\n3.胆管、胰管引流按相关项目收费。\n4.不同入路治疗可分别收费。",null,240,"240\n乙类",240,204,173,"乙类","经纤维内镜结肠黏膜出血治疗\n经电子内镜结肠黏膜出血治疗\n经纤维内镜上消化道出血治疗\n经电子内镜上消化道出血治疗\n超声胃镜引导下穿刺引流术\n经直肠镜直肠出血缝扎术"]
[30,null,"消化内镜治疗费（特殊）","通过消化内镜对消化系统病灶行射频、微波、激光、圈套、套扎、冷冻、电凝、脉冲等各种特殊治疗。","所定价格涵盖设备准备、体位摆放、镜下治疗、处理用物等步骤所需的人力资源、设备运转成本和基本物质资源消耗。（不含内镜检查）",null,null,"次","1.同一治疗位置使用多种能量源只可收取一次。\n2.针对同一目的，常规治疗转特殊治疗，按照“消化内镜治疗费（特殊）”收费。\n3.涉及息肉治疗按照“无创消化道息肉去除费”或“无创消化道病变切除费”收取。\n4.涉及消化道静脉曲张治疗按照“消化道静脉曲张治疗费”收取。\n5.不同入路治疗可分别收费。",null,"450（肠道操作更为复杂，以下消化道价为准，再减去肠镜检查费）","450\n乙类",450,382,325,"乙类","经肛门镜直肠肛门冷冻治疗\n经直肠镜直肠出血电凝术\n经纤维内镜结肠黏膜出血治疗\n经电子内镜结肠黏膜出血治疗\n经纤维内镜上消化道出血治疗\n经肛门镜直肠肛门微波治疗\n经肛门镜直肠肛门激光治疗\n经电子内镜上消化道出血治疗"]
[31,null,"无创消化道静脉曲张治疗费","通过无创方式，利用硬化、组织粘合、套扎等手段治疗消化道静脉曲张。","所定价格涵盖准备、治疗、处理用物等步骤所需的人力资源和基本物质资源消耗。（不含内镜检查）",null,null,"次","治疗消化道静脉曲张使用多种治疗方式只可收取1次。",null,"1300\n参考广东2400，江西2000，采用两种以上方式的历史价格1600元，再减去内镜检查费240，1360","1300\n乙类",1300,1105,939,"乙类","经纤维内镜食管静脉曲张注射治疗\n经电子内镜食管静脉曲张注射治疗\n经纤维内镜食管静脉曲张套扎治疗\n经电子内镜内痔硬化+套扎治疗术\n经电子内镜食管静脉曲张套扎治疗"]
[32,null,"无创消化道息肉去除费","通过无创方式，运用切除、钳除、圈套、激光、微波、电凝、冷冻、电切等各种手段去除消化道粘膜表面息肉。","所定价格涵盖设备准备、体位摆放、镜下祛除、创面处理、处理用物等步骤所需的人力资源、设备运转成本和基本物质资源消耗。（不含内镜检查）",null,null,"部位/次","“次”指息肉数小于等于3个，每增加1个按30%收费，息肉大于10个按10个收费",null,"550\n广东614，江西480，参考外省定价","550\n乙类",550,467,397,"乙类","经纤维内镜食管胃十二指肠息肉氩离子凝固术\n经电子内镜食管胃十二指肠息肉氩离子凝固术\n经纤维内镜食管胃十二指肠息肉高频电凝切除术\n经电子内镜食管胃十二指肠息肉高频电凝切除术\n经纤维内镜食管胃十二指肠息肉微波切除术\n经电子内镜食管胃十二指肠息肉微波切除术\n经纤维内镜食管胃十二指肠息肉激光切除术\n经电子内镜食管胃十二指肠息肉激光切除术\n经纤维内镜结肠息肉微波切除术\n经电子内镜结肠息肉微波切除术\n经纤维内镜结肠息肉激光切除术\n经电子内镜结肠息肉激光切除术\n经纤维内镜结肠息肉氩离子凝固术\n经电子内镜结肠息肉氩离子凝固术\n经纤维内镜结肠息肉高频电凝切除术\n经电子内镜结肠息肉高频电凝切除术\n经电子内镜结肠息肉吸引圈套切除术"]
[33,null,"无创消化道病变切除费","通过无创方式切除消化道黏膜层、黏膜下层或更深层的病变。","所定价格涵盖准备、观察、黏膜剥离、切除、创面处理、处理用物等步骤所需的人力资源和基本物质资源消耗。（不含内镜检查）","01黏膜下隧道病变切除加收50%",null,"部位/次","同一部位的多发病灶，每增加一个病灶按照50%收费",null,"2200（加权平均），ESD为四级手术，推广四级手术\n江西1900，广东1899","2200\n乙类",2200,1870,1589,"乙类","经内镜直肠良性肿物切除术\n经电子内镜食管胃十二指肠黏膜剥离术(ESD)\n经电子内镜结肠黏膜剥离术(结肠ESD)\n经电子内镜食管胃十二指肠黏膜切除术(EMR)\n经胸腔镜食管良性肿物切除术\n经内镜直肠肿物切除术"]
[null,null,"无创消化道病变切除费-黏膜下隧道病变切除（加收）",{"$nulls":4},"部位/次",{"$nulls":4},1100,935,794.5,"乙类"]
[34,null,"无创消化道缺损闭合费","通过无创方式修补闭合消化道缺损。","所定价格涵盖准备、观察、修补闭合、创面处理、处理用物等步骤所需的人力资源和基本物质资源消耗。（不含内镜检查）",null,null,"次",null,null,"1300\n参考江西、广东","1300\n乙类",1300,1105,939,"乙类","经电子内镜胃肠道病变尼龙绳结扎术"]
[35,null,"无创消化道异物取出费","通过无创方式取出消化道异物。","所定价格涵盖准备、观察、异物取出、处理用物，必要时切开等步骤所需的人力资源和基本物质资源消耗。（不含内镜检查）","01异物直径大于5cm20%（广东50%河北50%江西100%）",null,"部位","同一治疗部位只能收取1次费用。\n内镜下逆行阑尾炎治疗（ERAT）按此收费",null,"750\n加权平均（内涵异物钳）广东：496、江西：370、河北：250","750\n乙类",750,637,541,"乙类","经纤维内镜胃石碎石取石术\n经电子内镜胃石碎石取石术\n经纤维内镜胃石激光碎石取石术\n经电子内镜胃石激光碎石取石术\n经电子内镜胃石爆破碎石取石术\n硬质食管镜下异物取出术\n经纤维食管镜食管异物取出术\n经电子内镜食管异物取出术\n经纤维内镜胃内异物取出术\n经电子内镜胃内异物取出术\n经瘘管胆道镜异物取出术\n经肛门直肠内异物取出术\n经电子内镜肠内异物取出术"]
[null,null,"无创消化道异物取出费-异物直径大于5cm（加收）",{"$nulls":4},"部位",{"$nulls":4},150,127.4,108.2,"乙类"]
[36,null,"无创消化道扩张费","通过无创方式利用球囊等对消化道狭窄进行扩张。","所定价格涵盖准备、观察、狭部扩张、处理用物等步骤所需的人力资源和基本物质资源消耗。（不含内镜检查）","01胆管扩张30%\n11胰管扩张30%\n21胆囊扩张20%\n",null,"部位","同一治疗部位只能收取1次费用。",null,"800\n广东760，江西700，1066（加权平均），减去内镜检查240","800\n乙类",800,680,578,"乙类","经十二指肠镜乳头狭窄扩张术\n经电子内镜食管狭窄扩张术\n经电子内镜肠道狭窄扩张术\n经电子内镜十二指肠狭窄扩张术\n直肠狭窄扩张术\n经皮经肝胆道狭窄球囊扩张术\n经电子内镜胰胆管狭窄扩张术\n经尿道输尿管镜输尿管扩张术\n经尿道纤维输尿管镜输尿管扩张术\n经口食管狭窄球囊扩张术\n经电子内镜胰胆管狭窄扩张术\n消化道狭窄球囊扩张术+支架置入术"]
[null,null,"无创消化道扩张费-胆管扩张（加收）",{"$nulls":4},"部位",{"$nulls":4},240,204,{"$f":"O61*0.3","v":173.4},"乙类"]
[null,null,"无创消化道扩张费-胰管扩张（加收）",{"$nulls":4},"部位",{"$nulls":4},240,204,173.4,"乙类"]
[null,null,"无创消化道扩张费-胆囊扩张（加收）",{"$nulls":4},"部位",{"$nulls":4},160,136,115.6,"乙类"]
[37,null,"无创消化道支架置入费","通过无创方式在消化道置入支架。","所定价格涵盖准备、观察、必要时狭部扩张、支架置入、处理用物等步骤所需的人力资源和基本物质资源消耗。（不含内镜检查）","01胆管支架置入30%\n11胰管支架置入30%\n21胆囊支架置入20%",null,"部位","1.同一治疗部位只能收取1次费用。\n2.含无创消化道扩张费。",null,"1000（参考外省价格）\n1017（加权平均），再减去240，广东1014，江西760.河北750","1000\n乙类",1000,850,722,"乙类","经电子内镜胃内支架置换术\n经电子内镜结肠支架置换术\n经电子内镜食管支架置入术\n经电子内镜食管支架置换术\n经电子内镜胃内支架置入术\n经电子内镜结肠支架置入术\n经皮经肝肝门部肿物支架置入内引流术\n经皮经肝胆道支架置入术\n经内镜胆管内支架置入术\n经电子内镜胰管内支架置入术\n消化道狭窄球囊扩张术+支架置入术\n经电子内镜胰管支架置换术"]
[null,null,"无创消化道支架置入费-胆管支架置入（加收）",{"$nulls":4},"部位",{"$nulls":4},300,255,216.6,"乙类"]
[null,null,"无创消化道支架置入费-胰管支架置入（加收）",{"$nulls":4},"部位",{"$nulls":4},300,255,216.6,"乙类"]
[null,null,"无创消化道支架置入费-胆囊支架置入（加收）",{"$nulls":4},"部位",{"$nulls":4},200,170,144.4,"乙类"]
[38,null,"无创消化道支架取出费","通过无创方式自消化道取出支架。","所定价格涵盖准备、观察、支架取出、处理用物等步骤所需的人力资源和基本物质资源消耗。（不含内镜检查）",null,"01经皮穿刺支架取出","部位","同一治疗部位只能收取1次费用。",null,"540（加权平均）\n广东724，江西600，河北406","540\n乙类",540,459,390,"乙类","经内镜胆管内支架取出术\n经电子内镜食管支架取出术\n经电子内镜胃内支架取出术\n经电子内镜结肠支架取出术\n经电子内镜胰管支架取出术"]
[null,null,"无创消化道支架取出费-经皮穿刺支架取出（扩展）",{"$nulls":4},"部位",{"$nulls":4},540,459,390,"乙类"]
[39,null,"无创消化道狭窄切开费","通过无创方式进入消化道切开狭窄部位。","所定价格涵盖准备、观察、切开、处理用物等步骤所需的人力资源和基本物质资源消耗。（不含内镜检查）",null,null,"部位","同一治疗部位只能收取1次费用。",null,"1700（参考外省）\n广东1760，江西1760","1700\n乙类",1700,1445,1228,"乙类"]
[40,null,"无创胆管结石取出费","通过无创方式将胆管内结石取出。","所定价格涵盖设备准备、体位摆放、观察、体内碎石、取石、处理用物等步骤所需的人力资源、设备运转成本与基本物质资源消耗。（不含内镜检查、无创逆行胰胆管造影450、无创消化道肌切开2400）",null,"01无创胰管取石","次",null,null,"1000(1792-240-450=1102)\n1792（加权平均）\n广东1102，江西1000.河北788","1100\n乙类",1100,935,794,"乙类","经皮经肝胆道镜取石术\n经电子内镜胰胆管结石取石术\n经电子内镜胆管结石激光碎石取石术\n经电子内镜胆管机械碎石取石术\n经电子十二指肠镜奥狄氏括约肌切开胰管取石术"]
[null,null,"无创胆管结石取出费-无创胰管取石（扩展）",{"$nulls":4},"次",{"$nulls":4},1100,935,794,"乙类"]
[41,null,"无创保胆取石费","通过无创方式将胆囊内结石取出。","所定价格涵盖设备准备、体位摆放、观察、体内碎石、取石、处理用物等步骤所需的人力资源、设备运转成本与基本物质资源消耗。（不含内镜检查与无创逆行胰胆管造影）",null,null,"次",null,null,"1600（参考河北）\n广东1102，江西2700，河北1600","1000\n乙类\n参考“无创胆管结石取出费”",1000,850,722,"乙类"]
[42,null,"经皮穿刺胆囊碎石取石费","通过经皮穿刺进入胆囊碎石后并取出。","所定价格涵盖设备准备、体位摆放、穿刺、观察、体内碎石、取石、置管引流、处理用物等步骤所需的人力资源、设备运转成本与基本物质资源消耗。 （不含内镜检查）",null,"01经皮穿刺胆管碎石取石费","次",null,null,"700（参考外省）\n广东786，江西720，河北720","700\n乙类",700,595,505,"乙类","经皮经肝胆囊穿刺超声碎石取石术           经皮经肝胆囊穿刺激光碎石取石术           经皮经肝胆囊穿刺胆道镜胆囊结石取出术 "]
[null,null,"经皮穿刺胆囊碎石取石费-经皮穿刺胆管碎石取石费（扩展）",{"$nulls":4},"次",{"$nulls":4},700,595,505,"乙类"]
[43,null,"无创消化道肌切开费","通过无创方式进入消化道切开括约肌等肌肉。","所定价格涵盖准备、观察、切开、处理用物等步骤所需的人力资源和基本物质资源消耗。（不含内镜检查）",null,null,"次",null,null,"2400（按照国准4医2护4个小时人工耗时+参考外省）\n广东2759，江西2400，河北2200\n","2400\n乙类",2400,2040,1734,"乙类","经电子内镜十二指肠乳头括约肌切开术(EST)\n经内镜奥狄氏括约肌切开取石术(ECT)\n经纤维内镜十二指肠乳头括约肌切开术(EST)\n经十二指肠奥狄氏括约肌切开成形术\n经电子十二指肠镜奥狄氏括约肌狭窄切开成形术\n经电子内镜贲门环状肌切开术（POEM）\n经电子内镜胰管括约肌切开术"]
[44,null,"无创消化道造瘘/口置管费","通过无创方式进入消化道，在消化道造口并置入营养管。","所定价格涵盖准备、观察、穿刺、置管、固定、处理用物等步骤所需的人力资源和基本物质资源消耗。（不含内镜检查）",null,null,"次","空肠置管按此收费",null,"360（加权平均）\n广东740，江西1200","360\n乙类",360,306,260,"乙类","经内镜空肠造瘘术\n经鼻空肠营养管置管术\n经纤维内镜空肠置管术\n经鼻空肠营养管调管术\n经鼻肠梗阻导管置入术\n经电子内镜空肠置管术\n经腹腔镜胆囊造瘘术"]
[45,null,"无创消化道造瘘/口管取出费","通过无创方式进入消化道，取出置入的营养管。","所定价格涵盖准备、观察、取出、处理用物等步骤所需的人力资源和基本物质资源消耗。（不含内镜检查）",null,"01无创消化道造瘘/口管调整","次","单纯拔管按照10%收费",null,"500（参考外省）\n广东496，江西1200，河北600","500\n乙类",500,425,361,"乙类","经内镜胆管内支架取出术"]
[null,null,"无创消化道造瘘/口管取出费-无创消化道造瘘/口管调整（扩展）",{"$nulls":4},"次",{"$nulls":4},500,425,361,"乙类"]
[46,null,"无创消化道置管更换费","通过无创方式进入消化道，置换消化道造瘘/口管。","所定价格涵盖准备、观察、拔管、置新管、固定、处理用物等步骤所需的人力资源和基本物质资源消耗。（不含内镜检查）",null,null,"次",null,null,"360（参考置管费）\n广东179，江西1200，河北125","360\n乙类",360,306,260,"乙类","消化道造瘘管置换术                       经鼻空肠营养管置换术"]
[47,null,"无创胃空肠吻合费","通过无创方式进入消化道，建立胃与空肠之间的通路。","所定价格涵盖准备、观察、穿刺、吻合 、固定、处理用物等步骤所需的人力资源和基本物质资源消耗。（不含内镜检查）",null,null,"次",null,null,"2700（参考外省+支持新技术）\n广东2785，江西2600，河北2400","2700\n乙类",2700,2295,1950,"乙类"]
[48,null,"食管病变切除费","通过手术切除食管病变。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、切除、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01多病变切除50%",null,"次",null,null,"2400（4医2护4小时）\n广东3774，江西3000，河北3040","2400\n甲类",2400,2040,1734,"甲类","食管良性肿物切除术     \n食管憩室切除术   "]
[null,null,"食管病变切除费-多病变切除（加收）",{"$nulls":4},"次",{"$nulls":4},1200,1020,867,"甲类"]
[49,null,"食管部分切除费","通过手术切除部分食管组织（含部分胃组织）。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、切除、吻合、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01恶性肿瘤切除30%\n11胃/肠代食管吻合30%",null,"次",null,null,"6000（过会价格加权平均）\n广东6362，江西3500，河北3644","6000\n甲类\n（过会价格加权平均）",6000,5100,4335,"甲类","肠代食管术\n食管癌切除结肠代食管胸内吻合术\n食管癌切除胃代食管胸内吻合术\n食管癌两切口切除胃代食管胸内吻合术\n食管癌两切口切除胃代食管颈部吻合术\n食管癌三切口切除胃代食管颈部吻合术\n经胸腔镜食管癌切除术\n颈段食管癌切除颈部皮瓣食管重建术\n食管癌切除结肠代食管颈部吻合术\n经胸贲门癌切除术\n胸腹联合切口贲门癌切除术\n经腹食管下端横断术\n经胸食管下端横断术\n食管内翻拔脱切除胃代食管颈部吻合术\n小儿胃代食管术\n先天性食管闭锁经右胸端端吻合术\n经胸腔镜先天性食管闭锁经右胸端端吻合术\n下咽颈段食管狭窄切除食管重建术\n食管狭窄切除吻合术\n经颈部先天性食管闭锁修补术\n先天性食管闭锁分期手术(I期)\n先天性食管闭锁胃管替代吻合术\n食管癌切除空肠代食管吻合术"]
[null,null,"食管部分切除费-恶性肿瘤切除（加收）",{"$nulls":4},"次",{"$nulls":4},1800,1530,1300.5,"甲类"]
[null,null,"食管部分切除费-胃/肠代食管吻合（加收）",{"$nulls":4},"次",{"$nulls":4},1800,1530,1300.5,"甲类"]
[50,null,"食管全切除费","通过手术切除全部食管组织（含部分胃组织）。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、切除、吻合、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01恶性肿瘤扩大根治性切除30%\n11胃/肠代食管吻合30%",null,"次","本项目中的“恶性肿瘤扩大根治性切除”指联合多脏器切除，且不含淋巴结清扫。",null,"8000（和部分切除形成比价关系+参考广东价格）\n广东8271，江西3800，河北4200","7000\n甲类\n（和部分切除形成比价关系+参考广东价格）",7000,5950,5057,"甲类","全喉全下咽全食管切除+全胃上提修复术"]
[null,null,"食管全切除费-恶性肿瘤扩大根治性切除（加收）",{"$nulls":4},"次",{"$nulls":4},2100,1785,1517.1,"甲类"]
[null,null,"食管全切除费-胃/肠代食管吻合（加收）",{"$nulls":4},"次",{"$nulls":4},2100,1785,1517.1,"甲类"]
[51,null,"食管切开异物取出费","通过手术取出食管异物。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、异物取出、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"1380（价格平移）\n广东3476，江西1800，河北2132","1380\n甲类",1380,1173,997,"甲类","颈侧入路切开食管异物取出术"]
[52,null,"食管狭窄成形费","通过手术修复狭窄/闭锁食管。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、成形、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"2300（价格平移）\n广东3508，江西2500","2300\n甲类",2300,1955,1661,"甲类","食管胃吻合口狭窄切开成形术\n经胸食管下段贲门肌层切开术\n经腹食管下段贲门肌层切开术\n食管胃吻合口狭窄切开成形术\n经胸腔镜食管下段贲门肌层切开术"]
[53,null,"食管造瘘/口费","通过手术对食管造瘘/口。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、造口、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"2100（平移价格）\n广东2032，江西1200，河北1473","2100\n甲类",2100,1785,1517,"甲类","食管闭锁胃造瘘术"]
[54,null,"食管修补费","通过手术修补破裂的食管。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、修补、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01多部位修补50%",null,"次","本项目中的“次”指：2处以下部位修补，3处及3处以上修补按“多部位修补”加收",null,"2400（参考食管病变切除）\n广东3380江西1700河北2604","2400\n甲类",2400,2040,1734,"甲类","经电子内镜食管瘘填堵术\n食管破裂修补术"]
[null,null,"食管修补费-多部位修补（加收）",{"$nulls":4},"次",{"$nulls":4},1200,1020,867,"甲类"]
[55,null,"胃部分切除费","通过手术切除部分胃组织。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、吻合、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01多病变切除40%\n11病变累及贲门50%",null,"次","上消化道血管断流按此收费",null,"2100\n（加权平均）\n广东3709江西2100河北1894","2100\n甲类",2100,1785,1517,"甲类","食管下端胃底切除术\n经腹腔镜食管下端胃底切除术\n胃部分切除术\n胃底横断术(Tanner手术)\n胸腹联合断流术(Sugiura手术)\n门体静脉断流术\n贲门周围血管离断术\n经胸腔镜贲门周围血管离断术\n经腹腔镜胃底横断术"]
[null,null,"胃部分切除费-多病变切除（加收）",{"$nulls":4},"次",{"$nulls":4},840,714,606.8,"甲类"]
[null,null,"胃部分切除费-病变累及贲门（加收）",{"$nulls":4},"次",{"$nulls":4},1050,892.5,758.5,"甲类"]
[56,null,"胃大部切除费","通过手术切除大部分胃组织。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、吻合、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01恶性肿瘤扩大根治性切除50%\n11近端胃大部切除15%",null,"次","本项目中的“恶性肿瘤扩大根治性切除”指联合多脏器切除，且不含淋巴结清扫。",null,"3600（按照过会最低价格）\n广东5336江西2900河北3200","3600\n甲类",3600,3060,2601,"甲类","近端胃大部切除术\n姑息性近端胃大部切除术\n姑息性远端胃大部切除术\n根治性近端胃大部切除术\n根治性远端胃大部切除术\n扩大根治性近端胃大部切除术\n扩大根治性远端胃大部切除术\n远端胃大部切除术\n经腹腔镜根治性近端胃大部切除术\n经腹腔镜根治性远端胃大部切除术\n经腹腔镜近端胃大部切除术\n经腹腔镜远端胃大部切除术"]
[null,null,"胃大部切除费-恶性肿瘤扩大根治性切除（加收）",{"$nulls":4},"次",{"$nulls":4},1800,1530,1300.5,"甲类"]
[null,null,"胃大部切除费-近端胃大部切除（加收）",{"$nulls":4},"次",{"$nulls":4},540,459,390,"甲类"]
[57,null,"胃全切除费","通过手术切除全胃。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、吻合、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01恶性肿瘤扩大根治性切除40%",null,"次","本项目中的“恶性肿瘤扩大根治性切除”指联合多脏器切除，且不含淋巴结清扫。",null,"4000\n过会价格3800+200（腔镜辅助操作）\n广东6565江西3900河北3743","4000\n甲类",4000,3400,2890,"甲类","全胃切除术\n姑息性全胃切除术\n根治性全胃切除术\n扩大根治性全胃切除术\n根治性残胃癌切除术\n姑息性残胃癌切除术\n扩大根治性残胃癌切除术\n经腹腔镜根治性全胃切除术\n经腹腔镜全胃切除术"]
[null,null,"胃全切除费-恶性肿瘤扩大根治性切除（加收）",{"$nulls":4},"次",{"$nulls":4},1600,1360,1156,"甲类"]
[58,null,"胃减容费","通过手术缩小胃容量。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、折叠、成形、冲洗、止血、引流、缝合、处理用物，必要时行抗返流操作等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","不可与“胃部分切除费、胃大部切除费”同时收取。",null,"3000（参考胃大部分切除术+参考外省价格）广东3916江西3000河北2913","3000\n丙类",3000,2550,2167,"丙类","可调节胃束带置入术\n经腹腔镜可调节胃束带置入术\n经腹腔镜胃袖状切除术\n胃袖状切除术\n经腹腔镜胃束带去除术\n胃束带去除术\n垂直捆绑胃成形术\n胃底折叠术\n经腹腔镜胃底折叠术\n经腹腔镜垂直捆绑胃成形术"]
[59,null,"胃肠括约肌成形费","通过手术修复胃肠道括约肌。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、成形、冲洗、止血、引流、缝合、处理用物，必要时行抗返流操作等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"1700（平移价格）\n河北2013江西2150广东3059","1700\n甲类",1700,1445,1228,"甲类","幽门成形术\n幽门环肌切开术\n经腹腔镜幽门环肌切开术\n经腹腔镜幽门成形术\n十二指肠成形术"]
[60,null,"胃切开异物取出费","通过手术切开胃取出异物。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、异物取出、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"1700（难度同上项）\n广东3059江西2000河北1894","1700\n甲类",1700,1445,1228,"甲类","胃切开异物取出术\n经腹腔镜胃切开异物取出术\n经腹腔镜胃切开异物取出术"]
[61,null,"胃修补费","通过手术修补胃穿孔等损伤。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、修复、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01多部位修补50%",null,"次","本项目中的“次”指：2处以下部位修补，3处及3处以上修补按“多部位修补”加收。",null,"2500（1700+1350肠粘连*0.6\n（难度高于上项）广东3375江西1900河北1894","2500\n甲类",2500,2125,1806,"甲类","胃穿孔修补术\n先天性胃壁肌层缺损胃穿孔修补术\n经腹腔镜胃穿孔修补术\n胃出血切开缝扎止血术\n经腹腔镜胃出血切开缝扎止血术\n腹腔镜胃旁路手术\n胃瘘闭合术"]
[null,null,"胃修补费-多部位修补（加收）",{"$nulls":4},"次",{"$nulls":4},1250,1062.5,903,"甲类"]
[62,null,"胃肠灌注造瘘/口费","通过手术在胃肠部造瘘/口，用于后续胃肠灌注。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、置管、固定、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"1400（平移腔镜项目价格）\n广东3138江西2000河北1413","1400\n甲类",1400,1190,1011,"甲类","胃造瘘术\n经腹腔镜胃造瘘术\n肠造瘘术\n经腹腔镜肠造瘘术\n先天性肠腔闭锁端侧吻合造瘘术\n经胃造瘘口空肠营养管置入术\n经电子内镜胃造瘘术(PEG)\n经胃造瘘口空肠营养管置入术"]
[63,null,"消化道转流费（常规）","通过手术重新连接吻合消化道，实现消化道重建。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、缝合重建、冲洗、止血、引流、缝合、处理用物，必要时造瘘等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","不与其他含吻合步骤手术同时收取。",null,"1600（平移腔镜项目价格）\n广东3358江西2000河北1845","1600\n甲类",1600,1360,1156,"甲类","食管胃短路手术\n胃肠短路术\n经腹腔镜胃肠短路术"]
[64,null,"消化道转流费（复杂）","通过手术重新连接吻合消化道，实现复杂情况消化道重建。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、缝合重建、冲洗、止血、引流、缝合、处理用物，必要时造瘘等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","1.本项目中“复杂”指：胆肠吻合、胆胰转流、胰肠吻合、多吻合口的情况。\n2.不与其他含吻合步骤手术同时收取。",null,"3000（参考国准4医2护6小时+外省价格）广东4365江西3000河北3019\n","3000\n甲类",3000,2550,2167,"甲类","胆囊肠吻合术\n环状胰腺十二指肠侧侧吻合术\n肠重复畸形切除吻合术\n经腹腔镜肠切除肠吻合术\n先天性小肠闭锁成形术\n先天胆道闭锁肝门空肠Roux-y成形术\n经腹腔镜胆囊肠吻合术\n胰腺囊肿空肠吻合术\n胰管空肠侧侧吻合术\n胰管空肠吻合术\n胆总管切开取石+空肠Roux-y吻合术\n胆囊空肠Roux-y吻合术\n经腹腔镜胆囊空肠Roux-y吻合术\n胆胰转流手术(BPD)\n人工乳头防返流术\n矩形黏膜瓣防返流术\n空肠间置代胆道防返流术"]
[65,null,"小肠部分切除费","通过手术切除部分小肠组织。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、吻合、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01恶性肿瘤切除20%\n11两个及以上肠段切除50%",null,"次",null,null,"2200（参考4医2护4小时+江西价格）\n广东2982江西2200河北2203","2200\n甲类",2200,1870,1589,"甲类","十二指肠憩室切除术\n肠切除肠吻合术\n肠瘘切除肠吻合术\n肠吻合术\n胃胰腺囊肿吻合术\n十二指肠成形术\n美克尔憩室切除术\n腹腔镜美克尔憩室切除术\n肠倒置术"]
[null,null,"小肠部分切除费-恶性肿瘤切除（加收）",{"$nulls":4},"次",{"$nulls":4},440,374,317.8,"甲类"]
[null,null,"小肠部分切除费-两个及以上肠段切除（加收）",{"$nulls":4},"次",{"$nulls":4},1100,935,794.5,"甲类"]
[66,null,"肠修补费","通过手术修补肠穿孔等损伤。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、修复、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01多部位修补50%",null,"次","本项目中的“次”指：2处以下部位修补，3处及3处以上修补按“多部位修补”加收。",null,"2400（1600+1350*0.6）\n广东3084江西1900河北1799","2400\n甲类",2400,2040,1734,"甲类","感染性直肠前庭瘘修补术\n肠穿孔修补\n髂动脉消化道瘘修复术\n十二指肠憩室内翻术"]
[null,null,"肠修补费-多部位修补（加收）",{"$nulls":4},"次",{"$nulls":4},1200,1020,867,"甲类"]
[67,null,"肠道狭窄成形费","通过手术修复狭窄肠道。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、修复、成形、吻合、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01肠道闭锁成形50%\n11两处及以上肠道狭窄成形50%",null,"次",null,null,"1600（平移价格）广东2324江西1500河北1900","1600\n甲类",1600,1360,1156,"甲类","先天性小肠狭窄不全梗阻修复术"]
[null,null,"肠道狭窄成形费-肠道闭锁成形（加收）",{"$nulls":4},"次",{"$nulls":4},800,680,578,"甲类"]
[null,null,"肠道狭窄成形费-两处及以上肠道狭窄成形（加收）",{"$nulls":4},"次",{"$nulls":4},800,680,578,"甲类"]
[68,null,"肠管延长费","通过手术增加肠管的有效长度。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、吻合、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"1680（参考价）\n广东2982江西1680河北1680","1680\n丙类",1680,1428,1213,"丙类"]
[69,null,"肠粘连松解费（常规）","通过手术对肠道粘连进行松解。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、肠道粘连松解、排列、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","仅限单纯肠粘连松解收取，不与其他腹部手术同时收取。",null,"1350（加权平均）\n广东2340江西1900河北1897","1350\n甲类",1350,1147,975,"甲类","肠粘连松解术\n经腹腔镜肠粘连松解术\n耻骨直肠肌松解术"]
[70,null,"肠粘连松解费（复杂）","通过手术对复杂情况下的肠道粘连进行松解。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、肠道粘连松解、排列、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","本项目中的“复杂”指：既往接受腹部手术情况。",null,"2200（参考外省低价）广东2704江西2500河北2280","2200\n甲类",2200,1870,1589,"甲类"]
[71,null,"肠复位费","通过手术对肠进行复位。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、复位、固定、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01肠旋转不良矫治30%","01胃复位","次","1.不含肠切除。\n2.仅限胃/肠扭转、肠套叠等情况手术复位使用。",null,"1500（平移腔镜项目价格）\n广东3104江西2000河北1618","1500\n甲类",1500,1275,1083,"甲类","肠排列固定术\n经腹腔镜肠排列固定术\n肠回转不良矫治术(Lodd.s'术)\n胃扭转复位术\n经腹腔镜胃扭转复位术\n经胃镜胃扭转复位术\n肠扭转肠套叠复位术\n经腹腔镜肠扭转肠套叠复位术"]
[null,null,"肠复位费-肠旋转不良矫治（加收）",{"$nulls":4},"次",{"$nulls":4},450,382.5,324.9,"甲类"]
[null,null,"肠复位费-胃复位（扩展）",{"$nulls":4},"次",{"$nulls":4},1500,1275,1083,"甲类"]
[72,null,"腹腔探查费","通过手术探查腹腔。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","1.不与相关腹腔手术同时收费。\n2.术后腹腔内出血、脓/血肿行手术探查及处理适用本项目收费。",null,"1000（平移价格）\n广东1957江西1300河北936","1000\n甲类",1000,850,722,"甲类","开腹探查术\n腹腔镜探查术\n开腹肝囊肿药物注射治疗\n经腹腔镜肝囊肿药物注射治疗\n肝脓肿切开引流术\n经皮肝脓肿引流管调管术\n肝外伤后血肿清创引流术\n开腹肝脓肿置管引流术\n经腹腔镜肝外伤后血肿清创引流术\n经腹腔镜肝脓肿置管引流术\n经腹腔镜肝脓肿切开引流术\n经腹腔镜肝囊肿开窗术\n开腹胆道镜检查\n经腹腔镜腹腔脓肿置管引流"]
[73,null,"阑尾切除费","通过手术切除阑尾。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01穿孔/坏疽阑尾50%",null,"次",null,null,"1000\n价格平移\n考虑技术难度（平移腔镜项目）广东1984江西1400河北1114","1000\n甲类",1000,850,722,"甲类","阑尾炎性包块切除术\n阑尾切除术\n经腹腔镜阑尾切除术\n经腹腔镜阑尾炎性包块切除术\n坏疽性阑尾切除术\n经腹腔镜坏疽性阑尾切除术"]
[null,null,"阑尾切除费-穿孔/坏疽阑尾（加收）",{"$nulls":4},"次",{"$nulls":4},500,425,361,"甲类"]
[74,null,"结肠部分切除费","通过手术切除部分结肠。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、必要时吻合、止血、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01恶性肿瘤切除30%\n02恶性肿瘤扩大根治性切除40%\n11两个及以上肠段切除50%",null,"次","本项目中的“恶性肿瘤扩大根治性切除”指联合多脏器切除，且不含淋巴结清扫。",null,"3000\n加权平均（根治性结肠癌切除术、扩大根治性结肠癌切除术、经腹腔镜结肠癌根治术）-淋巴结清扫费用*0.6\n广东4783、河北2212、江西2400","3000\n甲类",3000,2550,2167,"甲类","经腹先天性巨结肠根治术\n经肛门先天性巨结肠改良根治术\n经腹经肛门先天性巨结肠改良根治术\n经腹腔镜经肛门先天性巨结肠改良根治术\n根治性结肠癌切除术\n扩大根治性结肠癌切除术\n经腹腔镜结肠癌根治术\n结肠癌姑息切除术+短路\n先天性巨结肠切除吻合术\n先天性巨结肠切除+回肠袋形成形吻合术\n经腹腔镜先天性巨结肠切除术\n结肠曲段切除术\n先天性巨结肠术后夹膈术\n经腹结肠息肉切除术\n回盲部切除术\n经腹腔镜回盲部切除术\n肠倒置术\n结肠癌局部切除术"]
[null,null,"结肠部分切除费-恶性肿瘤切除（加收）",{"$nulls":4},"次",{"$nulls":4},900,765,650.1,"甲类"]
[null,null,"结肠部分切除费-恶性肿瘤扩大根治性切除（加收）",{"$nulls":4},"次",{"$nulls":4},1200,1020,866.8,"甲类"]
[null,null,"结肠部分切除费-两个及以上肠段切除（加收）",{"$nulls":4},"次",{"$nulls":4},1500,1275,1083.5,"甲类"]
[75,null,"结肠全切除费","通过手术切除全部结肠和部分直肠。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、必要时吻合、止血、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01恶性肿瘤扩大根治性切除40%",null,"次","本项目中的“恶性肿瘤扩大根治性切除”指联合多脏器切除，且不含淋巴结清扫。",null,"4080\n（过会价格-淋巴结清扫*0.6）\n广东5944、江西3600、河北3644","4080\n甲类",4080,3468,2947,"甲类","全结肠切除吻合术"]
[null,null,"结肠全切除费-恶性肿瘤扩大根治性切除（加收）",{"$nulls":4},"次",{"$nulls":4},1632,1387.2,1178.8,"甲类"]
[76,null,"肠储存袋成形费","通过手术制作储袋替代肠道功能。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、制作储袋、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"1500\n价格平移\n广东1487江西1900、河北2222","1500\n甲类",1500,1275,1083,"甲类","肠储存袋成形术"]
[77,null,"结肠造瘘/口费","通过手术将结肠提至体外，使肠道内容物排出。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切段、造口、固定、止血、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,"01回肠造瘘/口","次",null,null,"1400（参考胃肠灌注造瘘）广东2384江西2100河北1894","1400\n甲类",1400,1190,1011,"甲类","肠造瘘术"]
[null,null,"结肠造瘘/口费-回肠造瘘/口（扩展）",{"$nulls":4},"次",{"$nulls":4},1400,1190,1011,"甲类"]
[78,null,"结肠悬吊费","通过手术恢复脱垂结肠的生理结构。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、悬吊、固定、止血、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"1600（平移价格）广东2095河北1400江西1894","1600\n甲类",1600,1360,1156,"甲类","乙状结肠悬吊术\n经腹腔镜乙状结肠悬吊术"]
[79,null,"肠造瘘/口还纳费","通过手术将肠造瘘/口部位的肠管重新纳入腹腔。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、松解、分离、切除、吻合、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"2200（参考外地）广东3084江西2200河北2197","2200\n甲类",2200,1870,1589,"甲类","肠造瘘还纳术"]
[80,null,"直肠病变切除费","通过手术切除直肠病变（未侵犯直肠肌层）。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、止血、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"1100（价格平移）广东2342江西950河北952","1100\n甲类",1100,935,794,"甲类","经内镜直肠良性肿物切除术\n经内镜直肠肿物切除术\n经内镜直肠良性肿物激光切除术\n经内镜直肠良性肿物套扎切除术\n经内镜直肠良性肿物电凝切除术"]
[81,null,"直肠部分切除费","通过手术切除部分直肠。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、止血、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01恶性肿瘤切除30%\n11恶性肿瘤扩大根治性切除40%",null,"次","本项目中的“恶性肿瘤扩大根治性切除”指联合多脏器切除，且不含淋巴结清扫。",null,"3200（4200-1700淋巴节清扫*0.6）广东3763河北1347江西1900","3200\n甲类",3200,2720,2312,"甲类","直肠癌根治术(Dixon手术)\n经骶尾部直肠癌根治术\n拖出式直肠癌根治术\n扩大根治性直肠癌切除术\n经腹腔镜直肠癌根治术(Dixon手术)\n经腹腔镜超低位直肠癌根治术\n经腹会阴直肠癌根治术(Miles手术)\n经腹腔镜会阴直肠癌根治术(Miles手术)\n直肠癌术后复发盆腔脏器切除术\n经腹腔镜直肠癌术后复发盆腔脏器切除术"]
[null,null,"直肠部分切除费-恶性肿瘤切除（加收）",{"$nulls":4},"次",{"$nulls":4},960,816,693.6,"甲类"]
[null,null,"直肠部分切除费-恶性肿瘤扩大根治性切除（加收）",{"$nulls":4},"次",{"$nulls":4},1280,1088,924.8,"甲类"]
[82,null,"直肠全切除费","通过手术切除全部直肠。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、造口、止血、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01恶性肿瘤扩大根治性切除40%",null,"次","本项目中的“恶性肿瘤扩大根治性切除”不含淋巴结清扫。\n本项目中的“恶性肿瘤扩大根治性切除”不含淋巴结清扫。",null,"4200（5200-1700*0.6）广东7669江西河北2850","4200\n甲类",4200,3570,3034,"甲类","直肠癌术后复发盆腔脏器切除术\n经腹腔镜直肠癌术后复发盆腔脏器切除术\n扩大根治性直肠癌切除术"]
[null,null,"直肠全切除费-恶性肿瘤扩大根治性切除（加收）",{"$nulls":4},"次",{"$nulls":4},1680,1428,1213.6,"甲类"]
[83,null,"超低位直肠癌根治费（保肛）","通过手术根治距离肛门5cm以内的直肠癌。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、造口、重建、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01经括约肌间切除20%\n02直肠经腹肛管拉出切除20%\n03经肛全直肠系膜切除30%",null,"次",null,null,"3200（参考直肠部分切除）广东7669河北3200江西3200","3200\n甲类",3200,2720,2312,"甲类","超低位直肠癌根治术\n经腹腔镜超低位直肠癌根治术"]
[null,null,"超低位直肠癌根治费（保肛）-经括约肌间切除（加收）",{"$nulls":4},"次",{"$nulls":4},640,544,462.4,"甲类"]
[null,null,"超低位直肠癌根治费（保肛）-直肠经腹肛管拉出切除（加收）",{"$nulls":4},"次",{"$nulls":4},640,544,462.4,"甲类"]
[null,null,"超低位直肠癌根治费（保肛）-经肛全直肠系膜切除（加收）",{"$nulls":4},"次",{"$nulls":4},960,816,693.6,"甲类"]
[84,null,"肠道切开异物取出费","通过手术切开肠道取出异物。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、异物取出、止血、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"1300（平移价格）广东4000河北1500江西1500","1300\n甲类",1300,1105,939,"甲类","经腹会阴联合直肠内异物取出术\n开腹排粪石术\n肠道切开异物取出术"]
[85,null,"直肠脱垂修复费","通过手术恢复脱垂直肠的生理结构。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、修复、固定、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"1500（高价平移）广东3577江西1900河北1918","1500\n甲类",1500,1275,1083,"甲类","经肛门直肠脱垂手术(delorem手术)\n直肠脱垂复位治疗\nⅢ度直肠脱垂复位治疗\n直肠脱垂悬吊术\n经肛门直肠黏膜环切钉合术(PPH)"]
[86,null,"直肠前突修补费","通过手术修复突出囊袋，修补缺损，重建直肠壁（阴道壁）。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、修补、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"1260（平移价格）\n广东2535江西1170河北1494","1260\n甲类",1260,1071,910,"甲类","经阴道直肠前突修补术\n经肛门直肠前突修补术"]
[87,null,"肛门会阴成形费","通过手术修复肛门会阴解剖结构。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、肛门/会阴重建、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,"01先天性肛门闭锁成形费","次",null,null,"1500（3医2护3小时）\n广东2778江西1300河北1560","1500\n甲类",1500,1275,1083,"甲类","肛门成形术\n尾路肛门成形术\n肛门环行缩窄术\n先天性肛门闭锁女性会阴肛门成形术\n先天性肛门闭锁男性会阴肛门成形术\n先天性肛门闭锁尾路肛门成形术(pena手术)\n先天性肛门闭锁肛门后切成形术"]
[null,null,"肛门会阴成形费-先天性肛门闭锁成形费（扩展）",{"$nulls":4},"次",{"$nulls":4},1500,1275,1083,"甲类"]
[88,null,"人工肛门括约肌植入费","通过手术植入人工肛门括约肌。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、植入、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"3000（参考外省）广东4394江西/河北3000","3000\n丙类",3000,2550,2167,"丙类"]
[89,null,"人工肛门括约肌取出费","通过手术取出人工肛门括约肌。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、取出、止血、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"2000（参考外省）广东2197江西2100河北1800","2000\n丙类",2000,1700,1445,"丙类"]
[90,null,"先天性一穴肛矫治费","通过手术矫治先天性一穴肛。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、重建、吻合、止血、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"1900（平移）","1900\n甲类",1900,1615,1372,"甲类","先天性一穴肛矫治术"]
[91,null,"盆腔脓肿切开引流费","通过手术切开引流盆腔脓肿。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、冲洗、止血、引流、包扎固定、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"1000（高价项目）广东2484江西1100河北876","1000\n甲类",1000,850,722,"甲类","阑尾周围脓肿引流术\n经腹腔镜阑尾周围脓肿引流术\n开腹盆腔脓肿置管引流术\n经腹腔镜盆腔脓肿置管引流术\n经直肠盆腔脓肿切开引流术"]
[92,null,"腹盆腔异物取出费","通过手术取出腹盆腔异物。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、异物取出、止血、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"2000（参考外省）广东2896江西2000河北1100","1000\n甲类\n参考“腹腔探查费”",1000,850,722,"甲类"]
[93,null,"肛门镜检查费","通过肛门镜观察肛管、直肠内有无病变及异常。","所定价格涵盖准备、消毒、置镜、观察、记录、撤镜、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"15（平移）","15\n乙类",15,12,10,"乙类","肛门镜检查"]
[94,null,"肛门指检费","通过指诊对肛门、肛管、直肠下段进行检查。","所定价格涵盖准备、指检、观察、记录、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"10（平移）","10\n乙类",10,8,7,"乙类","肛门指诊"]
[95,null,"扩肛治疗费","通过人工或器械手段扩肛。","所定价格涵盖准备、按摩、反复扩张、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"90（高频平移）广东80江西38河北31","90\n乙类",90,76,65,"乙类","人工扩肛治疗\n器械扩肛治疗\n手术扩肛治疗\n肛门狭窄挂线术\n扩肛术\n直肠狭窄挂线术\n直肠狭窄扩张术"]
[96,null,"直肠内异物取出费","通过手法或器械取出直肠内异物。","所定价格涵盖准备、消毒、扩张、异物取出、冲洗、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"300（2医1护1小时）广东957江西470河北280","300\n乙类",300,255,216,"乙类","经肛门直肠内异物取出术"]
[97,null,"外痔切除费","通过手术剥离切除外痔。","所定价格涵盖手术计划、术区准备、消毒、探查、分离、切除、冲洗、止血、引流、包扎固定、处理用物等步骤所需的人力资源和基本物质资源消耗。","01嵌顿血栓性外痔30%",null,"次","1.本项目中的“次”指：3个及以下外痔，超过3个外痔，每增加1个外痔按一定比例进行加收30%(河北江西)。以8个费用设置封顶线。\n2.混合痔治疗可按照内痔、外痔治疗分别收费。\n",null,"650（加权平均）\n广东1236江西700河北803","650\n甲类",650,552,469,"甲类","血栓性外痔切开取栓术\n外痔切除术\n血栓性外痔切除术\n混合痔外剥内扎术\n复杂性血栓性外痔切除术\n痔嵌顿切开还纳术\n混合痔嵌顿手法还纳术\n嵌顿型环状混合痔脱出切除术"]
[null,null,"外痔切除费-嵌顿血栓性外痔（加收）",{"$nulls":4},"次",{"$nulls":4},195,165.6,140.7,"甲类"]
[98,null,"内痔切除费","通过手术切除内痔。","所定价格涵盖手术计划、术区准备、消毒、探查、扩肛、切除、冲洗、止血、引流、包扎固定、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","1.本项目中的“次”指：3个及以下内痔，超过3个内痔，每增加1个内痔按一定比例进行加收30%。以8个费用设置封顶线。\n2.混合痔治疗可按照内痔、外痔治疗分别收费。",null,"700（价格平移）\n广东1758江西840河北822","700\n甲类",700,595,505,"甲类","内痔环切术\n环状混合痔切除术"]
[99,null,"注射费（痔疮硬化）","通过注射治疗痔疮。","所定价格涵盖制定计划、消毒、准备、注射、包扎固定、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"痔核",null,null,"100（平移价格）\n广东100江西236河北233","100\n乙类",100,85,72,"乙类","内痔硬化剂注射治疗\n经电子内镜内痔硬化+套扎治疗术\n环状混合痔硬化剂注射治疗"]
[100,null,"注射费（直肠脱垂）","通过注射治疗直肠脱垂。","所定价格涵盖制定计划、消毒、准备、注射、包扎固定、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,"01注射费（直肠前突）","次",null,null,"211（加权平均）\n广东396江西330河北455","210\n乙类",210,178,151,"乙类","直肠脱垂黏膜下注射治疗\n完全性直肠脱垂双层硬化剂注射治疗\n直肠前突出注射治疗"]
[null,null,"注射费（直肠脱垂）-注射费（直肠前突）（扩展）",{"$nulls":4},"次",{"$nulls":4},210,178,151,"乙类"]
[101,null,"注射费（肛周封闭）","通过局部多点注射进行肛周封闭。","所定价格涵盖制定计划、消毒、准备、多点注射、包扎固定、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"60\n广东88江西65河北78","60\n乙类",60,51,43,"乙类","肛周药物注射封闭术"]
[102,null,"内痔套扎费","通过套扎使内痔萎缩脱落。","所定价格涵盖制定计划、消毒、扩张、探查、剥离、套扎、包扎固定、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"痔核",null,null,"200\n（平移低价）\n广东260江西700河北268","200\n乙类",200,170,144,"乙类","内痔套扎术\n经电子内镜内痔硬化+套扎治疗术\n经肛门镜内痔套扎术\n经直肠多普勒痔动脉结扎术"]
[103,null,"低位肛瘘修复费","通过手术修复低位肛瘘。","所定价格涵盖手术计划、术区准备、消毒、探查、清创、挂线或填充、必要时切除坏死组织、冲洗、止血、引流、包扎固定、处理用物等步骤所需的人力资源和基本物质资源消耗。","01多瘘管30%\n02弯曲瘘管加收30%",null,"次","本项目中的“多瘘管”指：大于等于2个瘘口或瘘管的情况。",null,"750\n广东1352江西730河北458\n02弯曲瘘管加收30%","750\n甲类",750,637,541,"甲类","低位肛瘘切开术\n低位肛瘘切除术\n肛瘘封堵术\n低位肛周窦道切除术\n骶尾部瘘道切除术\n复杂肛瘘切除术"]
[null,null,"低位肛瘘修复费-多瘘管（加收）",{"$nulls":4},"次",{"$nulls":4},225,191.1,162.3,"甲类"]
[null,null,"低位肛瘘修复费-弯曲瘘管加收（加收）",{"$nulls":4},"次",{"$nulls":4},225,191.1,162.3,"甲类"]
[104,null,"高位肛瘘修复费","通过手术修复高位肛瘘。","所定价格涵盖手术计划、术区准备、消毒、探查、清创、挂线、必要时切除坏死组织、冲洗、止血、引流、包扎固定、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"1100（加权平均）\n广东2555江西1100河北822","1100\n甲类",1100,935,794,"甲类","高位肛瘘切除术\n高位复杂肛瘘挂线治疗"]
[105,null,"肛裂修复费（常规）","通过手术修复肛裂。","所定价格涵盖手术计划、术区准备、消毒、扩张、切开、探查、切除、修复、包扎固定、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"700（平移价格）\n广东889江西700河北536","700\n甲类",700,595,505,"甲类","肛裂切除术\n肛裂纵切横缝术"]
[106,null,"肛裂修复费（复杂）","通过手术修复复杂肛裂。","所定价格涵盖手术计划、术区准备、消毒、扩张、切开、探查、切除、修复、包扎固定、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","本项目中的“复杂”指：陈旧性肛裂伴皮下瘘、伴肛乳头瘤、伴哨兵的肛裂。",null,"1100（参考广东）\n广东1158江西910河北804","1100\n甲类",1100,935,794,"甲类"]
[107,null,"肛周脓肿切开引流费","通过手术切开引流肛周脓肿。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、冲洗、止血、引流、包扎固定、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"470（参考江西）\n广东362江西470河北573","470\n甲类",470,399,339,"甲类","直肠肛门周围脓肿切开引流术\n高位肛周脓肿切开引流原发病灶清除挂线术"]
[108,null,"肛周脓肿治疗费（常规）","通过手术修复肛周脓肿。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、清除坏死组织、冲洗、止血、引流、包扎固定、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"600（平移价格）\n广东1342江西1000河北515","600\n甲类",600,510,433,"甲类","肛门直肠周围脓腔搔刮术"]
[109,null,"肛周脓肿治疗费（复杂）","通过手术修复复杂肛周脓肿。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、清除坏死组织、冲洗、止血、引流、包扎固定、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","本项目中的“复杂”指：肛周大汗腺炎、高位肛周脓肿、脓肿半径大于6cm、感染脓腔在外括约肌深层以上。",null,"1200（2医1护4小时）广东1790江西1500河北876","1200\n甲类",1200,1020,867,"甲类","肛周脓肿切开引流原发病灶清除术\n化脓性肛周大汗腺炎切开清创引流术\n复杂性化脓性肛周大汗腺炎切开清创引流术"]
[110,null,"肛周坏死性筋膜炎清创费","通过手术切除肛周坏死组织，减轻感染扩散风险、促进伤口愈合。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、清除坏死组织、冲洗、止血、引流、包扎固定、处理用物等步骤所需的人力资源和基本物质资源消耗。","01病变范围累及阴囊30%",null,"次",null,null,"2600“1200（3医1护3小时）+考虑技术难度97参考广东”\n广东2810江西800河北670","1100（3医1护3小时）\n甲类",1100,935,794,"甲类","肛周坏死性筋膜炎清创术\n复杂性肛周坏死性筋膜炎清创术"]
[null,null,"肛周坏死性筋膜炎清创费-病变范围累及阴囊（加收）",{"$nulls":4},"次",{"$nulls":4},330,280.5,238.2,"甲类"]
[111,null,"肛门括约肌修复费","通过手术修复功能异常的肛门括约肌。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、修复、冲洗、止血、引流、缝合、包扎固定、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"1000（加权平均888+参考外省价格）广东2379江西1300河北1191","1000\n甲类",100,85,72,"甲类","肛门内括约肌侧切术\n肛门狭窄矫治术\n肛门括约肌修复术\n肛门后正中括约肌切断术\n股薄肌肌瓣转移肛门括约肌成形术\n局部皮瓣肛门再造术\n经腹腔镜先天性肛门闭锁尾路肛门成形术(pena手术)\n盆底痉挛部肌肉神经切除术\n肛门外括约肌折叠术"]
[112,null,"肛门直肠狭窄修复费","通过各种方法改善肛门狭窄或痉挛。","所定价格涵盖手术计划、术区准备、消毒、探查、扩张、挂线或切开、冲洗、止血、引流、缝合、包扎固定、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"800（价格平移）广东1018江西700河北803","800\n甲类",800,680,578,"甲类","肛管成形术"]
[113,null,"藏毛窦囊肿切除费","通过手术切除藏毛窦。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、冲洗、止血、引流、包扎固定、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","除藏毛窦囊肿外，涉及肛旁浅表肿物切除按体被系统项目“浅表肿物去除费”收取。",null,"800（平移价格）广东2535江西/河北1000","800\n甲类",800,680,578,"甲类","藏毛窦囊肿切除术"]
[114,null,"骶前囊肿切除费","通过手术切除骶前囊肿。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、冲洗、止血、引流、包扎固定、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"2200（4医2护4小时）\n广东4064江西/河北2200","2200\n甲类",2200,1870,1589,"甲类","经骶尾部骶前囊肿切除术"]
[115,null,"肛肠术后挂线调整费","调整、拆除挂线。","所定价格涵盖准备、消毒、探查、挂线调整、包扎固定、拆线、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"85（参考江西）广东132江西85河北72","85乙类",85,72,61,"乙类","肛肠术后紧线术"]
[116,null,"肝脏病变非解剖性切除费","通过手术将肝部病变行非解剖性切除。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","本项目中的“次”指：切除2个及2个以内病变，超过2个病变每多切除1个病变按一定比例加收20%。以6个病变切除费用设置封顶线。",null,"3000（加权平均）广东4312江西2500河北2673","3000\n甲类",3000,2550,2167,"甲类","肝包虫内囊摘除术\n腹腔包虫摘除术\n肝部分切除术\n肝癌肝部分切除术\n经腹腔镜肝部分切除术\n经腹腔镜肝囊肿切除术\n肝囊肿开窗术\n经腹腔镜肝段切除术\n经腹腔镜肝囊肿开窗术\n肝血管瘤包膜外剥除术"]
[117,null,"半肝切除费","通过手术切除半侧肝组织。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01肝三叶切除10%\n11临近动/静脉系统修补或重建20%",null,"次","不与“肝段解剖性切除费”同时收取。",null,"5600（平移过会价格）广东6015江西4500河北4143","5600\n甲类",5600,4760,4046,"甲类","右半肝切除术\n左半肝切除术\n经腹腔镜右半肝切除术\n经腹腔镜左半肝切除术\n肝右三叶切除术\n门静脉/肝静脉重建术\n肝左三叶切除术"]
[null,null,"半肝切除费-肝三叶切除（加收）",{"$nulls":4},"次",{"$nulls":4},560,476,404.6,"甲类"]
[null,null,"半肝切除费-临近动/静脉系统修补或重建（加收）",{"$nulls":4},"次",{"$nulls":4},1120,952,809.2,"甲类"]
[118,null,"肝段解剖性切除费","通过手术将部分肝段组织行解剖性切除。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01多肝段切除30%\n11临近动/静脉系统修补或重建20%",null,"次","1.本项目中的“肝段解剖性切除”指：根据临床解剖Couinaud分段，完整切除肝段。\n2.不与半肝切除费同时收取。\n多肝段切除（加收）同一台手术最多收费一次",null,"4000（加权平均3700+与上项比价关系300）广东5390江西4300河北3644\n多肝段切除（加收）同一台手术最多收费一次","4000\n甲类",4000,3400,2890,"甲类","肝段切除术\n经腹腔镜肝段切除术\n肝癌肝部分切除术\n根治性肝癌肝叶切除术\n肝左外叶切除术\n肝方叶切除术\n肝尾状叶切除术\n中肝叶切除术\n经腹腔镜肝方叶切除术\n经腹腔镜肝尾状叶切除术\n经腹腔镜中肝叶切除术\n经腹腔镜肝左外叶切除术\n联合肝段切除术\n经腹腔镜联合肝段切除术"]
[null,null,"肝段解剖性切除费-多肝段切除（加收）",{"$nulls":4},"次",{"$nulls":4},1200,1020,867,"甲类"]
[null,null,"肝段解剖性切除费-临近动/静脉系统修补或重建（加收）",{"$nulls":4},"次",{"$nulls":4},800,680,578,"甲类"]
[119,null,"肝脏病损预切除费（一期）","通过手术实现肝动脉的病变侧肝实质离断及门脉分支结扎或离断。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、结扎或离断、切除、修补、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","本项目中的“一期”指：联合肝脏离断和门静脉结扎的一期手术。",null,"4200（技术难度和操作流程等同于肝段解剖性切除费+参考外省）广东5390江西4500河北4200","4200\n甲类",4200,3570,3034,"甲类"]
[120,null,"肝脏修补费","通过手术修补损伤的肝脏。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、修补、止血、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01多部位修补40%",null,"次","本项目中的“次”指：2处以下部位修补，3处及3处以上修补按“多部位修补”加收。",null,"1900（平移价格）广东3577江西2500河北2338","1900\n甲类",1900,1615,1372,"甲类","肝损伤清创修补术\n肝损伤血管修补术\n肝管栓塞术\n经腹腔镜肝管栓塞术\n经腹腔镜肝外伤后血肿清创引流术\n肝血管瘤缝扎术\n肝损伤填塞止血术"]
[null,null,"肝脏修补费-多部位修补（加收）",{"$nulls":4},"次",{"$nulls":4},760,646,548.8,"甲类"]
[121,null,"肝内异物取出费","通过手术取出肝内异物。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、异物取出、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"1800（平移价格）广东3380江西2800河北2821","1800\n甲类",1800,1530,1300,"甲类","肝实质切开取石术\n肝内异物取出术"]
[122,null,"胆囊切除费","通过手术切除胆囊。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01穿孔/坏疽胆囊20%\n02Mirizzi综合征50%",null,"次",null,null,"1700（4医2护3小时）广东2584江西2300河北2197","1700\n甲类",1700,1445,1228,"甲类","胆囊切除术\n经腹腔镜胆囊切除术"]
[null,null,"胆囊切除费-穿孔/坏疽胆囊（加收）",{"$nulls":4},"次",{"$nulls":4},340,289,245.6,"甲类"]
[null,null,"胆囊切除费-Mirizzi综合征（加收）",{"$nulls":4},"次",{"$nulls":4},850,722.5,614,"甲类"]
[123,null,"胆囊根治性切除费","通过手术切除胆囊和部分肝组织","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01恶性肿瘤扩大根治性切除30%",null,"次","本项目中的“恶性肿瘤扩大根治性切除”指联合多脏器切除，且不含淋巴结清扫。",null,"2800\n价格平移（胆囊癌根治术）\n广东4625、江西2800、河北2594","2800\n甲类",2800,2380,2023,"甲类","胆囊癌根治术\n胆囊癌扩大根治术"]
[null,null,"胆囊根治性切除费-恶性肿瘤扩大根治性切除（加收）",{"$nulls":4},"次",{"$nulls":4},840,714,606.9,"甲类"]
[124,null,"胆管切除费","通过手术切除病变胆管。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01临近动/静脉系统修补或重建20%",null,"次","胆管切除行空肠吻合按“消化道转流（复杂）”收费。",null,"3000（加权平均）广东4064、江西2000、河北3500","3000\n甲类",3000,2550,2167,"甲类","肝门部良性胆管狭窄切除术\n肝外良性胆管狭窄切除胆总管对端吻合术\n肝门部胆管癌扩大根治术\n门静脉受累肝门部胆管癌扩大根治术\n肝动脉受累肝门部胆管癌扩大根治术\n肝门部胆管癌根治术\n肝门部高位胆管切除术\n再次手术肝外胆管病变切除术\n先天性胆总管囊肿切除肝门空肠Roux-y成形术\n腹腔镜先天性胆总管囊肿切除肝门空肠Roux-y成形术"]
[null,null,"胆管切除费-临近动/静脉系统修补或重建（加收）",{"$nulls":4},"次",{"$nulls":4},600,510,433.4,"甲类"]
[125,null,"胆囊造瘘/口费","通过手术形成胆囊造瘘/口。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、置管、固定、止血、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"1000（平移价格+参考外省）广东2691江西2100河北1574","1000\n甲类",1000,850,722,"甲类","胆囊造瘘术"]
[126,null,"胆管引流费","通过手术行胆管引流。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、探查、置管/支架、固定、引流、止血、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","不与“胆管切开取石费”同时收取。",null,"3000（加权平均4700+参考外省降价）广东3448江西1900河北2420","3000\n甲类",3000,2550,2167,"甲类","肝内胆管U形管引流术\n胆总管探查T管引流术\n胆总管囊肿外引流术\n肝门部肿物支架置入内引流术\n肝门部肿物支架管外引流术"]
[127,null,"胆管内置入物取出费","通过手术取出胆管内支架等置入物。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、取出、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"540（参考内镜下取异物）\n广东786江西、河北650","540\n甲类",540,459,390,"甲类"]
[128,null,"胆囊切开取石费","通过手术切开取出胆囊结石。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、取石、修补、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"2300（平移高频）广东3344江西2140河北2197","2300\n甲类",2300,1955,1661,"甲类","胆囊切开取石术\n经腹腔镜胆囊切开取石术"]
[129,null,"胆管切开取石费","通过手术切开取出胆管结石。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、取石、修补、冲洗、止血、引流、缝合、处理用物，必要时T管引流等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","不与“胆管引流费”同时收取。其他胆管异物取出按此收费",null,"3500（4医2护5小时+和胆管引流形成技术难度的比价关系）广东3448江西2500河北3255","3500\n甲类",3500,2975,2528,"甲类","胆管异物取出术\n术中胆道镜异物取出术\n经腹腔镜胆管异物取出术\n经腹腔镜胆管异物取出术"]
[130,null,"胆管修补费","通过手术修补损伤的胆管。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、修补、止血、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","不与“胆管/道修补成形费”同时收取。",null,"2500（参考外省）\n广东2463江西2090河北3255","2500\n甲类",2500,2125,1806,"甲类"]
[131,null,"胆管修补成形费","通过手术修补胆管缺损、闭锁等，恢复胆管连续性。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、修复、冲洗、止血、缝合、处理用物，必要时扩大肝门等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","不与“胆管修补费”同时收取。",null,"3200（4医2护5小时3000+参考外省）广东4926江西2600河北3255","3200\n甲类",3200,2720,2312,"甲类","胆管修补成形术"]
[132,null,"胰十二指肠切除费","通过手术治疗壶腹周围组织病变。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、吻合、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01临近动/静脉系统修补或重建30%",null,"次",null,null,"7500（技术难度95风险程度94，属于超高难度手术+参考外省）东8460江西8000河北7542","7500\n甲类",7500,6375,5418,"甲类","十二指肠憩室切除术\n十二指肠闭锁切除术\n壶腹部肿物局部切除术\n胰十二指肠切除探查术\n肠套叠手法复位及肠切除吻合术\n胰十二指肠切除术\n(Whipple手术)"]
[null,null,"胰十二指肠切除费-临近动/静脉系统修补或重建（加收）",{"$nulls":4},"次",{"$nulls":4},2250,1912.5,1625.4,"甲类"]
[133,null,"胰头切除费（保十二指肠）","通过手术治疗壶腹周围组织病变。（保留十二指肠）","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、吻合、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"8000（手术难度高于上项，考虑比价关系，参考外省）广东8460江西/河北7500","8000\n甲类",8000,6800,5780,"甲类","保留十二指肠胰头切除术"]
[134,null,"胰体尾脾切除费","通过手术切除胰腺体尾部病变及脾脏。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01恶性肿瘤扩大根治性切除30%",null,"次","本项目中的“恶性肿瘤扩大根治性切除”指联合多脏器切除，且不含淋巴结清扫。",null,"5000（平移高价项目+脾脏切除1500）广东4716江西4400河北3644","5000\n甲类",5000,4250,3612,"甲类","胰体尾切除术\n经腹腔镜胰体尾切除术\n胰头部分切除胰肠吻合术\n胰腺癌联合脏器切除术"]
[null,null,"胰体尾脾切除费-恶性肿瘤扩大根治性切除（加收）",{"$nulls":4},"次",{"$nulls":4},1500,1275,1083.6,"甲类"]
[135,null,"胰体尾切除费（保脾）","通过手术切除胰腺体尾部病变。（保留脾脏）","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01保留脾血管20%",null,"次",null,null,"5400（比价关系，与上项）广东5375江西5400河北4373","5400\n甲类",5400,4590,3901,"甲类","保留脾脏胰体尾切除术\n胰腺次全切除术\n经腹腔镜保留脾脏胰体尾切除术\n经腹腔镜胰腺次全切除术"]
[null,null,"胰体尾切除费（保脾）-保留脾血管（加收）",{"$nulls":4},"次",{"$nulls":4},1080,918,780,"甲类"]
[136,null,"胰腺病变切除费","通过手术切除胰腺病变。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"3000\n（4医2护6小时3600+参考外省）广东4273江西3000河北2878","3000\n甲类",3000,2550,2167,"甲类","先天性胰腺段胆总管囊肿切除术\n胰腺假性囊肿切除术\n胰腺肿物摘除术\n胰腺癌姑息性手术\n胰腺周围神经切除术\n经腹腔镜胰腺周围神经切除术\n胰腺囊肿外引流术\n经腹腔镜胰腺囊肿外引流术"]
[137,null,"胰腺节段切除","通过手术切除胰腺节段。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、吻合、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"3500（价格平移2900+与上项形成比价关系+参考外省）\n广东5912江西/河北3700","3500\n甲类",3500,2975,2528,"甲类","胰腺节段性切除术\n经腹腔镜胰腺节段性切除术"]
[138,null,"胰腺全切除费","通过手术切除全部胰腺和（或）周围组织。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、吻合、止血、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01临近动/静脉系统修补或重建20%",null,"次",null,null,"4200（4医2护7小时）广东5517江西4575河北4393","4200\n甲类",4200,3570,3034,"甲类","全胰腺切除术"]
[null,null,"胰腺全切除费-临近动/静脉系统修补或重建（加收）",{"$nulls":4},"次",{"$nulls":4},840,714,606.8,"甲类"]
[139,null,"胰腺修补费","通过手术修补损伤的胰腺。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、修补、止血、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01多部位修补30%",null,"次","本项目中的“次”指：2处以下部位修补，3处及3处以上修补按“多部位修补”加收。",null,"1600（平移价格）广东3185江西1800河北1797","1600\n甲类",1600,1360,1156,"甲类","胰腺修补术\n胰岛移植术\n胰腺胰管断裂修补术"]
[null,null,"胰腺修补费-多部位修补（加收）",{"$nulls":4},"次",{"$nulls":4},480,408,346.8,"甲类"]
[140,null,"坏死性胰腺炎清创引流费","通过手术对胰腺周围脓肿或坏死组织进行清创引流。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、清理坏死组织、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"2600\n广东4321江西3020河北2995","2600\n甲类",2600,2210,1878,"甲类","坏死性胰腺炎清创引流术"]
[141,null,"胰管切开取石费","通过手术切开取出胰管结石。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、取石、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"3500(与胆管切开3500一致）广东4072江西3360河北2745","3500\n甲类",3500,2975,2528,"甲类","胰管切开取石术"]
[142,null,"脾部分切除费","通过手术切除部分脾脏。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"2400（4医2护4小时）广东3476江西2500河北2417","2400\n甲类",2400,2040,1734,"甲类","脾部分切除术\n经腹腔镜脾部分切除术"]
[143,null,"脾全切除费","通过手术切除全部脾脏。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01 III度脾肿大20%","01脾全切自体脾移植","次",null,null,"2200（4医2护4小时+和上项形成比价关系）广东3307江西3100河北2197","2200\n甲类",2200,1870,1589,"甲类","脾切除术\n脾切除自体脾移植术\n经腹腔镜脾切除术"]
[null,null,"脾全切除费-III度脾肿大（加收）",{"$nulls":4},"次",{"$nulls":4},440,374,317.8,"甲类"]
[null,null,"脾全切除费-脾全切自体脾移植（扩展）",{"$nulls":4},"次",{"$nulls":4},2200,1870,1589,"甲类"]
[144,null,"脾移植费","通过手术移植异体同种脾脏（全脾），实现患者原位脾脏切除和供体脾脏植入。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、原位脾脏切除、供体脾脏术前或术中整复、供体脾脏植入，以及切开、吻合、关闭、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,"01异种器官","次","1.该项目属于《器官移植环节手术价格项目立项指南》增补项目。\n2.脾移植不可收取“脾全切除费”。",null,"3500\n“370（2200+2500*0.6）+参考外省”广东3520江西3655河北3500","3500\n乙类",3500,2975,2528,"乙类","异体脾脏移植术"]
[null,null,"脾移植费-异种器官（扩展）",{"$nulls":4},"次",{"$nulls":4},3500,2975,2528,"乙类"]
[145,null,"供脾切取费","通过手术切取活体供者脾脏（器官段）。","所定价格涵盖手术计划、术区准备、消毒、探查、分离、供者脾脏切取以及切开、吻合、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","1.仅限于合法进行的活体器官捐献。\n2.该项目属于《器官移植环节手术价格项目立项指南》增补项目。",null,"2200（脾全切）","2200\n丙类",2200,1870,1589,"丙类","脾脏移植供体获取术"]
[146,null,"脾脏修补费","通过手术修补损伤的脾脏。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、修补、止血、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","01多部位修补30%",null,"次","本项目中的“次”指：2处以下部位修补，3处及3处以上修补按“多部位修补”加收。",null,"1800（平移）广东2969江西2200河北2197","1800\n甲类",1800,1530,1300,"甲类","脾修补术\n经腹腔镜脾修补术"]
[null,null,"脾脏修补费-多部位修补（加收）",{"$nulls":4},"次",{"$nulls":4},540,459,390,"甲类"]
[147,null,"脾肺固定分流费","通过手术建立脾肺间侧支循环，将门静脉血液引流至肺静脉，降低门静脉压力。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、结扎、固定、冲洗、止血、引流、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"2000（平移价格）广东2530江西2200河北3472","2000\n甲类",2000,1700,1445,"甲类","脾肺固定分流术"]
[148,null,"淋巴结清扫费（腋窝）","通过手术清扫腋窝淋巴结。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"单侧",null,null,"1500（参考外省）广东1378江西1540河北1494","1500\n甲类",1500,1275,1083,"甲类"]
[149,null,"淋巴结清扫费（腹部）","通过手术清扫腹部（腹腔及周围区域）淋巴结。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,null,"1700\n高频平移\n广东1854、江西2000、河北1800","1700\n甲类",1700,1445,1228,"甲类","腹腔淋巴结清扫术\n经腹腔镜腹腔淋巴结清扫术\n经腹腔镜肝门淋巴结清扫术\n髂腹股沟淋巴结清扫术\n经腹腔镜的髂腹股沟淋巴结清扫术\n睾丸肿瘤腹膜后淋巴结清扫术"]
[150,null,"淋巴结清扫费（下肢）","通过手术清扫下肢淋巴结。","所定价格涵盖手术计划、术区准备、消毒、切开、探查、分离、切除、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"单侧",null,null,"1300（价格平移）\n广东1338江西1200河北1494","1300\n甲类",1300,1105,939,"甲类","睾丸肿瘤腹膜后淋巴结清扫术\n经腹腔镜睾丸肿瘤腹膜后淋巴结清扫术"]

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[]
["血管、淋巴系统医疗服务价格项目立项指南（试行）"]
["使用说明：\n1.本指南以血管、淋巴系统为重点，按照血管、淋巴系统相关医疗服务产出设立价格项目。\n2.根据《深化医疗服务价格改革试点方案》（医保发〔2021〕41号）关于“厘清价格项目与临床诊疗技术规范、医疗机构成本要素、不同应用场景和收费标准等的政策边界。分类整合现行价格项目，实现价格项目与操作步骤、诊疗部位等技术细节脱钩，增强现行价格项目对医疗技术和医疗活动改良创新的兼容性”的要求，服务产出相同的一类项目在操作层面存在差异，但在价格项目和定价水平层面具备合并同类项的条件，立项指南对此进行合并。地方医疗保障部门制定血管、淋巴系统医疗服务项目价格时，要体现技术劳务价值，使收费水平覆盖绝大部分的差异化操作；各地医疗保障部门所定价格属于政府指导价为最高限价，下浮不限。同时，医疗机构申报的技术改良进步项目，可采取“现有项目兼容”方式简化处理，无需申报新增医疗服务价格项目，经向本地区医疗保障部门备案后可按照对应的项目执行。\n3.本指南所称“价格构成”，指项目价格应涵盖的各类资源消耗，用于确定计价单元的边界，是省市级医保部门制定调整项目价格的测算因子，不应作为临床技术标准理解，不是实际操作方式、路径、步骤、程序的强制性要求，价格构成中包含但临床实践中非必要、未发生的，无需强制要求公立医疗机构减计费用。所列“设备投入”包括但不限于操作设备、器具及固定资产投入。\n4.本指南所称“加收项”，指同一项目以不同方式提供或在不同场景应用时，确有必要制定差异化收费标准而细分的一类子项，包括在原项目价格基础上增加或减少收费的情况，具体的加/减收标准（加/减收率或加/减收金额）由省市级医疗保障部门依权限制定；实际应用中，同时涉及多个加收项的，以项目单价为基础计算相应的加/减收水平后，据实收费。\n5.本指南所称“扩展项”，指同一项目下以不同方式提供或在不同场景应用时，只扩展价格项目适用范围、不额外加价的一类子项，子项的价格按主项目执行。\n6. 本指南中所称“基本物质资源消耗”，指原则上限于不应或不必要与医疗服务项目分割的易耗品，包括但不限于各类消杀灭菌用品、储存用品、清洁用品、个人防护用品、垃圾处理用品、滑石粉、标签、中单、护（尿）垫、棉球、棉签、纱布（垫）、治疗护理盘（包）、治疗巾（单）、手术巾（单）、手术包、普通注射器、可复用的操作器具等。基本物质资源消耗成本计入项目价格，不另行收费。除基本物质资源消耗以外的其他耗材，按照实际采购价格零差率销售。\n7.本指南中手术项目若需病理取样，地方医疗保障部门定价时应考虑在原项目的价格构成中包含标本的留取和送检。\n8.本指南中手术类项目服务对象为儿童时，统一落实儿童加收政策（以下简称“儿童加收”），加收比例或金额由各地医疗保障部门根据实际情况确定。手术类项目的具体范围以《全国医疗服务项目技术规范》的分类为准，对于立项指南同时映射技术规范中的手术类项目和治疗类项目的主项目，按手术类落实儿童加收政策；其他非手术类项目实行儿童加收范围，以立项指南加收项为准。本指南所称“儿童”，指6周岁及以下，周岁的计算方法以法律的相关规定为准。\n9.本指南中其他学科开展相应项目时，可据实收费。\n10.本指南价格构成中所称的“穿刺”为主项操作涉及的必要穿刺技术，价格构成中的穿刺操作不可收取相关费用；独立穿刺项目可按相应治疗价格项目收取。\n11.本指南中涉及“包括……”“…… 等”的，属于开放型表述，所指对象不仅局限于表述中列明的事项，也包括未列明的同类事项。\n12.本指南所称的“大动脉”，指升主动脉、主动脉弓、胸主动脉、髂总动脉、腹主动脉；所称的“头臂动脉”，指颈外动脉、颈内动脉、颈总动脉、头臂干、锁骨下动脉；所称的“肢体动脉”，指腋动脉、肱动脉、桡动脉、尺动脉、髂外动脉、股动脉、腘动脉、胫前动脉、胫后动脉、腓动脉、足背动脉；所称的“内脏动脉”，指腹腔干、肾动脉、肠系膜上动脉、肠系膜下动脉、腹主动脉分支、髂内动脉、肺动脉、胃左动脉、肝总动脉、肝固有动脉、胃十二指肠动脉、脾动脉、肾上腺动脉、生殖动脉；所称的“大静脉”，是指上腔静脉、下腔静脉、髂总静脉、奇静脉；所称的“头臂静脉”，是指颈外静脉、颈内静脉、头臂静脉、锁骨下静脉；所称的“肢体静脉”，是指腋静脉、头静脉、贵要静脉、肱静脉、尺静脉、桡静脉、尺骨静脉、髂外静脉、大隐静脉、股深静脉、股浅静脉、腘静脉、小隐静脉、胫前静脉、胫后静脉、腓静脉；所称的“内脏静脉”，是指门静脉、肝静脉、肠系膜上静脉、肠系膜下静脉、脾静脉、肾静脉、髂内静脉、肺静脉、生殖静脉。\n13.可收费一次性耗材：造影导管、导丝、血管鞘组、封堵器、导管、导引导管、导引导丝、特殊缝线、球囊扩张导管、支架、止血材料、栓子保护装置、人工血管、血液回收装置、覆膜支架、腔镜材料、颈动脉支架、弹簧圈、栓塞材料、门静脉支架、血管夹、旋切导管、激光导管、取栓导管、补片、溶栓导管、中心静脉导管、扩张器、滤网、血管远端保护装置、转流管、圈套器、消融导管、吻合器、修补材料、钢丝、颈动脉内转流管、灌注导管、内固定材料、成形环、带针胸骨钢丝、破膜导管、硬化剂、粘合剂、内镜用注射针、大血管闭合系统、打孔器。"]
["序号","项目编码","项目名称","服务产出","价格构成","加收项","扩展项","计价单位","计价说明","初审备注","终审备注","指导价格",null,null,"医保支付类别","映射项目名称"]
[]
[{"$nulls":11},"三级","二级","一级"]
[1,null,"血管造影检查费","通过将造影剂注入目标血管内，观察造影剂在血管内的流动和分布情况。","所定价格涵盖手术计划、术区准备、定位、消毒、穿刺、置管、注入造影剂、撤除、加压止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。","01大动脉造影20%\n11一级分支多根血管造影30%\n21二级及以下分支血管造影30%",null,"次","本项目所称的“一级分支多根血管”不含一级血管下属的分支血管。","1100\n参考静脉价格","1100\n乙类",1100,{"$f":"L7*0.85","v":935},794,"乙类","经皮穿刺插管主动脉造影术\n经皮选择性主动脉造影\n经皮穿刺插管选择性动脉造影术\n经皮穿刺插管选择性锁骨下动脉造影\n经皮穿刺插管选择性肋间动脉造影\n经皮穿刺插管选择性胸廓内动脉造影\n经皮穿刺插管选择性支气管动脉造影\n经皮穿刺插管选择性腹腔动脉干造影术\n经皮穿刺插管选择性胃左动脉造影\n经皮穿刺插管超选择性肝动脉造影\n经皮穿刺插管选择性肝动脉造影\n经皮穿刺插管选择性胃十二指肠动脉造影\n经皮穿刺插管选择性脾动脉造影\n经皮穿刺插管选择性肠系膜上动脉造影\n经皮穿刺插管选择性肠系膜下动脉造影\n经皮穿刺插管选择性肾上腺动脉造影\n经皮穿刺插管选择性肾动脉造影\n经皮穿刺插管选择性子宫动脉造影\n经皮选择性腰动脉造影\n经皮穿刺插管选择性髂内动脉造影\n经皮穿刺插管选择性上肢动脉造影术\n经皮穿刺插管选择性下肢动脉造影\n经皮穿刺插管上腔静脉造影术\n经皮穿刺插管上肢静脉造影术\n上肢静脉切开造影术\n经皮穿刺下肢静脉造影术\n下肢静脉切开造影术\n经皮穿刺插管下腔静脉造影术\n经皮穿刺插管选择性肝静脉造影术\n经皮经肝穿刺门静脉造影\n经皮经脾穿刺门静脉造影\n经皮穿刺插管选择性肾静脉造影术\n经皮穿刺插管性腺静脉造影\n经皮穿刺插管选择性静脉造影术"]
[null,null,"血管造影检查费-大动脉造影（加收）",{"$nulls":4},"次",{"$nulls":3},{"$f":"L7*0.2","v":220},{"$f":"M7*0.2","v":187},158.8,"乙类"]
[null,null,"血管造影检查费-一级分支多根血管造影（加收）",{"$nulls":4},"次",{"$nulls":3},{"$f":"L7*0.3","v":330},{"$f":"M7*0.3","v":280.5},238.2,"乙类"]
[null,null,"血管造影检查费-二级及以下分支血管造影（加收）",{"$nulls":4},"次",{"$nulls":3},330,280.5,238.2,"乙类"]
[2,null,"淋巴造影检查费","通过将造影剂注入淋巴管，观察造影剂在淋巴管内的流动和分布情况。","所定价格涵盖手术计划、术区准备、定位、消毒、穿刺、置管、注入造影剂、撤除、加压止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"1500\n技术规范：3医1护1技术3小时","1500\n乙类",1500,1275,1083,"乙类","开腹术中腹膜后淋巴管造影\n开腹术中经小肠淋巴管造影\n经腹股沟淋巴结穿刺直接淋巴管造影\n经上肢淋巴结直接淋巴管造影\n经下肢淋巴管淋巴管系造影\n经下肢淋巴管直接淋巴管造影术\n颈干直接淋巴管造影"]
[3,null,"大动脉球囊扩张费（介入）","通过介入方式置入球囊扩张大动脉。","所定价格涵盖手术计划、术区准备、定位、消毒、穿刺、置管、扩张、成形、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"血管","超过2支血管按2支收费","2000\n高频平移","2000\n甲类",2000,1700,1445,"甲类","经皮穿刺先天性主动脉缩窄症球囊扩张成形术\n经皮穿刺临时性球囊闭塞术\n经皮主动脉缩窄症球囊扩张术\n经皮穿刺插管静（动）脉球囊扩张术\n腹主动脉-髂动脉球囊成形术"]
[4,null,"头臂动脉球囊扩张费（介入）","通过介入方式置入球囊扩张头臂动脉。","所定价格涵盖手术计划、术区准备、定位、消毒、穿刺、置管、扩张、成形、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"血管","超过3支血管按3支收费","2400\n高频平移","2400\n甲类",2400,2040,1734,"甲类","经皮穿刺无名动脉球囊成形术\n经皮穿刺锁骨下动脉球囊成形术"]
[5,null,"肢体动脉球囊扩张费（介入）","通过介入方式置入球囊扩张肢体动脉。","所定价格涵盖手术计划、术区准备、定位、消毒、穿刺、置管、扩张、成形、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。","01股浅动脉10%",null,"血管","超过3支血管按3支收费","3000\n加权平均（3062）","3000\n甲类",3000,2550,2167,"甲类","经皮穿刺顺行同侧小腿动脉内球囊成形术\n经皮穿刺顺行单侧股深动脉内球囊成形术\n经皮穿刺对侧股深动脉内球囊成形术\n经皮穿刺顺行同侧足部动脉球囊成形术\n经皮穿刺顺行同侧腘动脉内球囊成形术\n经皮穿刺股动脉球囊成形术\n经皮穿刺顺行同侧股浅动脉球囊成形术\n经皮穿刺对侧股浅动脉球囊成形术\n经皮穿刺单侧腘动脉内球囊成形术\n经皮穿刺髂动脉球囊成形术"]
[null,null,"肢体动脉球囊扩张费-股浅动脉（加收）",{"$nulls":4},"血管",{"$nulls":3},{"$f":"L14*0.1","v":300},{"$f":"M14*0.1","v":255},216.7,"甲类"]
[6,null,"内脏动脉球囊扩张费（介入）","通过介入方式置入球囊扩张内脏动脉。","所定价格涵盖手术计划、术区准备、定位、消毒、穿刺、置管、扩张、成形、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"血管","超过3支血管按3支收费","2500\n加权平均（2436）","2500\n甲类",2500,{"$f":"L16*0.85","v":2125},1806,"甲类","经皮穿刺肺动脉球囊扩张术\n经皮穿刺脾动脉球囊成形术\n经皮穿刺髂内动脉球囊成形术\n经皮穿刺肝固有动脉球囊成形术\n经皮穿刺肠系膜上动脉球囊成形术\n经皮穿刺肾动脉球囊成形术\n经皮穿刺肝总动脉球囊成形术\n经皮穿刺肠系膜下动脉球囊成形术\n经皮穿刺腹腔干动脉球囊成形术\n经皮穿刺胃左动脉球囊成形术"]
[7,null,"大静脉球囊扩张费（介入）","通过介入方式置入球囊扩张大静脉。","所定价格涵盖手术计划、术区准备、定位、消毒、穿刺、置管、扩张、成形、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"血管","超过2支血管按2支收费","1800\n加权平均（1800）且考虑动脉价格，成比价关系","1800\n甲类",1800,1530,1300,"甲类","经皮穿刺插管静（动）脉球囊扩张术\n经皮穿刺下腔静脉球囊成形术\n经皮穿刺上腔静脉球囊成形术\n经皮穿刺下腔静脉导管破膜成形术\n经皮穿刺颈内静脉肝静脉成形术\n经皮穿刺股静脉肝静脉成形术"]
[8,null,"头臂静脉球囊扩张费（介入）","通过介入方式置入球囊扩张头臂静脉。","所定价格涵盖手术计划、术区准备、定位、消毒、穿刺、置管、扩张、成形、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"血管","超过2支血管按2支收费","2200\n参考头臂动脉成比价关系","2200\n甲类",2200,1870,1589,"甲类","经皮穿刺无名/锁骨下静脉球囊扩张术"]
[9,null,"肢体静脉球囊扩张费（介入）","通过介入方式置入球囊扩张肢体静脉。","所定价格涵盖手术计划、术区准备、定位、消毒、穿刺、置管、扩张、成形、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"血管","超过2支血管按2支收费","2600\n价格平移","2600\n甲类",2600,2210,1878,"甲类","经皮髂静脉球囊扩张术"]
[10,null,"内脏静脉球囊扩张费（介入）","通过介入方式置入球囊扩张内脏静脉。","所定价格涵盖手术计划、术区准备、定位、消毒、穿刺、置管、扩张、成形、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"血管","超过2支血管按2支收费","2300\n与内脏动脉成比价关系","2300\n甲类",2300,1955,1661,"甲类","经皮穿刺肝静脉球囊成形术"]
[11,null,"大动脉支架置入费（介入）","通过介入方式置入支架扩张大动脉。","所定价格涵盖手术计划、术区准备、定位、消毒、穿刺、置管、支架置入、扩张、成形、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时行球囊扩张，造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"血管","以置入支架为目的，同部位行球囊扩张的不得同时收取“球囊扩张费（介入）”。\n超过3支血管按3支收费","4000\n高频平移","4000\n高频平移\n甲类",4000,3400,2890,"甲类","胸主动脉支架成形术\n胸主动脉外伤破裂腔内隔绝术\n胸主动脉创伤性动静脉瘘修补术\n经皮穿刺插管静（动）脉支架成形术\n腹主动脉-髂动脉球囊扩张支架成形术\n夹层动脉瘤腔内隔绝术\n急性主动脉综合征腔内隔绝术\n降主动脉瘤腔内隔绝术\n腹主动脉炎性瘤腔内隔绝术\nN2区主动脉夹层腔内隔绝术\nN3区主动脉夹层腔内隔绝术\nN1区主动脉夹层腔内隔绝术\n胸腹主动脉瘤腔内隔绝术\n肾周腹主动脉瘤腔内隔绝术\n腹主动脉下腔静脉瘘腔内隔绝术\n腹主动脉瘤腔内隔绝术\n腹主动脉外伤破裂腔内隔绝术\n假性腹主动脉瘤腔内隔绝术\n经颈动脉切开腹主动脉覆膜支架腔内修复术\n经皮穿刺髂动脉覆膜支架腔内隔绝术\n腹腔镜下瘤颈成形+腹主动脉瘤腔内隔绝术\n经腹瘤颈成形+腹主动脉瘤腔内隔绝术\n腹主动脉瘤腔内隔绝术+髂内动脉重建\n腹主/髂动脉支架成形术"]
[12,null,"头臂动脉支架置入费（介入）","通过介入方式置入支架扩张头臂动脉。","所定价格涵盖手术计划、术区准备、定位、消毒、穿刺、置管、支架置入、扩张、成形、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时行球囊扩张，造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"血管","以置入支架为目的，同部位行球囊扩张的不得同时收取“球囊扩张费（介入）”。\n超过3支血管按3支收费","3000\n加权平均(2987)","3000\n甲类",3000,2550,2167,"甲类","经皮穿刺锁骨下动脉支架置入术\n经皮穿刺颈外动脉支架置入术\n经皮穿刺颈内动脉支架置入术\n颈动脉创伤性动静脉瘘腔内隔绝术\n经皮穿刺无名动脉支架置入术"]
[13,null,"肢体动脉支架置入费（介入）","通过介入方式置入支架扩张肢体动脉。","所定价格涵盖手术计划、术区准备、定位、消毒、穿刺、置管、支架置入、扩张、成形、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时行球囊扩张，造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"血管","以置入支架为目的，同部位行球囊扩张的不得同时收取“球囊扩张费（介入）”。\n超过3支血管按3支收费","3000\n难度低于“头臂动脉支架置入费（介入）”操作时常高于“头臂动脉支架置入费（介入）”，价格与“头臂动脉支架置入费（介入）”一致","3000\n甲类",3000,2550,2167,"甲类","经皮穿刺髂股动脉支架置入术\n经皮穿刺髂动脉球囊扩张+支架置入术\n经皮穿刺单侧小腿动脉球囊扩张+支架置入术\n经皮穿刺单侧股深动脉球囊扩张+支架置入术\n经上肢动脉穿刺单侧股深动脉球囊扩张+支架置入术\n经皮穿刺单侧股浅动脉球囊扩张+支架置入术\n经皮穿刺单侧腘动脉球囊扩张+支架置入术\n股/腘动脉支架成形术\n经足背动脉穿刺单侧腘动脉球囊扩张+支架置入术\n经足背动脉穿刺单侧胫前动脉球囊扩张+支架置入术\n经胫后动脉穿刺单侧腘动脉球囊扩张+支架置入术\n经胫后动脉穿刺单侧胫后动脉球囊扩张+支架置入术\n前臂动脉支架支架成形术\n腋动脉支架成形术\n经颈动脉穿刺单侧股浅动脉球囊扩张+支架置入术\n经颈动脉穿刺单侧股深动脉球囊扩张+支架置入术\n经上肢动脉穿刺单侧股浅动脉球囊扩张+支架置入术\n经腘动脉穿刺单侧股浅动脉球囊扩张+支架置入术\n腹主动脉单侧髂动脉覆膜支架腔内隔绝术\n经皮穿刺血液透析静脉回路支架置入术"]
[14,null,"内脏动脉支架置入费（介入）","通过介入方式置入支架扩张内脏动脉。","所定价格涵盖手术计划、术区准备、定位、消毒、穿刺、置管、支架置入、扩张、成形、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时行球囊扩张，造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"血管","以置入支架为目的，同部位行球囊扩张的不得同时收取“球囊扩张费（介入）”。\n超过3支血管按3支收费","2700\n加权平均（2690）","2700\n甲类",2700,2295,1950,"甲类","经皮穿刺脾动脉支架置入术\n经皮穿刺肺动脉支架置入术\n经皮穿刺肝固有动脉瘤栓塞+支架置入术\n经皮穿刺髂内动脉球囊扩张+支架置入术\n经皮穿刺肾动脉支架成形术\n经皮穿刺腹腔干动脉支架成形术\n经皮穿刺肝总动脉支架成形术\n经皮穿刺肝固有动脉支架成形术\n经皮穿刺肠系膜上动脉支架成形术\n经皮穿刺肠系膜下动脉支架成形术\n经皮穿刺肝总动脉瘤腔内隔绝术\n经皮穿刺肝固有动脉瘤腔内隔绝术\n经皮穿刺脾动脉瘤腔内隔绝术\n经皮穿刺脾动脉瘤栓塞+支架置入术\n经皮穿刺肠系膜上动脉瘤腔内隔绝术\n经皮穿刺肠系膜上动脉瘤栓塞+支架置入术\n经皮穿刺肠系膜下动脉瘤栓塞+支架置入术\n经皮穿刺肠系膜下动脉瘤腔内隔绝术\n经皮穿刺肾动脉瘤栓塞+支架置入术\n经皮穿刺肾动脉瘤腔内隔绝术\n经皮穿刺胃左动脉支架成形术\n经皮穿刺胃左动脉瘤腔内隔绝术\n经皮穿刺胃左动脉瘤栓塞+支架置入术\n经皮穿刺腹腔干动脉瘤栓塞+支架置入术\n经皮穿刺腹腔干动脉瘤腔内隔绝术"]
[15,null,"主动脉分支血管支架置入费（介入）","通过经皮穿刺重建分支血管的血流通路。","所定价格涵盖手术计划、术区准备、定位、消毒、穿刺、置管、重建、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时行球囊扩张，造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"次","以置入支架为目的，同部位行球囊扩张的不得同时收取“球囊扩张费（介入）”。","2600\n高频平移","2600\n甲类",2600,2210,1878,"甲类","V2区主动脉夹层腔内隔绝术\nV3区主动脉夹层腔内隔绝术\n经胸杂交技术V2区主动脉夹层腔内隔绝术\n胸外杂交技术V2区主动脉夹层腔内隔绝术\n经腹杂交技术V3区主动脉夹层腔内隔绝术\n腹主动脉瘤腔内隔绝术+髂内动脉重建\n髂动静脉瘘腔内隔绝术\n经颈动脉置管髂动脉覆膜支架腔内修复术\n烟囱技术V2区主动脉夹层腔内隔绝术"]
[16,null,"大静脉支架置入费（介入）","通过介入方式置入支架扩张大静脉。","所定价格涵盖手术计划、术区准备、定位、消毒、穿刺、置管、支架置入、扩张、成形、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时行球囊扩张，造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"血管","以置入支架为目的，同部位行球囊扩张的不得同时收取“球囊扩张费（介入）”。","2600\n高频平移，通常静脉支架置入，仅做一支血管。","2600\n甲类",2600,2210,1878,"甲类","经皮穿刺上腔静脉球囊扩张+支架置入术\n经皮穿刺上腔静脉内支架置入术\n经皮穿刺下腔静脉内支架置入术\n经皮穿刺下腔静脉球囊扩张+支架置入术"]
[17,null,"头臂静脉支架置入费（介入）","通过介入方式置入支架扩张头臂静脉。","所定价格涵盖手术计划、术区准备、定位、消毒、穿刺、置管、支架置入、扩张、成形、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时行球囊扩张，造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"血管","以置入支架为目的，同部位行球囊扩张的不得同时收取“球囊扩张费（介入）”。","2600\n参考头臂动脉和大静脉成比价关系","2600\n甲类",2600,2210,1878,"甲类","经皮穿刺无名/锁骨下静脉支架置入术\n经皮无名/锁骨下静脉球囊扩张+支架置入术"]
[18,null,"肢体静脉支架置入费（介入）","通过介入方式置入支架扩张肢体静脉。","所定价格涵盖手术计划、术区准备、定位、消毒、穿刺、置管、支架置入、扩张、成形、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时行球囊扩张，造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"血管","以置入支架为目的，同部位行球囊扩张的不得同时收取“球囊扩张费（介入）”。","2800\n参考动脉支架置入3000","2800\n甲类",2800,2380,2023,"甲类","经皮穿刺髂静脉支架置入术\n经皮穿刺髂静脉内球囊扩张+支架置入术"]
[19,null,"内脏静脉支架置入费（介入）","通过介入方式置入支架扩张内脏静脉。","所定价格涵盖手术计划、术区准备、定位、消毒、穿刺、置管、支架置入、扩张、成形、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时行球囊扩张，造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"血管","以置入支架为目的，同部位行球囊扩张的不得同时收取“球囊扩张费（介入）”。","2500\n加权平均2640\n参考动脉支架置入2700","2500\n甲类",2500,2125,1806,"甲类","经皮穿刺肝静脉支架置入术\n经皮肝穿刺门静脉系统支架置入术\n门静脉支架置入术\n经皮肾静脉球囊扩张+支架置入术\n经皮肝穿刺肝静脉球囊扩张+支架置入术"]
[20,null,"大动脉腔内减容费（介入）","通过激光、旋切、旋磨、振波、血栓抽吸等各种物理或机械方式消除大动脉斑块或血栓。","所定价格涵盖手术计划、术区准备、消毒穿刺、置管、消除斑块、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"血管","超过1根按1根收费","3000\n医4-5护2-3，每人耗时3-5小时（激光光纤耗材除外，辅助操作所列耗材）","3000\n甲类",3000,2550,2167,"甲类","腹主动脉-髂动脉置管溶栓复通术\n腹主动脉-髂动脉旋磨腔内复通术\n经皮穿刺髂动脉射频消融再通术\n经皮穿刺髂动脉激光再通术\n腹主动脉-髂动脉激光腔内复通术\n腹主动脉-髂动脉旋切腔内复通术\n腹主动脉-髂动脉射频消融腔内复通术"]
[21,null,"头臂动脉腔内减容费（介入）","通过激光、旋切、旋磨、振波、血栓抽吸等各种物理或机械方式消除头臂动脉斑块或血栓。","所定价格涵盖手术计划、术区准备、消毒穿刺、置管、消除斑块、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"血管",null,"3000\n参考“大动脉腔内减容费（介入）”","2800\n参考内蒙\n甲类",2800,2380,2023,"甲类"]
[22,null,"肢体动脉腔内减容费（介入）","通过激光、旋切、旋磨、振波、血栓抽吸等各种物理或机械方式消除肢体动脉斑块或血栓。","所定价格涵盖手术计划、术区准备、消毒穿刺、置管、消除斑块、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"血管","每增加1支血管加收不超过30%，超过3支血管按3支血管收费","2100\n高频平移","2100\n甲类",2100,1785,1517,"甲类","经皮穿刺下肢动脉斑块旋切术\n经皮穿刺下肢动脉闭塞激光再通术\n经皮穿刺上肢动脉闭塞激光再通术\n经皮穿刺顺行小腿动脉旋切＋球囊成形术\n经皮穿刺顺行股浅动脉旋切＋球囊成形术\n经皮穿刺股浅动脉旋切＋球囊成形术\n经皮穿刺顺行股深动脉旋切＋球囊成形术\n经皮穿刺单侧腘动脉激光再通+球囊成形术\n经皮穿刺顺行腘动脉旋切＋球囊成形术\n经皮穿刺逆行腘动脉旋切＋球囊成形术\n经皮穿刺单侧足部动脉激光再通+球囊成形术\n经皮穿刺顺行足部动脉旋切＋球囊成形术\n经皮穿刺单侧小腿动脉激光再通+球囊成形术\n经皮穿刺单侧股动脉激光再通+球囊成形术\n经皮穿刺选择性下肢动脉置管溶栓术\n经皮穿刺髂动脉置管溶栓术\n经皮穿刺髂动脉血栓切除术\n经皮穿刺髂动脉旋磨再通术\n经皮穿刺髂动脉旋切再通术"]
[23,null,"内脏动脉腔内减容费（介入）","通过激光、旋切、旋磨、振波、血栓抽吸等各种物理或机械方式消除内脏动脉斑块或血栓。","所定价格涵盖手术计划、术区准备、消毒穿刺、置管、消除斑块、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"血管","每增加1支血管加收不超过30%，超过3支血管按3支血管收费","2500\n风险程度、操作时间与“头臂动脉腔内减容费”基本一致，参考比价关系","2500\n甲类",2500,2125,1806,"甲类","经皮肺动脉内血栓抽吸术\n经皮肝动脉内血栓抽吸术\n经皮穿刺肝动脉内溶栓术\n经皮肝动脉内血栓碎栓术\n经皮穿刺肠系膜上动脉内血栓抽吸术\n经皮肾动脉内血栓抽吸术\n经皮肠系膜上动脉内血栓碎栓术\n经皮肾动脉内血栓碎栓术\n经皮穿刺肠系膜上动脉内溶栓术\n经皮穿刺肺动脉内溶栓术\n经皮肺动脉内血栓碎栓术\n经皮穿刺肾动脉溶栓术"]
[24,null,"大静脉腔内减容费（介入）","通过激光、旋切、旋磨、振波、血栓抽吸等各种物理或机械方式消除大静脉斑块或血栓。","所定价格涵盖手术计划、术区准备、消毒穿刺、置管、消除斑块、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"血管","每增加1支血管加收不超过30%，超过3支血管按3支血管收费","2000\n加权平均（1956）","2000\n甲类",2000,1700,1445,"甲类","经皮穿刺上腔静脉内激光再通成形术\n经皮静脉内旋切术\n经皮穿刺下腔静脉内激光再通成形术\n经皮穿刺上腔静脉内插管溶栓术\n经皮穿刺下腔静脉内插管溶栓术\n经颈内静脉穿刺肝门静脉溶栓术\n经皮穿刺髂静脉内溶栓术\n经皮穿刺插管静（动）脉溶栓术\n经皮穿刺股总静脉内溶栓术"]
[25,null,"头臂静脉腔内减容费（介入）","通过激光、旋切、旋磨、振波、血栓抽吸等各种物理或机械方式消除头臂静脉斑块或血栓。","所定价格涵盖手术计划、术区准备、消毒穿刺、置管、消除斑块、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"血管","每增加1支血管加收不超过30%，超过3支血管按3支血管收费","1700\n与“大静脉腔内减容费（介入）”成比价关系","1700\n甲类",1700,1445,1228,"甲类","经皮穿刺无名静脉内溶栓术\n经皮穿刺锁骨下静脉内溶栓术\n经皮穿刺无名静脉内激光再通成形术\n经皮穿刺锁骨下静脉内激光再通成形术"]
[26,null,"肢体静脉腔内减容费（介入）","通过激光、旋切、旋磨、振波、血栓抽吸等各种物理或机械方式消除肢体静脉斑块或血栓。","所定价格涵盖手术计划、术区准备、消毒穿刺、置管、消除斑块、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"血管","每增加1支血管加收不超过30%，超过3支血管按3支血管收费","1500\n与“头臂静脉腔内减容费（介入）”成比价关系","1500\n甲类",1500,1275,1083,"甲类","经皮穿刺上肢静脉内激光再通成形术\n经皮穿刺下肢静脉内激光再通成形术\n经皮穿刺股总静脉内激光再通成形术\n经皮穿刺腋静脉内溶栓术\n经皮穿刺髂静脉内激光再通成形术"]
[27,null,"内脏静脉腔内减容费（介入）","通过激光、旋切、旋磨、振波、血栓抽吸等各种物理或机械方式消除内脏静脉斑块或血栓。","所定价格涵盖手术计划、术区准备、消毒穿刺、置管、消除斑块、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"血管","每增加1支血管加收不超过30%，超过3支血管按3支血管收费","1600\n与“头臂静脉腔内减容费（介入）”成比价关系","1600\n甲类",1600,1360,1156,"甲类","经皮穿刺肾静脉内激光再通成形术"]
[28,null,"血管置管治疗费（介入）","通过经皮穿刺置管，对血管进行治疗。","所定价格涵盖手术计划、术区准备、定位、消毒、穿刺、置管、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时注药或取血等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"血管","仅行血管内高压注射按20%收费","2000\n高频平移","2000\n甲类",2000,1700,1445,"甲类","经皮穿刺上肢动脉置管术\n经皮穿刺肝动脉置管术\n经皮穿刺选择性上下腔静脉取血术\n经皮穿刺双肾静脉取血术\n经皮穿刺选择性肾静脉取血术\n经皮穿刺选择性肾上腺静脉取血术\n经皮肝穿刺门静脉化疗术\n经皮脾穿刺门静脉化疗术\n经皮动脉内灌注化疗术\n经皮穿刺选择性奇静脉取血术\n经皮穿刺选择性肝静脉取血术\n经皮穿刺选择性甲状旁腺静脉取血术\n动脉内高压注射\n肝动脉化疗泵置入术\n经皮穿刺肠系膜上动脉置管术\n经皮穿刺肠系膜下动脉置管术\n经皮穿刺肾动脉置管术\n经皮穿刺子宫动脉置管术\n经皮穿刺下肢动脉置管术\n经皮穿刺上肢血管瘤腔内药物灌注术\n经皮穿刺下肢血管瘤腔内药物灌注术\n经皮肝穿刺门静脉导管药盒系统置入术"]
[29,null,"血管栓塞费（介入）","通过经皮穿刺将栓塞材料送入血管内，栓塞病变。","所定价格涵盖手术计划、术区准备、定位、消毒、穿刺、置管、栓塞、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"血管","超过3支血管按3支血管收费","2100\n加权平均(2113)","2100\n甲类",2100,1785,1517,"甲类","经皮穿刺支气管动脉栓塞术\n经皮穿刺甲状腺动脉栓塞术\n经皮穿刺腹腔干动脉瘤栓塞术\n经皮穿刺腹腔干动脉栓塞术\n经皮穿刺胃左动脉瘤栓塞术\n经皮穿刺胃左动脉栓塞术\n经皮穿刺肝总动脉瘤栓塞+支架置入术\n经皮穿刺肝固有动脉瘤栓塞术\n经皮穿刺肝固有动脉栓塞术\n经皮穿刺胃十二指肠动脉栓塞术\n经皮穿刺胃网膜动脉栓塞术\n经皮穿刺脾动脉栓塞术\n经皮穿刺肠系膜上动脉瘤栓塞术\n经皮穿刺肠系膜上动脉栓塞术\n经皮穿刺胰十二指肠动脉栓塞术\n经皮穿刺肠系膜下动脉瘤栓塞术\n经皮穿刺肠系膜下动脉栓塞术\n经皮穿刺肾上腺动脉瘤栓塞术\n经皮穿刺肾上腺动脉栓塞术\n经皮穿刺肾动脉瘤栓塞术\n经皮穿刺肾动脉栓塞术\n经皮穿刺生殖动脉栓塞术\n经皮穿刺子宫动脉栓塞术\n经皮穿刺膀胱动脉栓塞术\n经皮穿刺髂内动脉栓塞术\n经皮穿刺上肢动脉瘤栓塞术\n经皮穿刺下肢动脉栓塞术\n经皮肝穿刺门静脉栓塞术\n经皮脾穿刺门静脉栓塞术\n经皮肝穿刺胃冠状静脉栓塞术\n经腹选择性胃冠状静脉栓塞术\n胃冠状静脉栓塞术\n经腹腔镜胃冠状静脉栓塞术\n经皮选择性性腺静脉栓塞术\n经皮选择性髂内静脉栓塞术\n锁骨下动脉栓塞术\n经皮穿刺肝总动脉栓塞术\n经皮肝动脉栓塞术\n经皮穿刺生殖动脉瘤栓塞术"]
[30,null,"动静脉畸形/动静脉瘘介入栓塞费（常规）","通过经皮穿刺（经导管）将栓塞材料或药物送入畸形动静脉/动静脉瘘，栓塞病变。","所定价格涵盖手术计划、术区准备、定位、消毒、穿刺、置管、栓塞、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"次",null,"1800\n价格平移","1800\n甲类",1800,1530,1300,"甲类","先天性动静脉瘘栓塞术"]
[31,null,"动静脉畸形/动静脉瘘介入栓塞费（复杂）","通过经皮穿刺（经导管）将栓塞材料或药物送入复杂情况下的畸形动静脉/动静脉瘘，栓塞病变。","所定价格涵盖手术计划、术区准备、定位、消毒、穿刺、置管、栓塞、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"次","本项目所称的“复杂”指：瘤样扩张直径≥5cm，瘤体涉及肌肉、神经干等重要器官，病变累积范围≥15cm*15cm。","2400\n3医2护1技4小时","2400\n甲类",2400,2040,1734,"甲类"]
[32,null,"淋巴管置管治疗费（介入）","通过经皮穿刺置管，对淋巴管进行治疗。","所定价格涵盖手术计划、术区准备、定位、消毒、穿刺、置管、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时注药或取血等步骤所需的人力资源和基本物质资源消耗。不含淋巴管造影费用。",null,null,"次",null,"2200\n参照且难度高于“血管置管治疗费（介入）”","2200\n甲类",2200,1870,1589,"甲类"]
[33,null,"淋巴栓塞费（介入）","通过经皮穿刺将栓塞材料送入淋巴管破损处，栓塞淋巴病变。","所定价格涵盖手术计划、术区准备、定位、消毒、穿刺、置管、注入造影剂、撤除、闭合血管通路、加压止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。不含淋巴管造影费用。",null,null,"次",null,"2400\n比“淋巴管置管治疗费（介入）”多一步操作，且难度高于“淋巴管置管治疗费（介入）”","2400\n甲类",2400,2040,1734,"甲类"]
[34,null,"血管腔内封堵费（介入）","通过经皮穿刺将封堵器送入血管内，封堵病变。","所定价格涵盖手术计划、术区准备、定位、消毒、穿刺、置管、封堵、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"血管",null,"1800\n3医3护3小时","1800\n甲类",1800,1530,1300,"甲类"]
[35,null,"血管保护装置置入费（介入）","通过经皮穿刺放置血管保护装置。","所定价格涵盖手术计划、术区准备、定位、消毒、穿刺、置管、置入、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"血管",null,"1800\n考虑操作难度及时间","1800\n乙类",1800,1530,1300,"乙类","经皮穿刺上腔静脉滤器置入术\n经皮穿刺下腔静脉滤器置入术"]
[36,null,"血管保护装置取出费（介入）","通过经皮穿刺取出血管保护装置。","所定价格涵盖手术计划、术区准备、定位、消毒、穿刺、置管、取出、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"血管","同台手术中，同一血管不得同时收取“血管保护装置置入费（介入）”和“血管保护装置取出费（介入）”。","2000\n难度高于置入术，操作时间长","2000\n乙类",2000,1700,1445,"乙类","经皮穿刺下腔静脉滤器取出术\n经皮穿刺上腔静脉滤器取出术\n转流管取出术"]
[37,null,"血管异物取出费（介入）","通过经皮穿刺取出血管内异物。","所定价格涵盖手术计划、术区准备、定位、消毒、穿刺、置管、异物取出、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"血管",null,"2300\n加权平均（2350）","2300\n甲类",2300,1955,1661,"甲类","经皮穿刺上腔静脉内血管异物取出术\n经皮穿刺无名静脉内血管异物取出术\n经皮穿刺锁骨下静脉内血管异物取出术\n经皮穿刺腋静脉内血管异物取出术\n经皮穿刺下腔静脉内血管异物取出术\n经皮穿刺髂静脉内血管异物取出术\n经皮穿刺股总静脉内血管异物取出术\n经皮穿刺肺动脉内异物取出术\n经皮穿刺动脉内异物取出术"]
[38,null,"心内异物取出费（介入）","通过介入的方式，取出心内异物。","所定价格涵盖手术计划、术区准备、定位、消毒、穿刺、置管、异物取出、撤除、闭合血管通路、加压止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"2300\n参考“血管异物取出费”","2300\n甲类",2300,1955,1661,"甲类"]
[39,null,"血管消融治疗费（介入）","通过介入的方式消融血管病灶。","所定价格涵盖手术计划、术区准备、消毒铺巾、建立通路、穿刺、采用不同的消融能量或介质进行消融、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"血管","1.消融能量或介质包括但不限于化学、射频、冷冻、脉冲、微波、激光等方式。\n2.同一血管不与腔内减容费同时收费。","2000\n参考“消融治疗费”","2000\n甲类",2000,1700,1445,"甲类","经皮穿刺上肢动脉内超声消融术\n经皮穿刺下肢动脉内超声消融术\n经皮穿刺上腔静脉血栓超声消融术\n经皮穿刺无名静脉血栓超声消融术\n经皮穿刺锁骨下静脉血栓超声消融术\n经皮穿刺下腔静脉血栓超声消融术\n经皮穿刺髂静脉血栓超声消融术\n经皮穿刺下肢静脉血栓超声消融术\n经皮穿刺股总静脉血栓超声消融术\n经皮穿刺上肢静脉血栓超声消融术\n经皮穿刺腋静脉血栓超声消融术\n"]
[40,null,"慢性闭塞血管逆向再通费（介入）","通过经皮穿刺疏通血管闭塞端近端及远端。","所定价格涵盖手术计划、术区准备、消毒穿刺、置管、连通、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"血管",null,"2600\n参考且难度高于“肢体动脉腔内减容费”价格","2600\n甲类",2600,2210,1878,"甲类"]
[41,null,"静脉分流费（介入）","通过经皮穿刺建立静脉与静脉之间的通道。","所定价格涵盖手术计划、术区准备、定位、消毒、穿刺、置管、建立通道、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"血管",null,"2700\n高频平移","2700\n甲类",2700,2295,1950,"甲类","经颈内静脉穿刺肝内门腔静脉分流术(TIPS)\n冠状静脉下腔静脉分流术\n门静脉奇静脉断流术\n门体静脉断流术\n门静脉肺分流术\n门静脉腔静脉H型架桥分流术\n脾肾静脉分流术"]
[42,null,"动静脉转流费（介入）","通过经皮穿刺建立动脉与静脉之间的通道。","所定价格涵盖手术计划、术区准备、定位、消毒、穿刺、置管、建立通道、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。",null,null,"血管",null,"2600\n参考“肢体静脉球囊扩张费”","2600\n甲类",2600,2210,1878,"甲类","经皮穿刺血液透析静脉回路球囊扩张+支架置入术\n经皮穿刺血液透析通路血栓碎栓术\n经皮血液透析通路溶栓术\n经皮血液透析静脉回路球囊成形术"]
[43,null,"下肢静脉闭合费（介入）","通过经皮穿刺的方式闭合下肢静脉。","所定价格涵盖手术计划、术区准备、定位、消毒、穿刺、各种方式闭合静脉、超声确认治疗效果、撤除、闭合血管通路、加压止血、包扎、处理用物，必要时造影确认治疗效果等步骤所需的人力资源和基本物质资源消耗。不含血管造影检查费用。","01大隐静脉闭合费（介入）30%\n11小隐静脉闭合费（介入）30%",null,"单肢","本项目所称的各种方式包括但不限于激光、射频、旋磨、超声、微波、蒸汽、机械和/或化学方式。","1600\n价格平移“大隐静脉腔内射频闭合术”","1600\n甲类",1600,1360,1156,"甲类","小隐静脉腔内射频闭合术\n大隐静脉激光治疗\n大隐静脉射频消融治疗\n大隐静脉腔内射频闭合术\n大隐静脉腔内激光闭合术\n下肢浅静脉静脉团透光旋切术\n小隐静脉腔内激光闭合术"]
[null,null,"下肢静脉闭合费（介入）-大隐静脉闭合费（介入）（加收）",{"$nulls":4},"单肢",{"$nulls":3},480,408,346.8,"甲类"]
[null,null,"下肢静脉闭合费（介入）-小隐静脉闭合费（介入）（加收）",{"$nulls":4},"单肢",{"$nulls":3},480,408,346.8,"甲类"]
[44,null,"外周血管腔内影像学检查费","在外周血管造影基础上进行腔内影像学检查。","所定价格涵盖连接设备、观察血管内影像情况、撤除设备等步骤所需的人力资源和基本物质资源消耗。不含外周血管造影费用。",null,null,"次","本项目所称的“外周血管腔内影像学检查费”指：外周血管内超声检查、外周血管光学相干断层成像。","2100\n参考“冠状动脉腔内影像学检查费”","2100\n丙类",2100,{"$f":"L56*0.85","v":1785},1517,"丙类"]
[45,null,"外周血管血流储备功能检查费","在外周血管造影基础上进行血流储备功能检查。","所定价格涵盖连接设备、测量外周血管血流储备功能、撤除设备等步骤所需的人力资源和基本物质资源消耗。不含外周血管造影费用。",null,"01脑血管血流储备功能检查费","次","本项目所称的“外周血管血流储备功能检查费”指：外周血管造影检查中通过压力导丝、传感器、造影图像等方式获取的血流储备功能情况。","1000\n参照“冠状动脉血流储备功能检查费”","1000\n丙类",1000,850,722,"丙类"]
[null,null,"外周血管血流储备功能检查费-脑血管血流储备功能检查费（扩展）",{"$nulls":4},"次",{"$nulls":3},1000,850,722,"丙类"]
[46,null,"血管探查费（开胸/开腹）","通过开胸/开腹手术探查血管。","所定价格涵盖手术计划、术区准备、消毒、开胸/腹、探查、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","不与血管其他相关手术同时收费。","1500\n参考“胸腔探查费”","1500\n甲类",1500,1275,1083,"甲类","移植肾探查术\n开胸心脏探查术\n颈动脉探查术"]
[47,null,"血管探查费（非开胸/开腹）","通过非开胸/开腹手术切开探查血管。","所定价格涵盖手术计划、术区准备、消毒、切开血管、探查、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","不与血管其他相关手术同时收费。","800\n价格平移","800\n甲类",800,680,578,"甲类","上肢血管探查术\n腋动脉探查术\n下肢胫动脉探查术\n下肢股腘动脉探查术"]
[48,null,"主动脉瘤切除重建费（常规）","通过手术切除主动脉瘤并进行功能重建。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、切除、重建、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"4800\n5医3护6小时","4300\n5医3护6小时且参考内蒙\n甲类",4300,3655,3106,"甲类","腹主动脉瘤切除人工血管置换术\n经腹膜外径路腹主动脉瘤人工血管置换术\n腹主动脉瘤切除腹主动脉-双侧股动脉人工血管置换术(Y型人工血管)\n腹主动脉瘤-髂动脉瘤切除腹主动脉-双股动脉人工血管移植术\n腹主动脉瘤切除腹主动脉-双髂动脉人工血管置换术(Y型人工血管)\n腹主动脉瘤-髂动脉瘤切除腹主动脉-双髂动脉人工血管移植术\n腹主动脉瘤-髂动脉瘤切除腹主动脉-单侧髂股动脉人工血管移植术\n腹主动脉动脉瘤旷置术\n腹主动脉瘤髂动脉瘤旷置术\n腹主动脉瘤成形术\n腹主动脉瘤髂动脉瘤成形术"]
[49,null,"主动脉瘤切除重建费（复杂）","通过手术切除复杂情况下的主动脉瘤并进行功能重建。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、切除、重建、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。","01破裂主动脉瘤30%",null,"次","本项目所称的“复杂”指：累及头臂干动脉、内脏动脉、感染及假性动脉瘤。","6400\n5医3护8小时","5900\n5医3护8小时且参考内蒙\n甲类",5900,5015,4262,"甲类","部分胸降主动脉夹层动脉瘤人工血管替换术\n肾上腹主动脉瘤人工血管置换术\n腹主动脉假性动脉瘤切除腹主动脉人工血管置换术\n腹主动脉瘤切除腹主动脉-单侧髂单侧股动脉人工血管置换术(Y型人工血管)\n破裂腹主动脉瘤切除腹主动脉-单侧髂股动脉人工血管置换术\n腹主动脉假性动脉瘤切除腹主动脉-单侧髂单侧股动脉人工血管置换术\n腹主动脉假性动脉瘤切除腹主动脉-股动脉人工血管置换术\n髂动脉假性动脉瘤切除腹主动脉-股动脉人工血管置换术\n腹主动脉假性动脉瘤切除腹主动脉-髂动脉人工血管置换术\n髂动脉假性动脉瘤切除腹主动脉-髂动脉人工血管置换术\n腹腔镜下腹主动脉闭塞行腹主-双股(髂)动脉人工血管旁路移植术\n腹主动脉假性动脉瘤成形术\n腹主动脉瘤Y型移植物腔内隔绝术\n经腹杂交技术肾周或肾上腹主动脉瘤腔内隔绝术(逆行旁路技术)\n经腹杂交技术肾周及肾上腹主动脉瘤腔内隔绝术(顺行旁路技术)\n假性腹主动脉瘤Y型移植物腔内隔绝术\n腹主动脉瘤腔内隔绝术+髂总动脉缩窄术\n肾周腹主动脉瘤人工血管置换术\n破裂髂动脉瘤切除腹主动脉-双髂动脉人工血管置换术\n破裂髂动脉瘤切除腹主动脉-双股动脉人工血管置换术\n破裂髂动脉瘤切除腹主动脉-单侧髂股动脉人工血管置换术\n胸腹主动脉瘤切除+内脏血管重建术\n复杂腹主动脉瘤切除腹主动脉人工血管移植术\n复杂腹主动脉瘤切除腹主动脉-股动脉人工血管移植术\n复杂腹主动脉瘤切除腹主动脉-髂动脉人工血管移植术\n破裂腹主动脉瘤切除腹主动脉-双股动脉人工血管置换术\n破裂腹主动脉瘤切除腹主动脉-双髂动脉人工血管置换术\n复杂腹主动脉瘤切除腹主动脉-单侧髂单侧股动脉人工血管移植术\n腹腔镜下腹主动脉瘤切除+腹主-双股(髂)动脉人工血管旁路移植术"]
[null,null,"主动脉瘤切除重建费（复杂）-破裂主动脉瘤（加收）",{"$nulls":4},"次",{"$nulls":3},1770,1504.5,1278.6,"甲类"]
[50,null,"颈动脉（体）瘤切除重建费（常规）","通过手术切除颈动脉（体）瘤并进行功能重建。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、切除、重建、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"3000\n4医1护1技4小时\n高原相关疾病（高发），手术难度高、风险大。","3000\n甲类",3000,{"$f":"L64*0.85","v":2550},2167,"甲类","颈动脉体瘤切除术\n颈外动脉瘤切除术"]
[51,null,"颈动脉（体）瘤切除重建费（复杂）","通过手术切除复杂情况下的颈动脉（体）瘤并进行功能重建。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、切除、重建、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。","01破裂颈动脉（体）瘤30%",null,"次","本项目所称的“复杂”指：累及分支开口部位颈动脉瘤、二型三型颈动脉体瘤、感染及假性动脉瘤。","3500\n高原相关疾病（高发），手术难度高、风险大。与“颈动脉（体）瘤切除重建费（常规）”成比价关系","3500\n甲类",3500,2975,2528,"甲类","颈动脉体瘤切除动脉结扎术\n颈动脉瘤切除血管移植术\n颈动脉体瘤切除转流术\n颈动脉瘤切除吻合术\n颈动脉体瘤切除血管修补术\n巨大颈动脉体瘤切除+淋巴结清扫+血管重建术\n颈动脉瘤切除血管重建术\n颈动脉假性动脉瘤切除术\n颈动脉体瘤切除颈动脉结扎术"]
[null,null,"颈动脉（体）瘤切除重建费（复杂）-破裂颈动脉（体）瘤",{"$nulls":4},"次",{"$nulls":3},1050,892.5,758.4,"甲类"]
[52,null,"动脉瘤切除重建费（常规）","通过手术切除动脉瘤并进行功能重建。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、切除、重建、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","本项目所称的“动脉瘤”不含主动脉瘤和颈动脉（体）瘤。","2100\n4医3护3小时","2100\n甲类",2100,1785,1517,"甲类","胃左动脉瘤切除术\n胃左动脉瘤切除+胃左动脉自体大隐静脉旁路术\n胃左动脉瘤切除+胃左动脉人工血管旁路术"]
[53,null,"动脉瘤切除重建费（复杂）","通过手术切除复杂情况下的动脉瘤并进行功能重建。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、切除、重建、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。","01破裂动脉瘤30%",null,"次","1.本项目所称的“动脉瘤”不含主动脉瘤和颈动脉（体）瘤。\n2.本项目所称的“复杂”指：累及分支开口部位动脉瘤、感染及假性动脉瘤。","3300\n加权平均（3250）","3300\n甲类",3300,2805,2384,"甲类","腹腔干动脉瘤切除术\n腹腔干动脉瘤切除+腹腔干重建术\n腹腔干动脉瘤切除+腹腔干人工血管间置重建术\n腹腔干动脉瘤切除+腹腔干自体大隐静脉间置重建术\n脾动脉瘤切除+脾动脉自体大隐静脉间置重建术\n脾动脉瘤切除+脾切除术\n脾动脉瘤切除+脾动脉重建术\n脾动脉瘤切除+脾动脉人工血管间置重建术\n肝总动脉瘤切除+肝总动脉人工血管旁路术\n胃左动脉瘤切除+胃左动脉重建术\n胃左动脉瘤切除+胃左动脉人工血管间置重建术\n胃左动脉瘤切除+胃左动脉自体大隐静脉间置重建术\n肝总动脉瘤切除+肝总动脉重建术\n肝总动脉瘤切除+肝总动脉人工血管间置重建术\n肝固有动脉瘤切除+肝固有动脉重建术\n肝总动脉瘤切除+肝总动脉自体大隐静脉间置重建术\n肝固有动脉瘤切除+肝固有动脉人工血管间置重建术\n肠系膜上动脉瘤切除+肠系膜上动脉重建术\n肠系膜上动脉瘤切除+肠系膜上动脉人工血管间置重建术\n肠系膜上动脉瘤切除+肠系膜上动脉自体大隐静脉间置重建术\n肠系膜下动脉瘤切除+肠系膜下动脉重建术\n肠系膜下动脉瘤切除+肠系膜下动脉人工血管间置重建术\n肠系膜下动脉瘤切除+肠系膜下动脉自体大隐静脉间置重建术\n肾动脉瘤切除+肾动脉重建术\n肾动脉瘤切除+肾切除术"]
[null,null,"动脉瘤切除重建费（复杂）-破裂动脉瘤（加收）",{"$nulls":4},"次",{"$nulls":3},990,841.5,715.2,"甲类"]
[54,null,"动脉瘤栓塞费","通过手术栓塞动脉瘤。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、置入栓塞材料、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"1600\n加权平均(1548)","1600\n甲类",1600,{"$f":"L70*0.85","v":1360},1156,"甲类","肝动脉栓塞术\n经腹腔镜肝动脉栓塞术\n脾动脉瘤栓塞术"]
[55,null,"大动脉切除重建费","通过手术切除大动脉并进行功能重建。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、切除、重建、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","本项目中的“次”指：两根及以下血管，多于两根血管可按加收。本手术仅指全程主动脉切除重建。","32000\n难度高于肝移植（30000元）\n技术难度100，8医6护2体外循环师16小时","32000\n甲类",32000,27200,23120,"甲类","全程主动脉人工血管置换术"]
[56,null,"头臂动脉切除重建费","通过手术切除头臂动脉并进行功能重建。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、切除、重建、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","本项目中的“次”指：两根及以下血管，多于两根血管可按30%加收。","2100\n高价平移","2100\n甲类",2100,1785,1517,"甲类","锁骨下动脉瘤切除术\n无名动脉瘤切除术"]
[57,null,"肢体动脉切除重建费","通过手术切除肢体动脉并进行功能重建。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、切除、重建、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","本项目中的“次”指：两根及以下血管，多于两根血管可按30%加收。","2100\n参考“动脉瘤切除重建费（常规）”","2100\n甲类",2100,1785,1517,"甲类","腘窝陷迫综合征腘动脉切除重建术"]
[58,null,"内脏动脉切除重建费","通过手术切除内脏动脉并进行功能重建。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、切除、重建、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","本项目中的“次”指：两根及以下血管，多于两根血管可按30%加收。","2600\n价格平移","2600\n甲类",2600,2210,1878,"甲类","肾血管重建术\n腹腔干动脉瘤切除+腹腔干人工血管旁路术\n腹腔动脉瘤切除+腹腔干自体大隐静脉旁路术\n腹主动脉-肠系膜上动脉人工血管旁路术"]
[59,null,"大动脉成形费","通过手术对大动脉进行成形。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、切除、缝合成形、止血、包扎、处理用物，必要时补片修补等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","本项目中的“次”指：两根及以下血管，多于两根血管可按30%加收。","4700\n高价平移","4300\n参考“主动脉瘤切除重建”\n甲类",4300,3655,3106,"甲类","升主动脉成形术\n单侧髂动脉闭塞主-髂动脉人工血管旁路术\n双侧髂动脉闭塞主-髂动脉人工血管旁路术(Y型人工血管)\n髂股动脉闭塞腹主动脉-股动脉人工血管旁路术\n髂动脉瘤切除人工血管置换术\n部分胸降主动脉切除术\nN1区主动脉夹层瘤颈成形加腔内隔绝术\n经腹杂交技术胸腹主动脉瘤腔内隔绝术(逆行旁路技术)\n经胸腹联合杂交技术胸腹主动脉瘤腔内隔绝术(顺行旁路技术)"]
[60,null,"头臂动脉成形费","通过手术对头臂动脉进行成形。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、切除、缝合成形、止血、包扎、处理用物，必要时补片修补等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","本项目中的“次”指：两根及以下血管，多于两根血管可按30%加收。","3000\n高频平移","3000\n甲类",3000,2550,2167,"甲类","锁骨下动脉修复术\n颈动脉重建术"]
[61,null,"肢体动脉成形费","通过手术对肢体动脉进行成形。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、切除、缝合成形、止血、包扎、处理用物，必要时补片修补等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","本项目中的“次”指：两根及以下血管，多于两根血管可按30%加收。","1400\n参考“肢体血管吻合费”（700）*两根血管","1600\n参考“肢体血管吻合费”（700）*两根血管且与同部位成比价关系\n甲类",1600,1360,1156,"甲类"]
[62,null,"内脏动脉成形费","通过手术对内脏动脉进行成形。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、切除、缝合成形、止血、包扎、处理用物，必要时补片修补等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","本项目中的“次”指：两根及以下血管，多于两根血管可按30%加收。","2000\n高频平移","2300\n甲类",2300,1955,1661,"甲类","肠系膜上动脉成形术\n肝总动脉瘤切除+肝总动脉结扎术\n肝总动脉瘤切除+肝总动脉自体大隐静脉间置重建术\n肝固有动脉瘤切除+肝固有动脉结扎术\n肝固有动脉瘤旷置+肝固有动脉自体大隐静脉旁路术\n胃十二指肠动脉动脉瘤切除术\n脾动脉瘤旷置+脾动脉人工血管旁路术\n脾动脉瘤切除+脾动脉人工血管旁路术\n胰十二指肠动脉动脉瘤切除术\n肠系膜上动脉瘤切除术\n肠系膜上动脉瘤旷置+肠系膜上动脉人工血管旁路术\n肠系膜上动脉瘤切除+肠系膜上动脉人工血管旁路术\n肠系膜上动脉瘤旷置+肠系膜上动脉自体大隐静脉旁路术\n肠系膜上动脉瘤切除+肠系膜上动脉自体大隐静脉旁路术\n肠系膜上动脉人工血管旁路术\n肠系膜上动脉自体大隐静脉旁路术\n肠系膜下动脉瘤旷置+肠系膜下动脉人工血管旁路术\n肠系膜下动脉瘤切除+肠系膜下动脉人工血管旁路术\n肠系膜下动脉瘤旷置+肠系膜下动脉自体大隐静脉旁路术\n肾动脉人工血管旁路术\n肾动脉自体大隐静脉旁路术\n肾动脉瘤旷置+肾动脉人工血管旁路术\n肾动脉瘤切除+肾动脉人工血管旁路术\n肾动脉瘤旷置+肾动脉自体大隐静脉旁路术\n肾动脉瘤切除+肾动脉自体大隐静脉旁路术\n肾动脉瘤切除自体肾移植术\n生殖动脉瘤切除术\n肠系膜下动脉瘤切除+肠系膜下动脉自体大隐静脉旁路术\n肠系膜下动脉瘤切除术\n肠系膜下动脉人工血管旁路术\n肠系膜下动脉自体大隐静脉旁路术\n肝固有动脉瘤切除+肝固有动脉自体大隐静脉旁路术\n肝固有动脉瘤旷置+肝固有动脉人工血管旁路术\n肝固有动脉瘤切除+肝固有动脉人工血管旁路术\n肝总动脉瘤旷置+肝总动脉自体大隐静脉旁路术\n肝总动脉瘤切除+肝总动脉自体大隐静脉旁路术\n肝总动脉瘤旷置+肝总动脉人工血管旁路术"]
[63,null,"大静脉成形费","通过手术对大静脉进行成形。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、切除、缝合成形、止血、包扎、处理用物，必要时补片修补等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","本项目中的“次”指：两根及以下血管，多于两根血管可按比例30%加收。","4200\n参考大动脉成形费4700\n静脉壁薄，不好缝合\n4医2护7小时","4200\n参考大动脉成形费4300\n甲类",4200,3570,3034,"甲类","下腔静脉重建术\n上腔静脉综合征直行人工血管转流术\n门腔静脉侧侧吻合术\n门腔静脉端侧吻合术\n显微镜下胸导管甲状腺中静脉吻合术\n显微镜下胸导管颈横静脉静脉吻合术\n显微胸导管椎静脉吻合术"]
[64,null,"头臂静脉成形费","通过手术对头臂静脉进行成形。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、切除、缝合成形、止血、包扎、处理用物，必要时补片修补等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","本项目中的“次”指：两根及以下血管，多于两根血管可按比例30%加收。","1800\n4医2护3小时","1800\n甲类",1800,1530,1300,"甲类","颈内扩张静脉切除成形术"]
[65,null,"肢体静脉成形费","通过手术对肢体静脉进行成形。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、切除、缝合成形、止血、包扎、处理用物，必要时补片修补等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","本项目中的“次”指：两根及以下血管，多于两根血管可按比例30%加收。","1600\n与上项形成比价关系\n4医2护3小时","1400\n参考“肢体动脉成形费”\n甲类",1400,1190,1011,"甲类","下肢浅组静脉动脉化重建术\n股静脉/腘静脉带瓣膜段植换术\n四肢深静脉瘤切除术"]
[66,null,"内脏静脉成形费","通过手术对内脏静脉进行成形。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、切除、缝合成形、止血、包扎、处理用物，必要时补片修补等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","本项目中的“次”指：两根及以下血管，多于两根血管可按比例30%加收。","2300加权平均","2000\n参考“内脏动脉成形费”\n甲类",2000,1700,1445,"甲类","肠系膜上静脉重建术\n肠系膜下静脉重建术\n脾静脉腔静脉吻合术\n脾静脉重建术\n肾静脉重建术\n生殖静脉重建术\n肠系膜上静脉下腔静脉端侧吻合术(Marion手术)\n肠系膜上静脉下腔静脉侧侧吻合术\n远端脾静脉肾静脉吻合术(Warren手术)\n内脏静脉瘤切除术"]
[67,null,"大动脉破裂修补费","通过手术修补破裂的大动脉。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、修补、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","本项目中的“次”指：两根及以下血管，多于两根血管可按比例30%加收。","4000\n5医3护6小时\n参考主动脉瘤切除重建费（常规）难度较此项低","4000\n甲类",4000,3400,2890,"甲类","胸腹主动脉损伤修复术\n腹主动脉下腔静脉修复术\n胸主动脉损伤修复术\n腹主动脉损伤修复术\n腹主/髂动脉损伤修复术\n髂动脉瘤成形术\n髂动脉假性动脉瘤成形术\n肋间动脉重建术\n骨盆骨折髂内动脉结扎术"]
[68,null,"头臂动脉破裂修补费","通过手术修补破裂的头臂动脉。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、修补、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","本项目中的“次”指：两根及以下血管，多于两根血管可按比例30%加收。","3800\n参考大动脉破裂修补术4000","3800\n甲类",3800,3230,2745,"甲类","颈动脉迂曲矫正术"]
[69,null,"肢体动脉破裂修补费","通过手术修补破裂的肢体动脉。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、修补、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","本项目中的“次”指：两根及以下血管，多于两根血管可按30%加收。","\n2200\n加权平均(2191)","2200\n甲类",2200,1870,1589,"甲类","肱动脉修复术\n烧伤破裂血管修补缝合术\n烧伤破裂血管移植术\n前臂动脉修复术\n腋动脉修复术\n小腿动脉修复术\n股动脉修复术\n腘动脉修复术"]
[70,null,"内脏动脉破裂修补费","通过手术修补破裂的内脏动脉。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、修补、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","本项目中的“次”指：两根及以下血管，多于两根血管可按30%加收。","2700\n加权平均\n（2700）","2700\n甲类",27000,22950,19507,"甲类","髂动脉假性动脉瘤旷置术\n髂动脉瘤旷置术\n肝动脉结扎术\n经腹腔镜肝动脉结扎术\n腹腔干动脉综合征中弓韧带松解术\n肝总动脉瘤旷置+肝总动脉结扎术\n肝固有动脉瘤旷置+肝固有动脉结扎术\n肠系膜上动脉瘤旷置术\n肠系膜下动脉瘤旷置术\n肠系膜下动脉重建术"]
[71,null,"大静脉破裂修补费","通过手术修补破裂的大静脉。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、修补、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","本项目中的“次”指：两根及以下血管，多于两根血管可按30%加收。","2850\n加权平均2850","2850\n甲类",2850,2422.5,2059,"甲类","腔静脉损伤修复术\n下腔静脉血管平滑肌肉瘤切除人工血管重建术\n肠系膜下静脉结扎术\n髂静脉血管平滑肌肉瘤切除术\n髂静脉血管平滑肌肉瘤切除人工血管重建术\n下腔静脉血管平滑肌肉瘤切除术"]
[72,null,"头臂静脉破裂修补费","通过手术修补破裂的头臂静脉。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、修补、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","本项目中的“次”指：两根及以下血管，多于两根血管可按30%加收。","2200\n价格平移","2200\n甲类",2200,1870,1589,"甲类","锁骨下静脉修复术"]
[73,null,"肢体静脉破裂修补费","通过手术修补破裂的肢体静脉。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、修补、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","本项目中的“次”指：两根及以下血管，多于两根血管可按30%加收。","1800\n加权平均1805","1800\n甲类",1800,1530,1300,"甲类","肱静脉修复术\n前臂静脉修复术\n腋静脉修复术\n股静脉修复术\n腘静脉修复术"]
[74,null,"内脏静脉破裂修补费","通过手术修补破裂的内脏静脉。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、修补、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","本项目中的“次”指：两根及以下血管，多于两根血管可按比例加收。","2000\n参考比价关系，难度介于“头臂静脉破裂修补费”与“肢体静脉破裂修补费”之间","2000\n甲类",2000,1700,1445,"甲类","髂静脉修复术\n生殖静脉结扎术"]
[75,null,"非浅表血管瘤切除费（常规）","通过手术切除非浅表血管瘤。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、切除、重建、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","浅表血管瘤按体被系统“血管瘤去除费”收取。","800\n价格平移","800\n甲类",800,680,578,"甲类","血管球瘤切除术"]
[76,null,"非浅表血管瘤切除费（复杂）","通过手术切除复杂情况下的非浅表血管瘤。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、切除、重建、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","1.浅表血管瘤按体被系统“血管瘤去除费”收取。\n2.本项目所称的“复杂”指：瘤体最大径≥5cm，瘤体累及肌肉、神经干的情况。","1800\n4医2护3小时","1800\n甲类",1800,1530,1300,"甲类"]
[77,null,"下腔静脉/肝静脉阻塞分流费","通过分流方式治疗下腔静脉/肝静脉阻塞。","所定价格涵盖手术计划、术区准备、消毒、切开、分流、重建、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"2900\n加权平均","2900\n甲类",2900,2465,2095,"甲类","布加综合征肠-颈人工血管转流术\n布加综合征肠-房人工血管转流术\n布加综合征腔-肠-房人工血管转流术\n布加综合征腔-房人工血管转流术\n锁骨下静脉-下腔静脉人工血管转流术"]
[78,null,"下腔静脉/肝静脉阻塞病变切除费","通过切除方式治疗下腔静脉/肝静脉阻塞。","所定价格涵盖手术计划、术区准备、消毒、切开、切除、重建、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"2900\n加权平均2875","2900\n甲类",2900,2465,2095,"甲类","布加综合征根治术\n布加综合征肝静脉流出道成形术\n布加综合征膈膜切除术\n布加综合征经右房破膜术\n布加综合征经股静脉右房联合破膜+球囊成形术\n布加综合征经股静脉右房联合破膜+支架成形术\n上腔静脉取栓＋补片成形术\n下腔静脉取栓＋补片成形术"]
[79,null,"静脉切开支架置入费","通过手术切开静脉置入支架。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、切除、重建、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"3000\n参考“肢体静脉支架置入费（介入）”","3000\n甲类",3000,2550,2167,"甲类"]
[80,null,"动脉旁路移植费（常规）","通过手术建立动脉与动脉之间的通道。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、吻合重建、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"2500\n与“动脉旁路移植费（复杂）”成比价关系","2500\n甲类",2500,2125,1806,"甲类","股静脉-大隐静脉原位转流术\n股静脉-腋静脉自体大隐静脉转流术"]
[81,null,"动脉旁路移植费（复杂）","通过手术建立复杂情况下的动脉与动脉之间的通道。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、吻合重建、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","本项目所称的“复杂”指：两根及以上旁路移植，主动脉旁路移植,膝下三分支动脉旁路移植,自体血管旁路移植。","2800\n加权平均2818","2800\n甲类",2800,2380,2023,"甲类","股-腓动脉血管旁路术\n颈总动脉-锁骨下动脉旁路移植术\n颈总动脉-腋动脉旁路移植术\n右颈总动脉-左颈总动脉旁路术\n左锁骨下动脉-左颈内动脉旁路术\n椎动脉-锁骨下动脉旁路术\n椎动脉-颈总动脉端侧吻合术\n股-胫前/后动脉血管旁路术\n腘-胫前/后动脉血管旁路术\n腘动脉-胫前动脉自体大隐静脉原位移植术\n腘动脉-胫后动脉自体大隐静脉原位移植术\n腘动脉-腓动脉自体大隐静脉原位移植术\n腋动脉-腋动脉旁路移植术\n股股动脉耻骨上自体大隐静脉旁路术\n股-股动脉耻骨上人工血管旁路术\n同侧股-股动脉人工血管旁路术\n股动脉-腓动脉自体大隐静脉原位移植术\n股-膝上腘动脉血管旁路术\n股-膝上腘动脉自体大隐静脉原位移植术\n股-膝下腘动脉自体大隐静脉原位移植术\n股-胫前/后动脉自体大隐静脉原位移植术\n股-膝下腘动脉血管旁路术\n腘-腓动脉血管旁路术\n升主动脉－腹主动脉旁路术\n升主动脉-颈内(总)动脉旁路术\n升主动脉-颈内动脉及锁骨下动脉旁路术\n升主动脉双锁骨下动脉Y型人工血管旁路术\n升主动脉-双腋动脉Y型人工血管-单侧颈动脉自体血管旁路术\n升主动脉-双腋动脉Y型人工血管旁路术\n升主动脉－胸主动脉旁路移植术\n髂股动脉闭塞髂动脉-股动脉人工血管旁路术\n腋-双股动脉人工血管旁路术\n腋-单股动脉人工血管旁路术"]
[82,null,"静脉旁路移植费","通过手术建立静脉与静脉之间的通道。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、吻合重建、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"2300\n加权平均","2300\n甲类",2300,1955,1661,"甲类","上腔静脉综合征Y型人工血管转流术\n上腔静脉-股静脉人工血管转流术\n上腔静脉-髂静脉人工血管转流术\n双髂静脉-下腔静脉人工血管转流术\n肠系膜上静脉下腔静脉H型分流术\n股-股静脉耻骨上血管转流术\n股-股静脉自体大隐静脉耻骨上转流术\n腹水静脉转流术\n股静脉-下腔静脉人工血管转流术\n双股静脉-下腔静脉人工血管转流术\n腋-股静脉自体大隐静脉转流术\n股静脉-腋静脉人工血管转流术\n上腔静脉-下腔静脉人工血管转流术\n无名静脉-股静脉人工血管转流术\n无名静脉-髂静脉人工血管转流术\n无名静脉-下腔静脉人工血管转流术\n颈内静脉-股静脉人工血管转流术\n颈内静脉-髂静脉人工血管转流术\n颈内静脉-下腔静脉人工血管转流术\n锁骨下静脉-股静脉人工血管转流术\n腋-股静脉人工血管转流术\n锁骨下静脉-髂静脉人工血管转流术\n脾肾静脉转流术\n髂静脉-下腔静脉人工血管转流术"]
[83,null,"血管阻断费","通过手术永久或临时闭合血管。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、切除、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"400\n2医2护1小时","400\n甲类",400,340,289,"甲类"]
[84,null,"曲张静脉缝扎费","通过手术对曲张的静脉进行缝扎。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、缝扎、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"2100\n加权平均2066","2100\n甲类",2100,1785,1517,"甲类","经胸食管下端曲张静脉缝扎术\n胃底曲张静脉缝扎术(Boerema手术)\n经腹腔镜胃底曲张静脉缝扎术"]
[85,null,"主动脉消化道瘘修复费","通过手术修复主动脉消化道瘘。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、修复、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"2500\n价格平移","2500\n甲类",2500,2125,1806,"甲类","腹主动脉消化道瘘修复术\n髂动脉消化道瘘修复术"]
[86,null,"动脉膀胱瘘修复费","通过手术修复动脉膀胱瘘。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、修复、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"2500\n价格平移","2500\n甲类",2500,2125,1806,"甲类","腹主动脉膀胱瘘修复术\n髂动脉膀胱瘘修复术"]
[87,null,"静脉瓣修复费","通过手术修复静脉瓣。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、修复、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"1300\n高频平移","1300\n甲类",1300,1105,939,"甲类","经血管镜股静脉瓣修复术\n股静脉瓣膜切开修补术\n经血管镜腘静脉瓣修复术\n腘静脉瓣膜切开修补术\n股静脉带戒术\n腘静脉带戒术"]
[88,null,"血管切开取异物费","通过手术切开血管，取出异物。","所定价格涵盖手术计划、术区准备、消毒、切开、游离、阻断、取出异物、缝合止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"2500\n参考且难度高于“血管异物取出费（介入）”、“心内异物取出费（介入）”","2500\n甲类",2500,2125,1806,"甲类"]
[89,null,"动脉切开取栓费","通过手术切开动脉，取出血栓。","所定价格涵盖手术计划、术区准备、消毒、切开、游离、阻断、取出血栓、缝合止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"2400\n加权平均","2400\n甲类",2400,2040,1734,"甲类","肠系膜上动脉取栓术\n肺动脉切开取栓术\n肾动脉切开取栓术\n人工血管切开取栓术\n腹主动脉髂动脉内血栓切除术"]
[90,null,"静脉切开取栓费","通过手术切开静脉，取出血栓。","所定价格涵盖手术计划、术区准备、消毒、切开、游离、阻断、取出血栓、缝合止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"1500\n加权平均1495","1500\n甲类",1500,1275,1083,"甲类","肢体静脉切开取栓术\n下腔静脉切开取栓术\n门静脉切开取栓术"]
[91,null,"动脉栓塞费","通过手术置入栓塞材料栓塞动脉。","所定价格涵盖手术计划、术区准备、消毒、切开、插管、栓塞、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"2100\n价格平移","2100\n甲类",2100,1785,1517,"甲类","经皮穿刺肝总动脉瘤栓塞术"]
[92,null,"静脉栓塞费","通过手术置入栓塞材料栓塞静脉。","所定价格涵盖手术计划、术区准备、消毒、切开、插管、栓塞、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"1800\n加权平均1792","1800\n甲类",1800,1530,1300,"甲类","门静脉栓塞术\n经皮肝穿刺胃底静脉曲张栓塞术\n经颈内静脉穿刺肝胃底静脉曲张栓塞术"]
[93,null,"肢体动脉内膜剥脱费","通过手术剥脱病变的肢体动脉内膜。","所定价格涵盖手术计划、术区准备、消毒、切开、剥脱、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"2100\n价格平移","2100\n甲类",2100,1785,1517,"甲类","股动脉内膜剥脱术"]
[94,null,"大动脉内膜剥脱费","通过手术剥脱病变的大动脉内膜。","所定价格涵盖手术计划、术区准备、消毒、切开、剥脱、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"3500\n参考且难度低于“大动脉破裂修补费”（4000）","3500\n甲类",3500,2975,2528,"甲类","腹主动脉内膜剥脱术\n肺动脉内膜剥脱术"]
[95,null,"内脏动脉内膜剥脱费","通过手术剥脱病变的内脏动脉内膜。","所定价格涵盖手术计划、术区准备、消毒、切开、剥脱、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"3500\n参考“大动脉内膜剥脱费”且难度一致","3500\n甲类",3500,2975,2528,"甲类","肾动脉内膜剥脱术\n髂动脉内膜剥脱术"]
[96,null,"弓上动脉内膜剥脱费","通过手术剥脱病变的弓上动脉内膜。","所定价格涵盖手术计划、术区准备、消毒、切开、剥脱、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","行颈动脉内膜剥脱的，按神经系统立项指南“颈动脉内/外膜剥脱费”收取。","6400\n5医3护8小时","6400\n甲类",6400,5440,4624,"甲类"]
[97,null,"动脉（瘤）缩缝费","通过手术缝合缩窄动脉（瘤）。","所定价格涵盖手术计划、术区准备、消毒、切开、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"2500\n价格平移","2500\n甲类",2500,2125,1806,"甲类","颈动脉瘤缩缝术"]
[98,null,"静脉（瘤）缩缝费","通过手术缝合缩窄静脉（瘤）。","所定价格涵盖手术计划、术区准备、消毒、切开、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"2200\n参考“动脉（瘤）缩缝费”且成比价关系","2200\n甲类",2200,1870,1589,"甲类"]
[99,null,"动静脉转流费","通过手术吻合动脉和静脉，改变血液循环路径。","所定价格涵盖手术计划、术区准备、消毒、切开、吻合、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"1400\n高频平移","1400\n甲类",1400,1190,1011,"甲类","下肢深组静脉动脉化重建术\n临时性动静脉瘘成形术\n自体动静脉内瘘成形术\n人工动静脉内瘘血管转流术\n人工动静脉瘘切除重造术"]
[100,null,"动静脉瘘切除费","通过手术切除自身或人工血管的动静脉瘘。","所定价格涵盖手术计划、术区准备、消毒、切开、切除、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"1500\n加权平均1446","1500\n甲类",1500,1275,1083,"甲类","人工动静脉瘘切除重造术\n先天性动静脉瘘切除术\n前臂动脉创伤性动静脉瘘修补术\n临时动静脉瘘二期结扎术\n颈动脉创伤性动静脉瘘修补术\n锁骨下动脉创伤性动静脉瘘修补术\n经皮穿刺髂动脉创伤性动静脉瘘修补术\n髂动脉创伤性动静脉瘘修补术\n肱动脉创伤性动静脉瘘修补术\n腋动脉创伤性动静脉瘘修补术\n小腿动脉创伤性动静脉瘘修补术\n股动脉创伤性动静脉瘘修补术\n腘动脉创伤性动静脉瘘修补术"]
[101,null,"主动脉腔静脉瘘修复费","通过手术修复主动脉腔静脉之间的异常通道。","所定价格涵盖手术计划、术区准备、消毒、切开、修复、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"2500\n高价平移","2500\n甲类",2500,2125,1806,"甲类","胸主动脉上腔静脉瘘修复术\n胸主动脉创伤性动静脉瘘修补术\n腹主动脉创伤性动静脉瘘修补术"]
[102,null,"静脉结扎剥脱费","通过手术结扎剥脱静脉。","所定价格涵盖手术计划、术区准备、消毒、切开、结扎、剥脱、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"3000\n高频平移","3000\n甲类",3000,2550,2167,"甲类","大隐静脉高位结扎＋剥脱术\n腔镜下下肢静脉交通支结扎术\n上肢浅静脉曲张剥脱术\n下肢曲张浅静脉团局部切除术\n小隐静脉高位结扎＋剥脱术"]
[103,null,"自体血管取材费","通过手术切取自体血管并进行制备，供后续使用。","所定价格涵盖手术计划、术区准备、消毒、切开、切取、制备、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"650\n高频平移","650\n甲类",3000,2550,2167,"甲类","大隐静脉取材术\n头静脉取材术\n桡动脉取材术"]
[104,null,"大网膜游离移植费","通过手术切取自体大网膜，移植到身体的其他部位。","所定价格涵盖手术计划、术区准备、消毒、切开、切取、移植、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"1000\n价格平移","1000\n甲类",1000,850,722,"甲类","大网膜游离移植术"]
[105,null,"静脉肌襻成形费","通过手术构建肌襻模拟静脉瓣膜。","所定价格涵盖手术计划、术区准备、消毒、切开、游离腘静脉、游离肌襻、包绕静脉、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"1350\n价格平移","1350\n甲类",1350,1147.5,975,"甲类","腘静脉肌襻成形术"]
[106,null,"血管松解费","通过手术松解血管。","所定价格涵盖手术计划、术区准备、消毒、切开、松解、缝合、止血、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","不与同血管其他相关手术同时收费。","1800\n4医2护3小时","1800\n甲类",1800,1530,1300,"甲类","腘窝陷迫综合征腘动脉松解术"]
[107,null,"血管保护装置置入费","通过手术置入各类血管保护装置。","所定价格涵盖手术计划、术区准备、定位、消毒、切开、置入、缝合、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"2000\n参考“血管保护装置置入费（介入）”且成比价关系","2000\n甲类",2000,1700,1445,"甲类"]
[108,null,"血管保护装置取出费","通过手术切开取出各类血管保护装置。","所定价格涵盖手术计划、术区准备、定位、消毒、切开、取出、缝合、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"2200\n参考“血管保护装置取出费（介入）”且成比价关系","2200\n甲类",2200,1870,1589,"甲类","上腔静脉切开滤器取出术\n下腔静脉切开滤器取出术"]
[109,null,"肢体血管药物封闭费","通过穿刺将药物注入曲张血管进行治疗。","所定价格涵盖准备、消毒、穿刺、注入药物、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"单肢",null,"300\n过会价格","300\n乙类",300,255,216,"乙类","大隐静脉硬化剂注射治疗\n下肢曲张浅静脉硬化剂治疗\n股动脉假性动脉瘤凝血酶注入封闭术"]
[110,null,"淋巴管瘤切除费（常规）","通过手术切除淋巴管瘤。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、切除、吻合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"1800\n4医2护3小时","1800\n甲类",1800,1530,1300,"甲类","腹膜后淋巴管瘤切除术(小)"]
[111,null,"淋巴管瘤切除费（复杂）","通过手术切除复杂淋巴管瘤。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、切除、吻合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","本项目所称的“复杂”指：直径≥5厘米，瘤体包绕腹主动脉、下腔静脉、颈部腋窝血管神经束。","3000\n4医2护5小时","3000\n甲类",3000,2550,2167,"甲类","腹膜后淋巴管瘤切除术(中)\n腹膜后淋巴管瘤切除术(大)"]
[112,null,"周围淋巴管移植费","通过手术移植周围淋巴管。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、移植、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"1800\n4医2护3小时","1800\n甲类",1800,1530,1300,"甲类"]
[113,null,"胸导管结扎费","通过手术结扎胸导管。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、结扎、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"1800\n加权平均","1800\n甲类",1800,1530,1300,"甲类","胸导管结扎术\n经胸腔镜胸导管结扎术"]
[114,null,"胸导管狭窄成形费","通过手术对狭窄胸导管进行修复。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、修复成形、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,"2000\n3医2护4小时","2000\n甲类",2000,1700,1445,"甲类"]
[115,null,"淋巴管静脉吻合费（常规）","通过手术将淋巴管与静脉进行吻合，以构建淋巴-静脉侧支循环。","所定价格涵盖手术计划、术区准备、消毒、分离、切开、吻合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"血管",null,"1200\n高频平移","1200\n甲类",1200,1020,867,"甲类","显微镜下会阴浅淋巴管静脉分支吻合术\n显微镜下前臂浅淋巴管静脉吻合术\n显微镜下前臂内侧浅淋巴管静脉吻合术\n显微镜下尺动脉旁深淋巴管静脉吻合术\n显微镜下头静脉伴行淋巴管静脉吻合术\n显微镜下桡动脉旁深淋巴管静脉吻合术\n显微镜下手背浅淋巴管静脉吻合术\n显微镜下内踝深淋巴管-胫后静脉分支吻合术\n显微镜下大腿中部浅淋巴管大隐静脉分支吻合术\n显微镜下小腿浅淋巴管静脉吻合术\n显微镜下足背浅淋巴管静脉吻合术\n显微镜下精索淋巴管静脉吻合术"]
[116,null,"淋巴管静脉吻合费（复杂）","通过手术将复杂部位的淋巴管与静脉进行吻合，以构建淋巴-静脉侧支循环。","所定价格涵盖手术计划、术区准备、消毒、分离、切开、吻合、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"血管","本项目所称的“复杂”指：吻合部位位于颈部/腋窝/肱动静脉周围/纵隔/腹膜后/腹股沟区。","1900\n高频平移","1900\n甲类",1900,1615,1372,"甲类","显微镜下胸导管颈内静脉端端吻合术\n显微镜下胸导管颈外静脉吻合术\n显微镜下腹腔淋巴管静脉吻合术\n显微镜下腹膜后淋巴管静脉吻合术\n显微镜下腹股沟浅淋巴管静脉吻合术\n显微镜下腹股沟下淋巴结输入淋巴管大隐静脉分支吻合术\n显微镜下髂外深淋巴管静脉吻合术\n显微镜下股深淋巴管静脉吻合术\n淋巴结大隐静脉吻合术\n显微镜下上臂深淋巴管静脉吻合术"]

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[]
["手术和治疗辅助操作类医疗服务价格项目立项指南"]
["使用说明：\n1.手术和治疗辅助操作类医疗服务价格项目立项指南以辅助操作为重点，按照辅助操作相关医疗服务产出设立价格项目。\n2.手术和治疗辅助操作类医疗服务价格项目立项指南所称“价格构成”，指项目价格应涵盖的各类资源消耗，用于确定计价单元的边界，不应作为临床技术标准理解，不是实际操作方式、路径、步骤、程序的强制性要求，价格构成中包含但临床实践中非必要、未发生的，无需强制要求公立医疗机构减计费用。所列“设备运转成本”包括但不限于操作设备、器具及固定资产投入。\n3.手术和治疗辅助操作类医疗服务价格项目立项指南所称“加收项”，指同一项目以不同方式提供或在不同场景应用时，确有必要制定差异化收费标准而细分的一类子项，包括在原项目价格基础上增加或减少收费的情况，具体的加/减收标准（加/减收率或加/减收金额）由具体的价格项目设置；实际应用中，同时涉及多个加收项的，以项目单价为基础计算相应的加/减收水平后，据实收费。\n4.手术和治疗辅助操作类医疗服务价格项目立项指南所称“扩展项”，指同一项目下以不同方式提供或在不同场景应用时，只扩展价格项目适用范围、不额外加价的一类子项，子项的价格按主项目执行。\n5.手术和治疗辅助操作类医疗服务价格项目立项指南所称“基本物质资源消耗”，指原则上限于不应或不必要与医疗服务项目分割的易耗品，包括但不限于各类消杀灭菌用品、储存用品、清洁用品、个人防护用品、标签、垃圾处理用品、润滑剂、治疗巾（单）、棉球、棉签、纱布（垫）、普通绷带、固定带、治疗护理盘（包）、普通注射器、护（尿）垫、中单、冲洗工具、备皮工具、耦合剂、无菌罩、软件（版权、开发、购买）成本等。基本物质资源消耗成本计入项目价格，不另行收费。\n6.手术和治疗辅助操作类医疗服务价格项目立项指南价格构成中所称“穿刺”为主项操作涉及的必要穿刺技术，价格构成中的穿刺操作不可收取相关费用；独立穿刺项目可按相应治疗价格项目收取。\n7.手术和治疗辅助操作类医疗服务价格项目立项指南中涉及“包括……”“……等”的，属于开放型表述，所指对象不仅局限于表述中列明的事项，也包括未列明的同类事项。\n8.手术和治疗辅助操作类医疗服务价格项目立项指南所设立价格项目为通用项目，已在其他类别立项指南特定学科中单独设立价格项目的，优先执行特定学科的价格项目。\n9.医疗机构开展相关“医学3D重建辅助操作”“手术路径导航辅助操作”“手术机械臂辅助操作”“远程手术辅助操作”的，需保存并上传符合要求的医疗数据和设备运行记录，未提供上传数据和存储服务的，执行减收政策。\n10.临床实践中，手术和治疗的操作多需辅助操作技术伴随进行，“医疗服务价格项目立项指南”中，对于应用辅助操作技术的手术或治疗合并设置了专门项目的，医疗机构照其立项收费，不得重复收取辅助操作费。例如，“心脏直视消融费”的价格构成已包含射频消融，不得重复收取“射频辅助操作费”;对于应用辅助操作技术的手术或治疗未合并设置专门项目的，按本指南确定各类辅助操作费价格水平，医疗机构按照“手术/治疗价格”+“辅助操作费”的方式收费，无需另行申报新增医疗服务价格项目。\n11.首次引导不足半小时/十分钟的，按半小时/十分钟收费。\n13.手术和治疗辅助操作类医疗服务价格项目立项指南可收费医用耗材：颅内镜头、一次性内镜切割缝合器、一次性内镜钛夹、止血材料、切口保护器、生物胶、皮肤缝合器、特殊缝线、切割吻合器、血管闭合器、一次性内镜抓钳、胸腔镜穿刺套管、大血管闭合系统、一次性吻合器、切割缝合器、钉仓、血管夹、皮肤钉合器、防粘连材料、打孔器(trocar)、钛夹、活检针、塑料夹(Hem-o-lok)、腹腔镜手助套装、内镜用取物管袋、膨宫管、膨宫介质、电切环、滚球、激光刀头、特殊激光刀头、激光探头、激光光纤、激光脉冲、微波探头、微波手术钳、微波消融针、射频针、射频刀头、射频毁损电极、射频探头、射频脉冲、射频纤维、射频消融导管、超声刀头、等离子刀头、无菌颅骨钻头、铣刀、无菌磨钻头、无菌骨锯片、无菌钻针、无菌眼耳鼻喉刨刀头、无菌耳鼻喉钻头、眼科用钻头、无菌铣刀、无菌关节刨刀、无菌关节钻头、无菌微创脊柱变向磨钻头、无菌微创脊柱磨钻头、无菌微创脊柱钻头、无菌微创脊柱刨刀、无菌柳锯片、变向磨钻头、脊柱直钻头、摆动锯、矢状锯、切割钻头、镍钛根管挫、研磨钻头、去除根(或管)充填物的材料。"]
[]
["序号","项目编码","项目名称","服务产出","价格构成","加收项","扩展项","计价单位","计价说明","指导价格",null,null,"医保支付类别","映射项目名称"]
[{"$nulls":9},"三级","二级","一级"]
[1,null,"医学3D重建辅助操作费","通过数字技术、人工智能技术等将患者影像检查结果构建虚拟3D模型，满足术前规划、导板设计、手术预演、可植入假体制作等需要。","所定价格涵盖计算软件或人工智能建模、协助医生提前预演手术操作并研判手术效果、数据处理与上传存储（含数字方式）等步骤所需的人力资源、设备运转成本与基本物质资源消耗。",null,null,"次","1.医疗机构未上传医疗数据和设备运行记录的，应执行减收政策，减收标准不低于100元。\n2.口腔种植类的按“医学3D建模（口腔）”收费。\n3.颌面外科按本项目收费。",260,221,187,"丙类"]
[2,null,"医学3D模型打印辅助操作费","通过增材制造技术将虚拟3D模型制备成仅具有病情诊断、手术规划功能的实体模型。","所定价格涵盖模型接收、材料准备、3D打印、实时监控、取出、去除支撑、固化、表面处理等步骤所需的人力资源、设备运转成本、物料消耗与基本物质资源消耗。",null,null,"件","口腔种植类的按“医学3D模型打印（口腔）”收费不得同时收取手术规划辅助器具、导板、导航材料等相关耗材。",446,379,322,"丙类","医学3D模型打印（口腔）"]
[3,null,"医学3D导板打印辅助操作费","通过增材制造技术将虚拟3D模型制备成作用于手术部位、确保手术器械或植（介）入物精准到达预定位置的实物模板。","所定价格涵盖模型接收、材料准备、3D打印、实时监控、取出、去除支撑、固化、表面处理等步骤所需的人力资源、设备运转成本、物料消耗与基本物质资源消耗。",null,null,"件","口腔种植类的按“医学3D导板打印（口腔）“收费不得同时收取手术规划辅助器具、导板、导航材料等相关耗材。",1380,1173,997,"丙类","医学3D导板打印（口腔）"]
[4,null,"生物3D打印（组织）辅助操作费","通过生物打印技术将3D模型制作成用于治疗或辅助治疗的仿生生物组织。","所定价格涵盖模型接收、材料准备、3D打印、实时监控、取出等步骤所需的人力资源、设备运转成本、物料消耗与基本物质资源消耗。",null,null,"件",null,"市场调节价","市场调节价","市场调节价","丙类"]
[5,null,"生物3D打印（血管）辅助操作费","通过生物打印技术将3D模型制作成用于治疗或辅助治疗的仿生生物血管。","所定价格涵盖模型接收、材料准备、3D打印、实时监控、取出等步骤所需的人力资源、设备运转成本、物料消耗与基本物质资源消耗。",null,null,"件",null,"市场调节价","市场调节价","市场调节价","丙类"]
[6,null,"生物3D打印（器官）辅助操作费","通过生物打印技术将3D模型制作成用于治疗或辅助治疗的仿生生物器官。","所定价格涵盖模型接收、材料准备、3D打印、实时监控、取出等步骤所需的人力资源、设备运转成本、物料消耗与基本物质资源消耗。",null,null,"件",null,"市场调节价","市场调节价","市场调节价","丙类"]
[7,null,"示踪辅助操作费（阴性显示）","通过各种方式引入示踪品，降低目标区域的信号强度，确定病变位置和范围。","所定价格涵盖消毒、引入示踪品、识别目标区域、处理用物等步骤所需的人力资源、设备运转成本与基本物质资源消耗。",null,null,"次",null,300,255,216,"丙类"]
[8,null,"示踪辅助操作费（阳性显示）","通过各种方式引入示踪品，增强目标区域的信号强度，确定病变位置和范围。","所定价格涵盖消毒、引入示踪品、识别目标区域、处理用物等步骤所需的人力资源、设备运转成本与基本物质资源消耗。",null,null,"次",null,300,255,216,"丙类"]
[9,null,"术中显微成像辅助操作费","通过光学和成像等系统，术中放大细微结构或病灶组织，辅助完成手术。","所定价格涵盖设备准备、辅助显示、撤除、处理用物等步骤所需的人力资源、设备运转成本与基本物质资源消耗。","01术中扫频光学相干断层扫描成像辅助操30%",null,"次","仅提供照明、直接放大成像功能的通用型显微设备，纳入眼科等相关医疗服务价格项目价格构成，不再收取“术中显微成像辅助操作费”。",230,195,166,"丙类","手术显微镜辅助操作"]
[null,null,"术中显微成像辅助操作费-术中扫频光学相干断层扫描成像辅助操（加收）",{"$nulls":4},"次",null,{"$f":"J15*0.3","v":69},58.5,49.8,"丙类"]
[10,null,"术中立体成像辅助操作费","通过立体成像功能，以虚拟现实、混合现实等各类方式还原视野的立体纵深感，术中为手术提供可视化、沉浸式的立体光影像支持，辅助完成手术。","所定价格涵盖设备准备、连接、设备调试、辅助显示、撤除、处理用物等步骤所需的人力资源、设备运转成本与基本物质资源消耗。",null,null,"次",null,650,552,469,"丙类"]
[11,null,"手术路径导航辅助操作费","通过融合医学影像、计算机定位追踪及实时反馈等技术，术中实时显示手术路径、靶点，并提供必要的操作指导。","所定价格涵盖设备准备、图像采集、传输、调节、定位、实时成像、引导、处理用物、数据处理与上传存储（含数字方式）等步骤所需的人力资源、设备运转成本与基本物质资源消耗。",null,null,"次","1.本项目所称的“显示手术路径、靶点”，其显示方式包括虚拟现实、混合现实等各类立体成像。\n2.医疗机构未上传医疗数据和设备运行记录的，减收100元。\n3.不得同时收取引导费用。",1000,850,722,"丙类","神经外科手术导航引导\n三维医学影像诊疗及手术规划\n骨科手术导航引导"]
[]
[]
[12,null,"超声切割刀辅助操作费","利用超声产生穿透或振动效应，实现切割组织、凝闭血管等操作，辅助完成手术或治疗。","所定价格涵盖设备准备、参数调试、切割、撤除、处理用物等步骤所需的人力资源、可复用刀具、设备运转成本与基本物质资源消耗。",null,null,"次","1.医疗机构使用一次性刀具的，按零差率销售，不得收取“超声切割刀辅助操作费”\n2.同一复用刀具有多种辅助操作功能的，医疗机构实际收费时，按收费标准最高的医疗服务价格项目计费，不叠加计费。",500,425,361,"丙类","超声刀辅助操作"]
[13,null,"超声吸引刀辅助操作费","通过超声产生空化作用，实现粉碎、吸出组织等操作，辅助完成手术或治疗。","所定价格涵盖设备准备、参数调试、粉碎吸引、撤除、处理用物等步骤所需的人力资源、可复用刀具、设备运转成本与基本物质资源消耗。",null,null,"次","1.医疗机构使用一次性刀具的，按零差率销售，不得收取“超声吸引刀辅助操作费”。\n2.同一复用刀具有多种辅助操作功能的，医疗机构实际收费时，按收费标准最高的医疗服务价格项目计费，不叠加计费。",1000,850,722,"丙类","超声刀辅助操作"]
[14,null,"电刀辅助操作费","通过电流产生热效应，实现切割、凝血等操作，辅助完成手术或治疗。","所定价格涵盖设备准备、参数调试、切割、凝血、撤除、处理用物等步骤所需的人力资源、可复用刀具、设备运转成本与基本物质资源消耗。",null,null,"次","同一复用刀具有多种辅助操作功能的，医疗机构实际收费时，按收费标准最高的医疗服务价格项目计费，不叠加计费。",100,85,72,"丙类"]
[15,null,"等离子刀辅助操作费","通过电场激发产生等离子体，实现切割、凝固组织等操作，辅助完成手术或治疗。","所定价格涵盖设备准备、参数调试、切割、凝固、撤除、处理用物等步骤所需的人力资源、可复用刀具、设备运转成本与基本物质资源消耗。",null,"01氩等离子刀","次","1.医疗机构使用一次性刀具的，按零差率销售，不得收取“等离子刀辅助操作费”。\n2.同一复用刀具有多种辅助操作功能的，医疗机构实际收费时，按收费标准最高的医疗服务价格项目计费，不叠加计费。",200,170,144,"丙类","等离子刀辅助操作"]
[null,null,"等离子刀辅助操作费-氩等离子刀（扩展）",{"$nulls":4},"次",null,200,170,144,"丙类"]
[16,null,"电磁刀辅助操作费","通过电磁场产生涡流与热效应等，实现切割、烧灼或气化组织等操作，辅助完成手术或治疗。","所定价格涵盖设备准备、参数调试、切割、烧灼、撤除、处理用物等步骤所需的人力资源、可复用刀具、设备运转成本与基本物质资源消耗。",null,null,"次","1.医疗机构使用一次性电磁刀（刀具）的，按零差率销售，不得收取“电磁刀辅助操作费”。\n2.同一复用刀具有多种辅助操作功能的，医疗机构实际收费时，按收费标准最高的医疗服务价格项目计费，不叠加计费。",600,510,433,"丙类"]
[17,null,"激光辅助操作费","通过激光实现切割、凝固或气化组织等操作，辅助完成手术或治疗。","所定价格涵盖设备准备、参数调节、激光操作、撤除、处理用物等步骤所需的人力资源、可复用光纤、设备运转成本与基本物质资源消耗。",null,null,"次","1.医疗机构使用一次性光纤/激光刀，按零差率销售，不得收取“激光辅助操作费”。\n2.口腔激光照射治疗按物理治疗“激光治疗费（浅表照射）”收费。",300,255,216,"丙类","激光辅助操作"]
[18,null,"飞秒激光辅助操作费","通过飞秒激光实现切割、凝固或气化组织等操作，辅助完成手术或治疗。","所定价格涵盖设备准备、参数调节、激光操作、撤除、处理用物等步骤所需的人力资源，以及配套耗材、设备运转成本与基本物质资源消耗。",null,null,"次","眼科按单侧计费","市场调节价","市场调节价","市场调节价","丙类"]
[19,null,"准分子激光辅助操作费","通过准分子激光实现切割、凝固或气化组织等操作，辅助完成手术或治疗。","所定价格涵盖设备准备、参数调节、激光操作、撤除、处理用物等步骤所需的人力资源，以及配套耗材、设备运转成本与基本物质资源消耗。",null,null,"次","眼科按单侧计费","市场调节价","市场调节价","市场调节价","丙类"]
[20,null,"射频辅助操作费","通过高频交流电产生热效应，实现组织坏死或气化等操作，辅助完成手术或治疗。","所定价格涵盖设备准备、参数调节、射频操作、处理用物等步骤所需的人力资源、可复用刀具、设备运转成本与基本物质资源消耗。",null,null,"次","1.医疗机构使用一次性射频刀具的，按零差率销售，不得收取“射频辅助操作费”。\n2.同一复用刀具有多种辅助操作功能的，医疗机构实际收费时，按收费标准最高的医疗服务价格项目计费，不叠加计费。",100,85,72,"丙类","射频辅助操作"]
[21,null,"微波辅助操作费","通过高频电磁波产生热效应，实现组织坏死或气化等操作，辅助完成手术或治疗。","所定价格涵盖设备准备、参数调节、微波操作、处理用物等步骤所需的人力资源、可复用刀具、设备运转成本与基本物质资源消耗。",null,null,"次","1.医疗机构使用一次性刀具的，按零差率销售，不得收取“微波辅助操作费”。\n2.同一复用刀具有多种辅助操作功能的，医疗机构实际收费时，按收费标准最高的医疗服务价格项目计费，不叠加计费。",100,85,72,"丙类","微波辅助操作"]
[22,null,"冷冻辅助操作费","通过冷冻介质，迅速冷却组织，使组织坏死或气化，辅助完成手术或治疗。","所定价格涵盖设备准备、参数调节、冷冻操作、处理用物等步骤所需的人力资源、可复用刀具、设备运转成本与基本物质资源消耗。",null,null,"次","1.医疗机构使用一次性刀具的，按零差率销售，不得收取“冷冻辅助操作费”。\n2.同一复用刀具有多种辅助操作功能的，医疗机构实际收费时，按收费标准最高的医疗服务价格项目计费，不叠加计费。",100,85,72,"丙类"]
[23,null,"微动力辅助操作费","通过微动力设备，实现组织切削、打磨等操作，辅助完成手术或治疗。","所定价格涵盖设备准备、参数调节、切割吸引、撤除、处理用物等步骤所需的人力资源、可复用刀具、设备运转成本与基本物质资源消耗。",null,null,"次","1.医疗机构使用一次性刨刀/磨头/铣刀/钻头/锯片/骨刀等（刀具）的，按零差率销售，不得收取“微动力辅助操作费”。\n2.同一复用刀具有多种辅助操作功能的，医疗机构实际收费时，按收费标准最高的医疗服务价格项目计费，不叠加计费。",1000,850,722,"丙类","颅微动力系统\n眼耳鼻喉微动力系统\n骨微动力系统"]
[]
[]
[24,null,"微动力辅助操作费（口腔）","通过口腔微动力设备，实现组织切削、打磨等操作，辅助完成口腔手术或治疗。","所定价格涵盖设备准备、参数调节、切割打磨、撤除、处理用物等步骤所需的人力资源、可复用刀具、设备运转成本与基本物质资源消耗。",null,null,"次","1.医疗机构使用一次性刀具的，按零差率销售，不得收取“微动力辅助操作费（口腔）”。\n2.同一复用刀具有多种辅助操作功能的，医疗机构实际收费时，按收费标准最高的医疗服务价格项目计费，不叠加计费。",170,144,122,"丙类","颌面微动力系统\n齿科微动力系统"]
[]
[25,null,"水动力辅助操作费","通过高压液流，实现切割、清创等操作，辅助完成手术或治疗。","所定价格涵盖设备准备、参数调节、切割吸引、撤除、处理用物等步骤所需的人力资源、可复用刀具、设备运转成本与基本物质资源消耗。",null,null,"次","1.医疗机构使用一次性刀具的，按零差率销售，不得收取“水动力辅助操作费”。\n2.同一复用刀具有多种辅助操作功能的，医疗机构实际收费时，按收费标准最高的医疗服务价格项目计费，不叠加计费。",100,85,72,"丙类"]
[26,null,"X线透视引导辅助操作费（平扫）","通过普通X线透视为手术或治疗操作提供可视化条件。","所定价格涵盖设备准备、透视、引导、撤除、处理用物等步骤所需的人力资源、设备运转成本与基本物质资源消耗。",null,null,"半小时","1.时间以引导实际使用时间为准。\n2.单次引导以半小时为基础计价，超出部分每增加半小时按100%叠加计价，超过1.5小时按1.5小时收费",20,17,14,"乙类","临床操作X线透视引导"]
[27,null,"X线透视引导辅助操作费（机械臂-二维成像）","通过各种类型机械臂扫描形成二维图像，为手术或治疗操作提供可视化条件。","所定价格涵盖设备准备、透视、引导、撤除、处理用物，及必要时进行三维重建等步骤所需的人力资源、设备运转成本与基本物质资源消耗。",null,null,"半小时","1.计价时间以引导实际使用时间为准。\n2.单次引导以半小时为基础计价，超出部分每增加半小时按一定比例100%叠加计价，超过1.5小时按1.5小时收费",80,68,57,"乙类","临床操作C/U/G形臂引导\n术中透视"]
[]
[28,null,"X线透视引导辅助操作费（机械臂-三维成像）","通过各种类型机械臂扫描直接形成三维图像，为手术或治疗操作提供可视化条件。","所定价格涵盖设备准备、透视、引导、撤除、处理用物等步骤所需的人力资源、设备运转成本与基本物质资源消耗。",null,null,"半小时","1.计价时间以引导实际使用时间为准。\n2.单次引导以半小时为基础计价，超出部分每增加半小时按一定比例100%叠加计价，超过1.5小时按1.5小时收费",150,127,108,"乙类","临床操作C/U/G形臂引导\n术中透视"]
[]
[29,null,"X线透视引导辅助操作费（数字减影）","通过数字减影透视技术，为手术或治疗操作提供可视化条件。","所定价格涵盖设备准备、引导、撤除、处理用物等步骤所需的人力资源、设备运转成本与基本物质资源消耗。",null,null,"半小时","1.计价时间以引导实际使用时间为准。\n2.单次引导以半小时为基础计价，超出部分每增加半小时按50%叠加计价，超过1.5小时按1.5小时收费。",200,170,144,"乙类","临床操作数字减影(DSA)引导"]
[30,null,"计算机体层扫描引导辅助操作费","通过计算机体层扫描或透视成像，为手术或治疗操作提供可视化条件。","所定价格涵盖设备准备、扫描、引导、撤除、处理用物等步骤所需的人力资源、设备运转成本与基本物质资源消耗。",null,null,"半小时","1.操作过程中不与相应部位计算机体层扫描（CT）检查同时收取。\n2.计价时间以引导实际使用时间为准。\n3.单次引导以半小时为基础计价，超出部分每增加半小时按50%叠加计价，超过1小时按1小时收费。",210,178,151,"乙类","临床操作CT引导"]
[31,null,"磁共振引导辅助操作费","通过磁共振引导，为手术或治疗操作提供可视化条件。","所定价格涵盖设备准备、扫描、引导、撤除、处理用物等步骤所需的人力资源、设备运转成本与基本物质资源消耗。",null,null,"半小时","1.操作过程中不与相应部位磁共振（MR）检查同时收取。\n2.计价时间以引导实际使用时间为准。\n3.单次引导以半小时为基础计价，超出部分每增加半小时按50%叠加计价，超过1.5小时按1.5小时收费。",400,340,289,"乙类","磁共振三维导航定位\n磁共振增强三维导航定位\n临床操作磁共振引导"]
[]
[]
[32,null,"超声引导辅助操作费（治疗）","通过超声技术，为治疗提供可视化条件。","所定价格涵盖设备准备、超声引导、撤除、处理用物等步骤所需的人力资源、设备运转成本与基本物质资源消耗。","01彩色多普勒超声加收100%\n11便携式超声引导减收30%",null,"10分钟","1.计价时间以引导实际使用时间为准。\n2.单次引导以10分钟为基础计价，超出时间每增加10分钟按100%叠加计价，超过半小时按半小时收费。",45,38,32,"乙类","临床操作B超引导\n临床操作彩色多普勒超声引导"]
[]
[null,null,"超声引导辅助操作费（治疗）-彩色多普勒超声（加收）",{"$nulls":4},"10分钟",null,45,38,32,"乙类"]
[null,null,"超声引导辅助操作费（治疗）-便携式超声引导",{"$nulls":4},"10分钟",null,{"$f":"J49*0.7","v":31.5},26.6,22.4,"乙类"]
[33,null,"超声引导辅助操作费（手术）","通过超声技术，为手术提供可视化条件。","所定价格涵盖设备准备、超声引导、撤除、处理用物等步骤所需的人力资源、设备运转成本与基本物质资源消耗。","01彩色多普勒超声加收100%\n11便携式超声引导减收30%",null,"半小时","1.计价时间以引导实际使用时间为准。\n2.单次引导以半小时为基础计价，超出部分每增加半小时按100%叠加计价，超过1.5小时按1.5小时收费",90,76,65,"乙类","临床操作B超引导\n临床操作彩色多普勒超声引导"]
[]
[null,null,"超声引导辅助操作费（手术）-彩色多普勒超声（加收）",{"$nulls":4},"半小时",null,90,76,65,"乙类"]
[null,null,"超声引导辅助操作费（手术）-便携式超声引导",{"$nulls":4},"半小时",null,{"$f":"J53*0.7","v":63},53.2,45.5,"乙类"]
[34,null,"手术机械臂辅助操作费（导航）","通过手术机械臂平台，操控手术器械，参与导航、定位等引导操作。","所定价格涵盖设备准备、体位摆放、制定计划、导航、定位、撤除、处理用物、数据处理与上传存储（含数字方式）等步骤所需的人力资源、以及配套使用的器械耗材、设备运转成本与基本物质资源消耗。",null,null,"次","1.不与“手术路径导航辅助操作费”同时收取。\n2.单台设备同时具备导航、部分执行、精准执行中的两项或三项功能的，医疗机构实际收费时，按收费标准最高的医疗服务价格项目计费，不叠加计费。\n3.医疗机构未上传医疗数据和设备运行记录的，减收200元。","市场调节价","市场调节价","市场调节价","丙类","人工智能辅助治疗技术"]
[35,null,"手术机械臂辅助操作费（参与执行）","通过手术机械臂平台，以映射控制的方式，辅助医务人员操控手术器械，参与完成构建通道、打孔或切割中的一个或若干个手术步骤。","所定价格涵盖设备准备、体位摆放、制定计划、导航、定位、探查、调节、控制机械臂完成部分手术操作、撤除、处理用物、数据处理与上传存储（含数字方式）等步骤所需的人力资源、以及配套使用的器械耗材、设备运转成本与基本物质资源消耗。",null,null,"次","1.不与“手术路径导航辅助操作费”同时收取。\n2.单台设备同时具备导航、部分执行、精准执行中的两项或三项功能的，医疗机构实际收费时，按收费标准最高的医疗服务价格项目计费，不叠加计费。\n3.医疗机构未上传医疗数据和设备运行记录的，减收200元。","市场调节价","市场调节价","市场调节价","丙类","人工智能辅助治疗技术"]
[36,null,"手术机械臂辅助操作费（精准执行）","通过手术机械臂平台，以映射控制的方式，辅助医务人员操控手术器械精准完成手术的全部步骤，或精准完成手术中器官、组织的切除、重建、修复等全部关键步骤。","所定价格涵盖设备准备、体位摆放、制定计划、导航、定位、探查、调节、控制机械臂完成手术操作、撤除、处理用物、数据处理与上传存储（含数字方式）等步骤所需的人力资源、以及配套使用的器械耗材、设备运转成本与基本物质资源消耗。",null,null,"次","1.不与“手术路径导航辅助操作费”同时收取。\n2.单台设备同时具备导航、部分执行、精准执行中的两项或三项功能的，医疗机构实际收费时，按收费标准最高的医疗服务价格项目计费，不叠加计费。\n3.医疗机构未上传医疗数据和设备运行记录的，减收200元。","市场调节价","市场调节价","市场调节价","丙类","人工智能辅助治疗技术"]
[37,null,"远程手术辅助操作费","通过计算机平台远程操控手术器械，精准完成手术的全部步骤，或精准完成手术中器官、组织的切除、重建、修复等全部关键步骤。","所定价格涵盖设备准备、体位摆放、制定计划、导航、定位、探查、调节、控制机械臂完成手术操作、撤除、处理用物、数据处理与上传存储（含数字方式）等步骤所需的人力资源、以及配套使用的器械耗材、设备运转成本与基本物质资源消耗。",null,null,"次","1.不与“手术导航辅助操作费”“手术机械臂辅助操作费”同时收取。\n2.本项目收费标准与主手术对应价格项目挂钩，以患者接受手术的地区价格为基数，按一定系数进行加收。\n3.医疗机构未上传医疗数据和设备运行记录的，减收100元。","市场调节价","市场调节价","市场调节价","丙类"]

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["附件？"]
["口腔类医疗服务价格项目立项指南"]
["使用说明：\n1.口腔类医疗服务价格项目立项指南，以口腔治疗为重点，按照口腔治疗方式设立价格项目。\n2.口腔类医疗服务价格项目立项指南所称的“价格构成”，指项目价格应涵盖的各类资源消耗，用于确定计价单元的边界，不应作为临床技术标准理解，不是实际操作方式、路径、步骤、程序的强制性要求，价格构成中包含但临床实践中非必要、未发生的，无需强制要求公立医疗机构减计费用。所列“设备投入”包括但不限于操作设备、器具及固定资产投入。\n3.口腔类医疗服务价格项目立项指南所称“加收项”，指同一项目以不同方式提供或在不同场景应用时，确有必要制定差异化收费标准而细分的一类子项，包括在原项目价格基础上增加或减少收费的情况，具体的加/减收标准（加/减收率或加/减收金额）由具体的价格项目设置；实际应用中，同时涉及多个加收项的，以项目单价为基础计算相应的加/减收水平后，据实收费。\n4.口腔类医疗服务价格项目立项指南所称“扩展项”，指同一项目下以不同方式提供或在不同场景应用时，只扩展价格项目适用范围、不额外加价的一类子项，子项的价格按主项目执行。\n5.口腔类医疗服务价格项目立项指南所称\"基本物质资源消耗\"，指原则上限于不应或不必要与医疗服务项目分割的易耗品，属于医疗服务价格项目应当使用的、市场价格和使用数量相对稳定的医用耗材，包括但不限于各类消杀用品、储存用品、清洁用品、个人防护用品、垃圾处理用品、冲洗液、润滑剂、灌洗液、棉球（卷）、棉签、纱布（垫）、绷带、护垫、衬垫、手术巾（单）、治疗巾（单）、治疗护理盘(包）、注射器、压舌板、滑石粉、防渗漏垫、标签、操作器具、车针、冲洗工具、备皮工具、镍钛锉、口腔盒、印模材、咬合纸、引流条、修复体粘接剂、窝沟封闭剂、耗材粘接剂、充填材料、根管封闭剂、盖髓材料、一次性口杯、一次性吸唾管、氟化物、银锶制剂、酚制剂等。基本物耗成本计入项目价格，不另行收费。除基本物耗以外的其他耗材，按照实际采购价格零差率销售。\n6.口腔类医疗服务价格项目立项指南中涉及“包括……”“…… 等”的，属于开放型表述，所指对象不仅局限于表述中列明的事项，也包括未列明的同类事项。\n7.医疗机构自行制作设计的包括但不限于如矫治器、保持器、运动护齿等个性化产品，采取“产品化”的价格形成机制，由医疗机构以物料成本、加工服务等为基础，按照适当的成本回收率自主确定价格并销售，不再按制作步骤拆分设立医疗服务价格项目。\n8.口腔种植类立项指南中“口腔内植骨费”项目，扩大其服务产出适用范围，不仅局限种植牙所用，口腔学科中“牙槽骨增量手术费”和“牙周植骨费”可按照此项目执行计费。\n9.涉及“复杂”等内涵未尽的表述，除立项指南中已明确的情形外，医院实践中按照“复杂”情形计费的，应以卫生行政主管部门最新版卫生技术规范、临床指南或专家共识中的明确定性为前提。满足复杂情况中的任意一种即算复杂，不同复杂情况不累计叠加收费。\n10.在本医疗机构开展错合矫治治疗时，方案设计属诊查治疗应尽事项，不得同时收取设计费。\n11.口腔类医疗服务价格项目立项指南中手术类项目服务对象为儿童时，统一落实儿童加收政策（以下简称“儿童加收”），手术类项目的具体范围以《全国医疗服务项目技术规范》的分类为准，对于立项指南同时映射技术规范中的手术类项目和治疗类项目的主项目，按手术类落实儿童加收政策；其他非手术类项目实行儿童加收范围，以立项指南加收项为准。本指南所称的“儿童”，指6周岁及以下，周岁的计算方法以法律的相关规定为准。\n12.口腔类医疗服务价格项目立项指南可收费医用耗材：矫治器、下颌前移器、特殊缝线、止血材料、唇弓、功能丝、扩弓器、托槽、合导板、附着体、保持器、膜片、腭护板、种植支抗钉、拔髓针、修复材料、充填材料(仅限活髓保存治疗费、根尖屏障手术费、牙拔除费、阻生牙拔除费、预防性拔牙窝组织封闭费、牙移植费、口腔良性肿物切除费、颌骨病变刮切费（口内）、颌骨病变刮切费（颌面部）、牙槽突骨折复位固定费、下牙槽神经探查解剖费、口腔上颌窦瘘修补费、口内游离软组织移植费、牙周翻瓣费、引导性牙周组织再生费、皮质骨切开费项目下可单独收费)、牙周塞治剂、漂白剂、预成冠、补片、屏障膜、内固定材料、人工骨、基托、成品牙、贴面材料、表面材料、义齿支架、桩钉、衬垫材料、印模帽、替代体、种植基台、固位体、赝复体、义眼、人工胶原瓣、人工皮，特殊缝线、止血材料。"]
["序号","项目编码","项目名称","服务产出","价格构成","计价单位","计价说明","指导价格",null,null,"医保支付类别","映射项目名称"]
[{"$nulls":7},"三级","二级","一级"]
[1,null,"乳牙期错合矫治费(常规)","通过矫治器安装调整进行乳牙错合畸形的早期矫治。","所定价格涵盖准备、方案设计、矫治器安装、调整评估、加力、拆除、处理用物等步骤所需的人力资源和基本物质资源消耗。","疗程","本项目所称“疗程”指：从错合矫治治疗开始到结束。",3000,2550,2167,"丙类","咬合创伤的正畸治疗\n复杂咬合创伤的正畸治疗\n乳牙期安氏Ⅰ类错合正畸治疗\n乳牙期安氏Ⅱ类错合正畸治疗\n乳牙期安氏Ⅲ类错合正畸治疗\n无托槽隐形矫治器复诊处置\n功能矫治器复诊处置\n活动矫治器复诊处置\n固定矫治器复诊处置\n舌侧固定矫治器复诊处置\n牵张器加力调整\n拆除口内牙齿固定装置\n口腔黏膜激光治疗\n唇弓制备\n邻面去釉\n复杂唇弓器制备\n带环制备"]
[2,null,"乳牙期错合矫治费(复杂)","通过矫治器安装调整进行疑难复杂情况的乳牙错合畸形的早期矫治。","所定价格涵盖准备、方案设计、矫治器安装、调整评估、加力、拆除、处理用物等步骤所需的人力资源和基本物质资源消耗。","疗程","1.本项目所称“复杂”指：骨性Ⅲ类、上颌或上牙弓狭窄、伴颅颌面先天畸形、后牙反合或锁合的情况。\n2.本项目所称“疗程”指：从错合矫治治疗开始到结束。",4300,3655,3106,"丙类","正颌外科手术前后的正畸治疗\n复杂唇腭裂序列正畸治疗\n乳牙期复杂安氏Ⅰ类错合正畸治疗\n乳牙期复杂安氏Ⅱ类错合正畸治疗\n乳牙期复杂安氏Ⅲ类错合正畸治疗\n乳牙期颜面不对称畸形正畸治疗"]
[3,null,"替牙期Ⅰ类错合矫治费(常规)","通过矫治器安装调整进行替牙期Ⅰ类错合畸形的早期矫治。","所定价格涵盖准备、方案设计、矫治器安装、调整评估、加力、拆除、处理用物等步骤所需的人力资源和基本物质资源消耗。","疗程","本项目所称“疗程”指：从错合矫治治疗开始到结束。",7000,5950,5057,"丙类","牙周病伴错合畸形活动矫治器正畸治疗\n牙周病伴错合畸形正畸治疗\n替牙期安氏Ⅰ类错合固定矫治器正畸治疗"]
[4,null,"替牙期Ⅰ类错合矫治费(复杂)","通过矫治器安装调整进行疑难复杂情况的替牙期Ⅰ类错合畸形的早期矫治。","所定价格涵盖准备、方案设计、矫治器安装、调整评估、加力、拆除、处理用物等步骤所需的人力资源和基本物质资源消耗。","疗程","1.本项目所称“复杂”指：开合、后牙反合、III度深覆合、后牙锁合、上颌前突（ANB≥7度）或下颌前突（ANB≤0度）、伴颅颌面畸形、伴颞下颌关节病、阻生牙的情况。\n2.本项目所称“疗程”指：从错合矫治治疗开始到结束。",9000,7650,6502,"丙类","复杂颞下颌关节病的正畸辅助治疗\n替牙期复杂安氏Ⅰ类错合固定矫治器正畸治疗\n替牙期安氏Ⅰ类错合活动矫治器正畸治疗"]
[5,null,"替牙期Ⅱ类错合矫治费(常规)","通过矫治器安装调整进行替牙期Ⅱ类错合畸形的早期矫治。","所定价格涵盖准备、方案设计、矫治器安装、调整评估、加力、拆除、处理用物等步骤所需的人力资源和基本物质资源消耗。","疗程","本项目所称“疗程”指：从错合矫治治疗开始到结束。",8000,6800,5780,"丙类","替牙期安氏Ⅱ类错合活动矫治器正畸治疗\n替牙期安氏Ⅱ类错合固定矫治器正畸治疗\n替牙期骨性Ⅱ类错合正畸治疗"]
[6,null,"替牙期Ⅱ类错合矫治费(复杂)","通过矫治器安装调整进行疑难复杂情况的替牙期Ⅱ类错合畸形的早期矫治。","所定价格涵盖准备、方案设计、矫治器安装、调整评估、加力、拆除、处理用物等步骤所需的人力资源和基本物质资源消耗。","疗程","1.本项目所称“复杂”指：开合、后牙反合、III度深覆合、后牙锁合、严重上颌前突（ANB≥7度）、伴颅颌面畸形、伴颞下颌关节病、阻生牙的情况。\n2.本项目所称“疗程”指：从错合矫治治疗开始到结束。",10000,8500,7225,"丙类","替牙期复杂安氏Ⅱ类错合活动矫治器正畸治疗\n替牙期复杂安氏Ⅱ类错合固定矫治器正畸治疗\n替牙期复杂骨性Ⅱ类错合正畸治疗"]
[7,null,"替牙期Ⅲ类错合矫治费(常规)","通过矫治器安装调整进行替牙期Ⅲ类错合畸形的早期矫治。","所定价格涵盖准备、方案设计、矫治器安装、调整评估、加力、拆除、处理用物等步骤所需的人力资源和基本物质资源消耗。","疗程","本项目所称“疗程”指：从错合矫治治疗开始到结束。",9000,7650,6502,"丙类","替牙期安氏Ⅲ类错合活动矫治器正畸治疗\n替牙期安氏Ⅲ类错合固定矫治器正畸治疗\n替牙期安氏Ⅲ类错合功能矫治器正畸治疗"]
[8,null,"替牙期Ⅲ类错合矫治费(复杂)","通过矫治器安装调整进行疑难复杂情况的替牙期Ⅲ类错合畸形的早期矫治。","所定价格涵盖准备、方案设计、矫治器安装、调整评估、加力、拆除、处理用物等步骤所需的人力资源和基本物质资源消耗。","疗程","1.本项目所称“复杂”指：开合、III度深覆合、后牙反合、后牙锁合、下颌前突（ANB≤0度）、伴颅颌面畸形、伴颞下颌关节病、阻生牙的情况。\n2.本项目所称“疗程”指：从错合矫治治疗开始到结束。",11000,9350,7947,"丙类","替牙期颜面不对称畸形的正畸治疗\n替牙期复杂安氏Ⅲ类错合活动矫治器正畸治疗\n替牙期复杂安氏Ⅲ类错合固定矫治器正畸治疗\n替牙期复杂安氏Ⅲ类错合功能矫治器正畸治疗"]
[9,null,"恒牙期Ⅰ类错合矫治费(常规)","通过矫治器安装调整进行恒牙期Ⅰ类错合畸形的矫治。","所定价格涵盖准备、方案设计、矫治器安装、调整评估、加力、拆除、处理用物等步骤所需的人力资源和基本物质资源消耗。","疗程","1.在同一家医疗机构正畸治疗结束，复发病例再次矫治，每例按疗程费用的50%计价收费。\n2.本项目所称“疗程”指：从错合矫治治疗开始到结束。",16000,13600,11560,"丙类","恒牙期安氏Ⅰ类错合固定矫治器正畸治疗\n成人安氏Ⅰ类错合固定矫治器正畸治疗"]
[10,null,"恒牙期Ⅱ类错合矫治费(常规)","通过矫治器安装调整进行恒牙期Ⅱ类错合畸形的矫治。","所定价格涵盖准备、方案设计、矫治器安装、调整评估、加力、拆除、处理用物等步骤所需的人力资源和基本物质资源消耗。","疗程","1.在同一家医疗机构正畸治疗结束，复发病例再次矫治，每例按疗程费用的50%计价收费。\n2.本项目所称“疗程”指：从错合矫治治疗开始到结束。",18000,15300,13005,"丙类","恒牙期安氏Ⅱ类错合功能矫治器正畸治疗\n恒牙期安氏Ⅱ类错合固定矫治器正畸治疗\n成人安氏Ⅱ类错合固定矫治器正畸治疗\n恒牙期骨性Ⅱ类错合固定矫治器正畸治疗"]
[11,null,"恒牙期Ⅱ类错合矫治费(复杂)","通过矫治器安装调整进行疑难复杂情况的恒牙期Ⅱ类错合畸形的矫治。","所定价格涵盖准备、方案设计、矫治器安装、调整评估、加力、拆除、处理用物等步骤所需的人力资源和基本物质资源消耗。","疗程","1.本项目所称“复杂”指：18岁以上（不含18岁）、开合、III度深覆合、拔磨牙后关闭间隙、阻生牙、上颌前突（ANB≥5度）的拔牙正畸治疗、磨牙或牙弓远中移动、伴颅颌面畸形、伴颞下颌关节病、正畸-正颌手术联合治疗、舌侧矫治的情况。\n2.在同一家医疗机构正畸治疗结束，复发病例再次矫治，每例按疗程费用的50%计价收费。\n3.本项目所称“疗程”指：从错合矫治治疗开始到结束。",22000,18700,15895,"丙类","恒牙期复杂安氏Ⅱ类错合固定矫治器正畸治疗\n成人复杂安氏Ⅱ类错合固定矫治器正畸治疗\n恒牙期复杂骨性Ⅱ类错合固定矫治器正畸治疗"]
[12,null,"恒牙期Ⅲ类错合矫治费(常规)","通过矫治器安装调整进行恒牙期Ⅲ类错合畸形的矫治。","所定价格涵盖准备、方案设计、矫治器安装、调整评估、加力、拆除、处理用物等步骤所需的人力资源和基本物质资源消耗。","疗程","1.在同一家医疗机构正畸治疗结束，复发病例再次矫治，每例按疗程费用的50%计价收费。\n2.本项目所称“疗程”指：从错合矫治治疗开始到结束。",19000,16150,13727,"丙类","唇腭裂序列正畸治疗\n颞下颌关节病的正畸辅助治疗\n恒牙期安氏Ⅲ类错合固定矫治器正畸治疗\n成人安氏Ⅲ类错合固定矫治器正畸治疗\n恒牙期骨性Ⅲ类错合固定矫治器正畸治疗"]
[13,null,"恒牙期Ⅲ类错合矫治费(复杂)","通过矫治器安装调整进行疑难复杂情况的恒牙期Ⅲ类错合畸形的矫治。","所定价格涵盖准备、方案设计、矫治器安装、调整评估、加力、拆除、处理用物等步骤所需的人力资源和基本物质资源消耗。","疗程","1.本项目所称“复杂”指：18岁以上（不含18岁）、开合、III度深覆合、3颗以上后牙反合、拔磨牙后关闭间隙、阻生牙、下颌前突（ANB≤0度）的拔牙正畸治疗、磨牙或牙弓远中移动、伴颅颌面畸形、伴颞下颌关节病、正畸-正颌手术联合治疗、舌侧矫治的情况。\n2.在同一家医疗机构正畸治疗结束，复发病例再次矫治，每例按疗程费用的50%计价收费。\n3.本项目所称“疗程”指：从错合矫治治疗开始到结束。",23000,19550,16617,"丙类","恒牙期复杂安氏Ⅲ类错合固定矫治器正畸治疗\n成人复杂安氏Ⅲ类错合固定矫治器正畸治疗\n恒牙期复杂骨性Ⅲ类错合固定矫治器正畸治疗"]
[14,null,"恒牙期I类错合矫形功能治疗费","通过针对性矫治器的安装进行恒牙期I类错合畸形的矫形和功能治疗。","所定价格涵盖准备、方案设计、矫治器安装、调整评估、加力、拆除、处理用物等步骤所需的人力资源和基本物质资源消耗。","疗程","本项目所称“疗程”指：从错合矫形治疗开始到结束。",7000,5950,5057,"丙类","恒牙期复杂安氏Ⅰ类错合固定矫治器正畸治疗\n成人复杂安氏Ⅰ类错合固定矫治器正畸治疗"]
[15,null,"恒牙期Ⅱ类错合矫形功能治疗费","通过针对性矫治器的安装进行恒牙期Ⅱ类错合畸形的矫形和功能治疗。","所定价格涵盖准备、方案设计、矫治器安装、调整评估、加力、拆除、处理用物等步骤所需的人力资源和基本物质资源消耗。","疗程","本项目所称“疗程”指：从错合矫形治疗开始到结束。",8000,6800,5780,"丙类","恒牙期颜面不对称畸形的正畸治疗\n恒牙期复杂安氏Ⅱ类错合功能矫治器正畸治疗"]
[16,null,"恒牙期Ⅲ类错合矫形功能治疗费","通过针对性矫治器的安装进行恒牙期III类错合畸形的矫形和功能治疗。","所定价格涵盖准备、方案设计、矫治器安装、调整评估、加力、拆除、处理用物等步骤所需的人力资源和基本物质资源消耗。","疗程","本项目所称“疗程”指：从错合矫形治疗开始到结束。",9000,7650,6502,"丙类","复杂颅颌面畸形的辅助正畸治疗\n重度牙周病伴错合畸形正畸治疗"]
[17,null,"新生儿唇腭裂术前治疗费","针对婴儿期唇腭裂唇裂术前，通过矫治器安装调整，实现鼻齿槽塑形。","所定价格涵盖准备、方案设计、矫治器安装、调整、拆除、处理用物等步骤所需的人力资源和基本物质资源消耗。","疗程",null,2100,1785,1517,"丙类","新生儿唇腭裂术前修复矫治器制备\n口腔功能模型制备\n腭裂腭护板制作\n面部模型制备"]
[18,null,"睡眠呼吸暂停综合征口腔正畸辅助治疗费","通过口腔阻鼾器安装调整或扩弓活动矫治，减轻阻塞性睡眠呼吸暂停的症状。","所定价格涵盖准备、方案设计、矫治器安装、调整评估、处理用物等步骤所需的人力资源和基本物质资源消耗。","疗程",null,1800,1530,1300,"乙类","睡眠呼吸暂停综合征的正畸辅助治疗"]
[19,null,"局部正畸矫治费","使用局部矫治器矫治一个象限内的牙齿伸长、倾斜、间隙关闭或开展、微小牙齿移动等矫治。","所定价格涵盖准备、方案设计、矫治器安装、调整评估、加力、拆除、处理用物等步骤所需的人力资源和基本物质资源消耗。","象限•疗程","1.全口共4个象限。2.累计价收费超过全口价格，按照全口价格计价收费。",4500,3825,3251,"丙类","局部矫治器正畸治疗"]
[20,null,"口腔固定保持器安装费","为需要正畸治疗后进行固定保持的患者安装固定保持器。","所定价格涵盖准备、安装、调试、处理用物等步骤所需的人力资源和基本物质资源消耗。","单颌",null,400,340,289,"丙类","活动正畸保持器治疗(制戴活动矫正器)\n制戴固定式缺隙保持器\n制戴活动式缺隙保持器\n压膜式正畸保持器治疗\n固定式正畸保持器治疗"]
[21,null,"口腔固定保持器拆除费","为需要拆除固定保持器的患者去除固定保持器。","所定价格涵盖准备、拆除、处理用物等步骤所需的人力资源和基本物质资源消耗。","单颌",null,280,238,202,"丙类"]
[22,null,"错合畸形治疗设计费","通过各项检查完成错合畸形的诊断与矫治方案设计。","所定价格涵盖准备、模型制取和灌注、模型测量、面颌像拍照、头影测量分析、制定治疗计划和方案、处理用物等步骤所需的人力资源和基本物质资源消耗。","次","1.完成1个疗程计价收费1次；在本医疗机构中开展的矫治不得同时收取设计价收费。2.不含放射检查费用。",800,680,578,"丙类","诊断性排牙试验\n错合畸形诊断设计\n错合畸形二维诊断设计\n错合畸形三维诊断设计\n常规面部与口内照相\n口腔常规模型制备\n正畸记存模型制备"]
[23,null,"正畸支抗钉植入费","通过将正畸支抗钉植入颌骨协助完成正畸治疗。","所定价格涵盖手术计划、术区准备、消毒、植入、处理用物等步骤所需的人力资源和基本物质资源消耗。","每钉",null,300,255,216,"丙类"]
[24,null,"牙根牵引费","通过牵引方法将冠根折或根折的外伤牙齿牵引至龈上。","所定价格涵盖准备、切开、粘接或制戴、牵引、加力、调整、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙",null,285,242,205,"乙类","前牙根折根牵引术"]
[25,null,"牙髓活力测验费","通过设备检查评估牙髓活力状态。","所定价格涵盖准备、隔离、测验、评估、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙",null,5,4,3,"甲类","牙髓电活力检查"]
[26,null,"橡皮障隔离费","通过专用的橡皮障套装隔开接受治疗的牙齿与口腔。","所定价格涵盖准备、隔离、处理用物等步骤所需的人力资源和基本物质资源消耗。","次",null,35,29,25,"丙类","橡皮障隔湿治疗"]
[27,null,"牙体开髓引流费","对于牙髓急症患者仅行开髓引流、牙髓摘除以缓解急性疼痛。","所定价格涵盖准备、开髓、拔髓、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙","仅限于牙髓急症患者应急处置时收费，在其他牙髓治疗中作为相关项目的价格构成，不单独收费。",90,76,65,"甲类","开髓引流术\n牙髓摘除术"]
[null,null,"牙体开髓引流费-儿童(加收)",null,null,"牙",null,76.5,22.8,19.5,"甲类"]
[28,null,"牙髓失活费","通过失活剂去除牙髓的活性。","所定价格涵盖准备、开髓、放置失活剂、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙",null,35,29,25,"甲类","牙髓失活术"]
[null,null,"牙髓失活费-儿童（加收）",null,null,"牙",null,10.5,8.7,7.5,"甲类"]
[29,null,"干髓治疗费","通过干髓剂使牙髓保持干尸化。","所定价格涵盖准备、开髓、去除冠髓、放置干髓剂、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙",null,20,17,14,"甲类","干髓术"]
[30,null,"根管预备费","通过清理扩大根管，清除感染坏死牙髓组织，对根管内部进行清理成形。","所定价格涵盖准备、开髓、拔髓、疏通、测量、预备、处理用物等步骤所需的人力资源和基本物质资源消耗。","根管","本项目所称“根管异常”指：中重度弯曲根管、C型根管、根管间交通枝等特殊根管。",120,102,86,"乙类","简单根管预备\n根管长度测量\n复杂根管预备\n激光根管预备\n钙化桥打通术"]
[null,null,"根管预备费-儿童（加收）",null,null,"根管",null,36,30.6,25.8,"乙类"]
[null,null,"根管预备费-根管异常（加收）",null,null,"根管",null,60,51,43,"乙类"]
[31,null,"根管冲洗费","对根管进行冲洗消毒及感染控制。","所定价格涵盖准备、冲洗、处理用物等步骤所需的人力资源和基本物质资源消耗。","根管",null,30,25,21,"甲类","超声根管预备"]
[null,null,"根管冲洗费-根管封药费（扩展）",null,null,"根管",null,30,25,21,"甲类"]
[32,null,"根管充填费","通过向根管内充填，封闭根管系统。","所定价格涵盖准备、充填、处理用物，必要时加压充填等步骤所需的人力资源和基本物质资源消耗。","根管","本项目所称“根管异常”指：中重度弯曲根管、C型根管、根管间交通枝等特殊根管。",50,42,36,"甲类","根管冷牙胶侧压充填术\n根管热塑牙胶垂直加压充填术\n根管常温牙胶注射式加压充填术"]
[null,null,"根管充填费-儿童（加收）",null,null,"根管",null,15,12.6,10.8,"甲类"]
[null,null,"根管充填费-根管异常（加收）",null,null,"根管",null,25,21,18,"甲类"]
[null,null,"根管充填费-乳牙根管充填费（扩展）",null,null,"根管",null,50,42,36,"甲类"]
[33,null,"根管再治疗费","针对牙髓治疗后出现的问题进行的治疗。","所定价格涵盖准备、取出、建立通道、处理用物等步骤所需的人力资源和基本物质资源消耗。","根管",null,120,102,86,"乙类","根管再治疗\n显微根管治疗"]
[34,null,"根管内异物取出费","取出存留在根管内的异物。","所定价格涵盖准备、确定位置、取出、处理用物等步骤所需的人力资源和基本物质资源消耗。","根管",null,340,289,245,"乙类","根管内分离器械取出术"]
[null,null,"根管内异物取出费-根尖段异物取出（加收）",null,null,"根管",null,170,144.5,122.5,"乙类"]
[35,null,"根尖诱导成形费","诱导牙根继续发育或根尖封闭。","所定价格涵盖手术计划、术区准备、消毒、开髓、去除、干燥、诱导、处理用物等步骤所需的人力资源和基本物质资源消耗。","根管",null,85,72,61,"乙类","根尖诱导成形术"]
[36,null,"根尖屏障手术费","针对根尖孔未闭合或较宽大的情况，封闭根尖段建立屏障。","所定价格涵盖手术计划、术区准备、清洁、填充、处理用物等步骤所需的人力资源和基本物质资源消耗。","根管","盖髓材料(MTA、BP、三氧化物聚合体)可单独收费",230,195,166,"甲类","髓腔穿孔充填修补术"]
[null,null,"根尖屏障手术费-髓腔穿孔修补费（扩展）",null,null,"根管",null,230,195,166,"甲类"]
[37,null,"根尖手术费","通过手术对根尖进行治疗。","所定价格涵盖手术计划、术区准备、消毒、切开、翻瓣、切除、倒预备、倒充填、复位缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","根管","本项目所称“复杂根尖手术”指：根尖周病损累及邻近重要组织结构（上颌窦、颏孔、下颌神经管、切牙孔）、骨壁完整根尖定位困难的情况。",455,386,328,"乙类","显微镜下根管外科手术\n根管壁穿孔修补术\n超声根尖倒充填术\n根尖倒充填术\n根尖搔刮术\n根尖切除术"]
[null,null,"根尖手术费-复杂根尖手术（加收）",null,null,"根管",null,136.5,115.8,98.4,"乙类"]
[38,null,"活髓保存治疗费","通过处理暴露牙髓清除感染，保存正常牙髓。","所定价格涵盖准备、去除、冲洗、盖髓、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙","盖髓材料(MTA、BP、三氧化物聚合体)可单独收费",60,51,43,"甲类","直接盖髓术\n活髓切断术\n间接盖髓术"]
[null,null,"活髓保存治疗费-间接盖髓",null,null,"牙",null,50,42,36,"甲类"]
[39,null,"牙髓再生治疗费","清除根管内感染，借助多种方式促进根管内牙髓样组织再生及牙根生长。","所定价格涵盖准备、根管内引血、封闭、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙",null,800,680,578,"丙类"]
[null,null,"牙髓再生治疗费-自体血支架制备（加收）",null,null,"牙",null,480,408,346.8,"丙类"]
[40,null,"牙体缺损直接粘接修复费","通过使用填充材料修复牙体缺损。","所定价格涵盖准备、去龋、窝洞制备、充填、粘接固化、塑形、调合、磨光、抛光、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙","本项目所称“牙体大面积缺损”指：累及2个及以上牙面的情况。",150,127,108,"乙类","牙体缺损直接粘接修复术\n牙体缺损充填术\n非金属类充填体抛光术\n纸蜡咬合图像分析检查\n金属类充填体抛光术\n辅助性调合治疗"]
[null,null,"牙体缺损直接粘接修复费\n-儿童（加收）",null,null,"牙",null,45,38.1,32.4,"乙类"]
[null,null,"牙体缺损直接粘接修复费\n-牙体大面积缺损（加收）",null,null,"牙",null,150,127,108,"乙类"]
[null,null,"牙体缺损直接粘接修复费\n-暂封",null,null,"牙",null,105,89,75,"乙类"]
[null,null,"牙体缺损直接粘接修复费\n-银汞合金充填",null,null,"牙",null,105,89,75,"乙类"]
[41,null,"前牙形态修复费","对牙齿美观区域进行形态、颜色、功能的修复。","所定价格涵盖准备、美学设计、比色、窝洞制备、分层堆塑恢复牙齿颜色外形、调𬌗、磨光、抛光、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙",null,"市场调节价","市场调节价","市场调节价","丙类","微创修复术\n光固化树脂贴面修复术"]
[null,null,"前牙形态修复费-舌腭面形态辅助修复（加收）",null,null,"牙",null,"市场调节价","市场调节价","市场调节价","丙类"]
[42,null,"窝沟封闭费","封闭牙齿窝沟。","所定价格涵盖准备、清洁、冲洗、酸蚀、干燥、封闭窝沟、光照固化、调合、抛光、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙",null,40,34,28,"丙类","窝沟封闭术"]
[43,null,"氟防龋治疗费","通过涂布氟化物预防龋齿。","所定价格涵盖准备、清洁、涂布、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙",null,5,4,3,"丙类","氟防龋治疗"]
[44,null,"牙脱敏治疗费","通过各种方式处理牙面降低牙敏感症状。","所定价格涵盖准备、清洁、脱敏、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙",null,12,10,8,"甲类","药物脱敏治疗\n牙列套脱敏治疗\n激光脱敏治疗"]
[45,null,"牙齿内漂白费","通过在牙齿内部使用药物去除牙齿中的有机着色物而使牙着色变浅。","所定价格涵盖准备、清洁、比色、漂白脱色、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙","1.美容整形常用项目。2.单次漂白费用不能超过“全口牙齿漂白费”费用。","市场调节价","市场调节价","市场调节价","丙类","牙齿内漂白术\n测色仪测色\n牙齿脱色术"]
[null,null,"牙齿内漂白费-牙脱色费（扩展）",null,null,"牙",null,"市场调节价","市场调节价","市场调节价","丙类"]
[46,null,"全口牙齿漂白费","通过专用漂白设备及漂白药物对全口牙齿表面进行漂白治疗，使牙齿颜色变浅。","所定价格涵盖准备、牙龈保护、涂布、光照、保护处理、处理用物等步骤所需的人力资源和基本物质资源消耗。","次","美容整形常用项目。","市场调节价","市场调节价","市场调节价","丙类","牙齿冷光漂白术\n牙列套漂白术"]
[null,null,"全口牙齿漂白费-牙列套漂白费（扩展）",null,null,"次",null,"市场调节价","市场调节价","市场调节价","丙类"]
[47,null,"预成冠修复费","针对大面积牙体缺损进行预成冠修复。","所定价格涵盖准备、预备、预成冠调改、粘结、调合、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙",null,200,170,144,"丙类","乳磨牙金属预成冠修复"]
[48,null,"牙拔除费","通过手术拔除牙齿。","所定价格涵盖手术计划、术区准备、消毒、分离龈、拔除、取出根、冲洗、清理、止血、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙","1、本项目所称“复杂牙拔除”指：正常位牙齿因解剖变异、死髓或牙体治疗后其脆性增加、局部慢性炎症刺激使牙槽骨发生致密性改变、牙骨间骨性结合的情况。\n2、乳牙减收50%。",50,42,36,"甲类","乳牙拔除术\n恒前牙拔除术\n恒前磨牙拔除术\n恒磨牙拔除术\n微创复杂牙拔除术\n骨融合牙拔除术\n半牙拔除术\n弓外牙拔除术"]
[null,null,"牙拔除费-复杂牙拔除（加收）",null,null,"牙",null,50,42,36,"甲类"]
[null,null,"牙拔除费-乳牙",null,null,"牙",null,25,21,18,"甲类"]
[49,null,"阻生牙拔除费","通过手术拔除各类萌出智齿或高位阻生牙齿。","所定价格涵盖手术计划、术区准备、消毒、翻瓣、分离、分牙、挺松、增隙、拔除、冲洗、清理、缝合、止血、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙","本项目所称“复杂阻生牙拔除”指：被牙龈覆盖的各类阻生牙、完全埋藏颌骨内的各类阻生牙及多生牙的情况。",200,170,144,"甲类","萌出阻生牙拔除术\n未完全萌出阻生牙拔除术\n骨性埋藏阻生牙拔除术"]
[null,null,"阻生牙拔除费-复杂阻生牙拔除（加收）",null,null,"牙",null,200,170,144,"甲类"]
[null,null,"阻生牙拔除费-多生牙拔除费（扩展）",null,null,"牙",null,200,170,144,"甲类"]
[50,null,"阻生牙开窗助萌费","通过手术去除阻生牙萌出阻力。","所定价格涵盖手术计划、术区准备、消毒、切开、显露牙、冲洗、缝合、止血、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙",null,80,68,57,"甲类","软组织内阻生恒牙开窗助萌术\n骨阻生恒牙开窗助萌术"]
[null,null,"阻生牙开窗助萌费-骨阻生开窗助萌（加收）",null,null,"牙",null,80,68,57,"甲类"]
[51,null,"阻生牙牙冠切除费","通过手术切除阻生牙牙冠。","所定价格涵盖手术计划、术区准备、消毒、切开、分离、去骨、截冠、修整、冲洗、缝合、止血、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙",null,500,425,361,"丙类"]
[52,null,"拔牙创搔刮费","通过手术对拔牙创愈合不良的创面进行搔刮、清创处理。","所定价格涵盖手术计划、术区准备、消毒、切开翻瓣、分离、刮除、冲洗、填塞、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙","仅限于拔牙创愈合不良情况时收费，其他情况不单独收费。",30,25,21,"甲类","拔牙创面搔刮术\n牙槽骨烧伤清创术"]
[53,null,"阻生牙龈瓣修整费","用于保留、开窗助萌阻生牙修整龈瓣形态，预防感染、创口愈合、维持牙龈形态。","所定价格涵盖手术计划、术区准备、消毒、修整、成形、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙",null,110,93,79,"乙类","阻生智齿龈瓣修整术"]
[54,null,"预防性拔牙窝组织封闭费","拔牙后即刻封闭拔牙窝。","所定价格涵盖手术计划、术区准备、消毒、修整、打磨、重建血运、修整、减张、封闭、缝合、止血、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙","该项目指针对使用抗骨吸收药物、抗血管生成药物、放疗后、骨结构不良、硬化性骨髓炎等牙槽窝愈合不良高危患者，以及拔牙后牙槽嵴保存。\n骨粉、骨膜、钛膜、胶原质可单独收费",300,255,216,"丙类"]
[55,null,"牙移植费","通过手术将自体牙植入牙槽窝。","所定价格涵盖手术计划、术区准备、消毒、修整、预备、植入、固定、调合、冲洗、缝合、止血、处理用物等步骤所需的人力资源和基本物质资源消耗。不包括供体牙拔除及其他治疗费用。","牙",null,340,289,245,"丙类","牙移植术\n牙再植术"]
[null,null,"牙移植费-牙再植费（扩展）",null,null,"牙",null,340,289,245,"丙类"]
[56,null,"口腔良性肿物切除费","通过手术切除口腔内的良性肿物。","所定价格涵盖手术计划、术区准备、消毒、切开、解剖、分离、探查切除、冲洗、止血、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","病灶",null,350,297,252,"甲类","口腔黏膜小肿物切除术\n龈瘤切除术\n口内黏膜下粘液囊肿切除术"]
[null,null,"口腔良性肿物切除费-软组织缺损修复（加收）",null,null,"病灶",null,350,297,252,"甲类"]
[57,null,"口腔系带修整费","通过手术调整口腔系带。","所定价格涵盖手术计划、术区准备、消毒、切开、修整、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","次",null,200,170,144,"丙类","前庭沟加深术\n唇颊沟加深术\n唇系带成形术\n颊系带成形术\n舌系带成形术"]
[58,null,"颌骨病变刮切费（口内）","口内入路治疗颌骨内的良性病变。","所定价格涵盖手术计划、术区准备、消毒、切开、翻瓣、去骨、切除或刮切、化学烧灼、止血、冲洗、骨修整、缝合等操作所需的人力资源和基本物质资源消耗。","次",null,900,765,650,"甲类","口内入路下颌骨囊肿摘除术\n根尖囊肿摘除术"]
[59,null,"颌骨病变刮切费（颌面部）","口外入路治疗颌骨内的良性病变。","所定价格涵盖手术计划、术区准备、消毒、切开、翻瓣、去骨、切除或刮切、化学烧灼、止血、冲洗、骨修整、缝合等操作所需的人力资源和基本物质资源消耗。","次",null,500,425,361,"甲类","颌骨牙源性病灶刮治术\n颌骨骨髓炎病灶刮治术\n口外入路下颌骨囊肿摘除术\n下颌骨边缘性骨髓炎刮治术\n截根术"]
[60,null,"颌骨囊肿减压费","通过手术开窗对颌骨囊肿减压。","所定价格涵盖手术计划、术区准备、消毒、切开、翻瓣、去骨壁、冲洗、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。不包含拔牙费用。","病灶",null,500,425,361,"丙类"]
[61,null,"口腔牵引钉植入费","将牵引钉植入颌骨。","所定价格涵盖手术计划、术区准备、消毒、植入、处理用物等步骤所需的人力资源和基本物质资源消耗。","次","本项目所称“次”：以3枚牵引钉为基础收费，每增加1枚加收35元，以10枚牵引钉费用封顶。",340,289,245,"甲类","颌骨骨折颌间牵引钉颌间固定术"]
[62,null,"口腔牵引钉取出费","将植入的牵引钉取出。","所定价格涵盖手术计划、术区准备、消毒、拆除、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","次","本项目所称“次”：以3枚牵引钉为基础收费，每增加1枚加收10元，以10枚牵引钉费用封顶。",15,12,10,"甲类","颌间牵引钉拆除术"]
[63,null,"口腔骨突修整费","修整骨尖、骨嵴或骨隆突。","所定价格涵盖手术计划、术区准备、消毒、切开、去骨、打磨、冲洗、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙","本项目所称“复杂骨突”指：一侧上颌结节、下颌舌侧隆突修整、腭部隆突的情况。",150,127,108,"丙类","颌骨隆突切除术\n牙周骨成形术\n牙槽骨修整术"]
[null,null,"口腔骨突修整费-复杂骨突（加收）",null,null,"牙",null,150,127,108,"丙类"]
[64,null,"颌间结扎费","通过各种方式将上下颌骨间结扎。","所定价格涵盖准备、手法复位、固定、结扎、处理用物等步骤所需的人力资源和基本物质资源消耗。不包含牵引钉植入、安装固定装置等。","单颌",null,340,289,245,"甲类","后牙纵折固定术\n牙外伤结扎固定术\n颌骨骨折牙间钢丝结扎固定术\n颌骨骨折颌间结扎固定术\n颌骨骨折单颌牙弓夹板结扎固定术"]
[null,null,"颌间结扎费-儿童（加收）",null,null,"单颌",null,102,86.7,73.5,"甲类"]
[65,null,"颌间结扎拆除费","拆除颌间结扎装置。","所定价格涵盖准备、拆除、处理用物等步骤所需的人力资源和基本物质资源消耗。","单颌",null,65,55,46,"甲类","颌间固定物拆除术"]
[null,null,"颌间结扎拆除费-儿童（加收）",null,null,"单颌",null,19.5,16.5,13.8,"甲类"]
[66,null,"牙槽突骨折复位固定费","通过手术对上下颌牙槽突骨折进行复位固定。","所定价格涵盖手术计划、术区准备、消毒、经口内入路清创、复位、固定、冲洗、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙",null,200,170,144,"甲类","牙槽突骨折结扎固定术\n引导骨再生术"]
[67,null,"脓肿切开引流费（口内）","切开口内浅表脓肿引流。","所定价格涵盖手术计划、术区准备、消毒、切开、引流、冲洗、处理用物等步骤所需的人力资源和基本物质资源消耗。","次",null,30,25,21,"甲类","口内脓肿切开引流术"]
[68,null,"脓肿切开引流费（颌面部）","切开颌面部浅表脓肿引流。","所定价格涵盖手术计划、术区准备、消毒、切开、引流、冲洗、处理用物等步骤所需的人力资源和基本物质资源消耗。不包含口腔颌面颈部间隙感染。","次",null,200,170,144,"甲类","颌面部脓肿切开引流术\n口底颌下脓肿切开引流术\n颌面部多间隙脓肿切开引流术"]
[69,null,"口腔无回吸辅助治疗费","通过无回吸设备及技术配合牙齿治疗或口腔外科手术。","所定价格涵盖设备准备、配合磨削、切割、牙体预备或窝洞制备等步骤所需的人力资源和基本物质资源消耗。","次",null,"市场调节价","市场调节价","市场调节价","丙类"]
[70,null,"下牙槽神经探查解剖费","通过手术探查解剖下颌管内的下牙槽神经血管束，或利于种植手术。","所定价格涵盖手术计划、术区准备、消毒、切开、翻瓣、截骨、探查或牵出、复位、覆盖生物膜、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。不含种植体植入。","次","不与同部位其他手术同时收取。\n骨粉、骨膜、钛膜、胶原质可单独收费",500,425,361,"乙类","下牙槽神经解剖移位术"]
[null,null,"下牙槽神经探查解剖费-下牙槽神经移位（加收）",null,null,"次",null,500,425,361,"乙类"]
[71,null,"口腔上颌窦瘘修补费","通过手术修补口腔上颌窦交通或口腔上颌窦瘘。","所定价格涵盖手术计划、术区准备、消毒、切开、切除、清创搔刮、分离、去骨、减张、修整、冲洗、止血、填塞、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","单侧",null,800,680,578,"甲类","口腔上颌窦瘘黏骨膜瓣转移修补术"]
[72,null,"口内游离软组织移植费","通过手术移植局部游离软组织。","所定价格涵盖手术计划、术区准备、消毒、切开、翻瓣、制备、固定、缝合及处置、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙位","不与“牙龈成形费”同时收取",300,255,216,"丙类"]
[73,null,"临时固定修复费","在口内制作临时修复体。","所定价格涵盖准备、预备、制作、试戴、咬合检查、调整、抛光、清洁消毒、粘接、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙位",null,120,102,86,"丙类","暂时塑料冠桥修复术\n粘结术"]
[74,null,"修复体固定修复费","通过固定修复体完成牙体缺损或牙列缺损修复。","所定价格涵盖准备、预备、取印模和模型制备、取咬合关系、比色、试戴、调改、粘固、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙位","本项目所称“复杂修复体固定修复”指：II度及以上深覆牙合、中重度异色牙、固定修复牙位4颗及以上、牙槽骨重度吸收（大于根长1/3）、伴颞下颌关节病、冠短（至少一面低于5mm）的情况。","市场调节价","市场调节价","市场调节价","丙类","贵金属铸造加工工艺\n烤瓷冠桥嵌体修复术\n金属冠桥嵌体修复术\n瓷贴面修复术\n树脂冠桥嵌体贴面间接制作修复术\n镀金加工工艺\n金沉积加工工艺\n调改义齿\n激光焊接\n铸瓷加工工艺\n计算机辅助固定修复体设计\n高强度复合陶瓷加工工艺"]
[null,null,"修复体固定修复费-即刻修复（加收）",null,null,"牙位",null,"市场调节价","市场调节价","市场调节价","丙类"]
[null,null,"修复体固定修复费-复杂修复体固定修复（加收）",null,null,"牙位",null,"市场调节价","市场调节价","市场调节价","丙类"]
[75,null,"桩核修复费","通过桩核修复牙体缺损。","所定价格涵盖准备、预备、清理、预备、试戴、消毒、塑核或粘固、桩核修整、处理用物等步骤所需的人力资源和基本物质资源消耗。","根管",null,300,255,216,"丙类","金属桩核修复术\n纤维桩核修复术"]
[null,null,"桩核修复费-一体化纤维桩核（加收）",null,null,"根管",null,30,25.5,21.6,"丙类"]
[76,null,"附着体修复费","通过附着体完成固定活动联合修复中的固定修复部分。","所定价格涵盖准备、预备、清理、预备、消毒、取印模、模型制备、比色、试戴、调改、粘固、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙位",null,1500,1275,1083,"丙类","附着体设计与安装\n义齿增加铸造部件\n义齿组织面重衬"]
[null,null,"附着体修复费-套筒冠修复费（扩展）",null,null,"牙位",null,1500,1275,1083,"丙类"]
[77,null,"全口义齿修复费","通过全口义齿修复牙列缺失。","所定价格涵盖准备、取印模、制备、确定颌位关系、试排牙蜡型、试戴、调改、处理用物等步骤所需的人力资源和基本物质资源消耗。","单颌","本项目所称“复杂全口义齿修复”指：牙槽骨重度吸收（II-IV级）、伴颞下颌关节病、覆盖义齿的情况。",3000,2550,2167,"丙类","塑料基托全口义齿\n铸造基托全口义齿\n咬合重建设计\n塑料加高咬合面"]
[null,null,"全口义齿修复费-复杂全口义齿修复（加收）",null,null,"单颌",null,1500,1275,1083.5,"丙类"]
[78,null,"胶连可摘局部义齿修复费","通过胶连可摘局部义齿修复牙列缺损。","所定价格涵盖准备、预备、取印模、制备、确定颌位关系、试戴、调改、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙位","附加牙合垫按牙位计价收费。",200,170,144,"丙类","弹性假牙龈安装\n塑料可摘局部义齿修复术\n义齿增加弯制部件\n计算机辅助可摘义齿设计"]
[79,null,"铸造支架可摘局部义齿修复费","通过铸造支架可摘局部义齿修复牙列缺损。","所定价格涵盖准备、预备、取印模、制备、试戴、确定颌位关系、试排牙蜡型、调改、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙位","1.本项目所称“复杂铸造支架可摘局部义齿修复”指：单颌缺失牙10颗及以上、牙槽骨重度吸收（II-IV级）、II度及以上深覆合、余留牙存在中重度牙周病（牙槽骨吸收大于1/3的牙齿数目占一半以上）、关节盘移位或骨关节病、牙周夹板的情况。\n2.附加牙合垫或牙周夹板按牙位计价收费。",170,144,122,"丙类","铸造可摘局部义齿修复术"]
[null,null,"铸造支架可摘局部义齿修复费-复杂铸造支架可摘局部义齿修复（加收）",null,null,"牙位",null,34,28.8,24.4,"丙类","铸造可摘局部义齿修复术"]
[80,null,"颌骨/腭部缺损赝复体修复费（常规）","通过赝复体修复颌骨/软腭缺损。","所定价格涵盖准备、预备、取印模、制备、试戴、取颌位记录、调改、处理用物等步骤所需的人力资源和基本物质资源消耗。","每件",null,4000,3400,2890,"丙类","上颌骨缺损阻塞器修复\n下颌骨带翼导板修复"]
[81,null,"颌骨/腭部缺损赝复体修复费（复杂）","通过赝复体修复复杂情况的颌骨/软腭缺损。","所定价格涵盖准备、预备、取印模、制备、试戴、取颌位记录、试戴、调改、处理用物等步骤所需的人力资源和基本物质资源消耗。","每件","本项目所称“复杂”指：口鼻腔穿通、下颌骨连续性丧失、单颌缺失10颗牙及以上、伴软腭缺损、伴面部缺损、下颌带翼导板、腭护板加辅助放疗装置、全上颌缺失修复的情况。",5000,4250,3612,"丙类","软腭缺损阻塞器修复\n软腭抬高器治疗\n腭裂术后鼻音计反馈治疗\n腭裂常规语音治疗"]
[82,null,"面部缺损赝复体修复费","通过赝复体修复面部缺损。","所定价格涵盖准备、印模、制备、个性化比色、试戴、个性化上色、调改、处理用物等步骤所需的人力资源和基本物质资源消耗。","每件","如面部缺损涉及多个器官，如眼、耳、鼻缺损， 每增加1个器官，按件叠加计价收费。",8000,6800,5780,"丙类","义眼眶治疗\n颅颌面赝复种植固位\n义眼安装\n义眼台打孔+义眼安装术\n义眼治疗"]
[83,null,"咬合板治疗费","通过戴入咬合板调整咬合关系。","所定价格涵盖准备、取印模、制备、试戴、调改、处理用物等步骤所需的人力资源和基本物质资源消耗。","每件",null,2000,1700,1445,"丙类","正颌外科咬合导板制备\n咬合记录\n合板治疗\n合导板制备"]
[null,null,"咬合板治疗费-减材/增材咬合板（加收）",null,null,"每件",null,1000,850,722.5,"丙类"]
[null,null,"咬合板治疗费-弹性咬合板",null,null,"每件",null,600,510,433.5,"丙类"]
[84,null,"修复体拆除费","对固定在口内的修复体进行拆除。","所定价格涵盖准备、修复体拆除、处理用物等步骤所需的人力资源和基本物质资源消耗。","修复体",null,100,85,72,"丙类","拆桩\n非铸造修复体拆除术\n拆冠桥"]
[85,null,"修复体维护费","对修复体进行调改、修补、再粘接等维护。","所定价格涵盖准备、取印模、模型制备、修补、试戴、调改、再粘接、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙位","1.修理卡环和基托按涉及牙位计价收费。2.此项适用于非保修保质期内的修复体维护。",100,85,72,"丙类","加人造牙\n义齿基托修理\n烤瓷冠桥崩瓷修理\n修复体个性调色"]
[86,null,"全口牙周系统检查费","通过设备对牙周进行系统检查，并完成系统表记录。","所定价格涵盖准备、牙周风险评估、记录、处理用物等步骤所需的人力资源和基本物质资源消耗。","次",null,72,61,52,"甲类","全口牙病系统检查与治疗设计\n菌斑微生物检测"]
[87,null,"牙周探诊费","通过牙周专用刻度探针进行牙周袋深度的测量和判定并记录。","所定价格涵盖准备、牙周探诊、测量、记录、处理用物等步骤所需的人力资源和基本物质资源消耗。","次","不与“全口牙周系统检查费”同时收取。",40,34,28,"甲类","牙周探诊\n牙周电子探针检查"]
[88,null,"牙周指数检查费","检查并记录菌斑指数、出血指数、松动度、根分叉病变。","所定价格涵盖准备、检查、判读、记录、处理用物等步骤所需的人力资源和基本物质资源消耗。","项","不与“全口牙周系统检查费”同时收取。",20,17,14,"甲类","牙周指数检查"]
[89,null,"牙周冲洗上药费","对牙周袋或智齿盲袋内部进行冲洗、置入药物。","所定价格涵盖准备、冲洗、清除、上药、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙",null,8,6,5,"甲类","冠周局部治疗\n牙周局部冲洗上药"]
[90,null,"牙周塞治费","通过塞治剂覆盖创面或辅助龈瓣贴合于骨面、牙面。","所定价格涵盖准备、调配、放置、修整、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙",null,15,12,10,"甲类","牙龈保护剂塞治\n口腔局部止血\n口腔局部缝合止血"]
[null,null,"牙周塞治费-口腔局部止血费（扩展）",null,null,"牙",null,15,12,10,"甲类"]
[91,null,"龈上洁治费","通过各种方式清除牙龈缘以上的菌斑、牙石及其他沉积物。","所定价格涵盖准备、洁治、处理用物，必要时上药等步骤所需的人力资源和基本物质资源消耗。","牙","同一治疗部位不与“牙周冲洗上药费”同时收取。",6,5,4,"丙类","龈上洁治\n种植体周围洁治术"]
[null,null,"龈上洁治费-种植牙洁治（加收）",null,null,"牙",null,6,5,4,"丙类"]
[92,null,"牙面抛光费","对牙面进行抛光。","所定价格涵盖准备、抛光、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙",null,4,3,2,"丙类","牙面光洁术"]
[93,null,"牙面喷砂费","通过喷砂去除位于龈上或龈下的菌斑、色素、牙石。","所定价格涵盖准备、对牙面/根面喷砂、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙",null,4,3,2,"丙类"]
[94,null,"龈下刮治费","通过各种方式去除龈下牙石、菌斑。","所定价格涵盖准备、探查、刮治、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙",null,10,8,7,"丙类","龈下刮治"]
[null,null,"龈下刮治费-种植体龈下刮治（加收）",null,null,"牙",null,3,2.4,2.1,"丙类"]
[95,null,"根面平整费","通过各种方式去除根面感染病变的牙骨质。","所定价格涵盖手术计划、术区准备、消毒、根面平整，必要时通过设备微创实施、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙",null,35,29,25,"乙类","根面平整术\n牙周激光治疗"]
[96,null,"松牙固定费","通过各种方式对松动牙齿进行固定。","所定价格涵盖准备、检查、固定、咬合检查、调整、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙",null,100,85,72,"乙类","恒牙外伤固定术\n牙周夹板固定"]
[null,null,"松牙固定费-外伤牙固定费（扩展）",null,null,"牙",null,100,85,72,"乙类"]
[97,null,"松牙固定拆除费","拆除松牙固定装置。","所定价格涵盖准备、检查、拆除、清理、调整、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙",null,10,8,7,"乙类","牙弓夹板拆除术"]
[98,null,"牙周翻瓣费","通过手术翻开牙龈瓣，进行清创。","所定价格涵盖制定手术计划、术区准备、消毒、切开、翻瓣、清创、骨修整、复位、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙","本项目所称“复杂牙周翻瓣”指：根向或冠向复位切口、远中楔形切除、根分叉病变的情况。",150,127,108,"乙类","牙周翻瓣术\n种植体周围翻瓣刮治术"]
[null,null,"牙周翻瓣费-复杂牙周翻瓣（加收）",null,null,"牙",null,90,76.2,64.8,"乙类"]
[99,null,"牙龈成形费","通过手术切除部分牙龈组织，恢复牙龈生理外形。","所定价格涵盖手术计划、术区准备、消毒、修整、冲洗、止血、塞治、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙",null,380,323,274,"乙类","牙龈切除术\n种植体周软组织移植费\n牙龈成形术\n修复前软组织成形术"]
[null,null,"牙龈成形费-龈瘤切除费（扩展）",null,null,"牙",null,380,323,274,"乙类"]
[100,null,"游离龈移植费","将自体组织或人工材料异位植入到角化龈不足的牙槽嵴。","所定价格涵盖手术计划、术区准备、消毒、切开、翻瓣、清创、冲洗、修整、取材、植入、固定、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙","不与“牙龈成形费”同时收取",850,722,614,"乙类","游离龈组织移植术\n急性坏死性龈炎局部清创\n牙周组织瓣转移术"]
[null,null,"游离龈移植费-上皮下结缔组织移植费（扩展）",null,null,"牙",null,850,722,614,"乙类"]
[101,null,"引导性牙周组织再生费","通过手术促进牙周组织再生。","所定价格涵盖手术计划、术区准备、消毒、放置屏障膜并固定、复位、缝合、塞治、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙",null,350,297,252,"丙类","引导性牙周组织再生术"]
[102,null,"牙周纤维环状切断费","通过手术切断牙周纤维。","所定价格涵盖手术计划、术区准备、消毒、切断、止血、塞治、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙",null,90,76,65,"丙类","牙周纤维环状切断术"]
[103,null,"皮质骨切开费","通过手术切开牙槽骨唇侧皮质骨板。","所定价格涵盖手术计划、术区准备、消毒、切开、复位、止血、缝合、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙",null,400,340,289,"丙类"]
[null,null,"皮质骨切开费-舌侧（加收）",null,null,"牙",null,400,340,289,"丙类"]
[104,null,"调𬌗治疗费","通过调整牙齿、修复体接触点或咬合面，改善咬合问题。","所定价格涵盖准备、咬合纸检查、咬合印迹分析、咬合形态调整、处理用物等步骤所需的人力资源和基本物质资源消耗。","次","在牙体缺损充填或修复治疗中进行的调𬌗已经含入价格构成，不单独收取。",35,29,25,"丙类","专科调合治疗"]
[105,null,"咬合力检测费","通过各种方式对上下牙齿咀嚼产生的力量进行检测和评价。","所定价格涵盖准备、检查、分析、评价、处理用物等步骤所需的人力资源和基本物质资源消耗。","牙",null,5,4,3,"乙类","咬合力测量检查\nT-咬合测定分析系统检查\n光合仪检查"]
[106,null,"下颌运动功能检查费","通过各种方式对下颌运动进行检查和评价。","所定价格涵盖准备、检查、分析、评价、处理用物等步骤所需的人力资源和基本物质资源消耗。","次",null,20,17,14,"甲类","下颌运动检查\n下颌运动计算机辅助检查"]
[107,null,"咀嚼效率检查费","通过各种方式对咀嚼效率进行检查和评价。","所定价格涵盖准备、材料准备、残渣收集、处理、分析、评价、处理用物等步骤所需的人力资源和基本物质资源消耗。","次",null,15,12,10,"乙类","咀嚼效率检查-食物过筛法"]
[108,null,"唾液腺功能测定费","评估唾液腺分泌能力和功能状态。","所定价格涵盖准备、测定静态和刺激性全唾液流量、出具结果、处理用物等步骤所需的人力资源和基本物质资源消耗。","次",null,15,12,10,"甲类","唾液流量测定"]
[109,null,"唾液腺药物灌注费","向唾液腺导管内灌注药物。","所定价格涵盖准备、扩张、注射药物、处理用物等步骤所需的人力资源和基本物质资源消耗。","腺体•单侧","1.唾液腺的非药物性灌注，按此项目收费。2.本项目所称“腺体•单侧”指：口腔内每侧每腺体。单侧多个腺体或双侧单个腺体可叠加收费。",30,25,21,"甲类","腮腺导管内药物灌注治疗"]
[110,null,"唾液腺导管取石费","通过各种方式将唾液腺导管结石取出。","所定价格涵盖手术计划、术区准备、消毒、探查、切开、取出、处理用物等步骤所需的人力资源和基本物质资源消耗。","腺体•单侧","本项目所称“腺体•单侧”指：口腔内每侧每腺体。单侧多个腺体或双侧单个腺体可叠加收费。",650,552,469,"甲类","颌下腺导管探查取石术\n腮腺导管结石取出术"]
[111,null,"唾液腺导管治疗费","对唾液腺导管进行治疗。","所定价格涵盖手术计划、术区准备、消毒、冲洗、松解、扩张、处理用物等步骤所需的人力资源和基本物质资源消耗。","腺体•单侧","本项目所称“腺体•单侧”指：口腔内每侧每腺体。单侧多个腺体或双侧单个腺体可叠加收费。",600,510,433,"乙类","涎腺瘘切除导管结扎术\n涎腺导管扩大术\n腮腺导管断裂吻合术\n腮腺导管缺损静脉移植修复术\n涎腺瘘切除导管重建术"]
[112,null,"口腔黏膜病局部药物治疗费","通过各种方式对口腔黏膜局部病损进行治疗。","所定价格涵盖准备、注射/雾化/湿敷/局部封闭/穴位注射、处理用物等步骤所需的人力资源和基本物质资源消耗。","病灶",null,20,17,14,"甲类","口腔黏膜病局部注射药物治疗\n口腔黏膜病局部上药\n黏膜病离子导入治疗\n口腔黏膜雾化治疗"]

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["使用说明：\n1. 本立项指南以一般治疗为重点，按照一般治疗方式的服务产出设立价格项目。\n2.根据《深化医疗服务价格改革试点方案》（医保发〔2021〕41号）关于“厘清价格项目与临床诊疗技术规范、医疗机构成本要素、不同应用场景和收费标准等的政策边界。分类整合现行价格项目，实现价格项目与操作步骤、诊疗部位等技术细节脱钩，增强现行价格项目对医疗技术和医疗活动改良创新的兼容性”的要求，服务产出相同的一类项目在操作层面存在差异，但在价格项目和定价水平层面具备合并同类项的条件，立项指南中按照一般治疗的服务产出设立价格项目，着重体现技术劳务价值。地方医疗保障部门制定一般治疗类医疗服务项目价格时，要体现技术劳务价值，使收费水平覆盖绝大部分的差异化操作；各地医疗保障部门所定价格属于政府指导价为最高限价，下浮不限。医疗机构申报技术改良进步价格项目的，可采取“现有项目兼容”方式处理，经向本地区医疗保障部门报告后可按照对应的项目执行。\n3. 本立项指南所称的“价格构成”，指项目价格应涵盖的各类资源消耗，用于确定计价单元的边界，是各级医疗保障部门制定调整项目价格考虑的测算因子，不应作为临床技术标准理解，不是实际操作方式、路径、步骤、程序的强制性要求，价格构成中包含，但个别临床实践中非必要、未发生的，无需强制要求公立医疗机构减计费用。所列“设备投入”包括但不限于操作设备、器具及固定资产投入。\n4. 本立项指南所称“加收项”，指同一项目以不同方式提供或在不同场景应用时，确有必要制定差异化收费标准而细分的一类子项，包括在原项目价格基础上增加或减少收费的情况，具体的加/减收标准（加/减收率或加/减收金额）由各地依权限制定；实际应用中，同时涉及多个加收项的，以项目单价为基础计算各项加/减收水平后，求和得出加/减收金额。\n5. 本立项指南所称“扩展项”，指同一项目下以不同方式提供或在不同场景应用时，只扩展价格项目适用范围、不额外加价的一类子项，子项的价格按主项目执行。\n6. 本立项指南所称“基本物质资源消耗”，指原则上限于不应或不必要与医疗服务项目分割的易耗品，包括但不限于各类消毒用品、储存用品、清洁用品、个人防护用品、标签、垃圾处理用品、腕带、润滑剂、压舌板、滑石粉、一般物理检查器具、治疗巾（单）、棉球、棉签、纱布（垫）、固定带、治疗护理盘(包）、护（尿）垫、中单、冲洗工具、备皮工具、牙垫、一次性冰袋、新生儿洗浴用品、绷带、注射器、灌注器、输液贴、导尿管、输液管路、敷料、呼吸面罩、生理盐水等常规冲洗液体、包裹单（袋）、软件的版权、开发、购买等。基本物质资源消耗成本计入项目价格，不另行收费。临床必需且经患者知情同意后，选用特殊功能的医用耗材并单独付费的，对应的医疗服务价格项目应同步执行减收政策，减收标准参照本地区常规使用普通耗材的采购均价合理确定。\n7. 本立项指南所称“采血费”，指患者不能自行完成的有创采血操作。属于有创操作，但作为治疗或手术副产物的操作以及患者自行操作的采血项目不再另行立项。\n8. 本立项指南中涉及的分泌物采集及浅表标本取样（如痰、二便、鼻咽拭子、精液等）不单独收费。\n9. 本立项指南中涉及的置管、穿刺等操作，均不含影像学引导等各类引导费用。\n10.本立项指南所称的“儿童”，指6周岁及以下。周岁的计算方法以法律的相关规定为准。\n11. 本立项指南中涉及“包括……”“……等”的，属于开放型表述，所指对象不仅局限于表述中列明的事项，也包括未列明的同类事项。\n12.本立项指南所称“重要器官及功能部位”指：指眼、耳、口、鼻、会阴、生殖器。\n13、经皮穿刺颈内静脉置管术、经皮穿刺锁骨下静脉置管术、经皮穿刺股静脉置管术、静脉切开置管术、有创血压监测动脉置管术、外周动脉穿刺置管术、动脉置管拔除术、超声引导下植入式静脉输液港植入术、气管切开术可以与手术操作同时收费。\n14.一般治疗操作除外耗材：采血管、动脉采血器、留置针、三通、精密输液器、避光注射器、避光输液器、无针密闭输液接头、预充式导管冲洗器、肝素帽、营养袋、特殊缝线、护创材料、功能性敷料、导丝、扩张管、心包引流管、导管、防粘连材料、三腔两囊管/四腔两囊管、中心静脉导管、中线静脉导管、扩张器、传感器、血管鞘组、脐静脉导管、专用引流管、化疗泵、血管夹、止血材料、吸氧装置、管路、异型气管导管、气管切开套管、压力传感器、营养泵管、专用导尿管、负压护创材料、探头、三腔胃管,鼻饲管、植入式输液港型中心静脉导管及套件，耐高压输液港型中心静脉导管及套件、一次性使用胰岛素泵注射组件（储药器）、负压引流管路、输液泵管、鼻肠喂养管、引流管（专指青海省医疗机构可收费医用耗材及医保支付类别目录中所列明引流管）、穿刺针"]
[]
["一般治疗类医疗服务价格项目立项指南\n（试行）"]
["序号","项目编码","项目名称","服务产出","价格构成","加收项","扩展项","计价单位","计价说明","指导价格",null,null,"医保支付类别","映射项目名称"]
[{"$nulls":9},"三级","二级","一级"]
[1,null,"采血费（末梢）","通过末梢采集血液。","所定价格涵盖核对信息、评估、定位、消毒、穿刺、采血、拔针、按压、血样保存、送检、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","1.本项目所称的“次”指：一次完整成功的采血过程。\n2.本项目所称的“末梢”指：指尖、耳尖、足跟等。",2,2,2,"乙类","静脉采血"]
[2,null,"采血费（静脉）","通过静脉采集血液。","所定价格涵盖核对信息、评估、定位、消毒、穿刺、采血、拔针、按压、血样保存、送检、处理用物等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%",null,"次","本项目所称的“次”指：一次完整成功的采血过程。",6,6,6,"乙类","静脉采血"]
[null,null,"采血费（静脉）-儿童（加收）",{"$nulls":4},"次",null,1.8,1.8,1.8]
[3,null,"采血费（动脉）","通过动脉采集血液。","所定价格涵盖核对信息、评估、定位、消毒、穿刺、采血、拔针、按压、血样保存、送检、处理用物等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%",null,"次","本项目所称的“次”指：一次完整成功的采血过程。",13,13,13,"乙类","动脉采血"]
[null,null,"采血费（动脉）-儿童（加收）",{"$nulls":4},"次",null,3.9,3.9,3.9]
[4,null,"注射费（普通注射）","通过肌肉、皮内、皮下注射方式，完成液体注入。","所定价格涵盖核对信息、评估、配制、定位、消毒、注射、拔针、按压、观察用药反应、记录、处理用物等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%",null,"次","每完成一次完整成功的注射操作，可计费一次。",3.5,3.5,3.5,"乙类","皮内注射\n皮下注射\n肌肉注射"]
[null,null,"注射费（普通注射）-儿童（加收）",{"$nulls":4},"次",null,1,1,1]
[5,null,"注射费（静脉推注）","通过静脉通路完成液体推注。","所定价格涵盖核对信息、评估、配制、定位、消毒、穿刺或连接已有管路/给药装置、推注、拔针、按压或冲管/封管、观察用药反应、记录、处理用物以及必要时加注药液等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%\n11精准定量输注加收2元",null,"次","1.每完成一次完整成功的注射操作，可计费一次。经多次穿刺构建不同通路的，可累计计费。\n2.本项目所称的“精准定量输注”指：通过输液泵等装置将药液精确定量控制注入患者体内。\n3.已在外周静脉、深静脉、中心静脉、药物输注装置等建立输液通路的，再次进行注射的，可直接按此收费。\n4、精准定量输注中“次”指泵.每小时",6,6,6,"乙类","静脉注射\n输液泵辅助静脉输液"]
[null,null,"注射费（静脉推注）-儿童（加收）",{"$nulls":4},"次",null,1.8,1.8,1.8]
[null,null,"注射费（静脉推注）-精准定量输注（加收）",{"$nulls":4},"次",null,2,2,2]
[6,null,"注射费（动脉推注）","通过动脉通路完成液体推注。","所定价格涵盖核对信息、评估、配制、定位、消毒、穿刺或连接已有管路/给药装置、推注、拔针、按压或冲管/封管、观察用药反应、记录、处理用物以及必要时加注药液等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%",null,"次","每完成一次完整成功的注射操作，可计费一次。经多次穿刺构建不同通路的，可累计计费。",15,15,15,"乙类"]
[null,null,"注射费（动脉推注）儿童（加收）",{"$nulls":4},"次",null,4.5,4.5,4.5]
[7,null,"注射费（静脉输液）","通过静脉通路完成液体输注。","所定价格涵盖核对信息、评估、配制、连接输液器、定位、消毒、排气、穿刺、固定、滴注、拔针、按压或冲管/封管、观察用药反应、记录、处理用物，以及必要时加温、加压输注或加注药液等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%\n11精准定量输注加收2元",null,"次","1.如在静脉输液过程中，通过在管路或者容器中注药，不得另外收取各类“注射费”。\n2.每完成一次完整的注射操作，可计费一次。经多次穿刺构建不同通路的，可累计计费。\n3.已在外周静脉、深静脉、中心静脉、药物输注装置等建立输液通路的，再次进行注射的，可直接按此收费。\n4.本项目所称的“精准定量输注”指：通过输液泵等装置将药液精确定量控制注入患者体内。\n5、精准定量输注中次指泵.每小时。\n6、超过三次按三次收费，多静脉通路情况不受此限制\n7、",15,15,15,"乙类","静脉输液\n输血输液加温治疗\n输液泵辅助静脉输液\n外周静脉营养输注\n输液泵辅助全胃肠外营养深静脉输注\n全胃肠外营养深静脉输注"]
[null,null,"注射费（静脉输液）儿童（加收）",{"$nulls":4},{"$f":"H18","v":"次"},null,4.5,4.5,4.5]
[null,null,"注射费（静脉输液）精准定量输注（加收）",{"$nulls":4},"次",null,2,2,2]
[null,null,"注射费（静脉输液）一次性避光输液器、一次性精密输液器除外如使用，操作费（减收）",{"$nulls":4},"次",null,14,14,14]
[8,null,"注射费（静脉输血）","通过静脉通路完成各类血制品输注。","所定价格涵盖核对信息、评估、连接输血器、定位、消毒、排气、穿刺、固定、输注、拔针、按压或冲管/封管、观察输血反应、记录、处理用物，以及必要时加温、加压输注或加注血制品等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%",null,"次","1.每完成一次完整的注射操作，可计费一次。经多次穿刺构建不同通路的，可累计计费。\n2.已在外周静脉、深静脉、中心静脉、药物输注装置等建立输血通路的，再次进行输血的，可直接按此收费。\n3、以1袋血液为基价,每增加1袋加收不超过40%",15,15,15,"乙类","静脉输血\n输血输液加温治疗\n加压快速输血"]
[null,null,"注射费（静脉输血）-儿童（加收）",{"$nulls":4},{"$f":"H22","v":"次"},null,4.5,4.5,4.5]
[null,null,"注射费（静脉输血）-以1袋血液为基价,每增加1袋（加收）",{"$nulls":4},"次",null,6,6,6]
[9,null,"注射费（心内注射）","通过经皮穿刺向心脏内注射药物。","所定价格涵盖核对信息、评估、配制、定位、消毒、穿刺、注射、拔针、按压或冲管/封管、观察用药反应、记录、处理用物等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%",null,"次","每完成一次完整成功的注射操作，可计费一次。",20,17,14,"乙类","心内注射"]
[null,null,"注射费（心内注射）-儿童（加收）",{"$nulls":4},"次",null,6,5.1,4.2]
[10,null,"注射费（局部封闭）","通过在病灶周围多次注射，消除炎症、解除疼痛、软化瘢痕、改善功能或预防感染。","所定价格涵盖核对信息、评估、配制、定位、消毒、反复穿刺、注射、拔针、按压、观察用药反应、处理用物等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%","01局部浸润注射","次","本项目所称的“次”指：完成单个部位完整的局部封闭治疗。",25,21,18,"乙类"]
[null,null,"注射费（局部封闭）-儿童（加收）",{"$nulls":4},{"$f":"H27","v":"次"},null,7.5,6.3,5.4]
[null,null,"注射费（局部封闭）-局部浸润注射（拓展）",{"$nulls":4},"次",null,25,21,18]
[11,null,"清创缝合费（小）","清理小伤口创面，必要时进行缝合，促进创面修复。","所定价格涵盖检查伤口、清除组织血肿、冲洗、消毒、包扎固定，必要时缝合、引流等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%\n11累及重要器官及功能部位加收30%",null,"次","本项目所称的“清创缝合费（小）”指符合下列任一情况者：表浅切伤，裂伤，刺伤，伤口长度1-5厘米(含5厘米)，或急慢性创面直径或长度1-2厘米(含2厘米)等。",50,42,36,"甲类","清创(缝合)术(小)"]
[null,null,"清创缝合费（小）-儿童（加收）",{"$nulls":4},"次",null,15,12.6,10.8]
[null,null,"清创缝合费（小）-累及重要器官及功能部位（加收）",{"$nulls":4},"次",null,15,12.6,10.8]
[12,null,"清创缝合费（中）","清理中等伤口创面，必要时进行缝合，促进创面修复。","所定价格涵盖检查伤口、清除组织血肿、冲洗、消毒、包扎固定，必要时缝合、引流等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%\n11累及重要器官及功能部位加收30%\n21肠瘘伤口清创加收30%",null,"次","本项目所称的“清创缝合费（中）”指符合下列任一情况者：轻微污染伤口，软组织轻度损伤，皮肤轻度损伤或缺损，异物存在，伤口长度5-10厘米、急慢性创面直径或长度2厘米-5厘米(含5厘米)等。",90,76,65,"甲类","清创(缝合)术(中)"]
[null,null,"清创缝合费（中）-儿童（加收）",{"$nulls":4},{"$f":"H33","v":"次"},null,27,22.8,19.5]
[null,null,"清创缝合费（中）-累及重要器官及功能部位（加收）",{"$nulls":4},"次",null,27,22.8,19.5]
[null,null,"清创缝合费（中）-肠瘘伤口清创（加收）",{"$nulls":4},"次",null,27,22.8,19.5]
[13,null,"清创缝合费（大）","清理大伤口创面，必要时进行缝合，促进创面修复。","所定价格涵盖检查伤口、清除组织血肿、冲洗、消毒、包扎固定，必要时缝合、引流等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%\n11累及重要器官及功能部位加收30%\n21肠瘘伤口清创加收30%",null,"次","本项目所称的“清创缝合费（大）”指伤口长度大于10厘米并符合下列任一情况者：严重污染伤口，软组织严重损伤，皮肤严重损伤或缺损，特殊感染伤口，二期清创，多发异物伤口，血管、神经、肌肉、骨骼、关节严重损伤伤口，化学武器创口等。",160,136,115.6,"甲类","清创(缝合)术(大)"]
[null,null,"清创缝合费（大）-儿童（加收）",{"$nulls":4},{"$f":"H37","v":"次"},null,48,408,346.8]
[null,null,"清创缝合费（大）-累及重要器官及功能部位（加收）",{"$nulls":4},"次",null,48,40.8,34.68]
[null,null,"清创缝合费（大）-肠瘘伤口清创（加收）",{"$nulls":4},"次",null,48,40.8,34.68]
[14,null,"清创缝合费（特大）","清理特大伤口创面，必要时进行缝合，促进创面修复。","所定价格涵盖检查伤口、清除组织血肿、冲洗、消毒、包扎固定，必要时缝合、引流等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%\n11累及重要器官及功能部位加收30%",null,"次","本项目所称的“清创缝合费（特大）”指伤口面积大于100平方厘米或伤口长度大于20厘米或涉及腹壁深层感染和腹腔脏器损伤，并符合以下任一情况者：严重污染伤口、软组织严重损伤、皮肤严重损伤或缺损、特殊感染伤口、感染性窦道、二期或多期清创、多发异物伤口、血管、神经、肌肉、骨骼、关节严重损伤伤口，化学武器创口。",200,170,144,"甲类","清创(缝合)术(特大)"]
[null,null,"清创缝合费（特大）-儿童（加收）",{"$nulls":4},{"$f":"H41","v":"次"},null,60,51,43.2]
[null,null,"清创缝合费（特大）-累及重要器官及功能部位（加收）",{"$nulls":4},"次",null,60,51,43.2]
[15,null,"换药费（小）","通过对小创面进行换药，预防控制感染、促进创面修复。","所定价格涵盖检查创面、清洁、消毒、更换敷料、包扎固定，必要时拆线以及更换引流物等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%",null,"次","本项目所称的“换药费（小）”指符合下列任一情况者：清洁伤口、缝合3针以内伤口拆线（包括皮内连续缝合拆线）等。",17,14,12,"乙类","换药(小)"]
[null,null,"换药费（小）-儿童（加收）",{"$nulls":4},"次",null,5.1,4.2,3.6]
[16,null,"换药费（中）","通过对中创面进行换药，预防控制感染、促进创面修复。","所定价格涵盖检查创面、清洁、消毒、更换敷料、包扎固定，必要时拆线以及更换引流物等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%",null,"次","本项目所称的“换药费（中）”指符合下列任一情况者：污染伤口、缝合3-10针或慢性创面直径或长度2厘米-5厘米(含5厘米)伤口拆线、单个压疮、深静脉置管伤口、有引流管的伤口等。",30,25,21,"乙类","换药(中)"]
[null,null,"换药费（中）-儿童（加收）",{"$nulls":4},{"$f":"H46","v":"次"},null,9,7.5,6.3]
[17,null,"换药费（大）","通过对大创面进行换药，预防控制感染、促进创面修复。","所定价格涵盖检查创面、清洁、消毒、更换敷料、包扎固定，必要时拆线以及更换引流物等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%",null,"次","本项目所称的“换药费（大）”指符合下列任一情况者：感染伤口、缝合11-30针或慢性创面直径或长度大于5厘米伤口拆线、多个压疮、皮瓣移植物伤口、大棉垫1-2块、渗出50-100毫升伤口等。",50,42,36,"乙类","换药(大)"]
[null,null,"换药费（大）-儿童（加收）",{"$nulls":4},"次",null,15,12.6,10.8]
[18,null,"换药费（特大）","通过对特大创面进行换药，预防控制感染、促进创面修复。","所定价格涵盖检查创面、清洁、消毒、更换敷料、包扎固定，必要时拆线以及更换引流物等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%",null,"次","本项目所称的“换药费（特大）”指符合下列任一情况者：特殊感染伤口，缝合30针以上或慢性创面直径或长度大于10厘米伤口拆线，多个压疮感染，体表大于10%的皮瓣移植物及化学武器伤口，特殊部位伤口(会阴、切口裂开、内脏、软组织及皮下)，纱布需50块以上者，大棉垫3块以上，渗出大于100毫升伤口等。",80,68,57,"乙类","换药(特大)"]
[null,null,"换药费（特大）-儿童（加收）",{"$nulls":4},"次",null,24,20.4,17.1]
[19,null,"换药费（烧/烫伤）","通过对烧/烫伤创面进行换药，预防控制感染、促进创面修复。","所定价格涵盖检查创面、清洁、消毒、更换敷料、包扎固定，必要时拆线以及更换引流物等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%",null,"1%体表面积",null,42,35,30,"乙类","烧伤换药\n烧伤特殊部位换药"]
[null,null,"换药费（烧/烫伤）-儿童（加收）",{"$nulls":4},{"$f":"H52","v":"1%体表面积"},null,12.6,10.5,9]
[20,null,"穿刺费（胸腔）","穿刺胸腔，并根据需要进行注药、冲洗、采集标本或抽吸气体、液体等操作。","所定价格涵盖核对信息、摆位、定位、消毒、穿刺、抽吸、注药或冲洗、留取标本、拔除、固定止血、处理用物、记录，必要时连接引流装置等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%\n11心包穿刺加收350元\n21胸腔闭式引流加收340",null,"次","1、穿刺过程中同步留取样本按本项目收费，不与“活检取材费”同时收费。\n2.本项目所称的“次”指：一次完整成功的穿刺过程。",150,127,108,"甲类","胸腔穿刺术\n经皮气胸穿刺引流术\n经肋间胸腔闭式引流术\n经肋床胸腔闭式引流术\n人工气胸术\n心包穿刺置管引流术\n胸腔穿刺置管引流术\n经皮胸腔引流管调管术\n心包穿刺术"]
[null,null,"穿刺费（胸腔）-儿童（加收）",{"$nulls":4},"次",null,45,38.1,32.4]
[null,null,"穿刺费（胸腔）-心包穿刺（加收）",{"$nulls":4},"次",null,350,297,252]
[null,null,"穿刺费（胸腔）-胸腔闭式引流（加收）",{"$nulls":4},"次",null,340,289,245]
[21,null,"穿刺费（腹腔）","穿刺腹腔，并根据需要进行注药、冲洗、采集标本或抽吸气体、液体等操作。","所定价格涵盖核对信息、摆位、定位、消毒、穿刺、抽吸、注药或冲洗、留取标本、拔除、固定止血、处理用物、记录，必要时连接引流装置等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%",null,"次","穿刺过程中同步留取样本按本项目收费，不与“活检取材费”同时收费。\n2.本项目所称的“次”指：一次完整成功的穿刺过程。",150,127,108,"甲类","腹腔穿刺术\n经皮腹腔脓肿穿刺引流术\n经腹腔穿刺插管注液\n人工气腹术\n经皮腹腔穿刺注药术\n经皮腹腔引流管调管术\n经皮盆腔引流管调管术\n经皮腹腔积液穿刺引流术"]
[null,null,"穿刺费（腹腔）-儿童（加收）",{"$nulls":4},{"$f":"H58","v":"次"},null,45,38.1,32.4]
[22,null,"穿刺费（骨髓）","穿刺骨髓，并根据需要进行注药、输液、冲洗、采集标本或抽吸气体、液体等操作。","所定价格涵盖核对信息、摆位、定位、消毒、穿刺、抽吸、注药或冲洗、留取标本、拔除、固定止血、处理用物、记录，必要时连接引流装置等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%",null,"次","穿刺过程中同步留取样本按本项目收费，不与“活检取材费”同时收费。\n2.本项目所称的“次”指：一次完整成功的穿刺过程。",134,113,96,"甲类","骨髓穿刺术"]
[null,null,"穿刺费（骨髓）-儿童（加收）",{"$nulls":4},"次",null,40.2,33.9,28.8]
[23,null,"穿刺费（腰椎）","穿刺腰椎，并根据需要进行注药、冲洗、采集标本或抽吸气体、液体等操作。","所定价格涵盖核对信息、摆位、定位、消毒、穿刺、抽吸、注药或冲洗、留取标本、测压、拔除、固定止血、处理用物、记录，必要时连接引流装置等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%",null,"次","穿刺过程中同步留取样本按本项目收费，不与“活检取材费”同时收费。\n2.本项目所称的“次”指：一次完整成功的穿刺过程。",134,113,96,"甲类","腰椎穿刺术"]
[null,null,"穿刺费（腰椎）-儿童（加收）",{"$nulls":4},"次",null,40.2,33.9,28.8]
[24,null,"穿刺费（关节）","穿刺关节，并根据需要进行注药、冲洗、采集标本或抽吸气体、液体等操作。","所定价格涵盖核对信息、摆位、定位、消毒、穿刺、抽吸、注药或冲洗、留取标本、拔除、固定止血、处理用物、记录，必要时连接引流装置等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%",null,"关节","穿刺过程中同步留取样本按本项目收费，不与“活检取材费”同时收费。\n2.本项目所称的“次”指：一次完整成功的穿刺过程。",60,51,43,"甲类","膝关节穿刺术\n关节腔穿刺术"]
[null,null,"穿刺费（关节）-儿童（加收）",{"$nulls":4},{"$f":"H64","v":"关节"},null,18,15.3,12.9]
[25,null,"置管费（胃管）","通过人体自然腔道或瘘口，将胃管置入胃内。","所定价格涵盖核对信息、评估、清洁腔道、测量、润滑、置管、定位、固定、记录、拔管、必要时行注气压迫、处理用物等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%\n11食道/胃底静脉曲张置管加收260元",null,"次",null,25,21,18,"乙类","胃管置管术\n三腔两囊管安置术"]
[null,null,"置管费（胃管）-儿童（加收）",{"$nulls":4},"次",null,7.5,6.3,5.4]
[null,null,"置管费（胃管）-食道/胃底静脉曲张置管（加收）",{"$nulls":4},"次",null,260,208,176]
[26,null,"置管费（肠管）","通过人体自然腔道或瘘口，将肠管置入插至小肠(十二指肠或空肠)。","所定价格涵盖核对信息、评估、清洁腔道、测量、润滑、置管、定位、固定、记录、拔管、处理用物等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%",null,"次",null,350,297,252,"乙类","经鼻空肠营养管置管术\n经鼻空肠营养管调管术\n经鼻空肠营养管置换术"]
[null,null,"置管费（肠管）-儿童（加收）",{"$nulls":4},{"$f":"H69","v":"次"},null,105,89.1,75.6]
[27,null,"置管费（中心静脉/深静脉）","将各类管路置入中心静脉/深静脉部位，建立通道。","所定价格涵盖核对信息、评估、定位、消毒、穿刺、置管、固定、记录、处理用物等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%",null,"次","每完成一次完整成功的置管操作，可计费一次。",220,187,158,"乙类","血液净化用中心静脉临时导管置管术\n血液净化用中心静脉长期管置管术\n经皮穿刺颈内静脉置管术\n经皮穿刺锁骨下静脉置管术\n经外周静脉置入中心静脉导管术\n经皮穿刺股静脉置管术\n经烧伤创面静脉穿刺术\n静脉切开置管术"]
[null,null,"置管费（中心静脉/深静脉）-儿童（加收）",{"$nulls":4},{"$f":"H71","v":"次"},null,66,56.1,47.4]
[28,null,"置管费（动脉）","将管路置入动脉部位，建立通道。","所定价格涵盖核对信息、评估、定位、消毒、穿刺、置管、固定、记录、处理用物等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%",null,"次",null,130,110,93,"乙类","有创血压监测动脉置管术\n外周动脉穿刺置管术"]
[null,null,"置管费（动脉-）儿童加收",{"$nulls":4},"次",null,{"$f":"J73*0.3","v":39},33,27.9]
[29,null,"置管费（脐血管）","将管路置入脐血管，建立通道。","所定价格涵盖核对信息、评估、测量、消毒、切断残端、穿刺、置管、固定、连接输液器、记录、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,300,255,216,"乙类","新生儿脐血管置管术"]
[30,null,"拔管费","通过各种方式拔除置入体内的管路。","所定价格涵盖核对信息、评估、消毒、拔管、必要时包扎、缝合、固定等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%",null,"次","1、本项目适用于中心静脉/深静脉、动脉、脐血管置管相关项目。\n2、“次”指“每管”。",85,72,61,"丙类","动脉置管拔除术\n经外周静脉置入中心静脉导管术\n静脉导管拔除术\n经皮穿刺颈内静脉置管术\n经皮穿刺颈静脉透析管拔除术\n经皮穿刺股静脉置管术\n血液净化用中心静脉临时管拔除术"]
[null,null,"拔管费-儿童（加收）",{"$nulls":4},{"$f":"H76","v":"次"},null,72.25,61.2,51.85]
[31,null,"药物输注装置置入费","将植入式药物输注装置管路置入皮下，建立给药通道。","所定价格涵盖核对信息、定位、消毒、切开、置入、固定、缝合、记录、处理用物等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%",null,"次",null,700,595,505,"甲类","肝动脉化疗泵置入术\n超声引导下植入式静脉输液港植入术"]
[null,null,"药物输注装置置入费-儿童（加收）",{"$nulls":4},"次",null,210,178.5,151.5]
[32,null,"药物输注装置取出费","取出置入皮下的植入式药物输注装置。","所定价格涵盖核对信息、定位、消毒、切开、取出、缝合、记录、处理用物等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%",null,"次",null,100,85,72,"甲类","动脉化疗泵取出术\n超声引导下植入式静脉输液港植入术"]
[null,null,"药物输注装置取出费-儿童（加收）",{"$nulls":4},"次",null,30,25.5,21.6]
[33,null,"药物输注泵安装费","体表安装胰岛素泵等药物输注泵，输入激素等药物。","所定价格涵盖胰岛素泵等输注泵的体表贴敷安装、设定、调节、输注、管路维护、更换储药器等相关耗材、拆除、记录、处理用物等步骤所需的人力资源与基本资源消耗。",null,null,"次",null,200,170,144,"甲类","胰岛素泵安装术\n胰岛素泵持续皮下注射胰岛素"]
[34,null,"氧气吸入费","通过吸入氧气，达到改善组织缺氧的目的。","所定价格涵盖核对信息、评估、连接、调节、供氧、固定、观察、记录、处理用物等步骤所需的人力资源和基本物质资源消耗（含氧气）。","01高流量吸氧加收3元",null,"小时","1.不与“呼吸机辅助呼吸费（无创）”和“呼吸机辅助呼吸费（有创）”同时收费。\n2.本项目所称的“高流量吸氧”指：吸氧流量≥5L/min。",3.8,3.8,3.8,"乙类","氧气吸入\n密闭式氧气吸入\n加温加湿高流\n量氧气治疗"]
[null,null,"氧气吸入费-高流量吸氧（加收）",{"$nulls":4},{"$f":"H83","v":"小时"},null,3,3,3]
[35,null,"呼吸机辅助呼吸费（无创）","通过无创方式连接呼吸机，辅助患者进行机械通气治疗。","所定价格涵盖核对信息、评估、连接、设定及调节、辅助通气、氧气吸入、观察、记录、处理用物等步骤所需的人力资源和基本物质资源消耗（含氧气）。","01儿童加收30%\n11高流量吸氧加收3元",null,"小时","1.不与“氧气吸入费”同时收费。\n2.本项目所称的“高流量吸氧”指：吸氧流量≥5L/min。",11,9,7,"乙类","无创呼吸机辅助通气"]
[null,null,"呼吸机辅助呼吸费（无创）-儿童（加收）",{"$nulls":4},"小时",null,3.3,2.7,2.1]
[null,null,"呼吸机辅助呼吸费（无创）-高流量吸氧（加收）",{"$nulls":4},"小时",null,3,3,3]
[36,null,"呼吸机辅助呼吸费（有创）","指呼吸机连接人工气道，辅助危重症患者进行正压机械通气治疗。","所定价格涵盖核对信息、评估、连接、检测、气道湿化、设定及调节、辅助通气、氧气吸入、观察、记录、处理用物等步骤所需的人力资源和基本物质资源消耗（含氧气）。","01儿童加收30%\n11高流量吸氧加收3元",null,"小时","1.不与“氧气吸入费”同时收费。\n2.本项目所称的“高流量吸氧”指：吸氧流量≥5L/min。",13,11,9,"乙类","有创呼吸机辅助通气"]
[null,null,"呼吸机辅助呼吸费（有创）-儿童（加收）",{"$nulls":4},{"$f":"H88","v":"小时"},null,{"$f":"J88*0.3","v":3.9},3.3,2.7]
[null,null,"呼吸机辅助呼吸费（有创）-高流量吸氧（加收）",{"$nulls":4},"小时",null,3,3,3]
[37,null,"吸/排痰费（人工）","通过人工方式，吸出分泌物或异物，或促进分泌物液化脱落，保持呼吸道通畅，包括必要时建立咽部通气道。","所定价格涵盖核对信息、评估、叩背、排痰、吸出、清洗、观察、记录、处理用物等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%",null,"次","1、各地应按日确定费用封顶线。\n2、超过24次按24次收费。\n3、可以与分级护理同时收取。",15,12,10,"乙类","吸痰护理"]
[null,null,"吸/排痰费（人工）-儿童（加收）",{"$nulls":4},"次",null,{"$f":"J91*0.3","v":4.5},3.6,3]
[38,null,"吸痰费（机器）","通过吸痰设备等辅助方式，吸出呼吸道代谢物。","所定价格涵盖核对信息、评估、连接呼吸机、负压吸出、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"日",null,90,76,65,"乙类"]
[39,null,"排痰费（机器）","通过排痰机等辅助方式，协助无力自主排痰患者排出呼吸道代谢物。","所定价格涵盖核对信息、评估、叩背、排痰、吸出、清洗、观察、记录、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"日","1、可以与分级护理同时收取。",36,30,26,"乙类","机械辅助排痰"]
[40,null,"高压氧舱治疗费","通过在高压环境中吸氧，提升血氧浓度，改善缺氧、促进修复、抑制炎症和感染。","所定价格涵盖核对信息、加压准备、稳压吸氧、减压、观察、以及必要时监护等步骤所需的人力资源和基本物质资源消耗。","01单人高压氧舱治疗加收60%",null,"次",null,150,127,108,"乙类","超高压力高压氧治疗\n单人舱治疗\n急救单独开舱治疗\n舱内直排吸氧\n婴儿氧舱治疗\n医护陪舱治疗\n舱内婴儿车治疗\n高压氧舱内常规治疗"]
[null,null,"高压氧舱治疗费-单人高压氧舱治疗（加收）",{"$nulls":4},{"$f":"H95","v":"次"},null,{"$f":"J95*0.6","v":90},76.2,64.8]
[41,null,"气管插管费（自然腔道）","将导管插入患者气管，维持患者呼吸。","所定价格涵盖核对信息、体位摆放、置入、插管、定位、连接、固定、观察、记录、拔管、处理用物等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%\n11特殊方法气管插管加收80元",null,"次","本项目所称的“特殊方法气管插管”指：经纤维喉镜或气管镜置管、经口盲探或逆行法气管插管。",120,102,86,"乙类","经口气管插管术\n经鼻明视气管插管术\n困难气道盲探气管插管术\n硬纤维喉镜引导下气管插管术\n新生儿气管插管术\n环甲膜穿刺逆行气管插管术"]
[null,null,"气管插管费（自然腔道）-儿童（加收）",{"$nulls":4},"次",null,{"$f":"J97*0.3","v":36},30.6,25.8]
[null,null,"气管插管费（自然腔道）-特殊方法气管插管（加收）",{"$nulls":4},"次",null,80,{"$f":"J99*0.85","v":68},{"$f":"K99*0.85","v":57.8}]
[42,null,"气管插管费（有创）","通过切开或穿刺方式将导管插入患者气管，维持患者呼吸。","所定价格涵盖核对信息、体位摆放、切开、置入、插管、定位、连接、固定、观察、记录、拔管、缝合、包扎、处理用物等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%",null,"次",null,500,425,361,"甲类","气管切开术"]
[null,null,"气管插管费（有创）-儿童（加收）",{"$nulls":4},{"$f":"H100","v":"次"},null,{"$f":"J100*0.3","v":150},127.5,108.3]
[43,null,"静脉测压费（人工）","通过人工方式测量中心或周围静脉压，判断患者血容量及心功能状态。","所定价格涵盖核对信息、评估、体位摆放、连接、固定、校零、测量、记录、冲管、处理用物等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%",null,"次",null,20,17,14,"乙类","人工中心静脉压测定\n周围静脉压测定"]
[null,null,"静脉测压费（人工）-儿童（加收）",{"$nulls":4},"次",null,{"$f":"J102*0.3","v":6},5.1,4.2]
[44,null,"静脉测压费（机器）","通过机器方式连续测量中心或周围静脉压，监测判断患者血容量及心功能状态。","所定价格涵盖核对信息、评估、体位摆放、连接、固定、校零、测量、记录、冲管、处理用物等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%",null,"小时","1、各地应按日确定费用封顶线。\n2、每日超过20小时按20小时收费。",20,17,14,"乙类","检测仪中心静脉压测定"]
[null,null,"静脉测压费（机器）-儿童（加收）",{"$nulls":4},"小时",null,{"$f":"20*0.3","v":6},6,6]
[45,null,"动脉测压费","通过连接测压套件，实时监测血压变化。","所定价格涵盖核对信息、评估、体位摆放、连接、固定、校零、测量、记录、冲管、处理用物等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%",null,"小时","1、各地应按日确定费用封顶线。\n2、每日超过20小时按20小时收费。",20,17,14,"乙类","动脉内压力监测\n有创连续动脉血压监测"]
[null,null,"动脉测压费-儿童（加收）",{"$nulls":4},{"$f":"H106","v":"小时"},null,{"$f":"J106*0.3","v":6},5.1,4.2]
[46,null,"胃肠减压费","通过各种方式引流胃肠内容物，实现胃肠减压。","所定价格涵盖核对信息、连接、调节、观察、记量、处理用物等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%",null,"日","1、不得与“引流管护理”同时收取",15,12,10,"乙类","胃肠减压"]
[null,null,"胃肠减压费-儿童（加收）",{"$nulls":4},"日",null,{"$f":"J108*0.3","v":4.5},3.6,3]
[47,null,"洗胃费","通过各种方式，将液体灌入胃腔后吸出。","所定价格涵盖核对信息、评估、清洁腔道、测量、润滑、置管、定位、固定、标记、抽出胃内容物（含留取标本）、反复冲洗、拔管、处理用物等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%",null,"次","不与“置管费（胃管）”“胃肠灌注费”同时收费。",130,110,93,"乙类","人工洗胃\n电动洗胃\n漏斗胃管洗胃\n负压吸引器洗胃\n新生儿洗胃"]
[null,null,"洗胃费-儿童（加收）",{"$nulls":4},"次",null,{"$f":"J110*0.3","v":39},33,27.9]
[48,null,"胃肠灌注费","通过各种方式，将药物或饮食灌注进入胃肠。","所定价格涵盖核对信息、评估、连接、灌注、冲管、固定、处理用物等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%\n11精准定量灌注加收13/日",null,"次","1.本项目所称的“精准定量输注”指：通过营养泵等装置将药物或饮食精确定量控制注入患者体内。\n2.不与“洗胃费”同时收费。\n3、精准定量灌注按日收费。",22,18,15,"乙类","肠内营养灌注\n经口全消化道清洁洗肠"]
[null,null,"胃肠灌注费-儿童（加收）",{"$nulls":4},{"$f":"H112","v":"次"},null,{"$f":"J112*0.3","v":6.6},5.4,4.5]
[null,null,"胃肠灌注费-精准定量灌注（加收）",{"$nulls":4},"日",null,13,11,9]
[49,null,"一般物理降温费","通过擦拭、外敷等方式调节人体体温。","所定价格涵盖核对信息、评估、擦拭或外敷、观察、记录、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,"01一般物理升温费","次","各地应按日确定费用封顶线。超过6次按6次收费。",7,7,7,"乙类","擦浴降温\n贴敷降温\n冰帽降温\n冷湿敷法\n热湿敷法\n冰毯降温"]
[null,null,"一般物理降温费-一般物理升温费（拓展）",{"$nulls":4},{"$f":"H115","v":"次"},null,7,7,7]
[50,null,"新生儿治疗浴费","通过沐浴治疗，促进新生儿血液循环、改善皮肤状态、提高免疫功能。","所定价格涵盖沐浴环境调节、浴液配置、检查皮肤状态、擦浴、更换衣物、处理用物等步骤所需的人力资源和基本物质资源消耗。",null,null,"次",null,25,21,18,"丙类","新生儿治疗浴"]
[51,null,"导尿费","通过各种方式引流尿液。","所定价格涵盖核对信息、评估、体位摆放、消毒、润滑、导尿管插入、固定、引流（含留取标本）、拔除、观察、记录、处理用物等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%",null,"次","留置导尿按“引流管护理”项目收费。",35,29,25,"乙类","导尿\n导引法导尿术"]
[null,null,"导尿费-儿童（加收）",{"$nulls":4},"次",null,{"$f":"J118*0.3","v":10.5},8.7,7.5]
[null,null,"导尿费-专用导尿管除外，如使用该耗材（减收）",{"$nulls":4},"次",null,30,24,20]
[52,null,"膀胱冲洗费","将冲洗液灌入膀胱，清除异物、通畅尿道、预防感染。","所定价格涵盖核对信息、评估、消毒、注入、冲洗、夹闭尿管、连接引流装置、观察、计量、处理用物等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%",null,"次",null,20,17,14,"乙类","膀胱冲洗"]
[null,null,"膀胱冲洗费-儿童（加收）",{"$nulls":4},{"$f":"H121","v":"次"},null,{"$f":"J121*0.3","v":6},5.1,4.2]
[53,null,"持续膀胱冲洗费","将冲洗液持续灌入膀胱，清除异物、通畅尿道、预防感染。","所定价格涵盖核对信息、评估、消毒、注入、持续冲洗、夹闭尿管、连接引流装置、观察、计量、处理用物等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%",null,"日",null,55,46,39,"乙类","持续膀胱冲洗"]
[null,null,"持续膀胱冲洗费-儿童（加收）",{"$nulls":4},"日",null,{"$f":"J123*0.3","v":16.5},13.8,11.7]
[54,null,"灌肠费","将灌肠液或药物等灌入肛门（造瘘口），加速排便、清洁肠道、药物治疗。","所定价格涵盖核对信息、评估、配制灌肠液或药物、体位摆放、润滑、插入、注入、拔出、观察、记录、处理用物等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%\n11清洁灌肠加收35元",null,"次",null,25,21,18,"乙类","一般灌肠\n保留灌肠治疗\n三通氧气灌肠治疗\n先天性巨结肠回流洗肠治疗\n先天性巨结肠术前清洁洗肠治疗\n结肠水疗\n清洁灌肠"]
[null,null,"灌肠费-儿童（加收）",{"$nulls":4},"次",null,{"$f":"J125*0.3","v":7.5},6.3,5.4]
[null,null,"灌肠费-清洁灌肠加",{"$nulls":4},"次",null,35,29,24]
[55,null,"肛管排气费","将肛管插入肛门至适宜深度，排出积气、减轻腹胀。","所定价格涵盖核对信息、体位摆放、润滑、插入、固定、观察、记录、拔除、处理用物等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%",null,"次",null,15,12,10,"乙类","肛管排气"]
[null,null,"肛管排气费-儿童（加收）",{"$nulls":4},{"$f":"H128","v":"次"},null,{"$f":"J128*0.3","v":4.5},3.6,3]
[56,null,"人工辅助通便费","通过人工方式协助患者排便。","所定价格涵盖核对信息、评估、体位摆放、润滑、手工协助排便、观察、记录、处理用物等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%",null,"次",null,30,25,21,"乙类","人工辅助通便"]
[null,null,"人工辅助通便费-儿童（加收）",{"$nulls":4},"次",null,{"$f":"J130*0.3","v":9},7.5,6.3]
[57,null,"储液装置抽液费","通过各种方式抽出颅内储液装置等装置内的液体。","所定价格涵盖消毒、穿刺、抽液以及必要时缝合等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%",null,"次","1、通过储液装置穿刺向颅内注射药物按此收费",126,107,91,"乙类"]
[null,null,"储液装置抽液费-儿童（加收）",{"$nulls":4},"次",null,{"$f":"J132*0.3","v":37.8},32.1,27.3]
[58,null,"创面负压引流费","通过负压吸引方式，引出创面分泌物。","所定价格涵盖创面清洗、敷料覆盖、置入引流物、封闭创面、连接吸引装置等步骤所需的人力资源和基本物质资源消耗。","01儿童加收30%",null,"每创面·每小时","1、各地应按每创面·日确定费用封顶线。\n2、每日最高不超过24小时",4,3,2,"乙类","创面密封负压引流术"]
[null,null,"创面负压引流费-儿童（加收）",{"$nulls":4},{"$f":"H134","v":"每创面·每小时"},null,{"$f":"J134*0.3","v":1.2},0.9,0.6]
[59,null,"内分泌功能试验分析费（药物性干预）","通过药物干预，观察检验检查结果变化，判断内分泌功能状态。","所定价格涵盖制定试验方案、给药、分析、判断、指导临床诊治所需的人力资源和基本物质资源消耗，不含检验项目，不含采血费。","01葡萄糖钳夹试验加收700",null,"每种试验",null,30,25,21,"乙类","胰岛素钳夹试验\n静脉推注葡萄糖胰岛素释放实验\n静脉推注葡萄糖胰岛素释放试验-延长法\n静脉推注葡萄糖C肽释放实验\n静脉推注葡萄糖C肽释放实验-延长法\n胰高糖素C肽刺激试验\n静脉推注葡萄糖耐量试验(IVGTT)\n静脉推注葡萄糖耐量试验(IVGTT)-延长法\n促肾上腺皮质激素(ACTH)兴奋试验-快速法\n冲洗液输注试验\n酚妥拉明试验\n可乐宁试验\n胰高糖素儿茶酚胺激发试验\n酪胺激发试验\n地塞米松抑制试验\n过夜地塞米松抑制试验\n地塞米松抑制试验-5日法\n口服地塞米松醛固酮抑制试验\n皮质醇节律加过夜地塞米松抑制试验\n氟氢可的松抑制试验\n水利尿试验\n皮质素水试验\n醛固酮肾素测定卧立位试验\n醛固酮肾素比值测定试验\n口服钠负荷试验\n低钠试验\n高钠试验\n赛庚啶试验\n安体舒通试验\n氨苯蝶啶试验\n卡托普利试验\n促肾上腺皮质激素(ACTH)兴奋试验-传统法\n双侧肾上腺静脉采血比较肾上腺激素水平\n生长激素释放激素(GRH)兴奋试验\n促甲状腺激素释放激素(TRH)兴奋试验\n促肾上腺皮质激素释放激素(CRF)兴奋试验\n促性腺激素释放激素(GnRH)兴奋试验\n胰岛素低血糖兴奋试验\n精氨酸兴奋试验\n人绒毛膜促性腺激素(HCG)兴奋试验\n甲氧氯普胺兴奋催乳素(PRL)动态试验\n药物兴奋催乳素(PRL)动态试验\n高渗冲洗液试验-静脉法\n高渗冲洗液试验-口服法\n左旋多巴抑制催乳素(PRL)试验\n溴隐停抑制催乳素(PRL)试验\n葡萄糖抑制生长激素(GH)试验\n禁水加压素试验\n去氨加压素(DDAVP)治疗试验\n醋酸去氨加压素试验\n五肽胃泌素激发试验\n三碘甲状腺原氨酸(T3)抑制试验\n甲状腺素(T4)抑制试验\n快速钙滴注抑制试验\n中性磷负荷试验\n钙耐量试验\n低钙试验\n低磷试验\n磷廓清试验-2小时法\n昼夜皮质醇节律测定\n磷廓清试验-3日法"]
[null,null,"内分泌功能试验分析费（药物性干预）-葡萄糖钳夹试验（加收）",{"$nulls":4},{"$f":"H136","v":"每种试验"},null,700,595,505]
[60,null,"内分泌功能试验分析费（非药物性干预）","通过饮食、体位干预等非药物性干预方式，观察检验检查结果变化，判断内分泌功能状态。","所定价格涵盖试验方案制定、分析、判断、指导临床诊治所需的人力资源和基本物质资源消耗，不含检验项目，不含采血费。",null,null,"每种试验",null,25,21,18,"乙类","馒头餐C肽释放试验\n24小时尿比重渗透压试验\n禁水试验\n冷加压试验\n水负荷试验\n馒头餐糖耐量试验\n口服葡萄糖耐量试验(OGTT)-3小时法\n饥饿试验\n口服葡萄糖耐量试验(OGTT)-5小时法\n3小时口服葡萄糖C肽释放试验\n5小时口服葡萄糖C肽释放试验\n口服葡萄糖胰岛素释放试验-3小时法\n口服葡萄糖胰岛素释放试验-5小时法\n口服葡萄糖胰岛功能相关激素释放试验\n馒头餐胰岛功能相关激素释放试验"]
[61,null,"连续动态血糖监测费","通过连续血糖监测形成动态血糖图谱，掌握患者血糖水平，指导临床治疗。","所定价格涵盖设备安装、设定、血糖监测、调节、实时上传、撤除等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","本项目所称的“次”指完成72小时及以上连续性动态血糖监测。",550,467,397,"乙类","连续动态血糖监测安装术\n电脑连续血糖动态监测"]
[62,null,"死亡诊断和遗体料理费","进行死亡诊断，提供遗体清洁消毒、腔道填塞等常规处理操作，并上传存储亡故患者身份、死亡原因、死亡时间等信息。","所定价格涵盖死亡诊断、拔除管道、清洁消毒、整理仪容、腔道填塞，以及上传患者死亡信息等步骤所需的人力资源和基本物质资源消耗。","01特殊传染病遗体料理加收30元",null,"次","1.医疗机构上门提供死亡诊断和遗体料理服务的，按“上门服务费+死亡诊断和遗体料理费”的方式收费；上门仅提供死亡诊断服务的，减半收取本项费用。\n2.医疗机构未上传存储患者死亡信息证明提供相关服务的，不得收取本项费用。\n3.不得同时收取各项拔管费。\n4.本项目所称的“特殊传染病”指：甲类以及采取甲类传染病预防、控制措施的乙类传染病。\n5.本项目不涉及殡仪服务基础项目。",70,59,50,"丙类","一般尸体料理\n特殊传染病尸体料理"]
[null,null,"死亡诊断和遗体料理费-特殊传染病遗体料理（加收）",{"$nulls":4},{"$f":"H140","v":"次"},null,30,25,21]
[63,null,"离体残肢/死婴/死胎处理费","对离体残肢/死婴/死胎进行合理处置。","所定价格涵盖收集、消毒、标注、处置、记录等步骤所需的人力资源和基本物质资源消耗。",null,null,"次","按照《医疗废物分类目录（2021年版）》规定：“患者截肢的肢体以及引产的死亡胎儿，纳入殡葬管理。16周胎龄以下或重量不足500克的胚胎组织、手术及其他医学服务过程中产生的废弃的人体组织、器官属于病理性废物，不纳入医疗服务收费。",40,34,28,"丙类","离体残肢处理\n死婴料理"]

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[]
["青海省公立医疗机构医用耗材目录"]
["序号","耗材编码","分类编码","一级分类","二级分类","三级分类","四级分类","备注","拟调整医保支付类别"]
[1,null,"AA","一、医用工具类"]
[2,null,"AAA",null,"注射穿刺类"]
[3,null,"AABC",null,null,"探头"]
[4,"C0107070001000590000","AABC04",{"$nulls":3},"射频探头",null,"乙类"]
[5,null,"AB","二、置入类材料"]
[6,null,"ABZ",null,"其他"]
[7,"C0206460691004700000","ABZX03",{"$nulls":3},"栓子保护装置",null,"乙类"]
[8,null,"AC","三、植入材料类"]
[9,null,"ACA",null,"人工材料"]
[10,null,"ACAA",null,null,"人工器官"]
[11,"C0602021331004960000","ACAA22",{"$nulls":3},"人工韧带",null,"乙类"]
[12,null,"ACAC",null,null,"假体"]
[13,"C0601021331005460000","ACAC02",{"$nulls":3},"听小骨假体",null,"乙类"]
[14,"C0601021331005470000","ACAC03",{"$nulls":3},"电子耳蜗",null,"乙类"]
[15,null,"AF","六、管套容器过滤材料"]
[16,null,"AFA",null,"通气管路类"]
[17,null,"AFBD",null,null,"体外循环材料"]
[18,null,"AFBD17",{"$nulls":3},"心肌保护停跳液",null,"乙类"]
[19,null,"AZ","九、其他"]
[20,null,"AZA",null,"腔镜材料"]
[21,null,"AZAC",null,null,"辅助操作材料"]
[22,"C0105060211008780000","AZAC30",{"$nulls":3},"射频针",null,"乙类"]
[23,null,"AZAZ",null,null,"其他"]
[24,"C0502041281009110000","AZAZ24",{"$nulls":3},"打孔器",null,"乙类"]

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["序号","项目代码","项目名称","项目内涵","内涵一次性卫生耗材","除外内容","计价单位","计价说明","指导价格（元）",null,null,"医保支付类别"]
[{"$nulls":8},"三级","二级","一级"]
[1,"QHXZ0298","分娩镇痛","采用麻醉镇痛，以起到减轻产妇分娩过程疼痛，提高分娩质量及舒适度，保证孕产安全的作用。所定价格涵盖评估、建立通路、摆放体位、穿刺、置管、剂量验证、观察、注药、氧饱和度监测、装置连接、参数设定、评分、记录、分析病情，必要时调整剂量、撤除装置等所需的人力资源和基本物质资源消耗。",null,null,"小时","以2小时为基价，超过2小时每增加1小时加收130元",650,553,470,"丙类\n乙类"]

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["序号","项目代码","项目名称","项目内涵","内涵一次性卫生耗材","除外内容","计价单位","计价说明","指导价格（元）",null,null,"医保支付类别","停用项目所属立项指南","备注","已停用指南"]
[{"$nulls":8},"三级","二级","一级"]
[1,"FPB05402","24小时胃食管pH值监测","体外标定pH电极(玻璃电极或单晶锑电极),空腹,将pH值监测导管经鼻置于经测压确定的位点,24小时连续监测pH值变化,分析检测数据。图文报告。","","","次","",400,320,280,"乙类","消化","停用"]
[2,"FPC05402","小儿24小时食管pH及运动连续监测","插探头进入胃部测定胃内基础值,连续拖拽测定食管下括约肌长度及静息压,患儿进行干咽或湿咽,测定食管收缩,蠕动传导,食管下括约肌松弛,将pH探头放置于食管下括约肌上2-5厘米处,连续观测24小时pH并分析结果。","","","次","",240,190,170,"乙类","消化","停用"]
[3,"FPV02401","肛门直肠测压","镇静,固定患者体位,安抚,维持呼吸道通畅,灌肠导泻,清洁肠道,经肛门插入测压导管(3个以上位点),测量肛门括约肌长度､压力,检测直肠肛门抑制反射､直肠顺应性､气囊扩张感觉阈值。人工分析。图文报告。","测压管","","次","",430,345,300,"乙类","消化","停用"]
[4,"FPC02401","食管测压","麻醉,润滑鼻腔,经鼻食管内插管,通过低顺应性液态灌注系统､放大和记录装置,至少4通道多位点测压。检测上､下食管括约肌压力､长度及松弛功能,食管体部蠕动功能。计算机辅助人工分析数据,出具报告。不含X线检查。","测压管","","次","",600,510,434,"乙类","消化","停用"]
[5,"FPB02402","胃-幽门-十二指肠压力测定","空腹,将测压导管(至少3个位点)经鼻插至十二指肠,确认到达正确位置,记录餐前(至少30分钟)､进标准餐后(2-3小时)胃窦—幽门—十二指肠压力,分析检测数据。图文报告。","测压管,标准试餐","","次","",350,280,245,"乙类","消化","停用"]
[6,"FPB02401","24小时食管胃肠压力测定","镇静,安抚,维持呼吸道通畅,将测压固态导管(至少3个位点)置入待测位点,确认到达正确位置后,记录肠管压力,在检查过程中进食标准试餐,分析检测数据。必要时胃镜下辅助插管。","测压管","","次","",320,260,220,"乙类","消化","停用"]
[7,"FPK02601","经电子内镜奥迪括约肌压力测定","麻醉下,润滑,消泡,电子十二指肠镜经口插至十二指肠乳头部位,将测压导管经活检通道置入胆总管,确认导管位置,检测胆总管内压､奥迪括约肌高压带基础压､相性收缩压。图文报告。不含监护､十二指肠乳头括约肌切开术､X线检查。","测压管,润滑剂","造影导管,导丝,血管夹","次","",400,320,280,"乙类","消化","停用"]
[8,"FPD01701","胃电图检查(EGG)","电极放置部位的皮肤准备,沿胃窦轴线方向放置检测电极,于检测餐前30分钟,进标准餐后60-90分钟,检测胃电。图文报告。","电极,标准试餐",null,"次","肠电图按此收费",80,65,55,"乙类","消化","停用"]
[9,"FJE02407","呼出气一氧化氮测定","患者首先深呼气,然后口含一次性细菌过滤器及一氧化氮过滤器,在呼出气一氧化氮测定仪上深吸气后,以一定呼气流速匀速呼气持续10秒钟,人工报告。","口器,细菌过滤器",null,"次","",200,160,140,"乙类","消化","停用"]
[10,"QHXZ0186","红细胞生存时间测定","样本类型：肺泡气。样本采集，上样，测定，审核结果，录入实验室信息系统或人工登记，发送报告；按规定处理废弃物；接受临床相关咨询。","试剂，质控品，一次性使用采气用具",null,"次",null,280,220,190,"丙类","消化","停用"]
[11,"CGQE9000","碳13尿素呼气试验","样本类型:呼吸气体。样本采集(服用13C尿素前后呼气样本)､签收､处理,检测,质控,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询。","试剂,质控","","次","",60,48,42,"乙类","消化","停用"]
[12,"EEGJZ001","碳[14C]呼气试验","口服放射性药品,测定收集瓶本底,采集呼出气体样本,测定二氧化碳[14CO2]放射性计数,试验报告｡含分析试剂药盒｡","","","次","",100,80,70,"乙类","消化","停用"]
[13,"CGQF9000","碳14尿素呼气试验","样本类型:呼吸气体。样本采集(服用14C尿素前后呼气样本)､签收､处理,检测,质控,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询。","试剂,质控","","次","",100,80,70,"乙类","消化","停用"]
[14,"QHXZ0042","甲烷-氢呼气诊断","通过检测呼出气中甲烷、氢气和二氧化碳浓度随时间的变化关系，可以特异和灵敏地提供大量胃肠道和胰腺，以及肝脏功能的重要信息，主要包括胃肠运动速度（口盲时间）、小肠有无细菌以及细菌所在的部位、肠粘膜屏障的通透性、胃酸分泌量、消化不良、食物过敏和糖类不耐受、某些腹泻和便秘的原因、肝胆胰和肿瘤病人的胃肠功能、术后胃肠功能恢复、慢性胰腺炎、糖尿病和慢性胰腺炎关系、结肠癌高危人群的早期发现等。","集气袋\n，试验底物",null,"次",null,260,210,180,"丙类","消化","停用"]
[15,"QHXZ0076","肝脏储备功能测定","采用色素稀释法测定人体外周血中注射的吲哚菁绿浓度，检测ICG滞留率，反映了肝脏代谢储备功能。电脑输入血红蛋白测定值等相关信息，鼻探头检测，静脉注射吲哚菁绿，检测ICG滞留率，上传数据，报告打印。","注射器，留置针",null,"次",null,165,135,115,"丙类","消化","停用"]
[16,"HQT48101","腹水直接回输治疗","腹腔穿刺术,放腹水,经腹水回输装置静脉回输。不含常规化验检查､细菌学检查､病理学检查。","穿刺针","","次",null,400,320,280,"乙类","消化","停用"]
[17,"HQT48102","腹水超滤间接回输治疗","腹腔穿刺术,放腹水,腹水超滤,经腹水回输装置静脉回输。不含常规化验检查､细菌学检查､病理学检查。","穿刺针,超滤器","透析器，一次性体外循环配套血管路","次",null,500,400,350,"乙类","消化","停用"]
[18,"KPH70701","肠套叠手法复位","腹部检查,明确肠套叠部位,反复变换体位,手法推拿复位,检验效果。","","","次","",60,48,42,"甲类","消化","停用"]
[19,"KPH70702","嵌顿疝手法复位","疝检查,内外环检查,注射局麻药物,复位后评估效果。","注射器","","次","",150,120,105,"甲类","消化","停用"]
[20,"FPA01604","胶囊内镜检查","清洁肠道,将接收装置固定于腹部,于空腹状态下吞入胶囊内镜,确认胶囊顺利通过幽门后,连续记录,检查结束后电脑程序分析。图文报告。不含活检。","","胶囊","次","",800,640,560,"丙类","消化","停用"]
[21,"FPC01601","硬式食管镜检查","镇静及麻醉下,插入硬性(式)食管镜,观察食管黏膜。人工报告。不含监护､活检。","","","次","",60,48,42,"甲类","消化","停用"]
[22,"FPC09601","硬质食管镜食管探查术","全麻或口咽､下咽表面麻醉,根据患者的年龄､异物的种类选择合适型号的硬质食道镜,固定患者头部,表麻时还固定幼儿患者的身体,经口腔径路､下咽､梨状窝进入食道,确定异物位置､大小与周围气管壁是否有关系､食道是否有狭窄､食道黏膜是否存在可疑病变,可应用食管内窥镜进一步详细检查,可取部分可疑组织送病理学检查。可下鼻饲管。不含病理学检查。","胃管","","次","",60,48,42,"甲类","消化","停用"]
[23,"FPC01602","纤维食管镜检查","麻醉下,润滑,消泡,经口插入纤维食管镜,观察食管黏膜。人工报告。不含监护､活检。","润滑剂","","次","",50,40,35,"乙类","消化","停用"]
[24,"FPC01603","电子食管镜检查","麻醉下,润滑,消泡,经口插入电子食管镜,观察食管黏膜。图文报告。不含监护､活检。","润滑剂","","次","",150,120,105,"乙类","消化","停用"]
[25,"FPB01601","纤维胃镜检查","麻醉下,润滑,消泡,插入纤维胃镜,观察食管､胃､十二指肠球部及降部黏膜。人工报告。不含监护､实验室检验､活检。",0,"润滑剂","次","六岁及以下儿童加收不超过30%",60,48,42,"乙类","消化","停用"]
[26,"FPB01602","电子胃镜检查","镇静,固定患者体位,安抚,维持呼吸道通畅,麻醉下,润滑,消泡,插入电子胃镜,观察食管､胃､十二指肠球部及降部黏膜。图文报告。不含监护､实验室检验､活检。",0,"润滑剂","次","六岁及以下儿童加收不超过30%",240,190,170,"乙类","消化","停用"]
[27,"FPB01603","经鼻电子胃镜检查","麻醉下,润滑,消泡,经鼻插入鼻胃镜,观察食管､胃､十二指肠球部及降部黏膜。图文报告。不含监护､活检。",0,"润滑剂","次","六岁及以下儿童加收不超过30%",240,190,170,"乙类","消化","停用"]
[28,"FPD02601","经内镜胃黏膜血流量测定","麻醉下,润滑,消泡,插入电子胃镜,经内镜活检通道插入多普勒激光血流检测仪､血流检测探头,检测黏膜血流量。人工报告。不含监护。","润滑剂","","次","",400,320,280,"乙类","消化","停用"]
[29,"FQE01603","经口电子胆管镜检查","麻醉下,镇静,润滑,消泡,电子十二指肠镜经口插至十二指肠乳头部位,胰胆管造影,将胆管镜自母镜活检通道插入,经乳头开口沿导管插入胆管内,通过胆管镜进行检查。图文报告。不含监护､X线检查､活检､病理学检查。","","造影导管,导丝,血管夹,括约肌切开刀,活检钳","次","",1600,1360,1156,"乙类","消化","停用"]
[30,"FQP01601","经口电子胰管镜检查","麻醉下,镇静,润滑,消泡,电子十二指肠镜经口插至十二指肠乳头部位,胰胆管造影,将胰管镜自母镜活检通道插入,经乳头开口沿导管插至胰管内,通过胰管镜进行检查。图文报告。不含监护､X线检查､活检､病理学检查。","","造影导管,导丝,血管夹,括约肌切开刀,活检钳","次","",1600,1360,1156,"乙类","消化","停用"]
[31,"FQE01101","经皮经肝胆道镜检查","消毒铺巾,局麻,穿刺,扩张,插入胆道镜观察胆道树内病变,置管引出固定。图文报告。不含超声引导､CT引导。","引流装置,穿刺针,注射器,冲洗液","导丝","次","",200,160,140,"乙类","消化","停用"]
[32,"FPU01601","直肠镜检查","肛门指诊,插入直肠镜,观察肛管､直肠内有无病变及异常,取粪便标本和直肠下段黏膜擦拭､消毒。不含活检。","直肠镜","","次","",40,32,28,"甲类","消化","停用"]
[33,"FPS01601","电子结肠镜检查","麻醉下，清洁肠道,镇静,润滑肠道,将电子结肠镜自肛门插入,循腔至回盲部,观察全结肠黏膜。图文报告。不含监护､活检､病理学检查。","润滑剂","","次","",350,280,245,"乙类","消化","停用"]
[34,"FPS01603","纤维结肠镜检查","麻醉下，清洁肠道,镇静,润滑肠道,将纤维结肠镜自肛门插入,循腔至回盲部,观察全结肠黏膜。人工报告。不含监护､活检､病理学检查。","润滑剂","","次","",140,110,100,"乙类","消化","停用"]
[35,"FPJ01601","纤维小肠镜检查","清洁肠道,麻醉下,润滑,经口插入纤维小肠镜,观察十二指肠球部及降部､空肠黏膜。人工报告。不含监护､活检､病理学检查。","润滑剂","","次","",200,160,140,"乙类","消化","停用"]
[36,"FPT01601","纤维乙状结肠镜检查","麻醉下，清洁肠道,镇静,润滑肠道,将纤维乙状结肠镜自肛门插入,循腔至降结肠,观察乙状结肠及直肠黏膜。人工报告。不含活检。","润滑剂","","次","",60,48,42,"乙类","消化","停用"]
[37,"FPA01501","经手术切口纤维内镜检查","通过外科手术切口,进行纤维结肠镜检查。人工报告。不含监护､活检。","","","次","",150,120,105,"乙类","消化","停用"]
[38,"FPT01602","电子乙状结肠镜检查","麻醉下，清洁肠道,镇静,润滑肠道,将电子乙状结肠镜自肛门插入,循腔至降结肠,观察乙状结肠及直肠黏膜。图文报告。不含活检。","润滑剂","","次","",120,95,85,"乙类","消化","停用"]
[39,"FPA01603","内镜色素检查","内镜下于病变部位喷洒染色药物或电子染色,以暴露病变部位黏膜及边界。图文报告。不含监护。","喷洒管,染色剂","","次","",600,480,420,"乙类","消化","停用"]
[40,"FQE01602","经瘘管胆道镜检查","经腹壁胆道造瘘口插入胆道镜,观察肝内胆道树和肝外胆管及十二指肠乳头开口有无病变。不含活检。","引流装置,冲洗液","","次","",400,320,280,"乙类","消化","停用"]
[41,"FPA01602","经瘘口电子内镜检查","麻醉下，清洁肠道,镇静,润滑肠道,通过皮肤瘘口,进行电子结肠镜检查。图文报告。不含监护､病理学检查､活检。","","","次","",250,200,175,"乙类","消化","停用"]
[42,"FPA01502","经手术切口电子内镜检查","通过外科手术切口,进行电子结肠镜检查。图文报告。不含监护､活检､病理学检查。","","","次","",250,200,175,"乙类","消化","停用"]
[43,"FPA01601","经瘘口纤维内镜检查","麻醉下，清洁肠道,镇静,润滑肠道,通过皮肤瘘口,进行纤维结肠镜检查。人工报告。不含监护､病理学检查､活检。","","","次","",250,200,175,"乙类","消化","停用"]
[44,"FPJ01602","推进式小肠镜检查","清洁肠道,麻醉下,润滑,消泡,经口插入电子小肠镜,观察十二指肠球部及降部､空肠黏膜。图文报告。不含监护､活检､病理学检查。","润滑剂","","次","",400,320,280,"乙类","消化","停用"]
[45,"FPJ01603","双气囊小肠镜检查","清洁肠道,镇静,麻醉下,经口或肛门插入双气囊小肠镜,采用充气-放气及牵拉的方法,逐渐将小肠镜插入,达到需检查部位,观察小肠黏膜。图文报告。不含监护､活检､病理学检查。","","","次","",4000,3200,2800,"乙类","消化","停用"]
[46,"FQP01602","经内镜胰管腔内超声检查","麻醉下,镇静,电子十二指肠镜到达乳头部位,胰胆管造影,置入导丝,将微型超声探头沿导丝经活检通道插入胰管至病变部位,超声检查。图文报告。不含监护､X线检查。","","造影导管,导丝,血管夹","次","",240,190,170,"乙类","消化","停用"]
[47,"FQE01604","经内镜胆管腔内超声检查","麻醉下,镇静,电子十二指肠镜经口插至十二指肠乳头部位,胆管造影,置入导丝,将微型超声探头经活检通道沿导丝插入胆管至病变部位,超声检查。图文报告。不含监护､X线检查。","","造影导管,导丝,血管夹","次","",1000,800,700,"乙类","消化","停用"]
[48,"FPB01604","超声胃镜检查","带有超声探头的胃镜检查。麻醉下,润滑,消泡,经口插入电子胃镜,采用超声探头检测食管､胃､十二指肠黏膜肠壁､十二指肠乳头､胰头､下段胆管､纵隔淋巴结､胆囊､上消化道肿瘤TN分期部位病变。图文报告。不含监护､活检。",0,"水囊","次","",610,490,430,"乙类","消化","停用"]
[49,"FPS01602","超声结肠镜检查","麻醉下，清洁肠道,镇静,润滑肠道,将电子结肠镜自肛门插入,结肠镜检查,于病变部位采用超声内镜探头检测。图文报告。不含监护。","润滑剂","水囊","次","",650,520,450,"乙类","消化","停用"]
[50,"FPB01605","经电子胃镜超声微探头检查","麻醉下,润滑,消泡,经口插入电子胃镜,经活检钳通道插入超声微探头,观察食管､胃､十二指肠黏膜肠壁､十二指肠乳头､胰头､下段胆管,于病变部位进行超声检查。图文报告。不含活检､监护。",0,"","次","",610,490,430,"乙类","消化","停用"]
[51,"EACQP001","经纤维内镜逆行胰胆管造影术(ERCP)","麻醉下,镇静,润滑,消泡,纤维十二指肠镜经口插至十二指肠乳头部位,经活检通道插入装有导丝的造影导管进入十二指肠乳头,退出导丝,注入对比剂,分别对胆管､胰管进行造影检查｡人工报告｡不含监护､X线检查｡","胶片","造影导管,导丝,血管夹括约肌切开刀","次","",450,380,340,"乙类","消化","停用"]
[52,"EACQP002","经电子内镜逆行胰胆管造影术(ERCP)","麻醉下,镇静,润滑,消泡,电子十二指肠镜经口插至十二指肠乳头部位,经活检通道插入装有导丝的造影导管进入十二指肠乳头,退出导丝,注入对比剂,分别对胆管､胰管进行造影检查｡图文报告｡不含监护､X线检查｡","胶片","造影导管,导丝,血管夹括约肌切开刀","次","",450,380,340,"乙类","消化","停用"]
[53,"HQE63101","经皮经肝胆道引流管调管术","局部消毒铺巾,沿原引流管经导丝导引,调整引流管位置或置换引流管。不含监护､影像学引导。","穿刺针,引流装置","导丝,导管,特殊缝线","次","",500,400,350,"甲类","消化","停用"]
[54,"HQE45101","经皮肝穿胆道引流术(PTCD)","定位,消毒铺巾,局麻,穿刺,置管引出固定。图文报告。","引流装置,注射器","扩张管,导丝,胆管引流管","次","",500,400,350,"甲类","消化","停用"]
[55,"HQK50101","经皮胆囊穿刺造瘘术","局部消毒铺巾,以穿刺针穿刺胆囊后,沿此通路经导丝置换引流管。不含监护､影像学引导。","穿刺针,引流装置","导丝,导管,特殊缝线","次","",500,400,350,"甲类","消化","停用"]
[56,"HQC45101","经皮经肝肝门部肿物支架管外引流术","定位,消毒铺巾,局麻,B超引导下穿刺,导丝引导,支架置入肿管,留置外引流固定,缝合切口。","引流装置,注射器","支架,特殊缝线,止血材料","次","",2100,1680,1470,"乙类","消化","停用"]
[57,"HQE45601","经电子内镜鼻-胆管引流术(ENBD)","麻醉下,镇静,润滑,消泡,电子十二指肠镜经口插至十二指肠乳头部位,经活检通道将导丝插入胆管狭窄部位,撤出内镜后将导丝自鼻腔引出,将引流管沿导丝置入胆管,确认位置无误,固定引流管。图文报告。不含监护､十二指肠乳头括约肌切开术､X线检查。","引流装置","造影导管,导丝,胆管引流管,血管夹","次","",1000,800,700,"乙类","消化","停用"]
[58,"HQP45602","经电子内镜鼻-胰管引流术","麻醉下,镇静,润滑,消泡,电子十二指肠镜经口插至十二指肠乳头部位,经活检通道将导丝插入胰管狭窄部位,撤出内镜,将导丝从鼻腔引出,鼻-胰引流管沿导丝插入胰管,确认位置无误,固定鼻-胰引流管,引流。图文报告。不含监护､十二指肠乳头括约肌切开术､胰管括约肌切开术､X线检查。","引流装置","造影导管,导丝,血管夹","次","",1500,1200,1050,"乙类","消化","停用"]
[59,"HQE45602","经内镜胆管内引流术","麻醉下,镇静,润滑,消泡,电子十二指肠镜经口插至十二指肠乳头部位,胆管造影,经乏特氏壶腹插入导丝,通过胆管狭窄部位,确认位置后沿导丝置入胆管引流管。图文报告。不含胆管造影。","引流装置","胆管引流管,造影导管,导丝,血管夹","次","",1000,800,700,"乙类","消化","停用"]
[60,"HQN45302","胰腺假性囊肿内引流术","逐层进腹,胰腺探查,空肠囊肿吻合､胃囊肿吻合,囊壁切取活检,止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。不含囊内容物检查。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",1800,1440,1260,"甲类","消化","停用"]
[61,"HQN45601","经超声内镜引导下胰腺囊肿内引流术","麻醉下,镇静,经超声胃镜确认假性囊肿的位置及大小,在超声引导下将穿刺针刺入囊肿内,放入导丝,沿导丝置入引流管。图文报告。不含监护､十二指肠乳头括约肌切开术､X线检查。","穿刺针,引流装置","造影导管,导丝,血管夹","次","",1500,1200,1050,"乙类","消化","停用"]
[62,"HQP45601","经电子内镜胰管内引流术","麻醉下,镇静,润滑,消泡,电子十二指肠镜经口插至十二指肠乳头部位,胰胆管造影,使用胰管括约肌切开刀胰管括约肌切开,沿导丝置入胰管引流管,引流。图文报告。不含监护､十二指肠乳头括约肌切开术､胰管括约肌切开术､X线检查。","引流装置","造影导管,导丝,血管夹","次","",1500,1200,1050,"乙类","消化","停用"]
[63,"HQA48101","经皮肝囊肿穿刺药物注射治疗","定位,消毒铺巾,局麻,穿刺引流及注射药物。不含影像学引导。","穿刺针,引流装置,注射器","","次","",200,160,140,"甲类","消化","停用"]
[64,"HNB45101","经皮脾囊肿穿刺引流术","局部消毒铺巾,影像定位,以穿刺针穿刺脾囊肿后,沿此通路经导丝置换引流管。不含监护､影像学引导。","穿刺针,引流装置","导丝,导管","次","",320,260,220,"甲类","消化","停用"]
[65,"HNB45102","经皮脾脓肿穿刺引流术","局部消毒铺巾,以穿刺针穿刺脾脓肿后,沿此通路经导丝置换引流管。不含监护､影像学引导。","穿刺针,引流装置","导丝,导管","次","",370,300,260,"甲类","消化","停用"]
[66,"HQA45101","经皮肝囊肿穿刺引流术","定位,消毒铺巾,局麻,经皮穿刺入肝囊肿腔内,抽液,注射药物,置管引出固定。","穿刺针,引流装置,注射器","扩张管,导丝","次","",800,640,560,"甲类","消化","停用"]
[67,"HQA45102","经皮肝脓肿穿刺引流术","定位,消毒铺巾,局麻,穿刺,脓肿引流,置管引出固定。不含影像学引导。","穿刺针,引流装置,注射器","导丝","次","",800,640,560,"甲类","消化","停用"]
[68,"HQD59101","经皮肝血管瘤硬化剂注射栓塞术","定位,消毒铺巾,局麻,B超引导下瘤内注射栓塞剂,肝创面止血,包扎伤口。","引流装置,注射器","血管夹,栓塞材料,特殊缝线,止血材料","次","",1400,1120,980,"甲类","消化","停用"]
[69,"HQD59301","肝血管瘤硬化剂注射栓塞术","逐层进腹,探查,活检,游离肝脏,阻断肝门,瘤内注射栓塞剂,肝创面止血,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,栓塞材料,特殊缝线,止血材料","次","",1500,1200,1050,"甲类","消化","停用"]
[70,"HQN45101","经皮胰腺穿刺引流术","用灰阶超声仪对胰腺进行术前观察,消毒,铺巾,局麻,在B超监视下将穿刺针或穿刺枪经皮刺入胰腺,取活检､置管引流或注药。图文报告。不含超声引导。","穿刺针,引流装置","胰管引流管","次","",900,720,630,"甲类","消化","停用"]
[71,"HQN45102","经皮胰腺囊肿穿刺引流术","局部消毒铺巾,影像定位,以穿刺针穿刺胰腺囊肿后,沿此通路经导丝置换引流管。不含监护､影像学引导。","穿刺针,引流装置","导丝,导管,特殊缝线","次","",1000,800,700,"甲类","消化","停用"]
[72,"HQN45103","经皮胰腺脓肿穿刺引流术","局部消毒铺巾,影像定位,以穿刺针穿刺胰腺脓肿后,沿此通路经导丝置换引流管。不含监护､影像学引导。","穿刺针,引流装置","导丝,导管,特殊缝线","次","",1000,800,700,"甲类","消化","停用"]
[73,"HNB46101","超声造影引导经皮脾脏创伤出血栓塞术","术前准备,超声造影引导下确定脾创伤灶及活动性出血部位,局部皮肤消毒铺巾,麻醉,PTC穿刺针(20G×200毫米),进行穿刺,创伤灶注射止血剂,活动性出血部位注射医用吻合胶。图文报告。不含超声引导､实验室检查。","穿刺针,注射器","导管,导丝,血管鞘组,栓塞材料,止血材料","次","以1处病灶为基价,每增加1处加收不超过30%",800,640,560,"乙类","消化","停用"]
[74,"HQU45101","经腹壁盆腔穿刺引流术","用灰阶超声仪对盆腔进行术前观察,消毒铺巾,局麻,在B超监视下将穿刺针经皮刺入盆腔,抽吸活检,置管引流或注药。不含超声引导。","穿刺针,引流装置,注射器","","次","",{"v":200,"d":"200.00"},{"v":160,"d":"160.00"},{"v":140,"d":"140.00"},"甲类","消化","停用"]
[75,"HQU45401","经阴道盆腔液性包块穿刺引流术","患者排空膀胱､肠道,取膀胱截石位,消毒外阴､阴道､宫颈,铺无菌巾,穹隆穿刺术,囊肿穿刺,吸出囊内液体,引流,再次消毒阴道。","穿刺针,引流装置,阴道窥器","","次","",500,400,350,"甲类","消化","停用"]
[76,"HQU45103","经皮盆腔脓肿穿刺引流术","定位,消毒铺巾,局麻,穿刺,脓肿引流,置管引出固定。不含影像学引导。","穿刺针,引流装置,注射器","","次","",400,320,280,"甲类","消化","停用"]
[77,"HQH59101","经皮肝管栓塞术","定位,消毒铺巾,局麻,B超引导监视下经皮经肝插管达肝管,注入栓塞剂,止血,置管引出固定,缝合切口。","引流装置","栓塞材料,特殊缝线,止血材料","次","",900,720,630,"乙类","消化","停用"]
[78,"HPR45101","经直肠阑尾脓肿穿刺引流术","结石位B超定位后,经脉麻醉后,B超定位后。用16号套管针经直肠穿刺。尽量抽尽脓液。穿刺后加压压迫止血。含穿刺引流术。不含B超引导。","穿刺针","","次","",500,400,350,"甲类","消化","停用"]
[79,"HQA62101","经皮肿物放化疗粒子置入术","在影像引导下，消毒铺巾，局麻，影像监视下肿物穿刺，置入放疗、化疗粒子，止血，置管引出固定，缝合切口。","引流装置","止血材料,特殊缝线","次","",1200,960,840,"乙类","消化","停用"]
[80,"HQA62301","肝脏肿物放化疗粒子置入术","逐层进腹,探查,游离肝脏,肝肿物穿刺,置入放疗､化疗粒子,创面止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",1200,960,840,"乙类","消化","停用"]
[81,"HQA62501","经腹腔镜肝脏肿物放疗化疗粒子置入术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,游离肝脏,体外B超监视引导下肝肿物穿刺,置入放疗､化疗粒子,止血,置管引出固定,缝合切口。","引流装置","腔镜材料","次","","","","","乙类","消化","停用"]
[82,"HQN62301","胰腺肿瘤放化疗粒子置入术","逐层进腹､探查,肿瘤无法切除､胰腺穿刺活检,粒子多点穿刺置入瘤体内､创面止血､腹腔引流管经腹壁另戳孔引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","穿刺针,引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",1800,1440,1260,"乙类","消化","停用"]
[83,"HPD45101","超声胃镜引导下穿刺引流术","麻醉下,润滑,消泡,经超声胃镜确认囊肿的位置及大小,在超声引导下将穿刺针刺入囊肿内,置入导丝,沿导丝置入引流管,引流。图文报告。不含监护､病理学检查。","穿刺针,引流装置","导丝","次","",1000,800,700,"乙类","消化","停用"]
[84,"HPU46602","经直肠镜直肠出血缝扎术","麻醉下，肛门指诊,直肠镜检查,确定出血部位,缝扎止血。","","特殊缝线,止血材料","次","",650,520,450,"乙类","消化","停用"]
[85,"HPU72601","经肛门镜直肠肛门冷冻治疗","清洁远段肠道,肛门镜插至病变部位,采用冷冻治疗仪,冷冻治疗。人工报告。不含病理学检查。","肛门镜","血管夹","次","",90,70,60,"乙类","消化","停用"]
[86,"HPU46601","经直肠镜直肠出血电凝术","麻醉下，肛门指诊,直肠镜检查,确定出血部位,电凝止血。","","止血材料","次","",600,480,420,"乙类","消化","停用"]
[87,"HPS46601","经纤维内镜结肠黏膜出血治疗","麻醉下，清洁肠道,镇静,润滑肠道,纤维结肠镜自肛门插入,结肠镜检查,找到出血部位,根据出血情况进行止血治疗。人工报告。不含监护。","","血管夹","次","",600,480,420,"乙类","消化","停用"]
[88,"HPS46602","经电子内镜结肠黏膜出血治疗","麻醉下，清洁肠道,镇静,润滑肠道,电子结肠镜自肛门插入,结肠镜检查,找到出血部位,根据出血情况进行止血治疗。图文报告。不含监护。","","血管夹","次","",800,640,560,"乙类","消化","停用"]
[89,"HPB46601","经纤维内镜上消化道出血治疗","指食管､胃､十二指肠出血治疗。麻醉下,润滑,消泡,经口插入纤维胃镜,胃镜检查,寻查出血部位,根据出血情况选择止血治疗方法。人工报告。不含监护。","","血管夹,止血材料","次","",150,120,105,"乙类","消化","停用"]
[90,"HPU72602","经肛门镜直肠肛门微波治疗","清洁远段肠道,肛门镜插至病变部位,经肛门镜置入微波治疗探头,根据病变性质及大小选择治疗参数,微波治疗。人工报告。不含病理学检查。","肛门镜","血管夹","次","",110,88,77,"乙类","消化","停用"]
[91,"HPB46602","经电子内镜上消化道出血治疗","指麻醉下,润滑,消泡,经口插入电子胃镜,胃镜检查,寻查出血部位,根据出血情况选择止血治疗方法。图文报告。不含监护。","","血管夹,止血材料","次","经电子内镜下消化道出血治疗按此收费",600,480,420,"乙类","消化","停用"]
[92,"HMS48601","经纤维内镜食管静脉曲张注射治疗","麻醉下,润滑,消泡,碘过敏试验,经口插入纤维胃镜,胃镜检查,在胃镜直视下向曲张静脉内多位点注入硬化剂､黏合剂等栓塞制剂。人工报告。不含监护､X线检查。","内镜注射针","硬化剂,粘合剂","次","",700,560,490,"乙类","消化","停用"]
[93,"HMS48602","经电子内镜食管静脉曲张注射治疗","麻醉下,润滑,消泡,碘过敏试验,经口插入电子胃镜,胃镜检查,在胃镜直视下向曲张静脉内多位点注入硬化剂､黏合剂等栓塞制剂。图文报告。不含监护､X线检查。","碘化油","硬化剂,粘合剂,内镜用注射针","次","",1000,800,700,"乙类","消化","停用"]
[94,"HMS59601","经纤维内镜食管静脉曲张套扎治疗","麻醉下,润滑,消泡,经口插入纤维胃镜,胃镜检查,在胃镜直视下套扎曲张静脉。人工报告。不含监护。","","套扎器","次","",1000,800,700,"乙类","消化","停用"]
[95,"HMS59602","经电子内镜食管静脉曲张套扎治疗","麻醉下,润滑,消泡,经口插入电子胃镜,胃镜检查,在胃镜直视下套扎曲张静脉。图文报告。不含监护。","","套扎器","次","",1000,800,700,"乙类","消化","停用"]
[96,"HPB72601","经纤维内镜食管胃十二指肠息肉氩离子凝固术","麻醉下,润滑,消泡,经口插入纤维胃镜,胃镜检查寻查息肉,采用氩离子凝固治疗。人工报告。不含监护､病理学检查。","","血管夹,息肉勒除器","次","每增加1个息肉加收不超过20%",700,560,490,"乙类","消化","停用"]
[97,"HPB72602","经电子内镜食管胃十二指肠息肉氩离子凝固术","麻醉下,润滑,消泡,经口插入电子胃镜,胃镜检查,寻查息肉,采用氩离子凝固治疗。图文报告。不含监护､病理学检查。","","血管夹,止血材料,息肉勒除器","次","每增加1个息肉加收不超过20%",700,560,490,"乙类","消化","停用"]
[98,"HPB73601","经纤维内镜食管胃十二指肠息肉高频电凝切除术","麻醉下,润滑,消泡,经口插入纤维胃镜,胃镜检查,置入圈套器圈套息肉,采用高频电凝电切除息肉。人工报告。不含监护､病理学检查。","","血管夹,圈套器","次","每增加1个息肉加收不超过20%",1100,880,770,"乙类","消化","停用"]
[99,"HPB73602","经电子内镜食管胃十二指肠息肉高频电凝切除术","麻醉下,润滑,消泡,经口插入电子胃镜,胃镜检查,置入圈套器圈套息肉,采用高频电凝电切除息肉。图文报告。不含监护､病理学检查。","内镜用注射针","血管夹,圈套器,止血材料,息肉勒除器","次","每增加1个息肉加收不超过20%",1600,1360,1156,"乙类","消化","停用"]
[100,"HPB73603","经纤维内镜食管胃十二指肠息肉微波切除术","麻醉下,润滑,消泡,经口插入纤维胃镜,胃镜检查,寻查息肉,采用微波切除治疗。人工报告。不含监护､病理学检查。","","血管夹","次","每增加1个息肉加收不超过20%",700,560,490,"乙类","消化","停用"]
[101,"HPB73604","经电子内镜食管胃十二指肠息肉微波切除术","麻醉下,润滑,消泡,经口插入电子胃镜,胃镜检查,寻查息肉,采用微波切除治疗。图文报告。不含监护､病理学检查。","","血管夹","次","每增加1个息肉加收不超过20%",700,560,490,"乙类","消化","停用"]
[102,"HPB73605","经纤维内镜食管胃十二指肠息肉激光切除术","麻醉下,润滑,消泡,经口插入纤维胃镜,胃镜检查寻查息肉,采用激光治疗。人工报告。不含监护､病理学检查。","","血管夹","次","每增加1个息肉加收不超过20%",700,560,490,"乙类","消化","停用"]
[103,"HPB73606","经电子内镜食管胃十二指肠息肉激光切除术","麻醉下,润滑,消泡,经口插入电子胃镜,胃镜检查寻查息肉,采用激光治疗。图文报告。不含监护､病理学检查。","","血管夹","次","每增加1个息肉加收不超过20%",700,560,490,"乙类","消化","停用"]
[104,"HPS72601","经纤维内镜结肠息肉微波切除术","麻醉下，清洁肠道,镇静,润滑肠道,纤维结肠镜自肛门插入,结肠镜检查,寻查息肉,采用微波切除治疗。人工报告。不含监护､病理学检查。","","血管夹","次","每增加1个息肉加收不超过20%",600,480,420,"乙类","消化","停用"]
[105,"HPS72602","经电子内镜结肠息肉微波切除术","麻醉下，清洁肠道,镇静,润滑肠道,电子结肠镜自肛门插入,结肠镜检查,寻查息肉,采用微波切除治疗。图文报告。不含监护､病理学检查。","","血管夹","次","每增加1个息肉加收不超过20%",800,640,560,"乙类","消化","停用"]
[106,"HPS72603","经纤维内镜结肠息肉激光切除术","麻醉下，清洁肠道,镇静,润滑肠道,纤维结肠镜自肛门插入,结肠镜检查,寻查息肉,采用激光切除治疗。人工报告。不含监护､病理学检查。","","血管夹","次","每增加1个息肉加收不超过20%",600,480,420,"乙类","消化","停用"]
[107,"HPS72604","经电子内镜结肠息肉激光切除术","麻醉下，清洁肠道,镇静,润滑肠道,电子结肠镜自肛门插入,结肠镜检查,寻查息肉,采用激光切除治疗。图文报告。不含监护､病理学检查。","","血管夹","次","每增加1个息肉加收不超过20%",800,640,560,"乙类","消化","停用"]
[108,"HPS72605","经纤维内镜结肠息肉氩离子凝固术","麻醉下，清洁肠道,镇静,润滑肠道,纤维结肠镜自肛门插入,结肠镜检查,寻查息肉,采用氩离子凝固治疗。人工报告。不含监护､病理学检查。","","血管夹","次","每增加1个息肉加收不超过20%",600,480,420,"乙类","消化","停用"]
[109,"HPS72606","经电子内镜结肠息肉氩离子凝固术","麻醉下，清洁肠道,镇静,润滑肠道,电子结肠镜自肛门插入,结肠镜检查,寻查息肉,采用氩离子凝固治疗。图文报告。不含监护､病理学检查。","","血管夹","次","每增加1个息肉加收不超过20%",800,640,560,"乙类","消化","停用"]
[110,"HPS73602","经纤维内镜结肠息肉高频电凝切除术","麻醉下，清洁肠道,镇静,润滑肠道,纤维结肠镜自肛门插入,结肠镜检查,寻查息肉,圈套器圈套息肉,高频电凝电切除息肉。人工报告。不含监护､病理学检查。","","血管夹,圈套器","次","每增加1个息肉加收不超过20%",1000,800,700,"乙类","消化","停用"]
[111,"HPS73603","经电子内镜结肠息肉高频电凝切除术","麻醉下，清洁肠道,镇静,润滑肠道,电子结肠镜自肛门插入,结肠镜检查,寻查息肉,圈套器圈套息肉,高频电凝电切除息肉。图文报告。不含监护､病理学检查。","内镜用注射针","血管夹,圈套器,止血材料,息肉勒除器","次","每增加1个息肉加收不超过20%",1300,1040,910,"乙类","消化","停用"]
[112,"HPS73604","经电子内镜结肠息肉吸引圈套切除术","麻醉下，清洁肠道,镇静,润滑肠道,电子结肠镜前端加透明帽,自肛门插入,结肠镜检查,寻查息肉,将息肉吸入透明帽,采用圈套器进行高频电凝电切除治疗。图文报告。不含监护､病理学检查。","透明帽","血管夹,圈套器,止血材料,息肉勒除器","次","每增加1个息肉加收不超过20%",1600,1360,1156,"乙类","消化","停用"]
[113,"HPB65601","经电子内镜食管胃十二指肠黏膜剥离术(ESD)","麻醉下,润滑,消泡,经口插入电子胃镜,胃镜检查,寻查肿物,于肿物基底部注射肾上腺素甘油果糖(或高渗冲洗液及美蓝或靛胭脂)以抬举病变黏膜部分,采用电刀等进行剥离,切除治疗。图文报告。不含监护､病理学检查。","注射针","血管夹,止血材料,息肉勒除器，一次性使用黏膜切开刀","次","",2900,2320,2030,"乙类","消化","停用"]
[114,"HPS73601","经电子内镜结肠黏膜剥离术(结肠ESD)","麻醉下，清洁肠道,镇静,润滑肠道,电子结肠镜自肛门插入,结肠镜检查,寻查肿物,于肿物基底部注射肾上腺素甘油果糖(或高渗冲洗液及美蓝或靛胭脂)以抬举肿物,采用IT刀等进行切除治疗。图文报告。不含监护､病理学检查。","注射器","血管夹,止血材料,息肉勒除器，一次性使用黏膜切开刀","次","",2900,2320,2030,"乙类","消化","停用"]
[115,"HPB73607","经电子内镜食管胃十二指肠黏膜切除术(EMR)","胃镜前端加透明帽,麻醉下,润滑,消泡,经口插入电子胃镜,胃镜检查,寻查息肉,将息肉吸入透明帽,采用圈套器进行高频电凝电切。图文报告。不含监护､病理学检查。","","血管夹,圈套器,止血材料,息肉勒除器","次","每增加1个息肉加收不超过20%",1700,1360,1190,"乙类","消化","停用"]
[116,"HPC73502","经胸腔镜食管良性肿物切除术","指胸腔镜下食管良性肿瘤､食管囊肿等的切除。经胸外侧径路,消毒铺巾,贴膜,单肺通气,建立气胸,胸腔镜探查胸腔,游离局部食管,切除或摘除肿物,用特殊标本袋取出,若食管黏膜破损,行黏膜修补术,用电刀或超声刀止血,放置胸腔闭式引流,关胸。不含病理学检查。","引流装置","腔镜材料","次","",2200,1760,1540,"乙类","消化","停用"]
[117,"QHXZ0057","经电子内镜胃肠道病变尼龙绳结扎术","清洁胃肠道，镇静，润滑胃肠道，自口或肛门插入内镜，找到病变，采用尼龙绳结扎病变，使病变缺血坏死脱落，达到治疗目的。","注射器，结扎环，粘膜下注射针",0,"次","每增加一个病变部位按20%收取",1300,1040,910,"乙类","消化","停用"]
[118,"HPD65603","经纤维内镜胃石碎石取石术","麻醉下,润滑,消泡,经口插入纤维胃镜,寻查胃石,采用异物钳，活检钳，圈套器等器械将胃石破碎,取出胃石。人工报告。不含监护。","异物钳","圈套器","次","",650,520,450,"乙类","消化","停用"]
[119,"HPD65604","经电子内镜胃石碎石取石术","麻醉下,润滑,消泡,经口插入电子胃镜,寻查胃石,采用活检钳，异物钳，圈套器等器械将胃石破碎,取出胃石。图文报告。不含监护。","异物钳","圈套器","次","",800,640,560,"乙类","消化","停用"]
[120,"HPD65605","经纤维内镜胃石激光碎石取石术","麻醉下,润滑,消泡,经口插入纤维胃镜,寻查胃石,采用激光将胃石破碎,取出胃石。人工报告。不含监护。","","","次","",420,340,290,"乙类","消化","停用"]
[121,"HPD65606","经电子内镜胃石激光碎石取石术","麻醉下,润滑,消泡,经口插入电子胃镜,寻查胃石,采用激光将胃石破碎,取出胃石。图文报告。不含监护。","","","次","",500,400,350,"乙类","消化","停用"]
[122,"HPD65607","经电子内镜胃石爆破碎石取石术","麻醉下,润滑,消泡,经口插入电子胃镜,寻查胃石,应用爆破法将胃石破碎,取出胃石。图文报告。不含监护。","","","次","",500,400,350,"乙类","消化","停用"]
[123,"HPC65601","硬质食管镜下异物取出术","全麻或口咽､下咽表面麻醉,根据患者的年龄､异物的种类选择合适型号的硬质食道镜,固定患者头部,表麻时固定患者的身体,经口腔径路､下咽､梨状窝进入食道,确定异物位置､大小､与周围气管壁的关系,可应用食管内窥镜进一步详细检查,选取合适的异物钳夹取异物,食道如有黏膜损伤,可下鼻饲管。","胃管","","次","",250,200,175,"甲类","消化","停用"]
[124,"HPC65602","经纤维食管镜食管异物取出术","麻醉下,润滑,消泡,经口插入纤维食管镜观察食管黏膜,寻查异物,采用异物钳钳取异物。人工报告。不含监护。","","","次","",220,180,160,"甲类","消化","停用"]
[125,"HPC65603","经电子内镜食管异物取出术","麻醉下,润滑,消泡,经口插入电子食管镜观察食管黏膜,寻查异物,采用异物钳钳取异物,取出异物。图文报告。不含监护。","","","次","",400,320,280,"乙类","消化","停用"]
[126,"HPD65601","经纤维内镜胃内异物取出术","麻醉下,润滑,消泡,经口插入纤维胃镜,寻查异物,采用异物钳钳取异物。人工报告。不含监护。","异物钳","血管夹","次","",1000,800,700,"乙类","消化","停用"]
[127,"HPD65602","经电子内镜胃内异物取出术","麻醉下,润滑,消泡,经口插入电子胃镜,寻查异物,采用异物钳钳取异物。图文报告。不含监护。","异物钳","血管夹","次","",1400,1120,980,"乙类","消化","停用"]
[128,"HQE65601","经瘘管胆道镜异物取出术","经腹壁胆道造瘘口插入胆道镜,观察肝内胆道树和肝外胆管及十二指肠乳头开口,用取石钳寻找取出异物(结石､蛔虫､支架､引流管､血块等)。","引流装置,冲洗液","","次","",1400,1120,980,"乙类","消化","停用"]
[129,"QHXZ0056","经电子内镜肠内异物取出术","清洁肠道，镇静，插入内镜，找到异物，采用内镜异物取出器械将异物取出肠道。含图文报告，不含监护。","异物钳","圈套器","次","每增加一个异物按20%收取",1200,960,840,"乙类","消化","停用"]
[130,"HPK80601","经十二指肠镜乳头狭窄扩张术","麻醉下,镇静,润滑,消泡,电子十二指肠镜经口插至十二指肠乳头部位,经气囊､水囊,扩张探条等逐次插入乳头开口进行扩张,置入内引流管经鼻引出固定。","引流装置,胃管","造影导管,导丝,扩张材料","次","",1200,960,840,"乙类","消化","停用"]
[131,"HPC80601","经电子内镜食管狭窄扩张术","麻醉下,润滑,消泡,经口插入电子胃镜,置入导引钢丝,引导置入扩张器材(扩张水囊､气囊､金属橄榄形扩张球､多聚乙烯扩张探条等),在胃镜直视下扩张狭窄部位。图文报告。不含监护､X线检查。","","导丝,扩张材料","次","",580,460,400,"乙类","消化","停用"]
[132,"HPH80601","经电子内镜肠道狭窄扩张术","麻醉下，清洁肠道,镇静,润滑肠道,电子结肠镜自肛门插入,循腔镜到达结肠狭窄部位,置入导引钢丝,引导置入扩张球囊,在结肠镜直视下采用球囊扩张导管扩张狭窄部位。图文报告。不含监护､狭窄扩张术､X线检查。","","导丝,球囊扩张导管","次","",840,670,590,"乙类","消化","停用"]
[133,"HPK80602","经电子内镜十二指肠狭窄扩张术","麻醉下,润滑,消泡,经口插入电子十二指肠镜,置入导引钢丝,引导置入扩张材料(气囊､水囊､探条等),在十二指肠镜直视下多次扩张狭窄部位。图文报告。不含X线检查。","","导丝,扩张材料","次","",1200,960,840,"乙类","消化","停用"]
[134,"HQE80101","经皮经肝胆道狭窄球囊扩张术","局部消毒铺巾,以穿刺针穿刺肝内胆管后,沿此通路经导丝置换引流管及球囊导管,进行胆道狭窄扩张与引流。不含监护､影像学引导。","穿刺针,引流装置","导管,导丝,血管鞘组,球囊扩张导管,特殊缝线","次","",1000,800,700,"乙类","消化","停用"]
[135,"QHXZ0025","经口食管狭窄球囊扩张术","麻醉下，经口插入导引导丝，送入造影导管，DSA造影证实后，沿导丝引导置入球囊，在DSA引导下扩张球囊，术后造影复查。不含监护。","注射器，牙垫，压力泵","导丝，导管，球囊，球囊扩张导管","次",null,1000,800,700,"乙类","消化","停用"]
[136,"HQP80601","经电子内镜胰胆管狭窄扩张术","麻醉下,镇静,润滑,消泡,电子十二指肠镜经口插至十二指肠乳头部位,胰胆管造影,胰胆管插管,经活检通道将导丝插入胰胆管狭窄部位,将扩张材料(气囊､探条等)或球囊扩张导管沿导丝插入胰胆管,进行扩张。图文报告。不含监护､十二指肠乳头括约肌切开术､胰管括约肌切开术､X线检查。","","造影导管,导丝,血管夹,扩张材料，球囊扩张导管","次","",1300,1040,910,"乙类","消化","停用"]
[137,"HPD66601","经电子内镜胃内支架置换术","麻醉下,润滑,消泡,经口插入电子胃镜,暴露支架上缘杯口收缩线,应用支架回收器拉紧收缩线,使支架与胃黏膜分离,取出支架,在胃镜直视下放置新支架。图文报告。不含监护､X线检查。","","支架,导丝","次","",650,520,450,"乙类","消化","停用"]
[138,"HPS66601","经电子内镜结肠支架置换术","麻醉下，清洁肠道,镇静,润滑肠道,电子结肠镜自肛门插入,循腔进镜插至支架部位,暴露杯口收缩线,应用支架回收器收紧收缩线,将支架与结肠黏膜分离,取出支架,在结肠镜直视下放置新支架。图文报告。不含监护､狭窄扩张术､X线检查。","","肠道支架,导丝","次","",1000,800,700,"乙类","消化","停用"]
[139,"HPC62601","经电子内镜食管支架置入术","麻醉下，润滑,消泡,经口插入电子胃镜,置入导引钢丝,引导置入食管支架,在内镜直视下放置支架。图文报告。不含监护､X线检查。","","食管支架,导丝","次","",1000,800,700,"乙类","消化","停用"]
[140,"HPC66601","经电子内镜食管支架置换术","麻醉下,润滑,消泡,经口插入电子胃镜,暴露支架上缘杯口收缩线,应用支架回收器拉紧收缩线,使支架与食管黏膜分离,取出支架,在内镜直视下置入新支架。图文报告。不含监护､食管扩张术､X线检查。","","食管支架,导丝","次","",1000,800,700,"乙类","消化","停用"]
[141,"HPD62601","经电子内镜胃内支架置入术","麻醉下,润滑,消泡,经口插入电子胃镜,置入导引钢丝引导置入支架,在胃镜直视下于狭窄部位放置支架。X线透视确定位置。图文报告。不含监护､X线检查。","","支架,导丝","次","",1500,1200,1050,"乙类","消化","停用"]
[142,"HPS62601","经电子内镜结肠支架置入术","麻醉下，清洁肠道,镇静,润滑肠道,电子结肠镜自肛门插入,循腔进镜到达狭窄部位,置入导引钢丝引导置入支架,在结肠镜直视下放置支架。X线透视确定位置。图文报告。不含监护､狭窄扩张术､X线检查。","","肠道支架,导丝","次","",1000,800,700,"乙类","消化","停用"]
[143,"HQC45102","经皮经肝肝门部肿物支架置入内引流术","定位,消毒铺巾,局麻,B超引导下穿刺,导丝引导,支架管置入通过肿瘤狭窄部,缝合切口。","引流装置,注射器","支架,特殊缝线,止血材料","次","",2100,1680,1470,"乙类","消化","停用"]
[144,"HQE62101","经皮经肝胆道支架置入术","局部消毒铺巾,以穿刺针穿刺肝内胆管后,沿此通路经导丝置换支架及引流管。不含监护､影像学引导。","穿刺针,引流装置","导管,导丝,球囊扩张导管,支架,特殊缝线","次","",950,760,665,"乙类","消化","停用"]
[145,"HQE62601","经内镜胆管内支架置入术","麻醉下,镇静,润滑,消泡,电子十二指肠镜经口插至十二指肠乳头部位,胆管造影,经乏特氏壶腹插入导丝,通过胆管狭窄部位,确认位置后沿导丝置入胆管内支架。图文报告。","引流装置","胆道支架,造影导管,导丝,止血材料","次","",950,760,665,"乙类","消化","停用"]
[146,"HQP62601","经电子内镜胰管内支架置入术","麻醉下,镇静,润滑,消泡,电子十二指肠镜经口插至十二指肠乳头部位,胰管造影,经活检通道插入导丝,通过胰管狭窄部位,确认位置后沿导丝置入胰管内支架。图文报告。不含监护､十二指肠乳头括约肌切开术､X线检查。","","造影导管,导丝,血管夹,支架","次","",1000,800,700,"乙类","消化","停用"]
[147,"QHXZ0047","消化道狭窄球囊扩张术+支架置入术","影像监视定位食道、贲门、幽门、肠道等消化道部位，去除检查部位体表金属物品，摆位，造影摄片，球囊扩张，再行造影复查，摄片，支架置入，医生完成诊断报告。不含影像学引导。","注射器","导管，导丝，球囊扩张导管，支架","次","只行球囊扩张术的按50%收取",1600,1280,1120,"乙类","消化","停用"]
[148,"HQP66601","经电子内镜胰管支架置换术","麻醉下,镇静,润滑,消泡,电子十二指肠镜经口插至十二指肠乳头部位,经活检通道插入导丝,应用支架回收器取出胰管支架,置入新的胰管支架。图文报告。不含监护､十二指肠乳头括约肌切开术､X线检查。","","造影导管,导丝,血管夹,支架","次","",1500,1200,1050,"乙类","消化","停用"]
[149,"HPC64601","经电子内镜食管支架取出术","麻醉下,润滑,消泡,经口插入电子胃镜,暴露支架上缘杯口收缩线,应用支架回收器拉紧收缩线使支架与食管黏膜分离,取出支架。图文报告。不含监护､X线检查。","","","次","",1000,800,700,"乙类","消化","停用"]
[150,"HPD64601","经电子内镜胃内支架取出术","麻醉下,润滑,消泡,经口插入电子胃镜,暴露支架上缘杯口收缩线,拉紧收缩线,使支架与胃黏膜分离,取出支架。图文报告。不含监护､X线检查。","","导丝","次","",600,480,420,"乙类","消化","停用"]
[151,"HPS64601","经电子内镜结肠支架取出术","麻醉下，清洁肠道,镇静,润滑肠道,电子结肠镜自肛门插入,循腔进镜插至支架部位,暴露杯口收缩线,应用支架回收器收紧收缩线,将支架与结肠黏膜分离,取出支架。图文报告。不含监护､X线检查。","","","次","",940,750,660,"乙类","消化","停用"]
[152,"HQP64601","经电子内镜胰管支架取出术","麻醉下,镇静,润滑,消泡,电子十二指肠镜经口插至十二指肠乳头部位,胰管造影,经活检通道插入导丝,应用支架回收器取出胰管支架。图文报告。不含监护､十二指肠乳头括约肌切开术､X线检查。","","造影导管,导丝,血管夹,息肉勒除器","次","",800,640,560,"乙类","消化","停用"]
[153,"HQE65501","经皮经肝胆道镜取石术","消毒,铺巾,局麻,经肝穿刺,进入胆道,引入导丝扩张后插入胆道镜,分别取出结石,置管引出固定。不含影像学引导。","引流装置,穿刺针,冲洗液,注射器","扩张管,导丝","次","",1600,1280,1120,"甲类","消化","停用"]
[154,"HQP65601","经电子内镜胰胆管结石取石术","麻醉下,镇静,润滑,消泡,电子十二指肠镜插至十二指肠乳头部位,胰胆管造影,将取石导管沿导丝插入胰胆管,反复取石。图文报告。不含监护､十二指肠乳头括约肌切开术､胰胆管括约肌切开术､X线检查。","","造影导管,导丝,血管夹,取石网篮,取石球囊","次","",1300,1040,910,"乙类","消化","停用"]
[155,"HQE65603","经电子内镜胆管结石激光碎石取石术","麻醉下,镇静,润滑,消泡,电子十二指肠镜插至十二指肠乳头部位,胆管造影,激光碎石,取石导管沿导丝插入胆管,反复取石。图文报告。不含监护､十二指肠乳头括约肌切开术､X线检查。","","取石球囊导管,造影导管,导丝,血管夹,取石网篮，支架，专用引流管","次","",2900,2465,2095,"乙类","消化","停用"]
[156,"HQE65602","经电子内镜胆管机械碎石取石术","麻醉下,镇静,润滑,消泡,电子十二指肠镜插经口至十二指肠乳头部位,胆管造影,机械碎石,取石导管沿导丝插入胆管,反复取石。图文报告。不含监护､十二指肠乳头括约肌切开术､X线检查。","","取石球囊导管,造影导管,导丝,血管夹,取石网篮，支架，专用引流管","次","",2600,2210,1879,"乙类","消化","停用"]
[157,"HPK65601","经电子十二指肠镜奥狄氏括约肌切开胰管取石术","麻醉下,镇静,润滑,消泡,电子十二指肠镜经口插至十二指肠乳头部位,乳头开口进行扩张,插入十二指肠乳头肌切开刀,切开乳头胰管开口,取出结石及异物,止血,置管,经鼻引出固定。","引流装置,胃管","造影导管,导丝,括约肌切开刀,取石球囊,导管,取石网篮,扩张球囊,鼻胆引流管","次","",1500,1200,1050,"乙类","消化","停用"]
[158,"HQK65101","经皮经肝胆囊穿刺超声碎石取石术","消毒铺巾,局麻,经肝穿刺,进入胆囊,引入导丝扩张后插入胆道镜,置入超声碎石装置,多次碎石并取出,置管引出固定。不含影像学引导。","引流装置,穿刺针,冲洗液","导丝,取石网篮,碎石器","次","",1000,800,700,"乙类","消化","停用"]
[159,"HQK65102","经皮经肝胆囊穿刺激光碎石取石术","消毒铺巾,局麻,经肝穿刺,进入胆囊,引入导丝扩张后插入胆道镜,置入激光碎石装置,多次碎石并取出,置管引出固定。不含影像学引导。","引流装置,穿刺针,生理冲洗液","导丝,取石网篮,碎石器","次","",1000,800,700,"乙类","消化","停用"]
[160,"HQK65801","经皮经肝胆囊穿刺胆道镜胆囊结石取出术","定位,消毒铺巾,局麻,经肝穿刺,进入胆囊,引入导丝扩张后插入胆道镜,分别取出结石,置管引出固定。图文报告。不含B超或CT定位。","引流装置,穿刺针,冲洗液","扩张管,导丝,取石网篮","次","",1500,1200,1050,"乙类","消化","停用"]
[161,"HPK50602","经电子内镜十二指肠乳头括约肌切开术(EST)","麻醉下,镇静,润滑,消泡,电子十二指肠镜经口插至十二指肠乳头部位,经活检通道插入十二指肠乳头肌切开刀至十二指肠乳头部位,采用高频电进行十二指肠乳头括约肌切开。图文报告。不含监护､十二指肠乳头括约肌切开术､X线检查。","","导丝,造影导管,血管夹,括约肌切开刀","次","",1000,800,700,"乙类","消化","停用"]
[162,"HPK64601","经内镜奥狄氏括约肌切开取石术(ECT)","麻醉下,镇静,润滑,消泡,电子十二指肠镜经口插至十二指肠乳头部位,乳头开口进行扩张,插入十二指肠乳头肌切开刀,切开乳头,取出结石及异物,止血,置管,经鼻引出固定。","引流装置,胃管","造影导管,导丝,取石网篮,扩张球囊,括约肌切开刀,鼻胆引流管","次","",800,640,560,"乙类","消化","停用"]
[163,"HPK50601","经纤维内镜十二指肠乳头括约肌切开术(EST)","麻醉下,镇静,润滑,消泡,纤维十二指肠镜经口插至十二指肠乳头部位,经活检通道插入十二指肠乳头肌切开刀至十二指肠乳头部位,采用高频电进行十二指肠乳头括约肌切开。人工报告。不含监护､十二指肠乳头括约肌切开术､X线检查。","","导丝,造影导管,血管夹,括约肌切开刀","次","",900,720,630,"乙类","消化","停用"]
[164,"HPK83401","经十二指肠奥狄氏括约肌切开成形术","逐层进腹探查,显露并纵切胆总管探查,确定下端狭窄后游离十二指肠,纵行切开降部,找到奥狄氏括约肌开口,探条扩张,引入尿管,楔形切除部分狭窄段,缝合成形开口,奥狄氏括约肌狭窄段贯通切开,缝合关闭十二指肠,止血,T管､腹腔引流管分别经腹壁另戳孔引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,T形管,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",1800,1440,1260,"甲类","消化","停用"]
[165,"HPK83601","经电子十二指肠镜奥狄氏括约肌狭窄切开成形术","麻醉下,镇静,润滑,消泡,电子十二指肠镜经口插至十二指肠乳头部位,扩张探条逐次插入乳头开口进行扩张,置入十二指肠乳头肌切开刀,奥狄氏括约肌狭窄段贯通切开,止血,置管,经鼻引出固定。","引流装置,胃管","特殊缝线,扩张球囊,括约肌切开刀,鼻胆引流管","次","",2000,1600,1400,"乙类","消化","停用"]
[166,"QHXZ0024","经电子内镜贲门环状肌切开术（POEM）","胃镜前端加透明帽，麻醉下，润滑，消泡，经口插入电子胃镜，胃镜检查，确定隧道切开部位，粘膜下注射肾上腺素甘油果糖(或高渗冲洗液及美蓝或靛胭脂)以抬举部分黏膜，粘膜切开，边用一次性热活检钳止血，建立粘膜下隧道，切断贲门环形肌，清理创面，钛夹夹闭粘膜隧道口。不含监护。","注射针","血管夹，止血材料，活检钳","次",null,2500,2000,1750,"乙类","消化","停用"]
[167,"HQP50601","经电子内镜胰管括约肌切开术","麻醉下,镇静,润滑,消泡,电子十二指肠镜经口插至十二指肠乳头部位,胰胆管造影,沿导丝胰管插管,经活检通道插入胰管括约肌切开刀,行胰管括约肌切开。图文报告。不含监护､十二指肠乳头括约肌切开术､X线检查。","","造影导管,导丝,血管夹,括约肌切开刀","次","",800,640,560,"乙类","消化","停用"]
[168,"HPL50601","经内镜空肠造瘘术","麻醉下,润滑,消泡,经口插入内镜。造瘘管于空肠前壁经皮肤穿刺进入空肠,在内镜直视下将造瘘管固定于空肠与皮肤之间,将营养管置入小肠。图文报告。不含监护。","造瘘管","","次","",2000,1600,1400,"乙类","消化","停用"]
[169,"HPL62601","经纤维内镜空肠置管术","麻醉下,润滑,经口插入纤维胃镜,在胃镜直视下,经活检钳或异物钳的帮助,将空肠营养管置入空肠。人工报告。不含X线检查､胃镜检查术。","空肠营养管","","次","",400,320,280,"乙类","消化","停用"]
[170,"HPH62401","经鼻肠梗阻导管置入术","鼻腔､口咽麻醉,润滑,在影像设备导引下,经导丝导引置入肠梗阻导管。不含监护､影像学引导。","","导丝,导管,球囊扩张导管","次","",700,560,490,"乙类","消化","停用"]
[171,"HPL62602","经电子内镜空肠置管术","麻醉下,润滑,经口插入电子胃镜,在胃镜直视下,经活检钳或异物钳的帮助,将空肠营养管置入空肠。人工报告。不含X线检查､胃镜检查术。","空肠营养管","","次","",600,480,420,"乙类","消化","停用"]
[172,"HQK50501","经腹腔镜胆囊造瘘术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,胆囊置管造瘘双荷包缝合,经腹壁引出固定,缝合切口。","引流装置,造瘘管","腔镜材料","次","",1100,880,770,"乙类","消化","停用"]
[173,"HQE64601","经内镜胆管内支架取出术","麻醉下,镇静,润滑,消泡,电子十二指肠镜经口插至十二指肠乳头部位,胆管造影,经乏特氏壶腹插入导丝,应用支架回收器取出胆管内支架。图文报告。","引流装置","造影导管,导丝","次","",500,400,350,"乙类","消化","停用"]
[174,"HPA66301","消化道造瘘管置换术","消毒铺巾,胃､胆道､空肠造瘘管拔出,并即刻经瘘管插入新引流管,留置,固定。","引流装置,引流管,造瘘管","","次","",800,640,560,"乙类","消化","停用"]
[175,"HPC73303","食管良性肿物切除术","指食管良性肿瘤､食管囊肿等的切除。胸外侧切口,消毒铺巾,贴膜,电刀开胸探查,游离局部食管,切除或摘除肿物,如果食管黏膜破损,行黏膜修补术。电刀或超声刀止血,放置胸腔闭式引流管。逐层关胸。不含病理学检查。","引流装置","内固定材料,特殊缝线,止血材料","次","",2000,1600,1400,"甲类","消化","停用"]
[176,"HPC73301","食管憩室切除术","颈部或胸外侧切口,消毒铺巾,贴膜,探查,游离局部食管,确认憩室位置,于憩室根部切除憩室,或内翻缝合憩室,放置胸腔闭式引流或颈部引流。不含病理学检查。","引流装置","内固定材料,特殊缝线,止血材料","次","",2000,1600,1400,"甲类","消化","停用"]
[177,"HPC86307","肠代食管术","含结肠或小肠代食道。仰卧位,剑突下至脐下纵切口开腹,如幽门肥厚需行幽门成形术。测量颈部到胃的距离,游离升､横结肠,试验性夹闭结肠血管后,保留左侧结肠动脉,结扎结肠中动脉,小心保留血管弓并游离结肠备用。取颈部胸锁乳突肌切口,分离找到食管,切断后,远端结扎荷包包埋。将结肠经胸骨后隧道自颈部拖出,与食管近端行吻合,代食管之结肠远端与胃行吻合,剩余结肠部分行肠吻合。术中留置胃管､喂养管,颈部伤口留置橡皮片引流。不含幽门成形术。","造瘘管,引流装置,胃管","吻合器,特殊缝线,止血材料","次","",3000,2400,2100,"甲类","消化","停用"]
[178,"HPC86308","食管癌切除结肠代食管胸内吻合术","经胸､腹径路,消毒铺巾,切除食管及肿瘤,游离结肠,将带血管弓的结肠上提至胸部,行食管-结肠,结肠-胃,结肠-结肠吻合术。清扫淋巴结。放置腹腔引流管及胸腔闭式引流管。逐层缝合胸,腹部切口。不含胸导管结扎术。","引流装置","吻合器,内固定材料,特殊缝线,止血材料","次","",2900,2320,2030,"甲类","消化","停用"]
[179,"HPC86310","食管癌切除胃代食管胸内吻合术","左胸后外侧切口,消毒铺巾,贴膜,电刀进胸探查,游离食管及肿瘤,切开膈肌,充分游离胃,上提胃至胸腔,切除食管(含贲门)及肿瘤,作胃-食管主动脉弓下或弓上吻合术,清扫胸腔､纵隔及腹腔肿大淋巴结,缝合膈肌,电刀或超声刀止血,放置胸腔闭式引流管,关胸。不含胸导管结扎术､病理学检查。","引流装置","吻合器,内固定材料,特殊缝线,止血材料","次","",2900,2320,2030,"甲类","消化","停用"]
[180,"HPC86311","食管癌两切口切除胃代食管胸内吻合术","右胸后外侧切口,消毒铺巾,贴膜,电刀进胸探查,游离食管及肿瘤。腹部切口,游离胃,上提胃至右胸腔,作胃-食管吻合,清扫胸腔､纵隔及腹腔肿大淋巴结,电刀或超声刀止血,放置胸腔闭式引流管。逐层关胸。不含胸导管结扎术､病理学检查。","引流装置","吻合器,内固定材料,特殊缝线,止血材料","次","",3100,2480,2170,"甲类","消化","停用"]
[181,"HPC86312","食管癌两切口切除胃代食管颈部吻合术","消毒铺巾,贴膜。左胸后外侧切口,电刀进胸,游离胸段食管及肿瘤,切开膈肌,充分游离胃,再行左颈部切口,游离出颈段食管,切除胸段食管及肿瘤,上提胃至颈部,作胃-食管颈部吻合术,清扫胸腔及腹腔肿大淋巴结,缝合膈肌,放置颈部引流管及胸腔闭式引流管,电刀或超声刀止血,分别逐层缝合颈部､胸部切口。不含胸导管结扎术､病理学检查。","引流装置","吻合器,内固定材料,特殊缝线,止血材料","次","",3100,2480,2170,"甲类","消化","停用"]
[182,"HPC86313","食管癌三切口切除胃代食管颈部吻合术","先置病人左侧卧位,消毒铺巾,经右胸后外侧切口进胸,游离胸段食管及肿瘤,清扫胸腔､纵隔肿大淋巴结,放置胸腔闭式引流管后关胸。置病人平卧位,作腹正中切口,充分游离胃,清扫腹腔肿大淋巴结。再行左颈部切口,游离出颈段食管,切除胸段食管及肿瘤,上提胃至颈部,作胃-食管颈部吻合术,放置颈部引流管及腹腔引流管,电刀或超声刀止血,分别逐层关腹､缝合颈部切口。不含胸导管结扎术､病理学检查。","引流装置","吻合器,内固定材料,特殊缝线,止血材料","次","",3200,2560,2240,"甲类","消化","停用"]
[183,"HPC73503","经胸腔镜食管癌切除术","指无明显外侵食管癌的切除,食管-胃吻合手术。经胸外侧径路,消毒铺巾,贴膜,单肺通气,建立气胸,胸腔镜探查胸腔,游离食管,结扎切断食管供应血管,切除部分食管及肿瘤,用特殊标本袋取出标本。开腹游离胃,颈部切口,做食管-胃吻合术。清扫颈，胸，腹部淋巴结,用电刀或超声刀止血,置放胸腔闭式引流,关胸。不含病理学检查､胸导管结扎术。","引流装置","腔镜材料","次","",2100,1680,1470,"乙类","消化","停用"]
[184,"HPC74301","颈段食管癌切除颈部皮瓣食管重建术","消毒铺巾,颈部切口,切除颈段食管及肿瘤,颈部皮瓣食管再造术,清扫颈部淋巴结,放置颈部引流管(条),逐层缝合颈部切口。不含喉及下咽切除术､气管切开术､胸导管结扎术､病理学检查。","引流装置","吻合器,特殊缝线,止血材料","次","",2900,2320,2030,"乙类","消化","停用"]
[185,"HPC86306","食管癌切除结肠代食管颈部吻合术","经颈､胸､腹径路,消毒铺巾,切除食管及肿瘤,游离结肠,将带血管弓的结肠上提至颈部,行食管-结肠,结肠-胃,结肠-结肠吻合术。清扫纵隔淋巴结。电刀或超声刀止血。放置颈部,腹腔引流管及胸腔闭式引流管。逐层缝合胸,腹,颈部切口。不含喉及下咽切除术､气管切开术､胸导管结扎术､病理学检查。","引流装置","吻合器,内固定材料,特殊缝线,止血材料","次","",4900,3920,3430,"甲类","消化","停用"]
[186,"HPE77301","经胸贲门癌切除术","消毒铺巾,贴膜,经左胸后外侧切口,电刀进胸,游离食管下段,切开膈肌,游离胃,切除食管下段,部分近端胃及肿瘤,上提余胃至胸腔,作胃-食管主动脉弓下吻合术,清扫胸腔,纵隔及腹腔肿大淋巴结,电刀或超声刀止血。缝合膈肌,放置胸腔闭式引流管。不含全胃切除术､病理学检查。","引流装置","吻合器,内固定材料,特殊缝线,止血材料","次","",2300,1840,1610,"甲类","消化","停用"]
[187,"HPE77302","胸腹联合切口贲门癌切除术","消毒铺巾,贴膜,经左胸腹联合切口,电刀进胸,探查。游离食管下段,切开膈肌,游离胃,切除食管下段､部分近端胃及肿瘤,上提余胃至胸腔,作胃-食管主动脉弓下吻合,清扫胸腔､纵隔及腹腔肿大淋巴结,电刀或超声刀止血。缝合膈肌,放置胸腔闭式引流管,逐层关胸,关腹。不含脾､胰尾､部分肝叶､全胃切除术､病理学检查。","引流装置","吻合器,内固定材料,特殊缝线,止血材料","次","",3100,2480,2170,"甲类","消化","停用"]
[188,"HPC83306","经腹食管下端横断术","指Hirashima手术。逐层进腹,探查,游离食管下段,结扎食管下段周围血管,缝扎胃底曲张静脉､横断食管后,行食管对端吻合,创面止血,留置腹腔闭式引流管另戳孔引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。不含胃底曲张静脉缝扎术､幽门成形术。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2100,1680,1470,"甲类","消化","停用"]
[189,"HPC83305","经胸食管下端横断术","指Walker手术。逐层开胸,切除肋骨,探查,游离食管下段,结扎食管下段周围血管,缝扎胃底曲张静脉,横断食管后,行食管对端吻合,创面止血,留置胸腔闭式引流管另戳孔引出固定,清点器具､纱布无误,逐层关胸。","引流装置","血管夹,特殊缝线,止血材料","次","",2100,1680,1470,"甲类","消化","停用"]
[190,"HPC86304","食管内翻拔脱切除胃代食管颈部吻合术","经颈､腹径路,消毒铺巾,食管内翻拔脱,切除食管及肿瘤,游离胃,上提胃至颈部,行胃-食管颈部吻合术,清扫淋巴结,放置颈部,腹腔引流管。逐层缝合腹,颈部切口。不含胸导管结扎术､病理学检查。","引流装置,引流管","吻合器,特殊缝线,止血材料","次","",3100,2480,2170,"甲类","消化","停用"]
[191,"HPC86309","小儿胃代食管术","右侧卧位,开胸,游离食管,去除病灶,处理食管裂孔,上提胃体,食管近端与胃行吻合,放置胸腔闭式引流管,关胸。","引流装置,引流管","特殊缝线,止血材料","次","",3000,2400,2100,"甲类","消化","停用"]
[192,"HPC86302","先天性食管闭锁经右胸端端吻合术","指Ⅲ(A､B),IV型,V型食管闭锁经胸手术者。全麻插管,经右侧胸膜外入路,找到气管瘘,分离,切断,结扎瘘管,游离上､下段食管,端端吻合。","引流装置","特殊缝线,止血材料,吻合器","次","",2400,1920,1680,"乙类","消化","停用"]
[193,"HPC86501","经胸腔镜先天性食管闭锁经右胸端端吻合术","适用于各型食管闭锁。全麻插管,右侧胸腔放置3-4个套管,找到气管瘘,分离,切断,结扎瘘管,胃管引导下找到上段食管盲端,游离上､下段食管,行食管端端吻合。","引流装置,造瘘管","腔镜材料","次","",2600,2080,1820,"乙类","消化","停用"]
[194,"HPC74302","下咽颈段食管狭窄切除食管重建术","颈部切口,消毒铺巾,贴膜,电刀逐层切开探查,切开或切除狭窄段食管,用颈部皮瓣修补或重建再造食管,放置颈部引流。逐层缝合颈部切口。不含空肠､结肠､胃代食管术,病理学检查。","引流装置","特殊缝线,止血材料","次","",2400,1920,1680,"乙类","消化","停用"]
[195,"HPC73302","食管狭窄切除吻合术","颈部或胸外侧切口,消毒铺巾,贴膜,电刀开胸探查,寻找狭窄处,将食管部分切除以及食管蹼切除,行胃-食管吻合,放置胸腔闭式引流管,关胸。","引流装置","吻合器,内固定材料,特殊缝线,止血材料","次","",2300,1840,1610,"甲类","消化","停用"]
[196,"HPC83301","经颈部先天性食管闭锁修补术","适用于V型食管闭锁。全麻插管,颈部游离气管-食管瘘,切断,结扎,缝扎,修补食管。不含纤维支气管镜检查､食管镜检查。","造瘘管,引流装置","特殊缝线,止血材料","次","",2500,2000,1750,"乙类","消化","停用"]
[197,"HPC50301","先天性食管闭锁分期手术(I期)","适用于I型或Ⅲ-A型(两盲端距离大于3厘米者)。全麻插管,经右侧胸膜外入路,上段食管盲端造瘘或牵引,下段食管盲端牵引,胃造瘘,牵引1-4周后,再行Ⅱ期手术(即食管端端吻合术)。","造瘘管,引流装置","特殊缝线,止血材料","次","",2400,1920,1680,"乙类","消化","停用"]
[198,"HPC86303","先天性食管闭锁胃管替代吻合术","指I型食管闭锁。全麻插管,经右侧胸膜外入路,找到并游离上端食管,经腹部部分胃切除,胃管成形,上提入胸腔与上段食管吻合。","造瘘管,引流装置","特殊缝线,止血材料,吻合器","次","",2400,1920,1680,"乙类","消化","停用"]
[199,"HPC86305","食管癌切除空肠代食管吻合术","经胸､腹径路,消毒铺巾,切除食管及肿瘤,游离带血管蒂空肠袢,用此段空肠做胸内食管-空肠吻合及空肠-胃吻合术。清扫胸腔,纵隔及腹部淋巴结。放置胸腔闭式引流。逐层缝合腹,胸部部切口。不含胸导管结扎术､病理学检查。","引流装置,引流管","吻合器,内固定材料,特殊缝线,止血材料","次","",4900,3920,3430,"甲类","消化","停用"]
[200,"HPC65301","颈侧入路切开食管异物取出术","左或右颈部侧切口,消毒铺巾,贴膜,逐层切开。探查异物部位,游离颈部适当长度的食管,纵行切开食管,取出异物,缝合食管壁。止血并放置引流管或引流片,逐层缝合切口。","引流装置","特殊缝线,止血材料","次","",1380,1105,965,"甲类","消化","停用"]
[201,"HPC50302","经胸食管下段贲门肌层切开术","胸后外侧或前外侧切口,消毒铺巾,贴膜,电刀开胸。游离下段食管和贲门,部分胃底,显露狭窄病变。纵行切开食管下段、贲门和胃底处狭窄部位的肌层,充分松解食管和胃黏膜,彻底止血并确保黏膜无破损,必要时游离带蒂膈肌瓣或胃底覆盖暴露的食管黏膜,可行抗返流术,放置胸腔引流管,关胸。","引流装置","特殊缝线,止血材料","次","",2100,1680,1470,"甲类","消化","停用"]
[202,"HPC50303","经腹食管下段贲门肌层切开术","腹部切口,消毒铺巾,贴膜,电刀开腹。游离下段食管和贲门､部分胃底,显露狭窄病变。纵行切开食管下段､贲门和胃底处狭窄部位的肌层,充分松解食管和胃黏膜,彻底止血并确保黏膜无破损,必要时用胃底覆盖暴露的食管黏膜,可行抗返流术,放置胸腔引流管,关胸。","引流装置","特殊缝线,止血材料","次","",2100,1680,1470,"甲类","消化","停用"]
[203,"HPB83301","食管胃吻合口狭窄切开成形术","颈部或胸部切口,消毒铺巾,贴膜,电刀切开。游离食管胃吻合口,视狭窄情况,行狭窄局部切开缝合(或行吻合口切除､食管-胃再吻合)。止血并放置颈部引流条或胸腔引流管,关胸。不含病理学检查。","引流装置","吻合器,特殊缝线,止血材料","次","",2400,1920,1680,"甲类","消化","停用"]
[204,"HPC50501","经胸腔镜食管下段贲门肌层切开术","经胸外侧径路,消毒铺巾,贴膜,单肺通气,建立气胸,胸腔镜探查胸腔,用电刀或超声刀游离下段食管和贲门,部分胃底,显露狭窄病变。用电刀或超声刀纵行切开食管下段、贲门和胃底处狭窄部位的肌层,充分松解食管和胃黏膜,彻底止血并确保黏膜无破损,必要时用膈肌瓣或胃底行抗返流术。放置胸腔引流管,关胸。","引流装置","腔镜材料","次","",2300,1840,1610,"乙类","消化","停用"]
[205,"HPC50304","食管闭锁胃造瘘术","颈部切口,消毒铺巾,贴膜,游离颈段食管,造瘘,腹部切口,行胃造瘘术。","造瘘管,引流装置","特殊缝线,止血材料","次","",2100,1680,1470,"甲类","消化","停用"]
[206,"HPC59601","经电子内镜食管瘘填堵术","麻醉下,润滑,消泡,经口插入电子胃镜,确定食管瘘位置､大小,选择合适的支撑管,经胃镜置放系统置入。图文报告。不含监护､狭窄扩张术､X线检查。","","食管支架,导丝","次","",1000,800,700,"乙类","消化","停用"]
[207,"HPC83302","食管破裂修补术","颈部或胸外侧切口,消毒铺巾,贴膜,电刀开胸探查,胸腔内清创,食管破裂口直接缝合,或利用其它组织修补,放置胸腔闭式引流管,逐层关胸。","引流装置,贴膜","内固定材料,特殊缝线,止血材料","次","",1500,1200,1050,"甲类","消化","停用"]
[208,"HPC73304","食管下端胃底切除术","指Phemister术或Humphrey手术。逐层进腹,探查,经网膜门静脉测压,必要时左侧开胸,游离､结扎并切断食管胃底周围侧支血管,切除食管下端及上端胃底,行食管胃吻合术,幽门成形术,创面止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。不含脾脏切除术。","测压管,引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2700,2160,1890,"甲类","消化","停用"]
[209,"HPC73501","经腹腔镜食管下端胃底切除术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,经网膜门静脉测压,必要时左侧开胸,游离,结扎并切断食管胃底周围侧支血管,切除食管下端及上端胃底,行食管胃吻合术,幽门成形术,创面止血,置管引出固定,缝合切口。","测压管,引流装置","腔镜材料","次","",2900,2320,2030,"乙类","消化","停用"]
[210,"HPD73301","胃部分切除术","逐层进腹,探查,胃底或胃体部分切除,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。含胃肿瘤局部或楔形切除术。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2000,1600,1400,"甲类","消化","停用"]
[211,"HPF58301","胃底横断术(Tanner手术)","逐层进腹,探查,经网膜门静脉测压,游离结扎胃底部和食管下段血管,楔形切除胃壁,缝扎胃壁曲张静脉,吻合胃断端,创面止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。不含脾脏切除术､肝活检术､幽门成形术､胃造瘘术。","测压管,引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2600,2080,1820,"甲类","消化","停用"]
[212,"HPC58301","胸腹联合断流术(Sugiura手术)","胸腹联合切口,探查,经网膜门静脉测压,离断胃底贲门及下段食管周围血管,保留冠状静脉,横断食管下端,再行食管吻合重建,创面止血,胸腔闭式引流置管和腹腔闭式引流分别戳孔引出固定,清点器具､纱布无误,冲洗腹腔,逐层关胸,关腹。不含幽门成形术､肝活检术､胃底折叠术､胃造瘘术。","测压管,引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2200,1760,1540,"甲类","消化","停用"]
[213,"HPE73301","贲门周围血管离断术","逐层进腹,探查,经网膜门静脉测压,切除脾脏,切断结扎胃左动脉,胃网膜左,右动脉,离断胃近端2/3及贲门,食管下段周围血管,创面止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹,含Has⁃sab手术。不含幽门成形术､肝活检术､胃底折叠术､胃造瘘术､食管下段横断吻合术。","引流装置","吻合器,血管夹,特殊缝线,止血材料","次","",2200,1760,1540,"甲类","消化","停用"]
[214,"HPE73501","经胸腔镜贲门周围血管离断术","消毒铺巾,贴膜,单肺通气,建立气胸,胸腔镜探查胸腔,胸腔镜下切除脾脏,切断结扎胃左动脉,胃网膜左,右动脉,离断胃近端2/3及贲门,食管下段周围血管,创面止血,经腹壁另戳孔置管引出固定,用电刀或超声刀止血,置放胸腔闭式引流,关胸。","引流装置,贴膜","腔镜材料","次","",2400,1920,1680,"乙类","消化","停用"]
[215,"HPF58501","经腹腔镜胃底横断术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,经网膜门静脉测压,游离结扎胃底部和食管下段血管,楔形切除胃壁,缝扎胃壁曲张静脉,吻合胃断端,创面止血,置管引出固定,缝合切口。","引流装置","腔镜材料","次","",2800,2240,1960,"乙类","消化","停用"]
[216,"HPD73303","近端胃大部切除术","指良性胃溃疡，良性胃肿瘤，胃肠道间质瘤，胃的恶性间叶性肿瘤实施的手术。逐层进腹,探查,近端胃大部切除,食管胃吻合重建,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。不含腹腔淋巴结清扫术。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2100,1680,1470,"甲类","消化","停用"]
[217,"HPD73305","姑息性近端胃大部切除术","逐层进腹,探查,近端胃大部切除,所属淋巴群清扫,无法切除残留癌,食管胃吻合重建,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2100,1680,1470,"甲类","消化","停用"]
[218,"HPD73306","姑息性远端胃大部切除术","逐层进腹,探查,远端胃大部切除,所属淋巴群清扫,无法切除残留癌,胃十二指肠或空肠吻合重建,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2000,1600,1400,"甲类","消化","停用"]
[219,"HPD73307","根治性近端胃大部切除术","逐层进腹,探查,近端胃大部切除,所属淋巴群清扫,食管胃吻合重建,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2400,1920,1680,"甲类","消化","停用"]
[220,"HPD73308","根治性远端胃大部切除术","逐层进腹,探查,远端胃大部切除,所属淋巴群清扫,胃,十二指肠或空肠吻合重建,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2300,1840,1610,"甲类","消化","停用"]
[221,"HPD77301","扩大根治性近端胃大部切除术","逐层进腹,探查,近端胃大部切除,所属淋巴群清扫,被侵及脏器切除重建,食管胃吻合重建,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2700,2160,1890,"甲类","消化","停用"]
[222,"HPD77302","扩大根治性远端胃大部切除术","逐层进腹,探查,远端胃大部切除,所属淋巴群清扫,被侵及脏器切除重建,胃,十二指肠或空肠吻合重建,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2600,2080,1820,"甲类","消化","停用"]
[223,"HPD73304","远端胃大部切除术","指良性胃溃疡，良性胃肿瘤，胃肠道间质瘤，胃的恶性间叶性肿瘤实施的手术。逐层进腹,探查,远端胃大部切除,胃十二指肠或空肠吻合重建,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。不含腹腔淋巴结清扫术。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2000,1600,1400,"甲类","消化","停用"]
[224,"HPD77501","经腹腔镜根治性近端胃大部切除术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,近端胃大部切除,所属淋巴群清扫,食管胃吻合重建,止血,置管引出固定,缝合伤口。","引流装置","腔镜材料","次","",2600,2080,1820,"乙类","消化","停用"]
[225,"HPD77502","经腹腔镜根治性远端胃大部切除术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,远端胃大部切除,所属淋巴群清扫,胃,十二指肠或空肠吻合重建,止血,置管引出固定,缝合伤口。","引流装置","腔镜材料","次","",2500,2000,1750,"乙类","消化","停用"]
[226,"HPD73502","经腹腔镜近端胃大部切除术","指良性胃溃疡、良性胃肿瘤、胃肠道间质瘤、胃的恶性间叶性肿瘤实施的手术。腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,近端胃大部切除,食管胃吻合重建,止血,置管引出固定,缝合伤口。不含腹腔淋巴结清扫术。","引流装置","腔镜材料","次","",2300,1840,1610,"乙类","消化","停用"]
[227,"HPD73503","经腹腔镜远端胃大部切除术","指良性胃溃疡、良性胃肿瘤、胃肠道间质瘤、胃的恶性间叶性肿瘤实施的手术。腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,远端胃大部切除,胃十二指肠或空肠吻合重建,止血,置管引出固定,缝合伤口。不含腹腔淋巴结清扫术。","引流装置","腔镜材料","次","",2200,1760,1540,"乙类","消化","停用"]
[228,"HPD75301","全胃切除术","指良性胃溃疡,良性胃肿瘤,胃肠道间质瘤,胃的恶性间叶性肿瘤,Z-E综合征实施的手术。逐层进腹,探查,全胃切除,食道,空肠,Roux-en-Y吻合重建,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。不含腹腔淋巴结清扫术。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2500,2000,1750,"甲类","消化","停用"]
[229,"HPD77303","姑息性全胃切除术","逐层进腹,探查,全胃切除,所属淋巴群清扫,无法切除残留癌,食道,空肠,Roux-en-Y吻合重建,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2500,2000,1750,"甲类","消化","停用"]
[230,"HPD77304","根治性全胃切除术","含BorrmannⅣ型胃癌,多灶性胃癌。体位摆放,消毒,铺无菌单,开腹,探查,全胃切除,区域淋巴结清扫,消化道重建,腹腔引流,含食道-空肠吻合(Roux-en-Y型或袢式),食道-十二指肠吻合。不含联合其它脏器切除。","引流装置","吻合器,血管夹,特殊缝线,止血材料","次","",2700,2160,1890,"甲类","消化","停用"]
[231,"HPD77305","扩大根治性全胃切除术","逐层进腹,探查,全胃切除,所属淋巴群清扫,被侵及脏器切除重建,食道,空肠,Roux-en-Y吻合重建,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2900,2320,2030,"甲类","消化","停用"]
[232,"HPD77306","根治性残胃癌切除术","逐层进腹,探查,粘连松解,残胃切除,淋巴结清扫,食道-空肠Roux-Y型吻合重建,止血,经腹壁另戳孔置管固定,缝合伤口。","引流装置","吻合器,血管夹,特殊缝线,止血材料","次","",2500,2000,1750,"甲类","消化","停用"]
[233,"HPD77307","姑息性残胃癌切除术","逐层进腹,探查,粘连松解,残胃切除,无法切除残留癌,食道-空肠Roux-Y型吻合重建,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2300,1840,1610,"甲类","消化","停用"]
[234,"HPD77308","扩大根治性残胃癌切除术","逐层进腹,探查,残胃和被侵及脏器切除,区域淋巴结清扫,食道-空肠Roux-en-Y型吻合重建,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2800,2240,1960,"甲类","消化","停用"]
[235,"HPD77503","经腹腔镜根治性全胃切除术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,全胃切除,所属淋巴群清扫,食道,空肠,Roux-en-Y吻合重建,止血,置管引出固定,缝合伤口。","引流装置","腔镜材料","次","",2900,2320,2030,"乙类","消化","停用"]
[236,"HPD75501","经腹腔镜全胃切除术","指良性胃溃疡,良性胃肿瘤,胃肠道间质瘤,胃的恶性间叶性肿瘤,Z-E综合征实施的手术。腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,全胃切除,食道,空肠,Roux-en-Y吻合重建,止血,置管引出固定,缝合伤口。不含腹腔淋巴结清扫术。","引流装置","腔镜材料","次","",2700,2160,1890,"乙类","消化","停用"]
[237,"HPD62302","可调节胃束带置入术","逐层进腹,探查,可调节胃束带置入,固定,注入冲洗液调节容量,清点器具､纱布无误,冲洗腹腔,逐层关腹。","胃束带,引流装置","血管夹,特殊缝线,止血材料","次","",1800,1440,1260,"丙类","消化","停用"]
[238,"HPD62501","经腹腔镜可调节胃束带置入术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,可调节胃束带置入,固定,注入冲洗液调节容量,缝合伤口。","胃束带,引流装置","腔镜材料","次","",2000,1600,1400,"丙类","消化","停用"]
[239,"HPD73501","经腹腔镜胃袖状切除术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,胃底胃体大弯侧游离,袖状切除,止血,置管引出固定,缝合伤口。","引流装置","腔镜材料","次","",2200,1760,1540,"乙类","消化","停用"]
[240,"HPD73302","胃袖状切除术","逐层进腹,探查,胃底胃体大弯侧游离,袖状切除,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2000,1600,1400,"甲类","消化","停用"]
[241,"HPD64501","经腹腔镜胃束带去除术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,粘连松解,可调节胃束带拆除取出,止血,置管引出固定,缝合伤口。","引流装置,冲洗液","腔镜材料","次","",1200,960,840,"丙类","消化","停用"]
[242,"HPD64301","胃束带去除术","逐层进腹,探查,粘连松解,可调节胃束带拆除取出,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",1000,800,700,"丙类","消化","停用"]
[243,"HPD83303","垂直捆绑胃成形术","逐层进腹,探查,胃底游离,袖状切开缝合,胃束带置入,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","胃束带,引流装置,冲洗液","血管夹,吻合器,特殊缝线,止血材料","次","",1500,1200,1050,"甲类","消化","停用"]
[244,"HPF83301","胃底折叠术","逐层进腹,探查,粘连松解,胃底游离,胃底折叠(360°胃底折叠,270°胃底折叠),经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",1500,1200,1050,"丙类","消化","停用"]
[245,"HPF83501","经腹腔镜胃底折叠术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,粘连松解,胃底游离,胃底折叠(360°胃底折叠,270°胃底折叠),止血,置管引出固定,缝合伤口。","引流装置","腔镜材料","次","",1700,1360,1190,"乙类","消化","停用"]
[246,"HPD83502","经腹腔镜垂直捆绑胃成形术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,胃底游离,袖状切开缝合,胃束带置入,止血,置管引出固定,缝合伤口。","胃束带,引流装置","腔镜材料","次","",1700,1360,1190,"乙类","消化","停用"]
[247,"HPG83301","幽门成形术","逐层进腹,探查,幽门切开,成形缝合,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",1400,1120,980,"甲类","消化","停用"]
[248,"HPG50301","幽门环肌切开术","全麻插管,消毒铺巾,脐上弧形切口,将幽门部提出切口外,纵行切开前壁肌层,止血,还纳。","引流装置","特殊缝线","次","",1500,1200,1050,"甲类","消化","停用"]
[249,"HPG50501","经腹腔镜幽门环肌切开术","全麻插管,放置腹腔镜及套管,用幽门刀纵行切开幽门肌层,分离棒分离,幽门钳分离肥厚之肌层至黏膜膨出,止血。","引流装置","腔镜材料","次","",1700,1360,1190,"乙类","消化","停用"]
[250,"HPG83501","经腹腔镜幽门成形术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,幽门切开,成形缝合,止血,置管引出固定,缝合伤口。","引流装置","腔镜材料","次","",1600,1280,1120,"乙类","消化","停用"]
[251,"HPD65301","胃切开异物取出术","上腹部正中切口逐层进腹,探查,胃切开,取出异物(胃石,引流物,蛔虫,误食难以排出之尖锐固体),缝合胃壁,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置","特殊缝线,止血材料","次","",1400,1120,980,"甲类","消化","停用"]
[252,"HPD65501","经腹腔镜胃切开异物取出术","腹腔镜切口进腹,探查,胃切开,取出异物(胃石､引流物､蛔虫､误食难以排出之尖锐固体),缝合胃壁,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","腔镜材料","次","",1600,1280,1120,"乙类","消化","停用"]
[253,"HPD83301","胃穿孔修补术","逐层进腹,探查,穿孔修补,大量冲洗液腹腔冲洗,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",1500,1200,1050,"甲类","消化","停用"]
[254,"HPD83302","先天性胃壁肌层缺损胃穿孔修补术","全麻插管,消毒铺巾,中上腹切口,探查,坏死组织切除,修剪胃壁,缝合修补破损,冲洗腹腔,放置引流管。","引流装置,冲洗液","特殊缝线,止血材料","次","",1400,1120,980,"甲类","消化","停用"]
[255,"HPD83501","经腹腔镜胃穿孔修补术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,穿孔修补,大量冲洗液腹腔冲洗,腹腔引流,固定,缝合伤口。","引流装置,冲洗液","腔镜材料","次","",1700,1360,1190,"乙类","消化","停用"]
[256,"HPD46301","胃出血切开缝扎止血术","逐层进腹,探查,胃切开,缝扎止血,胃缝合,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",1400,1120,980,"甲类","消化","停用"]
[257,"HPD46501","经腹腔镜胃出血切开缝扎止血术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,胃切开,缝扎止血,胃缝合,置管引出固定,缝合伤口。","引流装置","腔镜材料","次","",1600,1280,1120,"乙类","消化","停用"]
[258,"QHXZ0022","腹腔镜胃旁路手术","II型糖尿病及重度肥胖症规范化的治疗，腹壁多处戳孔，造气腹，插入观察镜、操作内镜、辅助器械，探查，横断胃，近端胃小囊，空肠，Roux-en-Y吻合重建，止血，置管引出固定，缝合伤口。",0,"腔镜材料，特殊缝线","次",null,2000,1600,1400,"丙类","消化","停用"]
[259,"HPD59301","胃瘘闭合术","平卧,备皮,开腹,探查腹腔,松解胃瘘周围粘连肠管,修剪瘘口,缝合瘘口,关腹。","引流装置","特殊缝线","次","",1200,960,840,"甲类","消化","停用"]
[260,"HPD50301","胃造瘘术","逐层进腹,探查,将胃前壁小口切开,置入造瘘管,荷包缝合固定,引出腹外,清点器具､纱布无误,冲洗腹腔,逐层关腹。不含影像学引导。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",1600,1280,1120,"甲类","消化","停用"]
[261,"HPD50501","经腹腔镜胃造瘘术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,将胃前壁小口切开,置入造瘘管,荷包缝合固定,引出腹外,缝合伤口。","引流装置,造瘘管","腔镜材料","次","",1800,1440,1260,"乙类","消化","停用"]
[262,"HPH50501","经腹腔镜肠造瘘术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,小肠或结肠双腔,襻式或单腔造瘘,腹壁另开口,提出固定,止血,置管引出固定,缝合伤口。","引流装置,造瘘管","腔镜材料","次","",1400,1120,980,"乙类","消化","停用"]
[263,"HPH73303","先天性肠腔闭锁端侧吻合造瘘术","全麻插管,消毒铺巾,右中腹横形切口,探查,肠闭锁切除吻合,含肠切除,端侧吻合(正\"T\"或倒\"T\")。","胃管","止血材料,特殊缝线","单侧","",1500,1200,1050,"甲类","消化","停用"]
[264,"HPD50601","经电子内镜胃造瘘术(PEG)","麻醉下,润滑,消泡,经口插入电子胃镜,充分扩张胃腔。造瘘管于胃体前壁经皮肤穿刺进入胃腔,在胃镜直视下将造瘘管固定于胃体与皮肤之间,将营养管置入胃内或小肠。图文报告。不含监护。","造瘘管","","次","",1000,800,700,"乙类","消化","停用"]
[265,"HPL62401","经胃造瘘口空肠营养管置入术","在影像设备导引下,经导丝导引置入空肠营养管。不含监护､影像学引导。","空肠营养管","导丝,导管,球囊,特殊缝线","次","",350,280,245,"乙类","消化","停用"]
[266,"HPC86301","食管胃短路手术","指因食管肿瘤无法切除而采取的姑息性食管胃吻合术。胸后外侧或前外侧切口,消毒铺巾,贴膜,电刀开胸,探查肿瘤部位,判定肿瘤无法切除后,在肿瘤上方游离适当长度的食管,切开膈肌,游离部分胃,将胃上提入胸腔,与肿瘤上方的食管行侧侧吻合。缝合膈肌,止血并放置胸腔引流管,关胸。","引流装置,贴膜","吻合器,特殊缝线,止血材料","次","",1600,1280,1120,"甲类","消化","停用"]
[267,"HPD86301","胃肠短路术","逐层进腹,探查,胃-空肠侧侧吻合,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。含肠肠吻合术。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",1400,1120,980,"甲类","消化","停用"]
[268,"HPD86501","经腹腔镜胃肠短路术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,胃-空肠侧侧吻合,止血,置管引出固定,缝合伤口。","引流装置,冲洗液","腔镜材料","次","",1600,1280,1120,"乙类","消化","停用"]
[269,"HQK86301","胆囊肠吻合术","逐层进腹,探查,胆囊肠吻合,创面止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。不含Roux-en-y肠吻合术。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",1800,1440,1260,"甲类","消化","停用"]
[270,"HQN86301","环状胰腺十二指肠侧侧吻合术","逐层进腹,探查,十二指肠近端扩张部与环状胰腺以下远端十二指肠或空肠侧侧吻合,止血,腹腔引流管经腹壁另戳孔引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2100,1680,1470,"甲类","消化","停用"]
[271,"HPH73304","肠重复畸形切除吻合术","全麻插管,消毒铺巾,右中腹横形切口,探查,肠管各段重复畸形切除。","胃管","特殊缝线,止血材料","单侧","",1500,1200,1050,"甲类","消化","停用"]
[272,"HPH73501","经腹腔镜肠切除肠吻合术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,粘连松解,将坏死之病变肠段切除,吻合,观察血运,止血,置管引出固定,缝合伤口。","引流装置","腔镜材料","次","",1800,1440,1260,"乙类","消化","停用"]
[273,"HPJ83301","先天性小肠闭锁成形术","全麻插管,消毒铺巾,右中腹横形切口,探查,肠闭锁切除吻合。不含合并其它畸形手术。","胃管","特殊缝线,止血材料","单侧","多处闭锁,每增加1处吻合加收不超过10%",1600,1280,1120,"甲类","消化","停用"]
[274,"HQC83301","先天胆道闭锁肝门空肠Roux-y成形术","即葛西氏术。右上腹横行切口,胆囊切除,肝门纤维块松解,距屈氏韧带20厘米处横断空肠,与以下50厘米空肠行端侧吻合,将50厘米空肠提上,于结肠肝曲下穿过与肝总管吻合,或行胃体劈裂胃管成形+胃管肝门吻合。放置腹腔引流管,关腹。不含腹腔镜胆道探查。","引流装置","特殊缝线,止血材料,吻合器","次","",2800,2240,1960,"甲类","消化","停用"]
[275,"HQK86501","经腹腔镜胆囊肠吻合术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,胆囊肠吻合,创面止血,置管引出固定,缝合切口。","引流装置","腔镜材料","次","",1800,1440,1260,"乙类","消化","停用"]
[276,"HQN86302","胰腺囊肿空肠吻合术","逐层进腹,胰腺探查,粘连松解,显露囊肿与空肠吻合,囊壁切取送检,止血,腹腔引流管经腹壁另戳孔引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",1800,1440,1260,"甲类","消化","停用"]
[277,"HQP86301","胰管空肠侧侧吻合术","指慢性胰腺炎胰管狭窄的内引流手术。逐层进腹,胰腺探查,切开胰腺,显露近端胰管扩张部,与空肠侧侧吻合,止血,腹腔引流管经腹壁另戳孔引出固定,清点器具,纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料,闭合器","次","",1800,1440,1260,"甲类","消化","停用"]
[278,"HQP86302","胰管空肠吻合术","逐层进腹,胰腺探查,粘连松解,显露胰管与空肠吻合,止血,腹腔引流管经腹壁另戳孔引出固定,清点器具,纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料,闭合器","次","",1800,1440,1260,"甲类","消化","停用"]
[279,"HQM86301","胆总管切开取石+空肠Roux-y吻合术","逐层进腹,胆总管切开探查,取石,肝胆管或胆总管与空肠吻合,止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。不含术中胆道镜检查。","引流装置,T形管,冲洗液","吻合器,血管夹,特殊缝线,止血材料,取石网篮","次","",2900,2320,2030,"乙类","消化","停用"]
[280,"HQK86302","胆囊空肠Roux-y吻合术","逐层进腹,探查,选择上段空肠切断后上提,封闭远端肠袢与胆囊吻合,近端空肠与远端间置空肠端侧吻合,关闭系膜,创面止血,置放腹腔引流管经腹壁另戳孔引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",1800,1440,1260,"甲类","消化","停用"]
[281,"HQK86502","经腹腔镜胆囊空肠Roux-y吻合术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,选择上段空肠切断后上提,封闭远端肠袢与胆囊吻合,近端空肠与远端间置空肠端侧吻合,关闭系膜,创面止血,置放腹腔引流管引出固定,缝合切口。","引流装置","腔镜材料","次","",1900,1520,1330,"乙类","消化","停用"]
[282,"HQK86303","胆胰转流手术(BPD)","逐层进腹,探查,胆管-空肠Roux-en-Y吻合,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置","血管夹,吻合器,特殊缝线,止血材料","次","",2000,1600,1400,"甲类","消化","停用"]
[283,"HPH81301","人工乳头防返流术","指在胆肠重建手术时需附加的防返流手术。术中选择Roux-en-Y胆肠吻合间置肠袢远端,围绕肠周浆肌层间断缝合一圈,使部分肠壁环状内突形成肠腔不全梗阻,止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,T形管,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",1800,1440,1260,"甲类","消化","停用"]
[284,"HQE83302","矩形黏膜瓣防返流术","指在胆肠重建手术时需附加的防返流手术。术中选择Roux-en-Y胆肠吻合间置肠袢远端矩形切除黏膜,与远端肠袢侧侧吻合,止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,T形管,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",1700,1360,1190,"甲类","消化","停用"]
[285,"HQE86301","空肠间置代胆道防返流术","指在胆肠重建手术时需附加的防返流手术。术中选择切取一段带血管系膜的空肠,代替胆道间置肠袢,近端胆肠､远端肠肠分别常规吻合,关闭肠系膜,止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,T形管,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",1700,1360,1190,"甲类","消化","停用"]
[286,"HPH73301","肠切除肠吻合术","逐层进腹,探查,粘连松解,将坏死之病变肠段切除,吻合,观察血运,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",1600,1280,1120,"甲类","消化","停用"]
[287,"HPH73302","肠瘘切除肠吻合术","逐层进腹,探查,粘连松解,寻找肠瘘部位,将病变肠段切除,肠肠吻合,观察血运,连同腹壁瘘口瘢痕切除,止血,置引流管,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",1700,1360,1190,"甲类","消化","停用"]
[288,"HPH86301","肠吻合术","逐层进腹,探查,确定病变部位无法切除,旷置病变,行近端､远端肠肠吻合旁路手术,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,淋巴结追踪剂,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",1600,1280,1120,"甲类","消化","停用"]
[289,"HPD86302","胃胰腺囊肿吻合术","逐层进腹,胰腺探查,粘连松解,显露囊肿与胃后壁吻合,囊壁切取送检,止血,腹腔引流管经腹壁另戳孔引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",1800,1440,1260,"甲类","消化","停用"]
[290,"HPK83302","十二指肠成形术","逐层进腹,探查,游离十二指肠,病灶切除,十二指肠成形,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",1600,1280,1120,"甲类","消化","停用"]
[291,"HPM73301","美克尔憩室切除术","全麻下切开腹壁逐层入腹,寻找憩室,分离结扎系膜后,再行肠切除,断端肠吻合术,仔细缝合伤口,手术后需使用防粘连制剂,生理冲洗液清洗腹腔,放置腹腔引流管。","胃管,引流装置,冲洗液","特殊缝线,止血材料","次","",1250,1000,875,"甲类","消化","停用"]
[292,"HPM73501","腹腔镜美克尔憩室切除术","全麻,消毒铺巾,建立气腹,脐部及左下腹放置套管,探查肠管,自脐部将憩室脱出,行肠切除吻合术,还纳肠管。","胃管,引流装置","腔镜材料","次","",1450,1160,1015,"乙类","消化","停用"]
[293,"HPU83301","感染性直肠前庭瘘修补术","截石位,备皮,探针寻找瘘管,沿瘘管分离至直肠前壁瘘管内口,切除瘘管及瘢痕组织,修补直肠前壁及会阴体重建会阴体。含经俯卧位直肠内手术。","引流装置","特殊缝线,止血材料","单侧","",1480,1180,1035,"甲类","消化","停用"]
[294,"QHXZ0023","肠穿孔修补","逐层进腹探查，穿孔修补，大量冲洗液腹腔冲洗，经腹壁另戳孔置管引出固定，清点器具、纱布无误，冲洗腹腔，逐层关腹。",0,"特殊缝线","次",null,1200,960,840,"甲类","消化","停用"]
[295,"HPK83301","十二指肠憩室内翻术","逐层进腹,探查,游离十二指肠,憩室内翻缝扎,或填塞,止血,置引流管,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",1600,1280,1120,"甲类","消化","停用"]
[296,"HPJ83302","先天性小肠狭窄不全梗阻修复术","全麻插管,消毒铺巾,右中腹横形切口,探查,含膜式狭窄､索带压迫,行隔膜切除肠壁侧侧吻合或切除吻合。","胃管","特殊缝线,止血材料","单侧","多发隔膜,每增加1处加收不超过10%",1600,1280,1120,"甲类","消化","停用"]
[297,"HPH57301","肠粘连松解术","逐层进腹,探查,将广泛肠粘连松解,观察肠血运及有无破损,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。含粘连分解时肠破裂修补。不含肠异物取出术。","引流装置,冲洗液,造瘘管","血管夹,防粘连材料,特殊缝线,止血材料","次","",1400,1120,980,"甲类","消化","停用"]
[298,"HPH57501","经腹腔镜肠粘连松解术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,将广泛肠粘连松解,观察肠血运及有无破损,止血,置管引出固定,缝合伤口。","引流装置,造瘘管","腔镜材料","次","",1300,1040,910,"乙类","消化","停用"]
[299,"HPU57301","耻骨直肠肌松解术","逐层进腹,游离直肠,耻骨直肠肌外括约肌切断,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",1000,800,700,"甲类","消化","停用"]
[300,"HPH71301","肠排列固定术","逐层进腹,探查,广泛粘连松解,将小肠顺蠕动方向Z形排列,固定,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,防粘连材料,特殊缝线,止血材料","次","",1600,1280,1120,"甲类","消化","停用"]
[301,"HPH71501","经腹腔镜肠排列固定术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,广泛粘连松解,将小肠顺蠕动方向Z形排列,固定,止血,置管引出固定,缝合伤口。","引流装置","腔镜材料","次","",1800,1440,1260,"乙类","消化","停用"]
[302,"HPH83302","肠回转不良矫治术(Lodd.s′术)","逐层进腹,探查,阑尾切除,回转不良矫治,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",1600,1280,1120,"甲类","消化","停用"]
[303,"HPD70301","胃扭转复位术","逐层进腹,探查,粘连松解,胃扭转复位､固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",1300,1040,910,"甲类","消化","停用"]
[304,"HPD70501","经腹腔镜胃扭转复位术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,粘连松解,胃扭转复位,固定,置管引出固定,缝合伤口。","引流装置","腔镜材料","次","",1500,1200,1050,"乙类","消化","停用"]
[305,"HPD70601","经胃镜胃扭转复位术","全麻插管,放置胃镜,注气复位扭转。","引流装置","特殊缝线","次","",1100,880,770,"乙类","消化","停用"]
[306,"HPH70302","肠扭转肠套叠复位术","逐层进腹,探查,粘连松解､肠扭转及套叠复位,观察血运,止血,置引流管,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","特殊缝线,止血材料","次","",1300,1040,910,"甲类","消化","停用"]
[307,"HPH70501","经腹腔镜肠扭转肠套叠复位术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,粘连松解,肠扭转及套叠复位,观察血运,止血,置管引出固定,缝合伤口。","引流装置","腔镜材料","次","",1500,1200,1050,"乙类","消化","停用"]
[308,"FQT09301","开腹探查术","逐层进腹,腹腔内各器官探查,止血,清点器具､纱布无误,冲洗腹腔,逐层关腹。不含活检。","引流装置","止血材料,特殊缝线","次","",800,640,560,"甲类","消化","停用"]
[309,"FQT09501","腹腔镜探查术","全身麻醉,局部皮肤消毒,腹壁打孔,形成人工气腹,插入腹腔镜,探查腹腔或腹盆腔。必要时于病变部位取活体组织。图文报告。不含监护､活检､病理学检查。","引流装置","腔镜材料","次","",1000,800,700,"乙类","消化","停用"]
[310,"HQA48301","开腹肝囊肿药物注射治疗","逐层进腹,显露肝囊肿,穿刺引流及注射药物,逐层关腹。","穿刺针,引流装置,注射器","特殊缝线","次","",280,220,190,"甲类","消化","停用"]
[311,"HQA48501","经腹腔镜肝囊肿药物注射治疗","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,定位,穿刺,置管引出固定,注射药物,缝合伤口。","","腔镜材料","次","",480,385,335,"乙类","消化","停用"]
[312,"HQA45301","肝脓肿切开引流术","逐层进腹,探查,游离肝脏,肝脓肿切开吸脓,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","特殊缝线,止血材料","次","",1000,800,700,"甲类","消化","停用"]
[313,"HQA63101","经皮肝脓肿引流管调管术","局部消毒铺巾,沿原引流管经导丝导引,调整引流管位置或置换引流管。不含监护､影像学引导。","穿刺针,引流装置,注射器","导丝,导管","次","",700,560,490,"乙类","消化","停用"]
[314,"HQA45302","肝外伤后血肿清创引流术","逐层进腹,探查,游离肝脏,控制第一肝门,切开肝脏血肿被膜,清除血肿、破碎的肝脏组织、被膜下积脓,结扎断裂的肝内胆管及血管,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,关腹。","T形管,引流装置","血管夹,特殊缝线,止血材料","次","",1320,1055,920,"甲类","消化","停用"]
[315,"HQA45303","开腹肝脓肿置管引流术","逐层进腹,脓肿穿刺定位,切开,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","穿刺针,引流装置,冲洗液","特殊缝线","次","",500,400,350,"甲类","消化","停用"]
[316,"HQA45502","经腹腔镜肝脓肿置管引流术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,定位,穿刺,置管引出固定,缝合伤口。","引流装置","腔镜材料","次","",700,560,490,"乙类","消化","停用"]
[317,"HQA45503","经腹腔镜肝脓肿切开引流术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,游离肝脏,脓肿引流,肝创面止血,置管引出固定,缝合伤口。","引流装置","腔镜材料","次","",1200,960,840,"乙类","消化","停用"]
[318,"FQE01601","开腹胆道镜检查","逐层进腹,切开胆总管前壁,以胆道镜观察肝内胆道树和肝外胆管及十二指肠乳头开口有无病变。不含活检。","引流装置,冲洗液","","次","",1200,960,840,"乙类","消化","停用"]
[319,"HQT45501","经腹腔镜腹腔脓肿置管引流术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,定位,穿刺,置管引出固定,缝合伤口。","引流装置","腔镜材料","次","",700,560,490,"乙类","消化","停用"]
[320,"HPR73301","阑尾炎性包块切除术","逐层进腹,探查,粘连分离,将包裹之炎性包块切除,止血,清点器具､纱布无误,冲洗腹腔,逐层关腹。不含肠破裂修补术､肠切除肠吻合。","冲洗液","特殊缝线,止血材料","次","",1000,800,700,"甲类","消化","停用"]
[321,"HPR75301","阑尾切除术","逐层进腹,探查,分离切除阑尾,包埋根部,止血,清点器具､纱布无误,冲洗腹腔,逐层关腹。含单纯性､化脓性､慢性阑尾炎。","引流装置,冲洗液","止血材料","次","",800,640,560,"甲类","消化","停用"]
[322,"HPR75501","经腹腔镜阑尾切除术","腹壁戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,分离切除阑尾,包埋根部,止血,置管引出固定,缝合伤口。","引流装置","腔镜材料","次","",1000,800,700,"乙类","消化","停用"]
[323,"HPR73501","经腹腔镜阑尾炎性包块切除术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,粘连分离,将包裹之炎性包块完整切除,止血,置管引出固定,缝合伤口。","引流装置","腔镜材料","次","",1200,960,840,"乙类","消化","停用"]
[324,"HPR75302","坏疽性阑尾切除术","逐层进腹,探查,吸净脓性分泌物,分离切除阑尾,包埋根部,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。含仍可切除之坏疽穿孔性阑尾炎。","引流装置,冲洗液","特殊缝线,止血材料","次","",1100,880,770,"甲类","消化","停用"]
[325,"HPR75502","经腹腔镜坏疽性阑尾切除术","腹壁戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,吸净脓性分泌物,分离切除阑尾,包埋根部,止血,置管引出固定,缝合伤口。","引流装置","腔镜材料","次","",1300,1040,910,"乙类","消化","停用"]
[326,"HPS73304","经腹先天性巨结肠根治术","指环钳法,用于各型巨结肠。左下腹横行切口,松解,结扎,切除痉挛段肠管,经肛门套筒下拖正常结肠,环钳吻合。不含病理学检查。","引流装置","吻合器,特殊缝线,止血材料","次","",2000,1600,1400,"甲类","消化","停用"]
[327,"HPS73401","经肛门先天性巨结肠改良根治术","含短段､常见型､部分长段型巨结肠,术前插导尿管。术中环形切开直肠黏膜,剥除黏膜3-3.5厘米,打开直肠肌鞘。扩张段结肠拖出肛门外,分离,结扎肠系膜,切除痉挛段,扩张段肠管,近端下拖肠管与肛门直肠残端吻合。不含病理学检查。","引流装置","特殊缝线,止血材料","次","",2000,1600,1400,"甲类","消化","停用"]
[328,"HPS73801","经腹经肛门先天性巨结肠改良根治术","长段型(脾区以上)巨结肠,左下腹横行切口,松解,结扎,切除痉挛段肠管,经肛门下拖肠管肛门吻合。不含病理学检查。","引流装置","吻合器,特殊缝线,止血材料","次","",2700,2160,1890,"甲类","消化","停用"]
[329,"HPS73802","经腹腔镜经肛门先天性巨结肠改良根治术","适用于长段型(脾区以下)巨结肠。平卧,消毒铺巾,放置腹腔镜,应用血管闭合系统或超声刀止血刀松解系膜血管,游离痉挛段肠管后经肛门下拖与肛门吻合。不含病理学检查。","引流装置","腔镜材料","次","",2200,1760,1540,"乙类","消化","停用"]
[330,"HPS77301","根治性结肠癌切除术","逐层进腹,探查,将病变结肠及区域淋巴结规范切除,肠肠吻合,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2500,2000,1750,"甲类","消化","停用"]
[331,"HPS77302","扩大根治性结肠癌切除术","逐层进腹,探查,将病变结肠及区域淋巴结规范切除,被侵及脏器切除,肠肠吻合,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,淋巴结追踪剂,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2900,2320,2030,"甲类","消化","停用"]
[332,"HPS77501","经腹腔镜结肠癌根治术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,将病变结肠及区域淋巴结规范切除,肠肠吻合,止血,置管引出固定,缝合伤口。","引流装置","腔镜材料","次","",2700,2160,1890,"乙类","消化","停用"]
[333,"HPS73308","结肠癌姑息切除术+短路","逐层进腹,探查,将病变结肠局部切除,肠肠吻合,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,淋巴结追踪剂,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2700,2160,1890,"甲类","消化","停用"]
[334,"HPS73305","先天性巨结肠切除吻合术","逐层进腹,探查,将病变结肠切除,肠肠吻合或肠肛管吻合,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",1600,1280,1120,"甲类","消化","停用"]
[335,"HPS73306","先天性巨结肠切除+回肠袋形成形吻合术","适用于全结肠型巨结肠。左下腹横行切口,松解､结扎､切除全部分痉挛段肠管,将正常回肠末端约15-20厘米行\"J\"或\"W\"侧侧吻合形成\"袋\"后经肛门拖出吻合。不含术中肠壁活检､病理学检查。","","吻合器,特殊缝线,止血材料","次","",2000,1600,1400,"甲类","消化","停用"]
[336,"HPS73501","经腹腔镜先天性巨结肠切除术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,将病变结肠切除,肠肠吻合或肠肛管吻合,止血,置管引出固定,缝合伤口。","引流装置","腔镜材料","次","",2200,1760,1540,"乙类","消化","停用"]
[337,"HPS73302","结肠曲段切除术","逐层进腹,探查,将病变结肠局部切除,肠肠吻合,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",1400,1120,980,"甲类","消化","停用"]
[338,"HPS73303","先天性巨结肠术后夹膈术","指巨结肠术后形成的狭窄隔膜。截石位,肛查确认隔膜位置,消毒铺巾,经肛门深入止血钳,夹除或切除膈膜。","","","次","",1650,1320,1155,"甲类","消化","停用"]
[339,"HPS73301","经腹结肠息肉切除术","平卧,备皮,开腹,探查腹腔,打开结肠息肉部位,结扎缝扎息肉根部,切除息肉,缝合结肠切口,关腹。不含肠切除吻合､病理学检查。","引流装置","特殊缝线,止血材料","次","每增加1个息肉加收不超过10%",1400,1120,980,"甲类","消化","停用"]
[340,"HPP75301","回盲部切除术","逐层进腹,探查,将回盲部及阑尾一并切除,行结肠､回肠吻合,观察血运,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",1500,1200,1050,"甲类","消化","停用"]
[341,"HPP75501","经腹腔镜回盲部切除术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,将回盲部及阑尾一并切除,行结肠､回肠吻合,观察血运,止血,置管引出固定,缝合伤口。","引流装置","腔镜材料","次","",1700,1360,1190,"乙类","消化","停用"]
[342,"HPH83301","肠倒置术","逐层进腹,探查,小肠(或结肠)切断,逆蠕动肠吻合。不含肠粘连松解。","引流装置","吻合器,血管夹,特殊缝线,止血材料","次","",1650,1320,1155,"甲类","消化","停用"]
[343,"HPS73307","结肠癌局部切除术","逐层进腹,探查,将病变结肠局部切除,肠肠吻合,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,淋巴结追踪剂,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2300,1840,1610,"甲类","消化","停用"]
[344,"HPS75301","全结肠切除吻合术","逐层进腹,探查,将全结肠､直肠大部或全部切除,回肠直肠吻合或回肠肛管吻合,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2500,2000,1750,"甲类","消化","停用"]
[345,"HPH83303","肠储存袋成形术","逐层进腹,探查,将远端肠管折叠,侧侧吻合贯通呈袋状,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",1500,1200,1050,"甲类","消化","停用"]
[346,"HPH50301","肠造瘘术","逐层进腹,探查,小肠或结肠双腔､襻式或单腔造瘘,腹壁另开口,提出固定,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液,造瘘管","血管夹,特殊缝线,止血材料","次","",1200,960,840,"甲类","消化","停用"]
[347,"HPT71301","乙状结肠悬吊术","逐层进腹,探查,游离乙状结肠,降结肠,顺肠蠕动方向抬高排列,缝合固定,保持通畅,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",1400,1120,980,"甲类","消化","停用"]
[348,"HPT71501","经腹腔镜乙状结肠悬吊术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,游离乙状结肠,降结肠,顺肠蠕动方向抬高排列,缝合固定,保持通畅,止血,置管引出固定,缝合伤口。","引流装置","腔镜材料","次","",1600,1280,1120,"乙类","消化","停用"]
[349,"HPH70301","肠造瘘还纳术","将腹壁外露造瘘肠段完整切除,粘连松解,肠肠吻合,观察血运,止血,置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",1500,1200,1050,"甲类","消化","停用"]
[350,"HPU73602","经内镜直肠良性肿物切除术","指腺瘤､息肉､纤维瘤､脂肪瘤等良性新生物。肛门指诊,直肠镜检查,确定肿物部位,于根部切除肿物,缝合,止血。","引流装置","特殊缝线,止血材料","次","",1100,880,770,"乙类","消化","停用"]
[351,"HPU73601","经内镜直肠肿物切除术","肛门指诊,直肠镜检查,确定肿物部位,于根部切除肿物,缝合,止血。","引流装置","特殊缝线,止血材料","次","",1100,880,770,"乙类","消化","停用"]
[352,"HPU73603","经内镜直肠良性肿物激光切除术","肛门指诊,直肠镜检查,确定肿物部位,用激光于根部切除肿物,缝合,止血。","","特殊缝线,止血材料","次","",1100,880,770,"乙类","消化","停用"]
[353,"HPU73604","经内镜直肠良性肿物套扎切除术","肛门指诊,直肠镜检查,确定肿物部位,用套扎器于根部切除肿物,缝合,止血。","引流装置","特殊缝线,止血材料,套扎器,息肉勒除器","次","",1100,880,770,"乙类","消化","停用"]
[354,"HPU73605","经内镜直肠良性肿物电凝切除术","肛门指诊,直肠镜检查,确定肿物部位,用电凝于根部切除肿物,缝合,止血。","","特殊缝线,止血材料","次","",1100,880,770,"乙类","消化","停用"]
[355,"HPU77301","直肠癌根治术(Dixon手术)","逐层开腹,探查,直肠切除,区域淋巴结清扫,乙状结肠､直肠或肛管吻合,止血,经腹壁另戳孔置管引流固定,清点器具､纱布无误,冲洗腹腔,逐层关腹,常规扩肛。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2300,1840,1610,"甲类","消化","停用"]
[356,"HPU77303","经骶尾部直肠癌根治术","骶尾部切口,分离达直肠,显露直肠,常规切除,区域淋巴结清扫,结肠肛管吻合,止血,经腹壁另戳孔置管固定,缝合伤口。","引流装置","吻合器,血管夹,特殊缝线,止血材料","次","",2500,2000,1750,"甲类","消化","停用"]
[357,"HPU77304","拖出式直肠癌根治术","逐层进腹,探查,直肠及部分肛管切除,区域淋巴结清扫,拖出乙状结肠与肛管吻合,止血､经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹,常规扩肛。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2700,2160,1890,"甲类","消化","停用"]
[358,"HPU77501","经腹腔镜直肠癌根治术(Dixon手术)","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,直肠切除,区域淋巴结清扫,乙状结肠,直肠或肛管吻合,止血,置管引出固定,缝合伤口。常规扩肛。","引流装置","腔镜材料","次","",2500,2000,1750,"乙类","消化","停用"]
[359,"HPU77801","经腹会阴直肠癌根治术(Miles手术)","逐层进腹,探查,直肠切除,区域淋巴结清扫,第二组将会阴肛门及周围皮肤,坐骨直肠窝内软组织,肛提肌,肛管切除,闭合会阴切口,结肠在腹部另造口,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",3000,2400,2100,"甲类","消化","停用"]
[360,"HPU77802","经腹腔镜会阴直肠癌根治术(Miles手术)","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,直肠切除,区域淋巴结清扫,第二组将会阴肛门及周围皮肤，坐骨直肠窝内软组织，肛提肌，肛管切除,闭合会阴切口,结肠在腹部另造口,止血,置管引出固定,缝合伤口。","引流装置,冲洗液","腔镜材料","次","",3200,2560,2240,"乙类","消化","停用"]
[361,"HQU73303","直肠癌术后复发盆腔脏器切除术","逐层进腹,探查,肠粘连松解,切除游离复发肿瘤及被侵及脏器,重建肠道､尿道､生殖道,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置","吻合器,血管夹,特殊缝线,止血材料","次","",2500,2000,1750,"甲类","消化","停用"]
[362,"HQU73501","经腹腔镜直肠癌术后复发盆腔脏器切除术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,肠粘连松解,切除游离复发肿瘤及被侵及脏器,重建肠道､尿道､生殖道,止血,置管引出固定,缝合伤口。","引流装置","腔镜材料","次","",2700,2160,1890,"乙类","消化","停用"]
[363,"HPU77305","扩大根治性直肠癌切除术","逐层进腹,探查,直肠切除,区域淋巴清扫,将会阴肛门及周围皮肤,坐骨直肠窝内软组织,肛提肌,肛管切除,被侵及脏器切除,重建肠道,尿道,生殖道,止血,置引流管,冲洗腹腔,逐层关腹,常规扩肛。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",3000,2400,2100,"甲类","消化","停用"]
[364,"HPU77302","超低位直肠癌根治术","指在距离齿状线5厘米以上的肿瘤。逐层进腹,探查,直肠及部分肛管切除,区域淋巴结清扫,乙状结肠肛管吻合,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹,常规扩肛。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2600,2080,1820,"甲类","消化","停用"]
[365,"HPU77502","经腹腔镜超低位直肠癌根治术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,直肠及部分肛管切除,区域淋巴结清扫,乙状结肠肛管吻合,止血,置管引出固定,缝合伤口,常规扩肛。","引流装置","腔镜材料","次","",2800,2240,1960,"乙类","消化","停用"]
[366,"PBEA1902","经腹会阴联合直肠内异物取出术","术区消毒铺巾,开腹,暴露直肠及损伤部位,手法将直肠内异物推出肛门,肛门镜或直肠镜下修补缝合肛管直肠损伤,或切开直肠,将异物取出,缝合肠腔,修补损伤部位,冲洗腹腔,负压吸引器吸出腹腔内冲洗液,放置腹腔引流管,逐层关闭腹腔。","注射器,肛门镜,引流装置,直肠镜","特殊缝线,止血材料","次","同一部位两种以上疾病同时存在同时实施治疗,计费以第一种病全价,其它合并病按80%计价",1200,960,840,"甲类","消化","停用"]
[367,"HPH65301","开腹排粪石术","体位摆放,消毒铺巾,开腹,探查,取出粪石,缝合肠管。","引流装置","特殊缝线","次","",1200,960,840,"甲类","消化","停用"]
[368,"HPH65302","肠道切开异物取出术","经右或左腹直肌切口逐层进腹,探查,肠道切开,取出异物(粪石､引流物､蛔虫､误食难以排出之尖锐固体),缝合肠壁,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",1300,1040,910,"甲类","消化","停用"]
[369,"HPU71402","经肛门直肠脱垂手术(delorem手术)","肛门指诊,扩肛,拉钩深入,暴露直肠病变部位,直肠黏膜切开,剥离管状黏膜,折叠,缝合肌层,提升脱出直肠,直肠黏膜吻合,止血,置管引出固定。","引流装置","吻合器,血管夹,特殊缝线,止血材料","次","",1100,880,770,"甲类","消化","停用"]
[370,"PBEA1401","直肠脱垂复位治疗","指Ⅰ､Ⅱ度直肠脱垂复位治疗。肛周消毒铺巾,肛周局部麻醉后,消毒脱垂的肛管直肠,用双手挤压脱垂的组织,用负压吸引器吸出渗出物,待水肿减轻后,缓缓将脱垂的组织送回,外敷塔纱盖护,胶布固定。","注射器,引流装置","","次","",170,140,120,"甲类","消化","停用"]
[371,"PBEA1402","Ⅲ度直肠脱垂复位治疗","指Ⅲ度直肠脱垂及脱垂嵌顿复位治疗。肛周消毒,消毒肠腔,清除坏死黏膜,用负压吸引器吸出渗出物及坏死组织,在直肠镜下缝扎止血,用双手将脱垂部位缓慢还纳,外敷塔纱盖护,胶布固定。","注射器,引流装置,直肠镜","","次","",270,215,190,"甲类","消化","停用"]
[372,"HPU71301","直肠脱垂悬吊术","逐层进腹,探查,直肠悬吊固定于直肠周围组织,封闭直肠前凹陷,加固盆底筋膜,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",1500,1200,1050,"甲类","消化","停用"]
[373,"HPU71401","经肛门直肠黏膜环切钉合术(PPH)","肛门指诊,肛门镜检查,扩肛,环形缝扎,用吻合器黏膜环切,止血,评估效果。","肛门镜/直肠镜","吻合器,特殊缝线,止血材料","次","",900,720,630,"甲类","消化","停用"]
[374,"PBEA1601","经阴道直肠前突修补术","肛周､会阴､阴道､肛管直肠消毒铺巾,置导尿管,经肛门镜及阴道窥器检查,确定前突位置,切开阴道后壁,显露提肛肌,用可吸收线将其缝合,修补缺损后去掉多余阴道后壁,用可吸收线间断缝合,电刀､超声刀或氩气刀止血,检查创面无渗､出血,放置引流条,外敷纱布,胶布固定。","注射器,引流装置,阴道窥器,肛门镜","止血材料,特殊缝线","次","同一部位两种以上疾病同时存在同时实施治疗,计费以第一种病全价,其它合并病按80%计价",1160,930,810,"甲类","消化","停用"]
[375,"PBEA1602","经肛门直肠前突修补术","肛周､会阴､阴道､肛管直肠消毒铺巾,置导尿管,经肛门镜及阴道窥器检查,确定前突位置,经肛门切开直肠前壁黏膜,切除前突位置的直肠黏膜,横行缝合直肠壁､用吻合器行黏膜切除吻合或结扎前突部位的直肠黏膜,用可吸收线间断缝合,电刀､超声刀或氩气刀止血,检查创面无渗､出血,放置引流条,外敷纱布,胶布固定。","注射器,引流装置,阴道窥器,肛门镜","吻合器,止血材料,特殊缝线","次","同一部位两种以上疾病同时存在同时实施治疗,计费以第一种病全价,其它合并病按80%计价",1260,1010,880,"甲类","消化","停用"]
[376,"HPV83301","肛门成形术","常规消毒,铺无菌巾,纵行切开肛窝,分离并打开外括约肌,暴露直肠盲端并剪开,与括约肌及皮肤分层缝合,电凝止血,留置肛管,包扎。","肛管","特殊缝线,止血材料","次","",1000,800,700,"甲类","消化","停用"]
[377,"HPV83302","尾路肛门成形术","肛门镜检查,行经直肠直肠尿道瘘修补､直肠阴道瘘修补。不含膀胱造瘘､直肠造瘘。","肛门镜","补片,支架,止血材料","次","",1600,1280,1120,"甲类","消化","停用"]
[378,"HPV81301","肛门环行缩窄术","指肛门指诊。肛门括约肌环形缝合,成形,开口松紧适当。","","特殊缝线","次","",800,640,560,"甲类","消化","停用"]
[379,"HTW83304","先天性肛门闭锁男性会阴肛门成形术","截石位,消毒铺巾,插导尿管,电刺激仪定位肛门外括约肌中心位置,十字切开,向上分离找到直肠盲端,游离松解,将直肠末端与肛周固定,会阴体成形。","引流装置","止血材料","次","",970,780,680,"甲类","消化","停用"]
[380,"HPV83303","先天性肛门闭锁尾路肛门成形术(pena手术)","全麻,俯卧位。插导尿管,消毒备皮,电刺激仪定位肛穴,纵行切开骶尾部皮肤肌肉,至尾骨处,寻找直肠盲端,小心游离,修补直肠尿道瘘或直肠阴道瘘,充分游离直肠末端,将直肠末端无张力牵至并固定于新定位肛穴处,成形肛门,关闭骶部切口。含直肠阴道瘘修补。不含膀胱造瘘､直肠尿道瘘修补。","引流装置,导尿管","止血材料,特殊缝线","次","",1600,1280,1120,"甲类","消化","停用"]
[381,"HPV83304","先天性肛门闭锁肛门后切成形术","指男性低位无肛合并有会阴瘘。截石位,消毒铺巾,插导尿管,电刺激仪定位肛门外括约肌位置,沿会阴瘘口向后切至外括约肌后缘,将直肠末端与肛周固定,会阴体成形。","引流装置,导尿管","止血材料,特殊缝线","次","",1100,880,770,"甲类","消化","停用"]
[382,"HPV89302","先天性一穴肛矫治术","含肛门､阴道､尿道成形术(尿道延长术),回肠阴道再造,膀胱颈延长紧缩,会阴体再造。不含膀胱镜检查。","","止血材料,特殊缝线","次","共同管腔大于3厘米加收不超过50%",1900,1520,1330,"乙类","消化","停用"]
[383,"HPR45301","阑尾周围脓肿引流术","逐层进腹,探查,吸净脓性分泌物,脓肿或盆腔内置引流管,止血,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","特殊缝线,止血材料","次","",800,640,560,"甲类","消化","停用"]
[384,"HPR45501","经腹腔镜阑尾周围脓肿引流术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,吸净脓性分泌物,脓肿或盆腔内置引流管,止血,置管引出固定,缝合伤口。","引流装置","腔镜材料","次","",1000,800,700,"乙类","消化","停用"]
[385,"HQU45301","开腹盆腔脓肿置管引流术","定位,消毒铺巾,插导尿管,逐层进腹,脓肿穿刺切开,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","穿刺针,引流装置,冲洗液","特殊缝线","次","",600,480,420,"甲类","消化","停用"]
[386,"HQU45501","经腹腔镜盆腔脓肿置管引流术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,定位,穿刺,置管引出固定,缝合伤口。","引流装置","腔镜材料","次","",800,640,560,"乙类","消化","停用"]
[387,"HQU45402","经直肠盆腔脓肿切开引流术","肛门指诊,插入肛镜,于肿块膨出部位穿刺,确定脓肿后经直肠切开,置管,将脓液引出,止血,扩肛。","引流装置","特殊缝线","次","",800,640,560,"甲类","消化","停用"]
[388,"FPV01601","肛门镜检查","肛门指诊,插入肛门镜,观察肛管､直肠内有无病变及异常,取粪便标本和直肠下段黏膜擦拭､消毒。不含活检。","肛门镜","","次","",15,12,10,"甲类","消化","停用"]
[389,"FPV01401","肛门指诊","肛门､肛管外观､肛管､直肠下段指诊检查,盆底肌肉张力检查,取粪便标本。","","","次","",10,8,7,"甲类","消化","停用"]
[390,"PBEA1702","人工扩肛治疗","肛周局部麻醉后,肛周消毒铺巾,碘伏消毒肛管及直肠,肛门镜检查肛管直肠,肛门直肠指诊检查并按摩,确定肛门松弛后,将食指等缓缓插入肛管扩肛,将肛管直径逐步扩至4-6厘米,检查无渗､出血,创面引流通畅,肛管内放置痔消炎栓及油纱条,外敷塔纱,胶布固定。","注射器,肛门镜","","次","同一部位两种以上疾病同时存在同时实施治疗,计费以第一种病全价,其它合并病按80%计价",90,70,60,"甲类","消化","停用"]
[391,"PBEA1703","器械扩肛治疗","肛周局部麻醉后,肛周消毒铺巾,碘伏消毒肛管及直肠,经肛门镜检查肛管直肠,肛门直肠指诊检查并按摩,确定肛门松弛后,将肛门扩张器按型号逐一缓缓插入肛管扩肛,从小号至大号每一扩张器在肛内保留约10分钟,将肛管直径逐步扩至4-6厘米,或选用一次性扩肛棒扩肛,检查无渗､出血,创面引流通畅,肛管内放置痔消炎栓及油纱条,外敷塔纱,胶布固定。","注射器,引流装置,肛门镜,扩肛棒","止血材料","次","同一部位两种以上疾病同时存在同时实施治疗,计费以第一种病全价,其它合并病按80%计价",120,95,85,"甲类","消化","停用"]
[392,"PBEA1701","手术扩肛治疗","肛周局部麻醉后,肛周消毒铺巾,碘伏消毒肛管及直肠,肛门直肠指诊检查并按摩,确定肛门松弛后,将两食指插入肛管并缓缓反向扩张,将肛管直径扩至4-6厘米,经分叶肛门镜在截石位6点显露内括约肌并松解或另从肛周侧方另行切口行内括约肌松解术,修剪皮瓣畅通引流,缝合切口,电刀､氩气刀或超声刀止血,检查无渗､出血,创面引流通畅,肛管内放置痔消炎栓及油纱条,外敷塔纱,胶布固定。","注射器,引流装置,肛门镜,阴道窥器","特殊缝线","次","同一部位两种以上疾病同时存在同时实施治疗,计费以第一种病全价,其它合并病按80%计价",680,540,470,"甲类","消化","停用"]
[393,"PBEA1801","肛门狭窄挂线术","肛周局部麻醉后,肛周消毒铺巾,消毒肠腔,在肛管狭窄处穿挂药线或橡皮筋,达到治疗目的,电刀､氩气刀或超声刀止血,检查创面无渗､出血,外敷纱布,胶布固定。","注射器,药线","特殊缝线,止血材料","次","同一部位两种以上疾病同时存在同时实施治疗,计费以第一种病全价,其它合并病按80%计价",300,240,210,"甲类","消化","停用"]
[394,"HPV80301","扩肛术","指直肠肛门狭窄,肛门指诊,肛门镜检查,扩肛。","肛门镜","止血材料","次","",100,80,70,"甲类","消化","停用"]
[395,"PBEA1802","直肠狭窄挂线术","肛周消毒,铺巾,消毒肠腔,在分叶直肠镜下在直肠狭窄处穿挂药线或橡皮筋,达到治疗目的,电刀､超声刀或氩气刀止血,检查创面无渗､出血,外敷纱布,胶布固定。","注射器,直肠镜,药线","特殊缝线,止血材料","次","同一部位两种以上疾病同时存在同时实施治疗,计费以第一种病全价,其它合并病按80%计价",400,320,280,"甲类","消化","停用"]
[396,"HPU80301","直肠狭窄扩张术","肛门指诊,肛门镜检查狭窄部位,用手指或扩张器反复扩大。","肛门镜","扩张器","次","",240,190,170,"甲类","消化","停用"]
[397,"PBEA1901","经肛门直肠内异物取出术","肛周消毒铺巾,扩肛,用手法或器械钳夹异物,将异物取出,冲洗肠腔,负压吸引器吸引,损伤部位进行肛门镜或直肠镜下缝合止血。","注射器,肛门镜,直肠镜","特殊缝线","次","同一部位两种以上疾病同时存在同时实施治疗,计费以第一种病全价,其它合并病按80%计价",150,120,105,"甲类","消化","停用"]
[398,"HPV65301","血栓性外痔切开取栓术","检查血栓痔核,局麻,切开减压,取出痔核。","注射器","","次","",500,400,350,"甲类","消化","停用"]
[399,"HPV73306","外痔切除术","肛门指诊,肛门镜检查,将外痔核切除,缝合。","肛门镜","止血材料,特殊缝线","次","",600,480,420,"甲类","消化","停用"]
[400,"PBEA0101","血栓性外痔切除术","肛周消毒铺巾,肛周局部麻醉后,用电刀切开皮肤,分离血栓并剥离,创面放置油纱条,外敷塔纱,胶布固定。","注射器","","次","同一部位两种以上疾病同时存在同时实施治疗,计费以第一种病全价,其它合并病按80%计价",500,400,350,"甲类","消化","停用"]
[401,"PBEA0401","混合痔外剥内扎术","肛周局部麻醉后,肛周消毒､铺巾,肛门直肠指诊,经肛门镜探查肛管直肠,扩肛,用多功能痔疮治疗仪剥离外痔至齿线,钳夹内痔基底部,普通缝线或血管结扎束结扎或缝扎内痔,距结扎线0.5厘米剪断痔组织。用负压吸引器吸出疮面渗血,电刀或氩气刀､超声刀电凝止血。检查无渗､出血后,肛管内放置痔消炎栓及油纱条,外敷塔纱,胶布固定。","注射器,肛门镜,引流装置","止血材料","每痔核","同一部位两种以上疾病同时存在同时实施治疗,计费以第一种病全价,其它合并病按80%计价",750,600,525,"甲类","消化","停用"]
[402,"PBEA0102","复杂性血栓性外痔切除术","指多个血栓或环状血栓外痔切除术。肛周消毒铺巾,肛周局部麻醉后,逐一切开皮肤､分离血栓并剥离后,用负压吸引器吸出坏死组织,用多功能痔疮治疗仪或电刀或氩气刀､超声刀止血,注意保留肛管皮桥,防止术后肛管狭窄,创面放置油纱条,外敷塔纱,胶布固定。","引流装置,注射器","止血材料,特殊缝线","次","同一部位两种以上疾病同时存在同时实施治疗,计费以第一种病全价,其它合并病按80%计价",600,480,420,"甲类","消化","停用"]
[403,"HPV50302","痔嵌顿切开还纳术","检查嵌顿痔核,无法还纳时局麻,切开减压,取出痔核,还纳肛内。","","","次","",600,480,420,"甲类","消化","停用"]
[404,"KPV70701","混合痔嵌顿手法还纳术","检查嵌顿痔核,适度以手指推入还纳。","","","次","",130,105,90,"甲类","消化","停用"]
[405,"PBEA0104","嵌顿型环状混合痔脱出切除术","指嵌顿型环状混合痔脱出切除术。肛周局部麻醉后,肛周消毒､铺巾,肛门直肠指诊,经肛门镜探查肛管直肠,扩肛,将脱垂组织送入直肠内。剥离外痔至齿线,清除组织内的血栓及坏死组织,用负压吸引器吸出坏死组织及渗血,钳夹内痔基底部,保留足够皮桥,预防肛管狭窄。普通缝线或血管结扎术结扎或缝扎内痔,距结扎线0.5厘米剪断痔组织。用多功能痔疮治疗仪或电刀或氩气刀､超声刀止血,检查无渗､出血､皮桥完整,创面引流通畅后,肛管内放置痔消炎栓及油纱条,外敷塔纱,胶布固定。","肛门镜,引流装置,注射器","止血材料,特殊缝线","次","同一部位两种以上疾病同时存在同时实施治疗,计费以第一种病全价,其它合并病按80%计价",900,720,630,"甲类","消化","停用"]
[406,"HPV73307","内痔环切术","肛门指诊,肛门镜检查,扩肛,内核核环切,缝合。","肛门镜","止血材料,特殊缝线","次","",700,560,490,"甲类","消化","停用"]
[407,"PBEA0103","环状混合痔切除术","肛周局部麻醉后,肛周消毒铺巾,肛门直肠指诊,经肛门镜探查肛管直肠,扩肛,剥离外痔至齿线,钳夹(或血管结扎术结扎)内痔基底部,保留足够皮桥,预防肛管狭窄,结扎或缝扎内痔,距结扎线0.5厘米剪断痔组织。用负压吸引器吸出渗出物或血液,用多功能痔疮治疗仪或电刀或氩气刀､超声刀止血,检查无渗,出血,皮桥完整,创面引流通畅后,肛管内放置痔消炎栓及油纱条,外敷塔纱,胶布固定。","肛门镜,引流装置,注射器","止血材料","次","同一部位两种以上疾病同时存在同时实施治疗,计费以第一种病全价,其它合并病按80%计价",1000,800,700,"甲类","消化","停用"]
[408,"PBEA0201","内痔硬化剂注射治疗","指Ⅰ､Ⅱ度内痔硬化剂注射治疗术(枯痔治疗)。肛周消毒铺巾,肛周局部麻醉后,用喇叭形肛门镜找到痔,碘伏消毒痔核,将药液按不同比例､剂量分别注入到痔上动脉区､痔中央黏膜下､黏膜固有层及齿线上洞状静脉区,肛管内放置痔消炎栓及油纱条,外敷塔纱,胶布固定。","注射器,肛门镜","","每痔核","同一部位两种以上疾病同时存在同时实施治疗,计费以第一种病全价,其它合并病按80%计价",100,80,70,"甲类","消化","停用"]
[409,"PBEA0202","环状混合痔硬化剂注射治疗","指环状混合痔,内痔Ⅲ度至IV度硬化剂注射治疗术(枯痔治疗)。肛周消毒铺巾,肛周局部麻醉后,用喇叭形肛门镜经肛门找到痔,碘伏消毒痔核,将药液按不同比例､剂量分别注入到痔上动脉区､痔中央黏膜下､黏膜固有层及齿线上洞状静脉区,肛管内放置痔消炎栓及油纱条,外敷塔纱,胶布固定。","注射器,肛门镜","","每痔核","同一部位两种以上疾病同时存在同时实施治疗,计费以第一种病全价,其它合并病按80%计价",150,120,105,"甲类","消化","停用"]
[410,"PBEA0301","直肠脱垂黏膜下注射治疗","指Ⅰ或Ⅱ度直肠脱垂黏膜下注射治疗。肛周消毒铺巾,扩肛,将直肠牵至肛外,消毒肛管直肠,用装有腰麻注射针头注射器将硬化液注入到脱垂的黏膜下(呈双层､四柱,并每柱间的黏膜下给予点状注射),或经肛门镜或直肠镜下行直肠黏膜下注射,按摩注射部位使药液均匀分布,将直肠送回肛内,检查创面无渗､出血。必要时缝线结扎止血,放置引流管,外敷塔纱,胶布固定。","注射器,穿刺针,肛门镜,直肠镜,引流装置","","次","",200,160,140,"甲类","消化","停用"]
[411,"PBEA0302","完全性直肠脱垂双层硬化剂注射治疗","指Ⅱ或Ⅲ度完全性直肠脱垂双层硬化剂注射治疗。肛周消毒铺巾,扩肛,消毒肛管直肠,在食指的引导下,距肛缘2厘米,用装有腰麻注射针头的注射器,按截石位3､6､9点位,将硬化液分别注入到两侧骨盆直肠间隙和直肠后间隙。经直肠按摩注射后的间隙,使药液均匀分布,在肛门镜下对松弛的黏膜行硬化剂黏膜下逐层点状注射,外敷纱布,胶布固定。","注射器,穿刺针,肛门镜,直肠镜,引流装置","","次","",400,320,280,"甲类","消化","停用"]
[412,"PBEA0303","直肠前突出注射治疗","肛周消毒铺巾,扩肛,用装有腰麻注射针头注射器将硬化液,经肛门镜(按三条柱状形式,顶端越过前突上缘甚至达到宫颈下)自齿线上0.5厘米注入直肠前壁的黏膜下,按摩注射部位使药液均匀分布,放置引流管,外敷塔纱,胶布固定。","注射器,穿刺针,肛门镜,引流装置","","次","",300,240,210,"甲类","消化","停用"]
[413,"PBEA2001","肛周药物注射封闭术","肛周消毒铺巾,用注射器将药物缓缓地注入病变部位的皮下或需要注射的指定部位。","注射器","","次","同一部位两种以上疾病同时存在同时实施治疗,计费以第一种病全价,其它合并病按80%计价",60,48,42,"甲类","消化","停用"]
[414,"PBEA0601","内痔套扎术","肛周局部麻醉,消毒肠腔,肛门镜下使用套扎器用一次性圈套皮筋逐一套扎内痔,外敷纱布,胶布固定。","注射器,肛门镜","套扎器","次","同一部位两种以上疾病同时存在同时实施治疗,计费以第一种病全价,其它合并病按80%计价",200,160,140,"甲类","消化","停用"]
[415,"QHXZ0055","经电子内镜内痔硬化+套扎治疗术","清洁肠道，镇静，润滑肠道，经肛门插入电子内镜，在内镜直视下向痔静脉内多位点注入硬化剂或（和）套扎治疗，图文报告。不含监护。","注射器，三通，内镜注射针","套扎器","每痔核","1、以三个痔核为基价，每增加一个痔核按20%收取\n2、只行硬化剂注射治疗按80%收取\n3、只行套扎治疗术按20%收取",1000,800,700,"乙类","消化","停用"]
[416,"HPV59601","经肛门镜内痔套扎术","清洁远段肠道,插入肛门镜,暴露痔曲张静脉,采用套扎器套扎痔静脉。人工报告。","肛门镜","套扎器","次","",700,560,490,"乙类","消化","停用"]
[417,"PBEA0701","经直肠多普勒痔动脉结扎术","肛周局部麻醉,消毒肠腔,经肛门在直肠多普勒仪器探头引导下逐一缝扎痔动脉,检查无渗血,外敷纱布,胶布固定。","注射器","特殊缝线","次","同一部位两种以上疾病同时存在同时实施治疗,计费以第一种病全价,其它合并病按80%计价",400,320,280,"甲类","消化","停用"]
[418,"HPV50301","低位肛瘘切开术","指皮下､肛门外括约肌浅部潜行之肛瘘。肛门指诊,肛门镜检查,将探条经肛瘘内口插入,通过瘘管外口引出,切开瘘口,开放引流。","肛门镜,引流装置","特殊缝线,止血材料","次","",500,400,350,"甲类","消化","停用"]
[419,"HPV73301","低位肛瘘切除术","指皮下､肛门外括约肌浅部潜行之肛瘘。肛门指诊,肛门镜检查,将探条经肛瘘内口插入,通过瘘管外口引出,完整切除瘘管,开放引流,新鲜伤口可Ⅰ期缝合。","肛门镜,引流装置","特殊缝线,止血材料","次","",700,560,490,"甲类","消化","停用"]
[420,"PBEA1101","肛瘘封堵术","肛周消毒铺巾,消毒肛管直肠,肛门直肠指诊,经肛门镜探查肛管直肠,确定原发感染部位后,用刮匙经肛瘘外口进入,搔刮瘘管管道中坏死组织,仔细冲洗创面,电刀､氩气刀或超声刀止血,将充填材料填入瘘管,检查创面无渗､出血,引流通畅,外敷塔纱,胶布固定。","注射器,肛门镜,引流装置","","次","同一部位两种以上疾病同时存在同时实施治疗,计费以第一种病全价,其它合并病按80%计价",700,560,490,"甲类","消化","停用"]
[421,"HPW73305","低位肛周窦道切除术","指皮下､肛门外括约肌浅部潜行之窦道。肛门指诊,肛门镜检查,经窦道口注入染料,将染色窦道组织完整切除,开放引流,新鲜伤口可一期缝合。","肛门镜,引流装置","止血材料,特殊缝线","次","",600,480,420,"甲类","消化","停用"]
[422,"HPW73307","骶尾部瘘道切除术","骶尾部切口,沿窦道分离至根部完整切除,止血,置管引出固定,切口缝合。","引流装置","止血材料,特殊缝线","次","",700,560,490,"甲类","消化","停用"]
[423,"HPV73303","复杂肛瘘切除术","指肛门外括约肌低位、多瘘口部位的肛瘘。肛门指诊,肛门镜检查,将探条经肛瘘内口插入,通过瘘管外口引出,完整切除瘘管,开放引流,新鲜伤口可Ⅰ期缝合。","引流装置,肛门镜","特殊缝线","次","",1100,880,770,"甲类","消化","停用"]
[424,"HPV73302","高位肛瘘切除术","指肛门外括约肌深部潜行之肛瘘。肛门指诊,肛门镜检查,将探条经肛瘘内口插入,通过瘘管外口引出,完整切除瘘管,开放引流,新鲜伤口可Ⅰ期缝合。","引流装置,肛门镜","特殊缝线,止血材料","次","",1000,800,700,"甲类","消化","停用"]
[425,"PBEA1201","高位复杂肛瘘挂线治疗","指瘘道穿过或越过外括约肌深层及耻骨直肠肌的肛瘘挂线治疗术。肛周消毒铺巾,肛门直肠指诊,用肛门镜检查肛管直肠,确定原发感染部位后用探针进入瘘管探查,找寻到内口后,切开探针以上皮肤及皮下组织,用负压吸引器吸出坏死组织,在病变对应处的肛管直肠环用橡皮筋环绕收紧,并用丝线结扎,电刀､氩气刀或超声刀止血,检查创面无渗､出血,引流通畅,充填油纱条,外敷塔纱,胶布固定。","注射器,肛门镜,引流装置","止血材料,特殊缝线","次","同一部位两种以上疾病同时存在同时实施治疗,计费以第一种病全价,其它合并病按80%计价",1100,880,770,"甲类","消化","停用"]
[426,"HPV73304","肛裂切除术","肛周消毒铺巾,肛周局部麻醉,肛门直肠指诊,经肛门镜探查肛管直肠,扩肛,用多功能痔疮治疗仪或手术刀梭形切开皮肤､皮下及肛裂组织,剥离皮瓣至齿线,钳夹基底部,普通缝线或血管结扎束结扎或缝扎,距结扎线0.5厘米剪断多余皮瓣及肛裂组织,电刀(或氩气刀､超声刀)电凝止血,检查无渗出血后,肛管内放置痔消炎栓及油纱条,外敷塔纱,胶布固定。","引流装置,注射器","","次","",700,560,490,"甲类","消化","停用"]
[427,"HPV73305","肛裂纵切横缝术","肛周消毒铺巾,肛周局部麻醉,肛门直肠指诊,经肛门镜探查肛管直肠,扩肛,用多功能痔疮治疗仪或手术刀梭形切开皮肤､皮下及肛裂组织,游离皮瓣至直肠黏膜,切除多余皮瓣,将直肠黏膜与肛周皮肤横行缝合数针。电刀或氩气刀､超声刀电凝止血。检查无渗出血后,肛管内放置痔消炎栓及油纱条,外敷塔纱,胶布固定。","引流装置,肛门镜,注射器","特殊缝线","次","",700,560,490,"甲类","消化","停用"]
[428,"HPU45301","直肠肛门周围脓肿切开引流术","肛门指诊,检查有无肛瘘内口,肛门直肠周围脓肿切开引流,置管引出固定,包扎固定,送细菌培养。","肛门镜,引流装置","","次","",420,340,290,"甲类","消化","停用"]
[429,"PBEA0901","复杂性高位肛周脓肿切开引流原发病灶清除挂线术","指骨盆直肠窝脓肿切开引流原发病灶清除挂线术。肛周消毒铺巾,肛门直肠指诊,经肛门镜探查肛管直肠,确定原发感染部位后,于脓肿中央切开皮肤,放出脓液后,用负压吸引器吸出坏死组织或残余脓液,用探针进入脓腔探查,找寻到原发病灶后,彻底清除感染灶,切开皮肤及皮下组织,引流口内的外括约肌深层及提肛肌以上瘘管采用挂线疗法,达到保护肛门括约肌的作用,电刀或氩气刀､超声刀止血,检查创面无渗､出血,引流通畅,充填油纱条,外敷塔纱,胶布固定。","注射器,肛门镜,引流装置","止血材料,特殊缝线","次","同一部位两种以上疾病同时存在同时实施治疗,计费以第一种病全价,其它合并病按80%计价",950,760,665,"甲类","消化","停用"]
[430,"PBEA1001","肛门直肠周围脓腔搔刮术","肛周消毒铺巾,消毒肛管直肠,肛门镜检查肛管直肠,用刮匙经外口进入脓腔,搔刮坏死组织,用负压吸引器吸出坏死组织,仔细冲洗创面,电刀或氩气刀､超声刀止血,检查创面无渗､出血,并缝扎止血,引流通畅,充填油纱条,外敷塔纱,胶布固定。","注射器,肛门镜,引流装置","","次","同一部位两种以上疾病同时存在同时实施治疗,计费以第一种病全价,其它合并病按80%计价",600,480,420,"甲类","消化","停用"]
[431,"PBEA0801","肛周脓肿切开引流原发病灶清除术","指坐骨直肠窝脓肿切开引流原发病灶清除术。肛周消毒､铺巾,肛门直肠指诊,经肛门镜探查肛管直肠,确定原发感染部位后,于脓肿中央切开皮肤,放出脓液后,用负压吸引器吸出坏死组织或残余脓液,用探针进入脓腔探查,找寻到原发病灶后,切开探针以上皮肤及皮下组织,电刀或氩气刀､超声刀止血,检查创面无渗､出血,引流通畅,充填油纱条,外敷塔纱,胶布固定。","注射器,肛门镜,引流装置","止血材料","次","同一部位两种以上疾病同时存在同时实施治疗,计费以第一种病全价,其它合并病按80%计价",1000,800,700,"甲类","消化","停用"]
[432,"PBEA2101","化脓性肛周大汗腺炎切开清创引流术","肛周消毒铺巾,切开感染组织,并清除坏死组织(将分泌物送细菌培养,取组织送病理学检查),用负压吸引器吸出残余坏死组织,用双氧水仔细冲洗､湿敷创面,电刀､氩气刀或超声刀止血,检查创面无渗､出血,引流通畅,充填油纱条,外敷塔纱,胶布固定。","注射器,引流装置","止血材料,特殊缝线","次","同一部位两种以上疾病同时存在同时实施治疗,计费以第一种病全价,其它合并病按80%计价",870,700,610,"甲类","消化","停用"]
[433,"PBEA2102","复杂性化脓性肛周大汗腺炎切开清创引流术","以肛门为中心,炎症波及半径超过6厘米以上者为复杂。肛周消毒铺巾,电刀切开感染组织,并清除坏死组织,用负压吸引器吸出残余坏死组织,用双氧水仔细冲洗,湿敷创面,检查创面无渗､出血,引流通畅,充填油纱条,外敷塔纱,胶布固定。","注射器,引流装置","止血材料,特殊缝线","次","同一部位两种以上疾病同时存在同时实施治疗,计费以第一种病全价,其它合并病按80%计价",950,760,665,"甲类","消化","停用"]
[434,"PBEA2201","肛周坏死性筋膜炎清创术","肛周消毒铺巾,用电刀沿正常与坏死组织分界线切割(注意保护肌肉组织),并用刮匙沿肛周各间隙刮净坏死组织,用负压吸引器吸出残余坏死组织,用双氧水仔细冲洗,湿敷创面,电刀､氩气刀或超声刀止血,检查创面无渗､出血,引流通畅,充填油纱条,外敷塔纱,胶布固定。","注射器,引流装置","止血材料,特殊缝线","次","同一部位两种以上疾病同时存在同时实施治疗,计费以第一种病全价,其它合并病按80%计价",700,560,490,"甲类","消化","停用"]
[435,"PBEA2202","复杂性肛周坏死性筋膜炎清创术","指肛周坏死炎性组织侵犯到阴囊或大阴唇或臀大肌以外组织筋膜炎清创术。肛周消毒铺巾,用电刀沿正常与坏死组织分界线切割(注意保护肌肉组织),并用刮匙沿肛周各间隙刮净坏死组织(将分泌物送细菌培养),用负压吸引器吸出残余坏死组织,用双氧水仔细冲洗,湿敷创面,电刀､氩气刀或超声刀止血,检查创面无渗､出血,引流通畅,充填油纱条,外敷塔纱,胶布固定。","注射器,引流装置","止血材,料特殊缝线","次","同一部位两种以上疾病同时存在同时实施治疗,计费以第一种病全价,其它合并病按80%计价",900,720,630,"甲类","消化","停用"]
[436,"HPV58301","肛门内括约肌侧切术","肛门指诊,肛门镜检查,扩肛,内括约肌部分切断,止血,黏膜缝合。","肛门镜","特殊缝线,止血材料","次","",700,560,490,"甲类","消化","停用"]
[437,"HPV83306","肛门狭窄矫治术","常规消毒,铺无菌巾,设计,切除肛门周围瘢痕组织,电凝止血,或向后侧切开皮肤皮下组织,直肠外分离,将直肠黏膜外翻缝合。留置导尿管,留置肛管。不含导尿术。","引流装置导尿管,肛管","特殊缝线","次","",1000,800,700,"甲类","消化","停用"]
[438,"HPV83307","肛门括约肌修复术","常规消毒,铺无菌巾,切口设计,切除肛门区的瘢痕组织,电凝止血,分离离断的肛门外括约肌形成两个肌瓣,两肌瓣交叉缝合,以肛门可以伸进两指为度,将直肠黏膜翻出缝合,留置尿管,留置肛管。不含导尿。","引流装置,导尿管,肛管","特殊缝线","次","",1200,960,840,"甲类","消化","停用"]
[439,"HPV58302","肛门后正中括约肌切断术","肛门指诊,肛门镜检查,扩肛,后正中括约肌部分切断,止血,黏膜缝合。","肛门镜","特殊缝线,止血材料","次","",700,560,490,"甲类","消化","停用"]
[440,"HPV89303","股薄肌肌瓣转移肛门括约肌成形术","常规消毒,铺无菌巾,切口设计,在大腿内侧作近､中､远三个横形切口,分离股薄肌,形成以近心端为蒂的肌瓣,电凝止血,通过肛周皮下隧道绕直肠成环,远端固定于坐肌结上,代替肛门括约肌,供瓣区放置引流,留置导尿管,留置肛管。不含导尿术。","引流装置,导尿管,肛管","","次","",1300,1040,910,"甲类","消化","停用"]
[441,"HPV89304","局部皮瓣肛门再造术","常规消毒,铺无菌巾,设计,在肛门所在位置\"十\"字形切开皮肤皮下至直肠腔内,电凝止血,肠外间隙分离,直肠下移与皮肤\"十\"字形切口皮瓣交叉缝合形成新的肛门,原肛门口关闭,留置导尿,留置肛管。不含导尿术､尿道直肠瘘或阴道直肠瘘修补术。","引流装置,导尿管,肛管","特殊缝线","次","",1300,1040,910,"甲类","消化","停用"]
[442,"HPV89501","经腹腔镜先天性肛门闭锁尾路肛门成形术(pena手术)","全麻,仰卧位。插导尿管,消毒备皮。应用腹腔镜及血管闭合系统(Ligsure)充分游离直肠末端,结扎尿道瘘,用电刺激仪找到外括约肌中心并切开,将直肠末端无张力牵至并固定于新定位肛穴处,成形肛门。不含膀胱造瘘､直肠尿道瘘修补。","引流装置","腔镜材料","次","",1800,1440,1260,"乙类","消化","停用"]
[443,"HQU73302","盆底痉挛部肌肉神经切除术","逐层进腹,经腹探查,游离直肠输尿管,将盆底痉挛部肌肉神经切除,止血,封闭盆底腹膜,清点器具､纱布无误,逐层关腹。","引流装置","血管夹,特殊缝线,止血材料","次","",1400,1120,980,"乙类","消化","停用"]
[444,"PBEA1501","肛门外括约肌折叠术","肛周消毒铺巾,消毒肛管直肠,肛门镜检查肛管直肠,预测括约肌折叠的大小,切开皮肤及皮下组织,电刀､超声刀或氩气刀止血,显露肛门外括约肌,按预测要求折叠并将其用可吸收线缝合,缝合皮肤及皮下组织,外敷纱布,胶布固定。","注射器,肛门镜","止血材料,特殊缝线","次","同一部位两种以上疾病同时存在同时实施治疗,计费以第一种病全价,其它合并病按80%计价",650,520,450,"甲类","消化","停用"]
[445,"HPV83305","肛管成形术","肛门镜检查,行后位括约肌切断扩肛术､肛管纵切横缝术､肛裂切除房型黏膜瓣成形术。","肛门镜","止血材料","次","",800,640,560,"甲类","消化","停用"]
[446,"PBEA0105","藏毛窦囊肿切除术","臀部､肛周消毒铺巾,染色,切开皮肤,剥离囊壁(如粘连可沿染色界线扩大切除),用负压吸引器吸出剥离出的坏死组织,清洗创面,电刀､氩气刀或超声刀止血,检查创面无渗､出血,另戳口放置引流管,间断全层缝合(也可不放引流,开放创口),外敷纱布,胶布固定。","引流装置,注射器","止血材料,特殊缝线","次","同一部位两种以上疾病同时存在同时实施治疗,计费以第一种病全价,其它合并病按80%计价",800,640,560,"甲类","消化","停用"]
[447,"PBEA0106","经骶尾部骶前囊肿切除术","臀部､肛周､会阴､肛管直肠消毒铺巾,染色,切开皮肤,显露并去掉尾骨,暴露囊壁顶端,并将其于直肠后､骶骨前完整剥离,用负压吸引器吸出剥离出的坏死组织,若与直肠相通时修补直肠壁,冲洗创面,电刀､氩气刀或超声刀止血,检查创面无渗､出血,另戳口放置引流管,减张普通缝线间断缝合伤口,其间加缝丝线,外敷纱布,胶布固定,引流管接无菌袋。","引流装置,注射器","止血材料,特殊缝线","次","同一部位两种以上疾病同时存在同时实施治疗,计费以第一种病全价,其它合并病按80%计价",1300,1040,910,"甲类","消化","停用"]
[448,"PBEA1301","肛肠术后紧线术","肛周消毒铺巾,肛周局部麻醉后,消毒肛管直肠,找到结扎线并解开,重新收紧､结扎,电刀止血,检查创面无渗､出血,引流通畅,外敷塔纱,胶布固定。","引流装置,注射器","","每根结扎线","每超过两个瘘道加收不超过50%",250,200,175,"甲类","消化","停用"]
[449,"HQA65303","肝包虫内囊摘除术","逐层进腹,探查,游离肝脏,保护防止囊内液体外漏,吸取部分囊液后,注入药物杀死头节,切开囊肿外壁,肝包虫内囊摘除,囊壁部分切除，使用10%髙渗盐水浸泡,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,防止粘连，逐层关腹。","引流装置,冲洗液,注射器","血管夹,特殊缝线,止血材料，切口保护器，防粘连材料，打孔器","次","",4700,3995,3396,"甲类","消化","停用"]
[450,"HQT65301","腹腔包虫摘除术","逐层进腹,探查,腹腔内广泛包虫摘除,止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","特殊缝线,止血材料","次","",1100,880,770,"甲类","消化","停用"]
[451,"HQA73302","肝部分切除术","指肝脏边缘部位的各种良性肿物(结核,结石,囊肿,血管瘤,脂肪瘤等)及外伤所实施的不规则性肝部分切除。逐层进腹,探查,游离肝脏,阻断肝门,肝部分切除,止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",1800,1440,1260,"甲类","消化","停用"]
[452,"HQA73501","经腹腔镜肝部分切除术","指肝脏边缘部位的各种良性肿物(结核、结石、囊肿、血管瘤、脂肪瘤等)及外伤所实施的不规则性肝部分切除。腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,游离肝脏,阻断肝门,肝部分切除,止血,置管引出固定,缝合切口。","引流装置","腔镜材料","次","",2000,1600,1400,"乙类","消化","停用"]
[453,"HQA73502","经腹腔镜肝囊肿切除术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,游离肝脏,囊肿完整切除,止血,置管引出固定,缝合伤口。","引流装置","腔镜材料","次","",1700,1360,1190,"乙类","消化","停用"]
[454,"HQA73303","肝囊肿开窗术","逐层进腹,探查,游离肝脏,切除肝囊肿部分囊壁,开放引流,止血,经腹壁另戳孔,置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",1800,1440,1260,"甲类","消化","停用"]
[455,"HQA73503","经腹腔镜肝囊肿开窗术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,游离肝脏,切除肝囊肿部分囊壁,开放引流,止血,置管引出固定,缝合伤口。","引流装置","腔镜材料","次","",2000,1600,1400,"乙类","消化","停用"]
[456,"HQA65304","肝血管瘤包膜外剥除术","逐层进腹,探查,活检,游离肝脏,阻断肝门,包膜外剥脱切除肝血管瘤,肝创面止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",1900,1520,1330,"甲类","消化","停用"]
[457,"HQA73308","右半肝切除术","逐层进腹,探查,活检,游离肝脏及第一､第二肝门,阻断肝门,胆囊切除,右半肝(Ⅴ,Ⅵ,Ⅶ,Ⅷ段)切除,肝创面止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,防止粘连，逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料，切口保护器，防粘连材料，打孔器","次","",5400,4590,3902,"甲类","消化","停用"]
[458,"HQA73306","左半肝切除术","逐层进腹,探查,活检,游离肝脏及第一､第二肝门,阻断肝门,左半肝(Ⅱ,Ⅲ,Ⅳ段)切除,肝创面止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔，防止粘连，逐层关腹。","引流装置,冲洗液","血管夹，特殊缝线，止血材料，双极电凝镊，切口保护器，防粘连材料，打孔器","次","",5400,4590,3902,"甲类","消化","停用"]
[459,"HQA73506","经腹腔镜右半肝切除术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,游离肝脏及第一､第二肝门,阻断肝门,胆囊切除,右半肝(Ⅴ,Ⅵ,Ⅶ,Ⅷ段)切除,肝创面止血,置管引出固定,缝合切口。","引流装置","腔镜材料","次","",2900,2320,2030,"乙类","消化","停用"]
[460,"HQA73505","经腹腔镜左半肝切除术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,游离肝脏及第一､第二肝门,阻断肝门,左半肝(Ⅱ,Ⅲ,Ⅳ段)切除,肝创面止血,置管引出固定,缝合切口。","引流装置","腔镜材料","次","",2900,2320,2030,"乙类","消化","停用"]
[461,"HQA73307","肝右三叶切除术","指扩大右叶切除术或右三段切除术。逐层进腹,探查,活检,游离肝脏及第一､第二､第三肝门,阻断肝门,胆囊切除,右三叶(Ⅳ,Ⅴ,Ⅵ,Ⅶ,Ⅷ段)切除,肝创面止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",3300,2640,2310,"甲类","消化","停用"]
[462,"QHXZ0138","门静脉/肝静脉重建术","消毒铺巾，逐层进腹、探查，游离肝脏及第一、第二肝门，阻断肝门，分离肿瘤或者病灶侵犯门静脉\\肝静脉区域，予以切除病灶，修补缺损或成型重建门静脉\\肝静脉，止血，冲洗腹腔，关腹。",0,"修补材料，特殊缝线，止血材料","次","1、此项为辅加操作项目\n2、行门静脉/肝静脉修补术按50%收取",1200,960,840,"乙类","消化","停用"]
[463,"HQA73305","肝左三叶切除术","指扩大左叶切除术或左三段切除术。逐层进腹,探查,活检,游离肝脏及第一､第二､第三肝门,阻断肝门,胆囊切除,左三叶(Ⅱ,Ⅲ,Ⅳ,Ⅴ,Ⅷ段)切除,肝创面止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",3000,2400,2100,"甲类","消化","停用"]
[464,"HQA73309","肝段切除术","逐层进腹,探查,游离肝脏,阻断肝门,切除病变累及的肝段,肝创面止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",2400,1920,1680,"甲类","消化","停用"]
[465,"HQA73507","经腹腔镜肝段切除术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,游离肝脏,阻断肝门,切除病变累及的肝段,肝创面止血,置管引出固定,缝合切口。","引流装置","腔镜材料","次","",2600,2080,1820,"乙类","消化","停用"]
[466,"HQA73311","肝癌肝部分切除术","逐层进腹,探查,游离肝脏,肝门血管胆管,切除含肿瘤部分肝脏,止血,缝合肝脏,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",2400,1920,1680,"甲类","消化","停用"]
[467,"HQB77301","根治性肝癌肝叶切除术","逐层进腹,探查,游离肝脏､肝门血管胆管,控制肝门血流,规范切除含肿瘤肝叶,止血,缝合肝脏,区域淋巴结清扫,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",2700,2160,1890,"甲类","消化","停用"]
[468,"HQA73304","肝左外叶切除术","逐层进腹,探查,游离肝脏及第一､第二肝门,阻断肝门,肝左外叶(Ⅱ,Ⅲ段)切除,肝创面止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",2000,1600,1400,"甲类","消化","停用"]
[469,"HQB73301","肝方叶切除术","逐层进腹,探查,游离肝脏及第一､第二肝门,阻断肝门,方叶切除,肝创面止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",2300,1840,1610,"甲类","消化","停用"]
[470,"HQB73303","肝尾状叶切除术","逐层进腹,探查,游离肝脏及第一､第二､第三肝门,阻断肝门,胆囊切除,肝尾状叶(I段)切除,肝创面止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",2300,1840,1610,"甲类","消化","停用"]
[471,"HQB73302","中肝叶切除术","逐层进腹,探查,游离肝脏及第一､第二､第三肝门,阻断肝门,胆囊切除,中肝叶(Ⅳ,Ⅴ,Ⅷ段)切除,肝创面止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",2300,1840,1610,"甲类","消化","停用"]
[472,"HQB73501","经腹腔镜肝方叶切除术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,游离肝脏及第一､第二肝门,阻断肝门,方叶切除,肝创面止血,置管引出固定,缝合切口。","引流装置","腔镜材料","次","",2500,2000,1750,"乙类","消化","停用"]
[473,"HQB73503","经腹腔镜肝尾状叶切除术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,游离肝脏及第一､第二､第三肝门,阻断肝门,胆囊切除,肝尾状叶(Ⅰ段)切除,肝创面止血,置管引出固定,缝合切口。","引流装置","腔镜材料","次","",2500,2000,1750,"乙类","消化","停用"]
[474,"HQB73502","经腹腔镜中肝叶切除术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,游离肝脏及第一､第二､第三肝门,阻断肝门,胆囊切除,中肝叶(Ⅳ,Ⅴ,Ⅷ段)切除,肝创面止血,置管引出固定,缝合切口。","引流装置","腔镜材料","次","",2500,2000,1750,"乙类","消化","停用"]
[475,"HQA73504","经腹腔镜肝左外叶切除术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,游离肝脏及第一､第二肝门,阻断肝门,肝左外叶(Ⅱ,Ⅲ段)切除,肝创面止血,置管引出固定,缝合切口。","引流装置","腔镜材料","次","",2200,1760,1540,"乙类","消化","停用"]
[476,"HQA73310","联合肝段切除术","逐层进腹,探查,游离肝脏,阻断肝门,切除临近不同肝叶相邻的肝段,止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,防止粘连，逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料，切口保护器，防粘连材料","次","",5000,4250,3613,"甲类","消化","停用"]
[477,"HQA73508","经腹腔镜联合肝段切除术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,游离肝脏,阻断肝门,切除临近不同肝叶相邻的肝段,止血,置管引出固定,缝合切口。","引流装置","腔镜材料","次","",2700,2160,1890,"乙类","消化","停用"]
[478,"HQA73301","肝损伤清创修补术","逐层进腹,探查,游离肝脏,阻断肝门,肝损伤清创,止血,无活力肝组织切除,游离大网膜,填塞缝合或损伤单纯缝合,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",1900,1520,1330,"甲类","消化","停用"]
[479,"HQD83301","肝损伤血管修补术","逐层进腹,探查,游离肝脏,阻断肝门,清除创面,损伤大血管修补,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。特指第一肝门,第二肝门和肝后下腔静脉血管损伤的修补。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",1500,1200,1050,"甲类","消化","停用"]
[480,"HQH59301","肝管栓塞术","逐层进腹,探查,游离肝门,游离胆总管,肝总管及分支并行肝管栓塞,止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","栓塞材料,特殊缝线,止血材料","次","",1400,1120,980,"乙类","消化","停用"]
[481,"HQH59501","经腹腔镜肝管栓塞术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,游离肝门,游离胆总管,肝总管及分支并行肝管栓塞,止血,置管引出固定,缝合切口。","引流装置","栓塞材料,腔镜材料","次","",1600,1280,1120,"乙类","消化","停用"]
[482,"HQA45501","经腹腔镜肝外伤后血肿清创引流术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,游离肝脏,切开肝脏血肿被膜,清除血肿,破碎的肝脏组织,被膜下积脓,结扎断裂的肝内胆管及血管,止血,置管引出固定,缝合伤口。","引流装置","腔镜材料","次","",1520,1215,1065,"乙类","消化","停用"]
[483,"HQD83302","肝血管瘤缝扎术","逐层进腹,探查,活检,游离肝脏,阻断肝门,缝扎肝血管瘤,肝创面止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",1700,1360,1190,"甲类","消化","停用"]
[484,"HQA46301","肝损伤填塞止血术","适用于极为严重的粉碎性肝脏外伤,病情极为危重,病人不能耐受复杂手术或者医院条件和技术力量难以完成复杂手术时的应急措施。逐层进腹,探查,常规止血措施或技术力量难以完成手术时,以纱布､纱布垫填塞创面,待病情稳定后渐次取出。有诱发再次出血之虞。","引流装置","血管夹,特殊缝线,止血材料","次","",1800,1440,1260,"甲类","消化","停用"]
[485,"HQA65301","肝实质切开取石术","逐层进腹,探查,游离肝脏及肝门,阻断肝门,切开肝脏实质及胆管,取石,放置肝内胆管引流,缝合创面并止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",1800,1440,1260,"甲类","消化","停用"]
[486,"HQA65302","肝内异物取出术","逐层进腹,探查,游离肝脏,阻断肝门,肝内异物取出(含血管,胆管修补),肝创面止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",1800,1440,1260,"甲类","消化","停用"]
[487,"HQK75301","胆囊切除术","逐层进腹,探查,解剖胆囊三角,胆囊动脉结扎,胆囊管结扎,游离切除胆囊,处理胆囊床,止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","特殊缝线,止血材料","次","",1300,1040,910,"甲类","消化","停用"]
[488,"HQK75501","经腹腔镜胆囊切除术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,解剖胆囊三角,胆囊动脉结扎,胆囊管结扎,游离切除胆囊,处理胆囊床,置管引出固定,缝合切口。","引流装置","腔镜材料","次","",1500,1200,1050,"乙类","消化","停用"]
[489,"HQK77301","胆囊癌根治术","逐层进腹,探查,肝十二指肠韧带淋巴清扫,骨骼化,胆囊床处肝脏楔形切除,止血,经腹壁另戳孔置T管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",2800,2240,1960,"甲类","消化","停用"]
[490,"HQK77302","胆囊癌扩大根治术","逐层进腹,探查,肝十二指肠韧带淋巴清扫,骨骼化,受累肝段､肝叶､胃壁､十二指肠､结肠的切除,止血,经腹壁另戳孔置T管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。不含肝门部胆管病变切除､胆管整形､胆肠吻合。","引流装置,T形管,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",3100,2480,2170,"甲类","消化","停用"]
[491,"HQE73302","肝门部良性胆管狭窄切除术","逐层进腹,探查,肝门部狭窄胆管显露,狭窄胆管切除,胆总管远端结扎,肝门部胆管整形,胆管-空肠Roux-en-Y吻合,止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,T形管,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2300,1840,1610,"甲类","消化","停用"]
[492,"HQE73301","肝外良性胆管狭窄切除胆总管对端吻合术","逐层进腹,探查,肝外良性狭窄胆管显露,狭窄胆管切除,胆总管对端吻合,T管置入,经腹壁另戳孔引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,T形管,冲洗液","血管夹,特殊缝线,止血材料","次","",2300,1840,1610,"甲类","消化","停用"]
[493,"HQE77302","肝门部胆管癌扩大根治术","逐层进腹,探查,肝门部解剖,肝十二指肠韧带上主要血管,胆管骨骼化,整块切除肝十二指肠韧带上血管以外的淋巴,脂肪,神经纤维组织,低位切断胆总管,切除胆囊,从门静脉前方分离肝胆管分叉部,分离肝动脉及门静脉分支,切除肝叶,切断尾叶胆管,距肿瘤边缘1厘米以上的正常胆管处切断肝内胆管,肝内胆管整形,Roux-en-Y胆管空肠吻合,止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,T形管,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",3200,2560,2240,"甲类","消化","停用"]
[494,"HQE77303","门静脉受累肝门部胆管癌扩大根治术","逐层进腹,探查,肝门部解剖,肝十二指肠韧带上主要血管,胆管骨骼化,整块切除肝十二指肠韧带上血管以外的淋巴,脂肪,神经纤维组织,低位切断胆总管,切除胆囊,从门静脉前方分离肝胆管分叉部分离肝动脉及门静脉分支,切除肝叶,切除受累门静脉,切断尾叶胆管,距肿瘤边缘1厘米以上的正常胆管处切断肝内胆管,门静脉重建,肝内胆管整形,Roux-en-Y胆管空肠吻合,止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,T形管,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",3200,2560,2240,"甲类","消化","停用"]
[495,"HQE77304","肝动脉受累肝门部胆管癌扩大根治术","逐层进腹,探查,肝门部解剖,肝十二指肠韧带上主要血管,胆管骨骼化,整块切除肝十二指肠韧带上血管以外的淋巴,脂肪,神经纤维组织,低位切断胆总管,切除胆囊,从门静脉前方分离肝胆管分叉部,分离肝动脉及门静脉分支,切除肝叶,切除受累肝动脉,切断尾叶胆管,距肿瘤边缘1厘米以上的正常胆管处切断肝内胆管,肝动脉重建,肝内胆管整形,Roux-en-Y胆管空肠吻合,止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,T形管,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",3200,2560,2240,"甲类","消化","停用"]
[496,"HQE77301","肝门部胆管癌根治术","逐层进腹,探查,肝门部解剖,肝十二指肠韧带上主要血管,胆管骨骼化,整块切除肝十二指肠韧带上血管以外的淋巴,脂肪,神经纤维组织,低位切断胆总管,切除胆囊,从门静脉前方分离肝胆管分叉部,分离肝动脉及门静脉分支,距肿瘤边缘1厘米以上的正常胆管处切断肝内胆管,肝内胆管整形,Roux-en-Y胆管空肠吻合,止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,防止粘连，逐层关腹。","引流装置,T形管,冲洗液","吻合器，血管夹，特殊缝线，止血材料，双极电凝镊,切口保护器,防粘连材料","次","",6000,5100,4335,"甲类","消化","停用"]
[497,"HQE73303","肝门部高位胆管切除术","逐层进腹,探查,病变部位显露,肝门部高位胆管病变切除,远端结扎,肝内胆管整形,胆管空肠Roux-en-y吻合,止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,T形管,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2300,1840,1610,"甲类","消化","停用"]
[498,"HQE73304","再次手术肝外胆管病变切除术","逐层进腹,探查,粘连松解,肝门血管胆管显露,确定病变部位,将肝外胆管病变切除,胆管远端结扎,胆管空肠Roux-en-y吻合,止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。不含肝内胆管整形。","引流装置,T形管,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2400,1920,1680,"甲类","消化","停用"]
[499,"HQM73301","先天性胆总管囊肿切除肝门空肠Roux-y成形术","含胆囊及囊肿切除,肝总管切除,空肠切断端侧吻合,空肠肝门吻合重建胆道。右上腹横行切口,松解胆囊､胆总管囊肿至肝总管并切除,距屈氏韧带20厘米处横断空肠,与以下50厘米空肠行端侧吻合,将50厘米空肠提上,于结肠肝曲下穿过与肝总管吻合,放置腹腔引流管,关腹。不含腹腔镜胆道探查､造影。","引流装置","特殊缝线,止血材料","次","",2600,2080,1820,"乙类","消化","停用"]
[500,"HQM73501","腹腔镜先天性胆总管囊肿切除肝门空肠Roux-y成形术","含胆囊及囊肿切除,肝总管切除,空肠切断端侧吻合,空肠肝门吻合重建胆道。脐部､左右腹放置套管,置镜及操作钳,松解胆囊､胆总管囊肿至肝总管并切除。将肠管自脐部提出腹腔,距屈氏韧带20厘米处横断空肠,与以下50厘米空肠行端侧吻合,将50厘米空肠提上,于结肠肝曲下穿过与肝总管吻合,放置腹腔引流管,关腹。不含腹腔镜胆道探查､造影术。","引流装置","腔镜材料","次","",2400,1920,1680,"乙类","消化","停用"]
[501,"HQK50301","胆囊造瘘术","逐层进腹,探查,切开胆囊,置管双荷包缝合,经腹壁另戳孔引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","特殊缝线,止血材料","次","",900,720,630,"甲类","消化","停用"]
[502,"HQF45301","肝内胆管U形管引流术","逐层进腹,肝内胆管探查切开,U形管通过肿瘤狭窄部置入,近端经肝引出,远端经腹壁另戳孔置管引出固定,腹腔引流管另戳孔引出固定,清点器具,纱布无误,冲洗腹腔,逐层关腹。","U形管,引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",2000,1600,1400,"甲类","消化","停用"]
[503,"HQM45301","胆总管探查T管引流术","逐层进腹探查,显露并纵切胆总管探查,置入T管,缝合胆管,止血,T管经腹壁另戳孔引出固定,清点器具､纱布无误,冲洗腹腔,防止粘连，逐层关腹。","引流装置,T形管,冲洗液","特殊缝线,止血材料，切口保护器，防粘连材料","次","",4800,4080,3468,"甲类","消化","停用"]
[504,"HQM45302","胆总管囊肿外引流术","逐层进腹,探查,肝门胆管血管显露,分离胆总管囊肿,切开,置入T管经腹壁另戳孔引出固定,腹腔引流管经腹壁另戳孔引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,T形管,冲洗液","特殊缝线,止血材料","次","",1400,1120,980,"甲类","消化","停用"]
[505,"HQC45302","肝门部肿物支架置入内引流术","逐层进腹,肝门胆管探查切开,支架管置入,缝合胆管,止血,清点器具､纱布无误,冲洗腹腔,经腹壁另戳孔置管引出固定,逐层关腹。","引流装置,冲洗液","支架,血管夹,特殊缝线,止血材料","次","",2200,1760,1540,"乙类","消化","停用"]
[506,"HQC45301","肝门部肿物支架管外引流术","逐层进腹,肿瘤以上近端肝门胆管探查切开,支架管置入,缝合,经腹壁另戳孔置管引出固定,腹腔引流管另戳孔引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","支架,血管夹,特殊缝线,止血材料","次","",2200,1760,1540,"乙类","消化","停用"]
[507,"HQK65301","胆囊切开取石术","逐层进腹,探查,胆囊切开,取石,置入导管双荷包缝合,经腹壁另戳孔引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","特殊缝线,止血材料,取石网篮","次","",2100,1680,1470,"甲类","消化","停用"]
[508,"HQK65501","经腹腔镜胆囊切开取石术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,胆囊切开,取石,置入导管双荷包缝合,止血,置管引出固定,缝合切口。","引流装置","取石网篮,腔镜材料","次","",2300,1840,1610,"乙类","消化","停用"]
[509,"HQE65301","胆管异物取出术","异物(指蛔虫､结石､胆管支架､血块等)。逐层进腹探查,显露并纵切胆总管探查,胆管异物取出,置入T管,缝合胆管,止血,T管经腹壁另戳孔引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。不含胆道镜检查。","引流装置,T形管,冲洗液","特殊缝线,止血材料","次","",1600,1280,1120,"甲类","消化","停用"]
[510,"HQE65502","术中胆道镜异物取出术","术中切开胆总管前壁,以胆道镜观察肝内胆道树和肝外胆管及十二指肠乳头开口,用取石钳寻找取出异物(结石､蛔虫､支架､引流管､血块等)。","引流装置,冲洗液","","次","",1600,1280,1120,"乙类","消化","停用"]
[511,"HQE65503","经腹腔镜胆管异物取出术","异物指蛔虫､结石､胆管支架､血块等。腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,显露并纵切胆总管探查,胆管异物取出,置入T管,缝合胆管,止血,置T管引出固定,缝合切口。","引流装置,T形管","取石网篮,腔镜材料","次","",1800,1440,1260,"乙类","消化","停用"]
[512,"HQE83301","胆管修补成形术","逐层进腹,探查,粘连分解,肝门血管胆管显露,确定胆管缺损部位,缺损修复,置入T管经腹壁戳孔引出固定,腹腔引流管经腹壁另戳孔引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,T形管,冲洗液","血管夹,特殊缝线,止血材料","次","",2300,1840,1610,"甲类","消化","停用"]
[513,"HPK73301","十二指肠憩室切除术","逐层进腹,探查,游离十二指肠,憩室局部切除,缝合,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",1700,1360,1190,"甲类","消化","停用"]
[514,"HPK73302","十二指肠闭锁切除术","逐层进腹,探查,游离十二指肠,病灶切除,十二指肠成形,或其它形式的消化道重建,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",1620,1300,1130,"甲类","消化","停用"]
[515,"HPK73303","壶腹部肿物局部切除术","逐层进腹,探查,游离十二指肠,切开十二指肠,寻找并切除壶腹部肿瘤,胆管及胰管开口成形,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2000,1600,1400,"甲类","消化","停用"]
[516,"FQN09301","胰十二指肠切除探查术","指胰十二指肠切除前常规探查术。逐层进腹,进行肝､胆､胃､胰､肠､及肿瘤侵及血管范围进行依次解剖探查,无法切除时进行肿瘤活检,清点器具､纱布无误,冲洗腹腔,逐层关腹。不含肿瘤活检､胆肠道重建。","引流装置","特殊缝线,止血材料","次","",2600,2080,1820,"甲类","消化","停用"]
[517,"HPH83304","肠套叠手法复位及肠切除吻合术","备皮,消毒铺巾。取右上腹横切口,逐层切开,寻找套叠包块,提拉出体外,缓慢手法复位,手法复位失败,行肠切除吻合术,逐层关腹。","","吻合器,特殊缝线,止血材料","次","",1600,1280,1120,"甲类","消化","停用"]
[518,"HQN73311","胰十二指肠切除术(Whipple手术)","逐层进腹,经胰腺探查后评估可以切除,半胃､十二指肠､胆囊､中下段胆管､胰头､空肠近端切除,相应的区域淋巴结清扫,肿瘤活检,胆肠､胰肠､肠肠吻合重建,空肠造瘘,止血,将T管及腹腔引流管分别经腹壁另戳孔引出固定,清点器具､纱布无误,冲洗腹腔,防止粘连，逐层关腹。","引流装置,T形管,冲洗液","吻合器,血管夹,特殊缝线,止血材料,闭合器，切口保护器，防粘连材料","次","",6500,5525,4696,"甲类","消化","停用"]
[519,"HQN73304","保留十二指肠胰头切除术","逐层进腹,胰腺探查,胰腺穿刺活检､解剖分离胰头部分切除,胰腺空肠吻合重建,空肠Roux_en_Y吻合,各种引流管､造瘘管经腹壁另戳孔引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",1900,1520,1330,"甲类","消化","停用"]
[520,"HQN73305","胰体尾切除术","逐层进腹,胰腺探查,肿瘤活检,切除胰体尾､脾,缝扎包埋胰腺断端,相应区域淋巴结清扫,止血,腹腔引流管经腹壁另戳孔引出固定,清点器具､纱布无误,冲洗腹腔,防止粘连，逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料，切口保护器，防粘连材料","次","",5000,4250,3613,"甲类","消化","停用"]
[521,"HQN73501","经腹腔镜胰体尾切除术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,胰腺探查,肿瘤活检,切除胰体尾､脾,缝扎包埋胰腺断端,相应区域淋巴结清扫,止血,置腹腔引流管引出固定,缝合切口。","引流装置","腔镜材料","次","",2600,2080,1820,"乙类","消化","停用"]
[522,"HQN73303","胰头部分切除胰肠吻合术","用于治疗慢性胰腺炎等胰空肠侧侧吻合术(Frey手术)。逐层进腹,胰腺探查,胰头部分切除(coreout),胰管切开,胰腺空肠吻合重建,空肠Roux_en_Y吻合,止血､腹腔引流管经腹壁另戳孔引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",1900,1520,1330,"甲类","消化","停用"]
[523,"HQN73312","胰腺癌联合脏器切除术","逐层进腹,经胰腺探查后评估可以切除,半胃､十二指肠､胆囊､中下段胆管､胰头､空肠近端切除,将邻近的受侵器官(结肠､小肠､泌尿生殖系器官)部分切除,相应区域淋巴结清扫､后腹膜区域淋巴结清扫,肿瘤活检,胆肠､胰肠､肠肠､泌尿道､生殖道重建,空肠造瘘,泌尿道造瘘,止血,将各种腹腔引流管,造瘘管分别经腹壁另戳孔引出固定,清点器具,纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料,闭合器","次","",2900,2320,2030,"甲类","消化","停用"]
[524,"HQN73306","保留脾脏胰体尾切除术","逐层进腹,胰腺探查,肿瘤活检,切除胰体尾,缝扎包埋胰腺断端,相应区域淋巴结清扫,止血,腹腔引流管经腹壁另戳孔引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2700,2160,1890,"甲类","消化","停用"]
[525,"HQN73308","胰腺次全切除术","次全切除指切除90%胰腺,保留部分胰头。逐层进腹,胰腺探查,肿瘤活检,保留胰头,切除全部胰体､胰尾,缝扎包埋胰腺断端,置入支撑管,缝合胰腺,腹腔引流管经腹壁另戳孔引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",2700,2160,1890,"甲类","消化","停用"]
[526,"HQN73502","经腹腔镜保留脾脏胰体尾切除术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,胰腺探查,肿瘤活检,切除胰体尾,缝扎包埋胰腺断端,相应区域淋巴结清扫,止血,腹腔引流管引出固定,缝合切口。","引流装置","腔镜材料","次","",2600,2080,1820,"乙类","消化","停用"]
[527,"HQN73505","经腹腔镜胰腺次全切除术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,胰腺探查,肿瘤活检,保留胰头,切除全部胰体,胰尾,缝扎包埋胰腺断端,置入支撑管,缝合胰腺,止血,腹腔引流管引出固定,缝合切口。","引流装置","腔镜材料","次","",2600,2080,1820,"乙类","消化","停用"]
[528,"HQM73302","先天性胰腺段胆总管囊肿切除术","逐层进腹,探查,胆囊,肝门胆管血管显露,切开部分胰腺,分离并切除胆总管囊肿,胆道整形,Roux-en-Y胆肠吻合,止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,T形管,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2700,2160,1890,"甲类","消化","停用"]
[529,"HQN73302","胰腺假性囊肿切除术","逐层进腹,胰腺囊肿探查分离､完整切除送检,止血,腹腔引流管经腹壁另戳孔引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",1900,1520,1330,"甲类","消化","停用"]
[530,"HQN73301","胰腺肿物摘除术","肿物指囊肿和各种良性肿瘤､息肉等。逐层进腹,探查,确定胰腺内肿物部位,切开胰腺,将肿物局部摘除送检,缝合胰腺,止血,腹腔引流管经腹壁另戳孔引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",2300,1840,1610,"甲类","消化","停用"]
[531,"HQN73309","胰腺癌姑息性手术","逐层进腹,胰腺可切除评估和探查,含为解除梗阻所进行的短路手术,如胆肠吻合术和胃肠吻合术。止血,经腹壁另戳孔置T管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。不含胰腺肿瘤放射性离子置入术､B超引导､术中胆道镜检查。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2900,2320,2030,"甲类","消化","停用"]
[532,"HQN73310","胰腺周围神经切除术","逐层进腹,探查,胰腺周围神经切除或药物注射,止血,腹腔引流管经腹壁另戳孔引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",1900,1520,1330,"甲类","消化","停用"]
[533,"HQN73503","经腹腔镜胰腺周围神经切除术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,胰腺周围神经切除或药物注射,腹腔引流管引出固定,缝合切口。","引流装置","腔镜材料","次","",2100,1680,1470,"乙类","消化","停用"]
[534,"HQN45301","胰腺囊肿外引流术","逐层进腹,胰腺探查,囊肿穿刺､囊肿切开引流､囊壁切取活检,止血,囊内置入引流管双荷包缝合固定､经腹壁另戳孔引出固定,腹腔引流管经腹壁另戳孔引出固定､清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",1600,1280,1120,"甲类","消化","停用"]
[535,"HQN45501","经腹腔镜胰腺囊肿外引流术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,胰腺探查,囊肿穿刺,囊肿切开引流,囊壁切取活检,止血,囊内置入引流管双荷包缝合固定,经腹壁引出固定,腹腔引流管经腹壁引出固定,缝合切口。","引流装置","腔镜材料","次","",1800,1440,1260,"乙类","消化","停用"]
[536,"HQN73307","胰腺节段性切除术","指良性肿瘤的部分胰腺､胰管切除术或胰腺中段损伤清创后。逐层进腹,胰腺探查,肿瘤活检,切除含肿物部分胰腺､胰管,或损伤胰腺清创后,胰腺残端与小肠行端端或端侧吻合术,止血,腹腔引流管经腹壁另戳孔引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",2700,2160,1890,"甲类","消化","停用"]
[537,"HQN73504","经腹腔镜胰腺节段性切除术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,胰腺探查,切除含肿物部分胰腺(或损伤的胰腺组织),胰腺与小肠行端端或端侧吻合术,止血,腹腔引流管引出固定,缝合切口。","引流装置","腔镜材料","次","",2900,2320,2030,"乙类","消化","停用"]
[538,"HQN75301","全胰腺切除术","逐层进腹,胰腺探查,肿瘤活检,评估切除的可能性后,胆囊切除,半胃､十二指肠､近端空肠､全胰腺切除,相关区域淋巴结清扫,胆肠､胃肠吻合,腹腔引流管经腹壁另戳孔引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料,闭合器","次","",2900,2320,2030,"甲类","消化","停用"]
[539,"HQN83301","胰腺修补术","逐层进腹,胰腺探查,缝合修补,止血,经腹壁另戳孔置T管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液，T型管","血管夹,特殊缝线,止血材料","次","",1600,1280,1120,"甲类","消化","停用"]
[540,"HQN89301","胰岛移植术","指胰岛细胞分离､制备､植入全过程。获取供体胰腺灌洗,器官保存液内保存。修剪胰腺,胶原酶灌注､消化,胰岛细胞分离纯化､离体培养,B超和X线监视下门静脉内移植。含胰岛细胞制备。","引流装置,浓度梯度离心液,细胞保护液","导管,分离管路,血管夹,止血材料","次","",2300,1840,1610,"乙类","消化","停用"]
[541,"HQN83302","胰腺胰管断裂修补术","逐层进腹,胰腺探查,胰管短端修整,置入支撑管,进行端端吻合,缝补断裂胰腺,止血,腹腔引流管经腹壁另戳孔引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。不含胰管空肠吻合术。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",1600,1280,1120,"甲类","消化","停用"]
[542,"HQN45303","坏死性胰腺炎清创引流术","逐层进腹,胰腺探查,坏死病变清除,在胰腺周围多处置管经腹壁另戳孔引出固定,止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",2600,2080,1820,"甲类","消化","停用"]
[543,"HQP65301","胰管切开取石术","逐层进腹,胰腺探查,确定结石部位,胰管切开取石,支撑管置入,胰管缝合,胰腺缝合,止血,腹腔引流管经腹壁另戳孔引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","支架,血管夹,特殊缝线,止血材料","次","",1600,1280,1120,"甲类","消化","停用"]
[544,"HNB73301","脾部分切除术","左肋缘下切口逐层进腹,探查,游离脾脏,结扎切断脾周围韧带,分离脾蒂血管,按预定脾段结扎血管,切除脾段,止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置","特殊缝线,止血材料","次","",1700,1360,1190,"甲类","消化","停用"]
[545,"HNB73501","经腹腔镜脾部分切除术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,游离脾脏,结扎切断脾周围韧带,分离脾蒂血管,按预定脾段结扎血管,切除部分脾,止血,置管引出固定,缝合伤口。","引流装置","腔镜材料","次","",1900,1520,1330,"乙类","消化","停用"]
[546,"HNB75301","脾切除术","逐层进腹,探查,游离脾脏,结扎切断脾周围韧带,分离脾蒂血管,将脾完整切除,处理脾床,止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","特殊缝线,止血材料","次","",1500,1200,1050,"甲类","消化","停用"]
[547,"HNB90301","脾切除自体脾移植术","逐层进腹,探查,游离脾脏,结扎切断脾周围韧带,分离脾蒂血管,将脾完整切除,处理脾床,将自体脾部分移植网膜内,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",2000,1600,1400,"乙类","消化","停用"]
[548,"HNB75501","经腹腔镜脾切除术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,游离脾脏,结扎切断脾周围韧带,分离脾蒂血管,将脾完整切除,处理脾床,止血,置管引出固定,缝合伤口。","引流装置","腔镜材料","次","",1700,1360,1190,"乙类","消化","停用"]
[549,"HNB90302","异体脾脏移植术","逐层进腹,探查,游离存留之脾动,静脉血管,手术显微镜下与供体脾动静脉吻合,固定,止血,经腹壁另戳孔置管固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,保存液,冲洗液","血管夹,特殊缝线,止血材料","次","",2500,2000,1750,"乙类","消化","停用"]
[550,"HNB60301","脾脏移植供体获取术","逐层进腹､探查､游离供体脾脏､结扎切断脾周围韧带,分离脾蒂血管,将供体脾完整切除,处理脾床,止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。含供体脾脏灌洗保存,血管修整。","引流装置,保存液","血管夹,特殊缝线,止血材料","次","",2200,1760,1540,"丙类","消化","停用"]
[551,"HNB83301","脾修补术","经左腹直肌或左肋缘下切口逐层进腹,探查,游离脾脏,结扎切断脾周围韧带,缝扎破裂脾脏,止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","特殊缝线,止血材料","次","",1600,1280,1120,"甲类","消化","停用"]
[552,"HNB83501","经腹腔镜脾修补术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,游离脾脏,缝扎破裂脾脏,止血,置管引出固定,缝合伤口。","引流装置","腔镜材料","次","",1800,1440,1260,"乙类","消化","停用"]
[553,"HNB86301","脾肺固定分流术","患者侧卧于手术台,消毒铺巾,左侧第6､7或8肋间胸腹联合切口,游离脾和左肺,结扎脾动脉,切除部分膈肌,上提脾脏至胸腔与左肺下叶缝合固定,止血冲洗放置引流后关闭切口。","引流装置,冲洗液","止血材料,特殊缝线","次","",2000,1600,1400,"乙类","消化","停用"]
[554,"HNJ73301","腹腔淋巴结清扫术","指各器官所属淋巴结群。逐层进腹,保护血管神经,解剖血管鞘,切取所属淋巴结群及疏松组织,置引流管,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置","血管夹,特殊缝线,止血材料","次","",1500,1200,1050,"甲类","消化","停用"]
[555,"HNJ73504","经腹腔镜腹腔淋巴结清扫术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,解剖血管鞘,切取所属淋巴结群及疏松组织,止血,置管引出固定,缝合伤口。","引流装置","腔镜材料","次","",1700,1360,1190,"乙类","消化","停用"]
[556,"HNJ73505","经腹腔镜肝门淋巴结清扫术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,粘连分解,骨化,游离肝门血管胆管,区域淋巴结清扫,置管引出固定,缝合伤口。","引流装置","腔镜材料","次","",1800,1440,1260,"乙类","消化","停用"]
[557,"HNK73302","髂腹股沟淋巴结清扫术","腹部联合腹股沟切口,切开皮肤,保护血管神经,解剖血管鞘,切取所属淋巴结群及疏松组织,置管引出固定,缝合伤口。","引流装置","特殊缝线,止血材料","次","",1400,1120,980,"甲类","消化","停用"]
[558,"HNK73501","经腹腔镜的髂腹股沟淋巴结清扫术","腹壁戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,切取清扫髂内淋巴结,另作切口清扫腹股沟淋巴结,送检,止血,置管引出固定,缝合伤口。","引流装置","腔镜材料","次","",1600,1280,1120,"乙类","消化","停用"]
[559,"HNJ73303","睾丸肿瘤腹膜后淋巴结清扫术","消毒,电刀逐层切开,游离,右侧应由肾蒂平面以上2厘米平面起,沿下腔静脉到腹主动脉分叉处,切除所有的脂肪,结缔组织与淋巴组织,同时切除腹主动脉与下腔静脉之间的淋巴结及腹主动脉前的淋巴结,再由腹主动脉分叉处向右,向下切除骼淋巴结。左侧:沿腹主动脉自肾蒂上2厘米向下解剖直至腹主动脉分叉处,切除所有的脂肪,结蒂组织与淋巴组织,同时也切除腹主动脉与下腔静脉之间的淋巴结,再由腹主动脉分叉处向左,向下沿骼血管解剖,切除髂淋巴结达左侧内环处,将精索结扎残端一并切除。","引流装置","血管夹,特殊缝线,止血材料","次","",2300,1840,1610,"甲类","消化","停用"]
[560,"HNJ73502","经腹腔镜睾丸肿瘤腹膜后淋巴结清扫术","消毒,选择穿刺部位,插入穿刺器,连接气腹机,建立气腹,置入观察镜,分别置入操作孔道套管及操作器械,用超声刀分离,用钛夹,管路夹夹壁血管或组织,右侧应由肾蒂平面以上2厘米平面起,沿下腔静脉到腹主动脉分叉处,切除所有的脂肪,结缔组织与淋巴组织,同时也切除腹主动脉与下腔静脉之间的淋巴结及腹主动脉前的淋巴结,再由腹主动脉分叉处向右,向下切除骼淋巴结。左侧:沿腹主动脉自肾蒂上2厘米向下解剖直至腹主动脉分叉处,切除所有的脂肪,结蒂组织与淋巴组织,同时也切除腹主动脉与下腔静脉之间的淋巴结,再由腹主动脉分叉处向左,向下沿髂血管解剖,切除髂淋巴结达左侧内环处。","引流装置,冲洗液","腔镜材料","次","",2500,2000,1750,"乙类","消化","停用"]
[561,"HHZ24710","颌骨缺损咬合导板制作","指下颌骨肿瘤切除术后为防止咬合偏斜或治疗制作的咬合导板。经过牙齿预备,取模,模型在研究模型上设计,制作及修整､试戴。","石膏模型材料,卡环","合导板","个","此项为辅加操作项目",100,80,70,"丙类","颌面","停用"]
[562,"HHF83309","上颌前部根尖下截骨前移术","消毒铺巾,设计口内第一双尖牙之间黏膜切口,应用动力系统做两侧垂直和腭部水平骨切开,游离上颌前部牙骨质段,保护粘骨膜,按设计向前移动上颌前部骨块,骨缺损间隙应用自体骨移植。应用小钛板进行坚固内固定。相邻牙齿进行钢丝固定,彻底止血,冲洗,缝合,包扎。不含自体骨移植。","引流装置,冲洗液","内固定材料,特殊缝线,止血材料","单侧","分段截骨加收不超过50%",{"v":1000,"d":"1000.00"},{"v":800,"d":"800.00"},{"v":700,"d":"700.00"},"丙类","颌面","停用"]
[563,"HHF83306","口内外联合入路额眶上颌雷弗特Ⅱ型截骨术","分别经上颌前庭沟黏膜和鼻根部皮肤入路,切开粘骨膜并于骨膜下翻瓣显露上颌骨前部区域､颧牙槽嵴,向后潜行分离直至翼上颌联结,向上分离达眶下缘,保护眶下神经,切开鼻根部皮肤及皮下达骨面,向外侧剥离经眶内侧壁､泪囊窝后方剥离达眶底并向前达眶缘,在鼻额缝下方作水平截骨,骨切开线向外侧经泪囊窝后方眶内侧的筛骨向下达眶底,转向前达眶下缘。然后在口内将骨切开线从眶下缘向下后延伸,依次切开上颌窦前壁､后外侧壁直达翼上颌联结,并保护颌内动脉。离断翼上颌联结和鼻额联结,用专用上颌骨复位钳将上颌骨折下并松解,修整骨断面,骨段移动至预定位置后作坚强内固定。根据需要在骨缺损区植骨。处理术区,缝合伤口。手术需使用微动力系统,术中需行颌间结扎维持咬合关系。不含取骨术。","引流装置","止血材料,内固定材料,特殊缝线","单侧","",1300,1040,910,"丙类","颌面","停用"]
[564,"HHF83307","口内外联合入路额眶颧上颌雷弗特Ⅲ型截骨术","分别经上颌前庭沟黏膜和头皮冠状切口入路,上颌前庭沟黏膜切口切开粘骨膜并于骨膜下翻瓣显露上颌骨前部区域､颧牙槽嵴,向后潜行分离直至翼上颌联结,向上分离达眶下缘,保护眶下神经,冠状切口切开头皮于骨膜上翻瓣至眶上缘上约1厘米处切开骨膜继续翻瓣,显露鼻根､眶周及颧骨颧弓区骨质,注意保护眶上神经和面神经,在鼻额缝下方作水平截骨,骨切开线向外侧经泪囊窝后方眶内侧的筛骨向下达眶底,转向外达眶外侧缘,离断颧额联结。截骨过程中注意保护眼球及眶下神经血管束。截骨线转向后下经上颌窦后外侧壁达翼上颌联结。保护颌内动脉,离断翼上颌联结和颧颞联结,离断鼻额联结是注意防止脑损伤。用专用上颌骨复位钳将颧上颌骨折下并松解,修整骨断面,骨段移动至预定位置后作坚强内固定。根据需要在骨缺损区植骨。处理术区,缝合伤口。手术需使用微动力系统,术中需行颌间结扎维持咬合关系。不含取骨术。","引流装置","止血材料,内固定材料,特殊缝线","单侧","",1400,1120,980,"丙类","颌面","停用"]
[565,"HHF83308","上颌前牙骨段截骨后退术","经上颌前庭沟入路(也可经唇腭侧联合入路),切开粘骨膜向上翻起黏骨膜瓣,显露上颌窦前壁､前鼻棘､梨状孔边缘及鼻底,注意保持鼻底粘骨膜的完整性,避免撕裂后骨切开区与鼻腔相通。拔除双侧上颌第一前磨牙(也可在术前正畸过程中先拔除第一前磨牙),在上颌根尖上方5毫米处作第一前磨牙间的水平向骨切开线,该水平骨切开线经两侧相应之梨状孔边缘横贯骨性鼻底。继而剥离第一前磨牙相应区的颊侧粘骨膜,在第一前磨牙的近中和远中缘分别作垂直骨切开,并与水平骨切开线相连,注意勿伤及粘骨膜。去除两条垂直骨切开线之间的骨质,用鼻中隔骨凿自鼻底部将鼻中隔与上颌前份分离直至超过水平切骨线之后方,用骨钻与骨凿配合,切除二骨切开线之间的硬腭部的计划去骨区。在骨切开过程中应防止损伤腭侧粘骨膜。用上颌钳断离前颌骨块,用骨钻修平或补充切骨并修整骨断面,使骨块能顺利移动至计划位置,然后用钛板作内固定。如需将骨段向上复位,则应在鼻中隔相应部按所需程度磨成沟状或切除相应的鼻中隔下份,以避免骨段复位后造成鼻中隔偏曲或复位不全及术后骨段移位。处理术区,缝合伤口。手术需使用微动力系统,术中需行颌间结扎维持咬合关系。不含牙拔除术､取骨术。","引流装置","止血材料,内固定材料,特殊缝线","单侧","",1200,960,840,"丙类","颌面","停用"]
[566,"HHC83302","联合入路额眶颧上颌截骨矫正术","消毒铺巾,切口设计(含冠状切口､下睑缘切口､上颌前庭沟切口),切开,骨膜下剥离显露额骨､鼻根､眶缘眶壁､颧骨颧弓和/或上颌骨,应用动力系统,钻或锯开颅取下额骨瓣,硬脑膜外剥离显露眶顶颅内侧,截开眶上壁,截开额鼻缝､眶内壁､眶外壁和眶下壁,凿开筛骨垂直板和梨骨,截断颧弓,于上方切口或口内凿开翼上颌连接,或同时做上颌LeFortI型截骨,作为一体向前牵拉推移额､眶､鼻､颧及上颌骨,额骨瓣回植,额､鼻根､眶壁､颧弓及翼上颌连接处形成的缺损植骨修复,钛钉钛板或钛网或钢丝固定,止血,冲洗,分层缝合切口。留置引流。加压包扎。不含自体骨采取术。","引流装置","内固定材料,人工骨,特殊缝线,止血材料","单侧","",{"v":1200,"d":"1200.00"},{"v":960,"d":"960.00"},{"v":840,"d":"840.00"},"乙类","颌面","停用"]
[567,"HHF83311","上颌骨骨皮质截骨扩弓术","经上颌前庭沟入路,切开并于骨膜下翻瓣显露上颌骨前部梨状孔､颧牙槽嵴区域,潜行分离直至翼上颌联结,剥离并保护鼻腔黏膜,保护眶下神经,依次切开上颌窦前壁､内侧壁､后外侧壁,保护颌内动脉,必要时作上颌中线切开和翼上颌联结离断。安装扩弓器,处理术区,缝合伤口。手术需使用微动力系统,术中需行颌间结扎维持咬合关系。","引流装置","止血材料,内固定材料,扩弓器,特殊缝线","单侧","",1400,1120,980,"丙类","颌面","停用"]
[568,"HHF83310","上颌后部牙骨段截骨术","经上颌颊侧前庭沟入路(也可经颊腭侧联合入路),切开粘骨膜向上翻起黏骨膜瓣,显露接骨所需的上颌窦前壁､外侧壁和后壁部分以及翼上颌联结。用锯和钻在牙根尖上约5毫米处作水平骨切开线,然后在拟移动骨段的前后端分别作垂直骨切开线,然后用专用薄骨刀或摆动据经颊侧骨切开线或经腭侧切口切断腭侧水平板。在骨切开过程中应防止损伤腭侧粘骨膜。用器械离断牙骨块,用骨钻修平或补充切骨并修整骨断面,使骨块能顺利移动至计划位置,然后用钛板作坚强内固定。如需将骨段上抬,则应在第一条水平骨切开线上方再作第二条水平骨切开线,两线之间的距离就是需要上抬的距离。处理术区,缝合伤口。手术需使用微动力系统,术中需行颌间结扎维持咬合关系。","引流装置","止血材料,内固定材料,特殊缝线","单侧","",1400,1120,980,"丙类","颌面","停用"]
[569,"HHF83312","上颌梨状孔周围截骨术","消毒铺巾,切口设计,切开,骨膜下剥离显露上颌骨､梨状孔､眶下神经､在梨状孔周围设计截骨线,应用动力系统钻或锯截开骨质,松动前移截骨段,钛钉钛板内固定,骨间隙植骨,止血,冲洗,引流,缝合切口。不含取骨术。","引流装置","特殊缝线,内固定材料,止血材料","单侧","",1200,960,840,"乙类","颌面","停用"]
[570,"HHG83314","下颌骨体部阶梯状截骨术","消毒铺巾,设计口内黏膜切口,切开､剥离和显露截骨部位至下颌骨下缘,做阶梯状截骨,截骨至颏孔上方约2毫米时,停止垂直截骨,转向前方做根尖下水平,至颏孔前3毫米,做垂直截骨至下颌骨下缘,就位植骨,固定,和缝合。","引流装置","特殊缝线,内固定材料,止血材料","单侧","",{"v":1200,"d":"1200.00"},{"v":960,"d":"960.00"},{"v":840,"d":"840.00"},"丙类","颌面","停用"]
[571,"HHG83313","下颌骨体后部截骨术","消毒铺巾,设计口内黏膜切口切开､剥离和显露截骨部位至下颌骨下缘,截骨上至齿槽嵴下至下颌骨下缘。去除多余骨块,就位植骨,固定,和缝合。","引流装置","特殊缝线,内固定材料,止血材料","单侧","",{"v":1200,"d":"1200.00"},{"v":960,"d":"960.00"},{"v":840,"d":"840.00"},"丙类","颌面","停用"]
[572,"HHG83310","下颌骨外板劈开植骨增宽术","消毒铺巾,设计口内黏膜切口,切开,骨膜下剥离显露下颌骨颊侧骨质,后至升支后缘,上至咬合平面,下至下颌骨下缘,前至颏孔区。应用牙科钻､裂钻和锯做下颌骨体颊侧骨质区做水平､矢状和垂直截骨线,用骨凿劈开,保护下牙槽神经,劈开间隙应用人工骨或自体骨充填。应用小钛板进行坚固内固定术,彻底止血。冲洗缝合,放置引流,包扎。不含自体骨质的取出。","引流装置,冲洗液","特殊缝线,止血材料","单侧",null,{"v":1300,"d":"1300.00"},{"v":1040,"d":"1040.00"},{"v":910,"d":"910.00"},"丙类","颌面","停用"]
[573,"HHG83315","下颌全牙列根尖下截骨术","经下颌切开黏膜､肌层至骨面,用骨膜剥离器分离至下颌下缘之上,显露出自颏孔的颏神经束,妥为保护。微型骨锯或骨钻作骨切开线直达相应骨板。完成前后部水平骨切开,截骨完成后修整骨断面,维持咬合关系,行坚强内固定。处理创面缝合伤口。","引流装置","内固定材料,特殊缝线,止血材料","单侧","",{"v":1200,"d":"1200.00"},{"v":960,"d":"960.00"},{"v":840,"d":"840.00"},"丙类","颌面","停用"]
[574,"HHG83311","下颌骨体前部垂直截骨颌骨畸形矫正术","消毒铺巾,设计口内黏膜切口切开､剥离和显露截骨部位至下颌骨下缘,截骨上至齿槽嵴下至下颌骨下缘。去除多余骨块,就位植骨,固定和缝合。","引流装置","特殊缝线,内固定材料,止血材料","次",null,{"v":1200,"d":"1200.00"},{"v":960,"d":"960.00"},{"v":840,"d":"840.00"},"丙类","颌面","停用"]
[575,"HHG83304","下颌骨陈旧性骨折截骨植骨整复术","经口内或口外入路分层切开显露骨折错位愈合部位,用微型骨锯将其截开,修整截骨断面,行颌间固定恢复咬合关系后,将截骨区域重新坚强固定。手术需使用微动力系统。不含计算机辅助设计､颌骨模型制备､口外重建板预成型。","牙弓夹板,引流装置","内固定材料,功能丝,止血材料,特殊缝线","单侧","每增加1个部位加收不超过60%",{"v":1570,"d":"1570.00"},{"v":1255,"d":"1255.00"},{"v":1100,"d":"1100.00"},"乙类","颌面","停用"]
[576,"HHG83309","下颌体部截骨术","可选用口内或口外手术进路。口外经颌下切口,分层切开,显露下颌骨体,口内经路沿下颌前庭沟切开黏膜达骨面,骨膜下分离并显露下颌骨。按照设计用微型骨锯在下颌骨体作截骨,全层切开下颌体部骨质,修整骨断面,将骨段移动至预定位置,行坚强内固定。如需要植骨同期植骨并固定。术中注意保护并妥善处理下牙槽神经血管束､面神经､面动静脉。处理术区,缝合伤口。手术需使用微动力系统,术中需行颌间结扎维持咬合关系。不含取骨术。","引流装置","内固定材料,止血材料,特殊缝线","单侧","",1300,1040,910,"丙类","颌面","停用"]
[577,"HHG83316","下颌后部根尖下截骨术","经下颌前庭沟处入路,切开黏膜､肌层至骨面,用骨膜剥离器分离至下颌下缘之上,小心分离并显露出自颏孔的颏神经束,妥为保护。按设计线于下颌牙根尖下约5毫米平面,用微型骨锯或骨钻作水平向骨切开线切开颊侧皮质骨,颊侧骨板开窗探查下牙槽神经血管束位置,仔细分离并保护好下牙槽神经血管束后,将水平骨切开线穿透舌侧相应骨板,完成水平骨切开。然后在设计骨段的近远中进行垂直骨切开。术中特别注意保护好舌侧粘骨膜。截骨完成后修整骨断面,将骨块移动至预定位置,行坚强内固定。处理术区缝合伤口。术中需行颌间结扎维持咬合关系。不含取骨术､拔牙术。","引流装置","内固定材料,止血材料,特殊缝线","单侧","",2000,1600,1400,"丙类","颌面","停用"]
[578,"HHG83312","下颌前部根尖下截骨术","经下颌双侧第二前磨牙间前庭沟处入路,切开黏膜､肌层至骨面,用骨膜剥离器分离至下颌下缘之上,小心分离并显露出自颏孔的颏神经束,妥为保护。按设计线于下颌牙根尖下约5毫米平面,用微型骨锯或骨钻作第一前磨牙间的水平向骨切开线直达舌侧相应骨板。在完成水平骨切开后,仔细由骨面剥离第一前磨牙区粘骨膜。如需后退前颌骨块,则在拔除第一前磨牙后,分别在第一前磨牙近中和远中作两条垂直骨切开线,两条垂直骨切开线之间的距离就是前颌骨块需要后退的距离,如果不需后退前颌骨块,则用微型骨锯或骨钻分别由已拔除的第一前磨牙区牙槽嵴顶部,向下垂直切开牙槽骨,垂直骨切开线与水平骨切开线相交。慎勿伤及尖牙､第二前磨牙的牙周膜及舌侧粘骨膜,在未拔除第一前磨牙的病例更应特别注意。如需下降前颌牙骨段,则在第一条水平截骨线下方再作第二条水平截骨线,两条水平骨切开线之间的距离就是前颌骨块需要下降的高度。修整骨断面,将前颌骨块移动至预定位置,行坚强内固定。处理术区缝合伤口。术中需行颌间结扎维持咬合关系。不含取骨术､拔牙术。","引流装置","特殊缝线,内固定材料,止血材料","单侧","分段截骨加收不超过50%",1200,960,840,"丙类","颌面","停用"]
[579,"HHG83320","口内入路下颌升支垂直截骨术","沿下颌升支前缘及外斜线切开黏膜达骨面,骨膜下分离并显露下颌支前缘､外侧面､乙状切迹､喙突及髁突颈下部。下颌支内侧的软组织不作剥离。用微型摆动骨锯经下颌支外侧骨面,上起乙状切迹､下达下颌角前切迹全层切开下颌支骨质。用骨膜分离器将续连髁突的近心骨段撬引向外侧,使之重叠贴附于续连牙列的远心骨段下颌支部的颊侧骨面。修整骨断面,远心骨段移动至预定位置后将近心骨段悬吊固定。术中注意保护下牙槽神经血管束､面神经､面动静脉。处理术区,缝合伤口。手术需使用微动力系统,术中需行颌间结扎维持咬合关系。","引流装置","内固定材料,止血材料,特殊缝线","单侧","",1300,1040,910,"丙类","颌面","停用"]
[580,"HHG83319","口内入路下颌升支矢状劈开颌骨畸形矫正术","经口内下颌升支前缘及外斜线区黏膜切口骨膜下翻瓣,显露下颌支前缘､内外侧面部分､下颌骨体颊侧。在下颌小舌之上方水平用骨锯或钻作水平骨切开线,切开升支内侧皮质骨,切开线后界止于下颌神经沟前端经升支前缘向下延伸,沿外斜线至下颌第二磨牙相应颊侧骨外板,再转向下形成垂直骨切开线直达下颌下缘偏内侧。全线切开单层皮质骨,用专用骨刀及劈开器将近远心骨段完全分开。术中要保护下牙槽神经血管束､面神经和面动静脉。修整骨断面,去除阻挡骨段移位就位的骨质,骨段进行坚强内固定。处理术区,缝合伤口。手术需使用微动力系统,术中需行颌间结扎维持咬合关系。","引流装置","内固定材料,止血材料,特殊缝线","单侧","",2000,1600,1400,"丙类","颌面","停用"]
[581,"HHG83308","口外入路下颌升支垂直截骨术","控制性降压麻醉,切口,骨膜下剥离和暴露喙突根部,升支外侧面,截骨上至乙状切迹,下至角前切迹,后退远心骨段,固定,冲洗缝合伤口。","引流装置","特殊缝线,内固定材料,止血材料","单侧","",1300,1040,910,"丙类","颌面","停用"]
[582,"HHZ41701","正颌外科手术设计","指人工对X线头影测量,定点连线,数据分析,剪纸外科分析,作出诊断,模拟手术与方案设计。","","","次","",200,160,140,"丙类","颌面","停用"]
[583,"HHZ41702","正颌外科手术数字化设计与预测","指X线影像输入,定点测量,软件数据分析,作出诊断,数据输出,模拟手术效果,提供方案设计。图文报告。","","","次","",200,160,140,"丙类","颌面","停用"]
[584,"HHZ41704","模型外科设计","指为正颌手术需要的模型外科设计。含面弓转移､模型上合架､模型画线､测量､切割､模拟手术拼对等操作。不含印模与石膏模型制备。","颌架,模型蜡","","次","",200,160,140,"丙类","颌面","停用"]
[585,"HHZ60701","钛重建板弯制复制口内咬合关系","指下颌骨手术截骨前,人工弯制钛重建板,使它和下颌骨表面紧密贴附,维持口内咬合关系,以便骨修复时利用重建板恢复咬合关系。","牙弓夹板","内固定材料,特殊缝线","次","",1600,1280,1120,"丙类","颌面","停用"]
[586,"HHZ41703","颌面缺损重建手术设计","指数字化影像数据输入软件,计算机图像重建缺损与畸形,提供模拟手术,数据分析,提供手术方案。图文报告。","","","次","",280,220,190,"丙类","颌面","停用"]
[587,"HHZ24708","颌面头骨模型制作","指数字化影像数据输入软件,计算机图像重建,数据输出,快速成型机加工制作头骨模型。图文报告。","","","次","此项为辅加操作项目",280,220,190,"丙类","颌面","停用"]
[588,"HHZ24709","牙槽突模型测绘","局部浸润或区域阻滞麻醉,用测量针沿纵轴测量缺牙区牙槽突唇(颊)侧和舌(腭)侧黏膜的厚度,制备相应缺牙区牙槽突可卸代型,在可卸代型截面根据黏膜厚度描绘牙槽突形态,用电磨头按照黏膜厚度,将石膏模型对应点的石膏磨除,并连线,制备成牙槽突石膏模型。","石膏","压膜,导板","部位","",120,95,85,"丙类","颌面","停用"]
[589,"HHG83307","下颌升支矢状劈开截骨术","消毒铺巾,设计切口,骨膜下剥离和暴露升支内侧面准备做升支内侧水平骨切口的部位,剥离升支前缘的骨面,和第一､二磨牙颊侧面至下颌体部下缘,做水平,矢状和垂直骨切开,劈开近远心骨段,佩戴咬合导板,近远心骨段的骨间固定,冲洗缝合伤口。","引流装置","特殊缝线,内固定材料,止血材料","单侧","",1300,1040,910,"丙类","颌面","停用"]
[590,"HHG58301","下颌升支异型截骨术","可选用口内或口外手术进路。口外经颌下切口,分层切开,显露下颌升支外侧面,口内经路沿下颌升支前缘及外斜线切开黏膜达骨面,骨膜下分离并显露下颌支前缘､外侧面､乙状切迹､喙突及髁突颈下部。下颌支内侧的软组织可不作剥离。按照设计用微型骨锯在下颌支外侧骨面作L或C形截骨,全层切开下颌支骨质。近远心骨段完全分离后修整骨断面,将远心骨段移动至预定位置,行坚强内固定。如需要植骨同期植骨固定。术中注意保护并妥善处理下牙槽神经血管束､面神经､面动静脉。处理术区,缝合伤口。手术需使用微动力系统,术中需行颌间结扎维持咬合关系。不含取骨术。","引流装置","内固定材料,止血材料,特殊缝线","单侧","",2000,1600,1400,"丙类","颌面","停用"]
[591,"HHK83306","颏部截骨前徙舌骨悬吊术","经下颌前庭沟切口入路,骨膜下翻瓣分离显露颏部骨质,注意保护颏神经血管束,可适当分离二腹肌的颏附着。按设计的水平截骨线用微型骨锯或骨钻由唇侧骨板至舌侧骨板全层切开下颌骨颏部,然后用骨凿分离､松动颏部骨段,牵引移动颏部骨段至设计位置。然后将移动后的骨块用钛板固定。特别注意防止颏部及口底软组织损伤,以免口底过度肿胀引起上呼吸道梗阻,同时注意勿使附着于颏部的肌肉和骨膜牵拉骨段回位。然后分离显露舌骨,切断部分舌骨下肌群,以阔筋膜或金属结扎丝将舌骨悬吊至颏部并固定。修整外形,处理术区,缝合伤口。手术需使用微动力系统。不含阔筋膜切取术。","结扎丝,引流装置","内固定材料,特殊缝线","单颌","",1500,1200,1050,"乙类","颌面","停用"]
[592,"HHK83305","阶梯式颏成形术","消毒铺巾,局部麻醉,在双侧下颌第一双尖牙口腔前庭黏膜切开,骨膜下剥离,暴露设计截骨部位。标记截骨线:双侧颏孔下方5毫米,下颌下缘上约10-15毫米,用裂钻或矢状锯､来复锯或摆动据完成阶梯式及其它截骨,移动颏部骨断至适当位置,应用坚固内固定术进行固定,缝合,加压包扎。","引流装置","内固定材料,特殊缝线,止血材料","次",null,{"v":1300,"d":"1300.00"},{"v":1040,"d":"1040.00"},{"v":910,"d":"910.00"},"丙类","颌面","停用"]
[593,"HHK58301","颏部截骨前徙舌骨下肌群切断术","经下颌前庭沟切口入路,骨膜下翻瓣分离显露颏部骨质,注意保护颏神经血管束,可适当分离二腹肌的颏附着。按设计的水平截骨线用微型骨锯或骨钻由唇侧骨板至舌侧骨板全层切开下颌骨颏部,然后用骨凿分离､松动颏部骨段,牵引移动颏部骨段至设计位置。然后将移动后的骨块用钛板固定。同时做舌骨下肌群切断术。","引流装置","内固定材料,特殊缝线,止血材料","次",null,1300,1040,910,"丙类","颌面","停用"]
[594,"HHK83303","颏水平截骨植骨成形术","经下颌前庭沟切口入路,骨膜下翻瓣分离显露颏部骨质,注意保护颏神经血管束,可适当分离二腹肌的颏附着。按设计的水平截骨线用微型骨锯或骨钻由唇侧骨板至舌侧骨板全层切开下颌骨颏部,然后用骨凿分离､松动颏部骨段,牵引移动颏部骨段至设计位置,移植骨置于骨间隙内,然后将移动后的骨块及移植骨用钛板固定。特别注意防止颏部及口底软组织损伤,以免口底过度肿胀引起上呼吸道梗阻,同时注意勿使附着于颏部的肌肉和骨膜牵拉骨段回位。进一步修整外形,处理术区,缝合伤口。手术需使用微动力系统。不含取骨术。","引流装置","内固定材料,特殊缝线,止血材料","单颌","",1400,1120,980,"丙类","颌面","停用"]
[595,"HHK83302","水平截骨自体(人工)骨移植颏成形术","消毒铺巾,局部麻醉,在双侧下颌第一双尖牙口腔前庭黏膜切开,骨膜下剥离,暴露设计截骨部位。标记截骨线:双侧颏孔下方5毫米,下颌下缘上约10-15毫米,用裂钻或矢状锯､来复锯或摆动据完成截骨,移动颏部骨断至适当位置,应用自体骨或人工骨移植充填骨间隙,应用坚固内固定术进行固定,缝合,加压包扎。","引流装置","内固定材料,特殊缝线,止血材料","次","",1400,1120,980,"丙类","颌面","停用"]
[596,"HHE62303","颌骨增高术","应用自体或生物材料进行牙槽骨或颌骨增高。","引流装置","止血材料，充填材料，特殊缝线","次","",{"v":420,"d":"420.00"},{"v":340,"d":"340.00"},{"v":290,"d":"290.00"},"丙类","颌面","停用"]
[597,"HHG89302","下颌骨缺损网托加松质骨移植术","指下颌骨缺损以钛网加松质骨修复其连续性,含颌间固定,植骨床制备和固定。手术需使用微动力系统。不含供骨区手术､计算机辅助设计､颌骨模型制备､口外重建板预成型。","牙弓夹板,引流装置","内固定材料,止血材料,特殊缝线","单侧","骨缺损大于3厘米,每增加1厘米加收不超过20%",1200,960,840,"乙类","颌面","停用"]
[598,"HHK60301","颏部及下颌外斜嵴取骨术","局部麻醉,切开黏膜,显露取骨区,使用外科专用骨锯或骨钻,避开周围牙根以及下牙槽神经,切取下颌骨外侧骨板,明胶海绵骨床止血,缝合伤口。","引流装置","充填材料,特殊缝线","次","",1000,800,700,"丙类","颌面","停用"]
[599,"HHG60301","下颌骨外板切取术","消毒铺巾,局部麻醉,切开口内黏膜,骨膜下剥离显露下颌骨颊侧骨质,后至升支后缘,上至咬合平面,下至下颌骨下缘,前至颏孔区。在颊侧骨质区做水平,矢状和垂直截骨线,用骨凿劈开,取下下颌骨外板,保护下牙槽神经。彻底止血。冲洗缝合。","引流装置","内固定材料,止血材料,特殊缝线","次",null,{"v":1100,"d":"1100.00"},{"v":880,"d":"880.00"},{"v":770,"d":"770.00"},"丙类","颌面","停用"]
[600,"HHS89303","缺牙区游离骨移植术","局部麻醉,切开黏膜､翻瓣,显露牙槽突,以微动力系统平整植骨床,去除纤维组织,将取自体骨块用长螺钉固定于缺牙区牙槽突,用外置法或\"三明治\"夹层法,骨块周围充填颗粒状植骨材料(自体骨和/或骨代用品),表面可覆盖生物屏障膜,松解软组织瓣,严密无张力缝合关闭伤口。不含取骨术。","注射器","人工骨,屏障膜,内固定材料,特殊缝线","每牙","不得在口腔种植中收取",{"v":1265,"d":"1265.00"},{"v":1015,"d":"1015.00"},{"v":885,"d":"885.00"},"丙类","颌面","停用"]
[601,"HHC73401","颌面骨骨纤维异常增殖症病变铲除术","在上颌骨颧骨一般从口内前庭沟切开,从骨膜下分离至病变区,拉钩牵开暴露手术区,骨刀､电磨头去除病变骨质,下颌骨根据不同情况可以从口内前庭沟或颌下逐层进入,暴露手术区,去除病变骨质。伤口处理。手术需使用微型骨钻､骨锯去除增生骨质。如果进入上颌窦手术不含上颌窦根治术。","引流装置","止血材料,特殊缝线","次",null,{"v":1000,"d":"1000.00"},{"v":800,"d":"800.00"},{"v":700,"d":"700.00"},"甲类","颌面","停用"]
[602,"HHG83318","口内入路下颌骨不对称畸形材料衬垫矫正术","指在麻醉下设计,切开翻瓣,显露下颌骨颊侧,材料塑形,衬垫植入并固定。需使用微动力系统。","引流装置","内固定材料,止血材料,特殊缝线","单侧","",1800,1440,1260,"丙类","颌面","停用"]
[603,"HHK83304","颏部衬垫术","经下颌前庭沟切口入路,骨膜下翻瓣分离显露颏部骨质,注意保护颏神经血管束。按术前设计将植入材料塑形､固定。进一步修整外形,处理术区,缝合伤口。手术需使用微动力系统。","引流装置","内固定材料,充填材料,特殊缝线,止血材料","单颌","","市场调节价","市场调节价","市场调节价","丙类","颌面","停用"]
[604,"HHF83302","上颌结节成形术","麻醉,切开黏骨膜,翻瓣,骨凿去骨,修整骨形态。不含取皮术。","注射器,引流装置","止血材料,特殊缝线","次","",450,360,310,"丙类","颌面","停用"]
[605,"HHE71305","颌骨骨折外固定术","指颌骨骨折临时采用颌骨悬吊或支架固定的方法。","结扎丝,外固定材料",null,"单颌",null,340,270,230,"甲类","颌面","停用"]
[606,"HHG71301","口外入路下颌骨骨折内固定术","经口外入路分层切开显露骨折区域,清除骨痂,将骨折复位并行颌间牵引固定保持咬合关系,骨折行坚强内固定。手术需使用微动力系统。","牙弓夹板,引流装置","内固定材料,功能丝,止血材料,特殊缝线","单侧","",1100,880,770,"甲类","颌面","停用"]
[607,"HHF70302","上颌骨雷弗特Ⅰ型骨折切开复位内固定术","经口内前庭沟入路,切开显露上颌骨前壁､颧牙槽嵴区域,行颌间结扎维持咬合关系,骨折复位作坚强内固定。需使用微动力系统。","牙弓夹板,结扎丝,引流装置","内固定材料,特殊缝线","单侧","上颌矢状骨折固定加收不超过20%",1100,880,770,"甲类","颌面","停用"]
[608,"HHG70302","口内入路下颌骨骨折切开复位内固定术","经口内前庭沟入路切开局部软组织,显露骨折,清除骨痂,将骨折复位并行颌间牵引固定保持咬合关系,骨折行坚强内固定。手术需使用微动力系统。","牙弓夹板,引流装置","内固定材料,功能丝,止血材料,特殊缝线","单侧","",1500,1200,1050,"甲类","颌面","停用"]
[609,"HHF83313","上颌骨陈旧性骨折截骨整复术","分别经冠状切口､鼻根皮肤切口､下睑缘切口及口内入路显露骨折,专用器械再复位,或用锯､钻作雷弗特(LeFort)截骨加分块截骨,修整骨块,待其复位后行颌间结扎恢复咬合关系,骨折复位后作坚强内固定。需使用微动力系统。","牙弓夹板,结扎丝,引流装置","止血材料,内固定材料,特殊缝线","单侧","",1900,1520,1330,"乙类","颌面","停用"]
[610,"HHG70301","下颌骨陈旧性骨折截骨再复位固定术","经口内或口外入路分层切开显露骨折错位愈合部位,用微型骨锯将其截开,修整截骨断面,行颌间固定恢复咬合关系后,将截骨区域重新坚强固定。手术需使用微动力系统。","牙弓夹板,引流装置","内固定材料,功能丝,止血材料,特殊缝线","单侧","每增加1个部位加收不超过60%",1400,1120,980,"乙类","颌面","停用"]
[611,"HHF70301","上颌骨骨折截骨复位内固定术","消毒铺巾,设计口内黏膜切口,显露上颌骨各个壁和上颌突等,将骨折部位暴露清楚,应用牙钻和锯将骨质截断,复位,应用小钛板进行坚固内固定。彻底止血,冲洗,缝合,包扎。","引流装置,冲洗","内固定材料,特殊缝线,止血材料","单侧","",1000,800,700,"乙类","颌面","停用"]
[612,"HHF70303","上颌骨雷弗特Ⅱ型/Ⅲ型骨折切开复位内固定术","分别经冠状切口､鼻根皮肤切口､下睑缘切口及口内入路显露骨折,行颌间结扎维持咬合关系,骨折复位作坚强内固定。需使用微动力系统。","牙弓夹板,结扎丝,引流装置","内固定材料,特殊缝线","单侧","上颌矢状骨折固定加收不超过20%",1470,1180,1030,"甲类","颌面","停用"]
[613,"HHA70301","全面部骨折手术复位内固定术","指涉及鼻眶､颧眶､颧骨颧弓､上下颌骨等全面部新鲜(非陈旧性)骨折的整复。经冠状切口､鼻根部､口内､颌下､睑缘多部位联合切口分别切开翻瓣,显露骨折区域,并保护面部血管神经,颌间结扎保持咬合关系,按先后顺序依次作复位､内固定,颅骨眶底缺损者还需同期修复,重建面部轮廓和咬合关系,处理术区,缝合伤口。需使用微动力系统。不含取骨植骨术､计算机辅助重建设计､头模制备､模型外科､眼耳鼻整复(容)术。","牙弓夹板,结扎丝,引流装置","内固定材料,止血材料,特殊缝线","次","",1500,1200,1050,"甲类","颌面","停用"]
[614,"HHA83306","全面部陈旧性复杂骨折畸形整复术","指涉及鼻､眶､颧骨､上下颌骨等全面部陈旧骨折的整复。经冠状切口､口内､颌下､睑缘多部位联合切口分别切开翻瓣,显露骨折区域,保护面部血管神经,截开畸形愈合的骨折区,处理骨断面,颌间结扎保持咬合关系,按先后顺序作复位､内固定,重建面部轮廓和咬合关系,处理术区,缝合伤口。需使用微动力系统。不含取骨植骨术､计算机辅助重建设计､头模制备､模型外科､眼耳鼻整复(容)术。","牙弓夹板,结扎丝,引流装置","内固定材料,止血材料,特殊缝线","次","",2400,1920,1680,"丙类","颌面","停用"]
[615,"HHF83304","上颌雷弗特Ⅰ型截骨术","经上颌前庭沟入路,切开并于骨膜下翻瓣显露上颌骨前部区域､颧牙槽嵴,潜行分离直至翼上颌联结,剥离鼻底黏膜,保护眶下神经,依次切开上颌窦前壁､内侧壁､后外侧壁,保护颌内动脉,离断翼上颌联结和鼻中隔,用专用上颌骨复位钳将上颌骨折下并松解,修整骨断面。骨段移动至预定位置后,分别在双侧梨状孔外侧和颧牙槽嵴部作坚强内固定。处理术区,缝合伤口。手术需使用微动力系统,术中需行颌间结扎维持咬合关系。","引流装置","止血材料,内固定材料,特殊缝线","单侧","",1200,960,840,"丙类","颌面","停用"]
[616,"HHF83305","上颌雷弗特Ⅰ型加分块截骨术","经上颌前庭沟入路,切开并于骨膜下翻瓣显露上颌骨前部区域､颧牙槽嵴,潜行分离直至翼上颌联结,剥离鼻底黏膜,保护眶下神经,依次切开上颌窦前壁､内侧壁､后外侧壁,保护颌内动脉,用专用上颌骨复位钳将上颌骨折下并松解,按照手术设计将上颌骨切割分块,修整骨断面。骨段移动至预定位置后,分别在双侧梨状孔外侧､颧牙槽嵴部必要时在分块区作坚强内固定。根据需要在骨缺损去植骨。处理术区,缝合伤口。手术需使用微动力系统,术中需行颌间结扎维持咬合关系。不含取骨术。","引流装置","止血材料,内固定材料,牵张器,特殊缝线","单侧","",1200,960,840,"丙类","颌面","停用"]
[617,"HHJ70302","髁突骨折切开复位内固定术","经耳屏前入路分层切开显露髁突骨折区域,注意保护面神经。行颌间固定恢复咬合关系后将骨折复位,作钛板钉坚强内固定。需使用微动力系统。不含内镜辅助口内入路内固定。","牙弓夹板,引流装置","内固定材料,功能丝,止血材料,特殊缝线","单侧","",1250,1000,875,"甲类","颌面","停用"]
[618,"HHJ70301","髁突陈旧性骨折复位内固定术","经耳屏前或颌下入路分层切开显露髁突骨折区域,注意保护面神经。行颌间牵引维持咬合关系,在错位愈合部位截开髁状突或作升支垂直截骨,修整骨断面,将髁状突位置调整后再行坚强内固定。处理术区,缝合伤口。","牙弓夹板,引流装置","内固定材料,功能丝,特殊缝线,止血材料","单侧","",1600,1280,1120,"乙类","颌面","停用"]
[619,"HHJ73303","髁突陈旧性骨折髁状突摘除术","经耳屏前入路分层切开显露髁突骨折区域,注意保护面神经。行颌间牵引维持咬合关系,将异常的髁状突摘除,修整髁突头,处理术区,缝合伤口。需使用微动力系统。","牙弓夹板,引流装置","内固定材料,功能丝,止血材料,特殊缝线","单侧","",1600,1280,1120,"乙类","颌面","停用"]
[620,"HHJ73304","髁突粉碎性骨折骨折片摘除术","经耳屏前入路分层切开显露髁突骨折区域,注意保护面神经。行颌间牵引维持咬合关系,将无法固定的髁状突碎骨片摘除,修整髁突头,处理术区,缝合伤口。","牙弓夹板,引流装置","内固定材料,功能丝,止血材料,特殊缝线","单侧","",1600,1280,1120,"甲类","颌面","停用"]
[621,"HHD70304","颞部入路颧弓骨折复位术","局麻下经颞部切口切开头皮翻瓣,在正确的层次将颧弓复位专用器械伸入达颧弓骨折区域深面,保护好面神经,按照复位方向用恰当的力量抬起塌陷颧弓,使骨折复位,恢复颧弓高度,检查颧弓高度恢复后缝合伤口。","结扎丝,引流装置,注射器","内固定材料,止血材料,特殊缝线","单侧","",1000,800,700,"甲类","颌面","停用"]
[622,"HHD70309","颞部入路颧弓骨折复位内固定术","辅助局部浸润麻醉后,经颞部切口切开翻瓣,妥善处理颞部血管,保护好面神经,显露颧骨颧弓骨折区域,依次作骨折复位､内固定,软组织悬吊缝合,重建面部轮廓,处理术区,放置引流,缝合伤口。内固定需使用微动力系统。","结扎丝,引流装置,注射器","内固定材料,止血材料,特殊缝线","单侧","",1000,800,700,"甲类","颌面","停用"]
[623,"HHD70310","口内入路颧弓骨折复位术","局麻下经口内上颌前庭沟切口切开粘骨膜,在骨膜下翻瓣剥离经颧牙槽嵴颧骨体达颧弓区域,循骨膜下间隙将颧弓复位专用器械伸入达颧弓骨折区域深面,按照复位方向用恰当的力量抬起塌陷颧弓,使骨折复位,恢复颧弓高度,检查颧弓高度恢复后缝合伤口。","结扎丝,引流装置,注射器","内固定材料,止血材料,特殊缝线","单侧","",1100,880,770,"甲类","颌面","停用"]
[624,"HHD70305","齿钩牵拉颧弓骨折复位术-口外法","局麻下避开面神经走行区域在颧弓骨折区域将颧弓复位专用齿钩刺入达颧弓深面,按照复位方向用恰当的力量拉起塌陷颧弓,使骨折准确复位,恢复颧弓高度,必要时缝合皮肤伤口。","结扎丝,引流装置,注射器","内固定材料,止血材料,特殊缝线","单侧","",1000,800,700,"甲类","颌面","停用"]
[625,"HHD70308","颧骨颧弓骨折复位内固定术","经冠状切口､睑缘多部位联合切口分别切开翻瓣,显露骨折区域,并保护面部血管神经,松解骨折块并作复位,分别固定颧额缝､颧上颌缝､眶下､颧弓,行眶底探查并作必要的修复。处理术区,缝合伤口。内固定需使用微动力系统。不含取骨术。","结扎丝,引流装置","内固定材料,止血材料,特殊缝线","单侧","",1800,1440,1260,"甲类","颌面","停用"]
[626,"HHD71301","颧骨颧弓截骨坚固内固定术","根据具体条件进行骨内固定,含钢丝结扎或小型或微型钛板坚固内固定。","结扎丝,引流装置","特殊缝线,内固定材料,止血材料","单侧","",1200,960,840,"丙类","颌面","停用"]
[627,"HHD61304","口内入路人工材料植入颧骨充填术","消毒铺巾,设计口内切口,局部麻醉后,切开,骨膜下剥离显露颧骨,复位嵌入的软组织,人工骨修复塌陷处,钛钉钛板或钢丝内固定,缝合切口,留置引流。","引流装置,注射器","特殊缝线,内固定材料,止血材料","单侧","",1100,880,770,"丙类","颌面","停用"]
[628,"HHD70307","颧骨陈旧性骨折截骨复位固定术","辅助局部浸润麻醉后,经颞部切口联合口内切口入路,切开翻瓣,妥善处理颞部血管,保护好面神经､眶下神经,显露颧骨骨折区域,应用微动力系统将已畸形愈合的骨块切割､松解,使其能移位､拼对､连接并作塑形､修整,用钛板钛钉将骨块复位固定,修整骨块使其无锐的边缘,将软组织复位检查面部双侧对称性。处理术区,完善止血,放置引流,缝合伤口。手术需使用微动力系统。含眶底探查。不含眶底重建､计算机辅助设计､颌骨模型制备､口外重建板预成型。","结扎丝,引流装置,注射器","内固定材料,止血材料,特殊缝线","单侧","",1800,1440,1260,"丙类","颌面","停用"]
[629,"HHD83302","颧骨陈旧性骨折植骨矫治术","用微动力系统将畸形的颧骨磨改修整,用植骨材料或生物材料矫正畸形。含自体植骨､固定。不含取骨术。","引流装置","内固定材料,止血材料,特殊缝线","单侧","",1200,960,840,"乙类","颌面","停用"]
[630,"HHD70306","颧骨骨折复位内固定术","消毒铺巾,设计口内黏膜切口,局部麻醉后,切开,自骨膜下剥离显露颧骨颧弓,复位嵌入的软组织,将骨折复位,钛钉钛板内固定,缝合骨膜及切口,留置引流。","引流装置,注射器","特殊缝线,内固定材料,止血材料","单侧","",800,640,560,"甲类","颌面","停用"]
[631,"HHD61303","颧骨过低衬垫成形术","经上颌前庭沟入路,切开并于骨膜下翻瓣显露上颌窦前壁､颧牙槽嵴,并向上分离显露颧骨体及颧弓前份。置入专用拉钩保护软组织､暴露手术区,将拟植入的材料塑形并反复调整形态与位置,最后植入并固定,处理术区,伤口关闭。手术需使用微动力系统。不含取骨术。","结扎丝,引流装置","内固定材料,止血材料,特殊缝线","单侧","",1600,1280,1120,"丙类","颌面","停用"]
[632,"HHD82301","颧骨截骨自体骨移植增宽术","消毒铺巾,口内上颌黏膜设计切口,骨膜下剥离显露上颌骨前壁,颧骨和部分颧弓,保护眶下神经。用裂钻或来复锯将颧骨于上颌骨和额部连接截断,将颧骨和颧弓向前和外侧抬起,骨间隙应用自体骨质充填,小钛板进行坚固内固定。彻底止血,观察左右是否对称,冲洗,放置引流,缝合,包扎。","引流装置","特殊缝线,内固定材料,止血材料","单侧","",1200,960,840,"丙类","颌面","停用"]
[633,"HHC70301","颧骨上颌骨骨折切开复位内固定术","经冠状､睑缘及口内切口入路,分别切开翻瓣,显露骨折区域,并保护面部血管神经,松解骨折块并作复位,用牙弓夹板或颌间牵引钉作颌间结扎保持咬合关系,复位骨块并作内固定。行眶底探查并作必要的修复。处理术区,缝合伤口。内固定需使用微动力系统。不含取骨术､计算机辅助设计､颌骨模型制备､口外重建板预成型。","结扎丝,引流装置","内固定材料,止血材料,特殊缝线","单侧","",1600,1280,1120,"甲类","颌面","停用"]
[634,"HHD81303","颧骨凿低术","口内上颌黏膜设计切口,骨膜下剥离显露上颌骨前壁,颧骨和部分颧弓,保护眶下神经。用骨凿将颧骨结节等高处凿除,彻底止血,观察左右是否对称,冲洗,放置引流,缝合,包扎。","引流装置","特殊缝线,内固定材料,止血材料","单侧","",1200,960,840,"丙类","颌面","停用"]
[635,"HHD61302","下睑入路人工材料植入颧骨充填术","消毒铺巾,额颞部和下眼睑设计切口或可附加口内切口,骨膜下剥离显露上颌骨前壁,颧骨和部分颧弓,保护眶下神经。采取羟基磷灰石等人工骨质帖附或嵌入植入颧骨表面,增高颧骨颧弓等处,用钛板,钛钉或可吸收材料进行固定,彻底止血,观察左右是否对称,冲洗,放置引流,缝合,包扎。不含自体骨质的采取。","引流装置","特殊缝线,内固定材料,止血材料","单侧","",1100,880,770,"丙类","颌面","停用"]
[636,"HHD70301","MarkowitzⅠ类鼻眶筛骨折复位内固定术","指鼻眶筛区线性骨折的治疗。辅助局部浸润麻醉后,经鼻根部切口入路,切开翻瓣,显露探查鼻眶筛区骨折区域､内眦韧带附丽､眶内侧壁,保护泪囊和鼻泪管系统,先将中央骨段复位内固定,再根据情况作内眦韧带的再附丽。处理术区,完善止血,放置引流,缝合伤口。手术需使用微动力系统。不含鼻泪管系统修复重建､计算机辅助设计､颌骨模型制备､口外重建板预成型。","结扎丝,引流装置,注射器","内固定材料,止血材料,特殊缝线","单侧","双侧加收不超过60%",1600,1280,1120,"甲类","颌面","停用"]
[637,"HHD70302","MarkowitzⅡ类鼻眶筛骨折复位内固定术","指鼻眶筛区粉碎性骨折不伴骨缺损的治疗。辅助局部浸润麻醉后,经鼻根部切口入路,切开翻瓣,显露探查鼻眶筛区骨折区域､内眦韧带附丽,眶内侧壁,保护泪囊和鼻泪管系统,先将中央骨段复位内固定,再作内眦韧带的再附丽(用丝线或医用金属结扎丝缝扎内眦韧带断端,将线(丝)另一端固定于重建后的眶内侧中央骨段上,调整线(丝)的松紧度以复位移位的内眦韧带)。必要时探查眶内侧壁。处理术区,完善止血,放置引流,缝合伤口。手术需使用微动力系统。不含鼻泪管系统修复重建､计算机辅助设计､颌骨模型制备､口外重建板预成型。","结扎丝,引流装置,注射器","内固定材料,止血材料,特殊缝线","单侧","双侧加收不超过60%",1700,1360,1190,"甲类","颌面","停用"]
[638,"HHD70303","MarkowitzⅢ类鼻眶筛骨折复位内固定术","指鼻眶筛区粉碎性骨折伴骨缺损､内眦韧带移位的治疗。辅助局部浸润麻醉后,经鼻根部切口入路,切开翻瓣,显露鼻眶筛区骨折区域,保护泪囊和鼻泪管系统,解剖分离出内眦韧带断端,探查眶内侧壁,先行眶内侧壁及中央骨段植骨重建,修整固定植骨块,再用丝线或医用金属结扎丝缝扎内眦韧带断端,将线(丝)另一端固定于重建后的眶内侧中央骨段上,调整线(丝)的松紧度以复位移位的内眦韧带。处理术区,完善止血,放置引流,缝合伤口。手术需使用微动力系统。不含取骨术､鼻泪管系统修复重建､计算机辅助设计､颌骨模型制备､口外重建板预成型。","结扎丝,引流装置,注射器","内固定材料,止血材料,特殊缝线","单侧","双侧加收不超过60%",1800,1440,1260,"甲类","颌面","停用"]
[639,"HHB73301","口腔颌面软组织浅表创伤清创术","指涉及一个解剖区域的浅表软组织损伤,无骨折,神经及导管损伤。辅助局部麻醉下用过氧化氢液及生理冲洗液(必要时还需加用合适药物)反复冲洗伤口,清除异物,完善止血,缝合伤口。","引流装置","止血材料,特殊缝线","次","",400,320,280,"甲类","颌面","停用"]
[640,"HHB73302","颌面部软组织挫裂伤清创缝合术","指涉及两个解剖部位的软组织不规则伤。未通口内和窦腔。辅助局部麻醉下用过氧化氢液及生理冲洗液(必要时还需加用合适药物)反复冲洗伤口,清除异物,完善止血,缝合伤口。不含面神经损伤修复､腮腺导管损伤修复､颌骨骨折处理。","引流装置","止血材料,特殊缝线","次","",500,400,350,"甲类","颌面","停用"]
[641,"HHB73303","颌面部严重软组织挫裂伤清创缝合术","指涉及三个解剖区的软组织挫裂伤,与口内相通,未涉及眼､鼻,无组织缺损,可伴有骨折,导管断裂,面神经分支损伤。行软组织的清创缝合术。不含面神经损伤修复､腮腺导管修复､颌骨骨折处理。","引流装置","止血材料,特殊缝线","次","",600,480,420,"甲类","颌面","停用"]
[642,"HHB89301","颌面创伤性软组织缺损局部组织瓣修复术","软组织清创后,面部组织缺损用局部组织瓣转移､滑行､易位修复。不含面神经损伤修复､腮腺导管修复､颌骨骨折处理。","引流装置","止血材料,特殊缝线","次","",1500,1200,1050,"甲类","颌面","停用"]
[643,"HHB89302","口腔颌面部软组织缺损带蒂皮瓣修复术","含皮瓣转移､就位与修整,缺损区修复与成形。不含远位肌皮瓣修复术。","引流装置","止血材料,特殊缝线","次","",1500,1200,1050,"甲类","颌面","停用"]
[644,"HHP83301","颊部洞穿性损伤修复术","消毒铺巾,处理缺损,形成创面,设计皮瓣,按设计切取皮瓣,游离转移至面部,必要时显微镜下吻合血管,分别缝合皮肤面和黏膜面缝合皮瓣,供区直接缝合。留置引流。不含自体皮片移植。","引流装置","特殊缝线,止血材料","次",null,{"v":1300,"d":"1300.00"},{"v":1040,"d":"1040.00"},{"v":910,"d":"910.00"},"乙类","颌面","停用"]
[645,"HHB89304","口腔颌面部软组织缺损游离皮瓣移植修复术","指舌､颊､腭､口底软组织缺损的修复。含受床准备,血管准备,血管化皮瓣的转移就位,皮瓣血管准备,吻合血管,缺损修复成形,洞穿缺损植皮。不含带血管游离皮瓣切取。","引流装置","止血材料,特殊缝线","次","",2000,1600,1400,"甲类","颌面","停用"]
[646,"HHA73304","颌面小肿物切除整形术","小是指10-20毫米范围的肿瘤､肿物等,需要做整形缝合,肿物位于皮下或皮肤内。设计切口,切除肿物后拉拢缝合伤口,颌面部痣､疣､癍､皮脂腺囊肿､血管瘤､脂肪瘤､纤维瘤等切除。不含解剖面神经。","引流装置","止血材料,特殊缝线","次","",450,360,310,"甲类","颌面","停用"]
[647,"HHN73303","唇部肿物局部切除术","局麻,局部肿物切除,缝合伤口。不含淋巴结清扫､局部修复。","引流装置","特殊缝线,止血材料","次","",900,720,630,"甲类","颌面","停用"]
[648,"HHP73303","口外入路颊部肿物切除术","设计颊部切口,在颊部恶性肿物外扩大切除,拉拢缝合和邻位皮瓣的转移修复。不含远位瓣切取､面神经探查术､淋巴清扫术。","引流装置","特殊缝线,止血材料","次","",1300,1040,910,"甲类","颌面","停用"]
[649,"HHQ73401","舌肿物切除术","指舌尖､舌体､舌根的良性肿瘤,完整切除,创面拉拢缝合。","引流装置","止血材料,特殊缝线","次","",800,640,560,"甲类","颌面","停用"]
[650,"HHM73303","口底粘液囊肿摘除术","麻醉下口底囊肿周围切开,剥离囊肿,完整摘除囊肿后缝合伤口。不含舌下腺摘除术。","引流装置","特殊缝线,止血材料","次",null,{"v":530,"d":"530.00"},{"v":420,"d":"420.00"},{"v":370,"d":"370.00"},"甲类","颌面","停用"]
[651,"HHM73401","口内入路口底皮样囊肿摘除术","口内从舌颌沟弧形切口或者舌腹正中纵形切口,入路切开口底黏膜,剥离口底及部分舌肌,暴露囊肿并且摘除,止血,处理创面,放入引流条,缝合伤口。","引流装置","特殊缝线,止血材料","次",null,{"v":1000,"d":"1000.00"},{"v":800,"d":"800.00"},{"v":700,"d":"700.00"},"甲类","颌面","停用"]
[652,"HHM73304","口外入路口底皮样囊肿摘除术","经颏下或颌下切口,切开皮肤､皮下､口底肌肉,结扎相关血管,暴露囊肿并摘除。","引流装置","特殊缝线,止血材料","次",null,{"v":850,"d":"850.00"},{"v":680,"d":"680.00"},{"v":595,"d":"595.00"},"甲类","颌面","停用"]
[653,"HHH73301","颞部肿物切除术","消毒铺巾,设计切口,含肿物切除及邻位瓣转移修复,植皮修复。止血,冲洗,缝合,包扎。不含远位瓣切取､取皮术。","引流装置,冲洗液","特殊缝线","次","",1200,960,840,"甲类","颌面","停用"]
[654,"HHR73301","腭部良性肿物切除术","指良性肿物局部切除,无洞穿缺损,缺损打包或植皮修复。不含取皮术､淋巴结清扫。","引流装置","人工皮,补片,止血材料,特殊缝线","次","",800,640,560,"甲类","颌面","停用"]
[655,"HHM73305","口内外联合入路口底皮样囊肿摘除术","指口底巨大囊肿。口内切口和颏下､颌下切口联合暴露囊肿并摘除。","引流装置","特殊缝线,止血材料","次",null,{"v":1000,"d":"1000.00"},{"v":800,"d":"800.00"},{"v":700,"d":"700.00"},"甲类","颌面","停用"]
[656,"HHQ73302","正中进路舌根肿瘤切除术","剖开下唇正中,截开下颌骨颏部中线,牵开下颌骨颏部断端向两侧,剖开口底和舌正中,直接进入舌根部肿瘤,扩大切除肿瘤,止血,处理创面,间断缝合伤口。不含下颌骨骨截开处的骨断端内固定､舌修复术､淋巴结清扫。","引流装置","止血材料,特殊缝线","次",null,{"v":1200,"d":"1200.00"},{"v":960,"d":"960.00"},{"v":840,"d":"840.00"},"甲类","颌面","停用"]
[657,"HHQ73301","舌骨上进路舌根部肿瘤切除术","指口外舌骨上入路,逐层切开,剪断结扎舌骨上肌群,保护舌下神经,保护或结扎切断一侧舌动脉,切开会厌与舌根间的咽部黏膜进入舌根部,切除肿瘤后分别关闭舌部伤口与会厌部黏膜伤口,重建舌骨上肌群和舌骨的附丽关系。","引流装置","止血材料,特殊缝线","次",null,{"v":1200,"d":"1200.00"},{"v":960,"d":"960.00"},{"v":840,"d":"840.00"},"甲类","颌面","停用"]
[658,"HHB89303","颌面部软组织缺损远位肌皮瓣修复术","口内或内外入路。含非手术区远位肌皮瓣制备及转移,应用颈阔肌皮瓣,胸大肌皮瓣,胸锁乳突肌皮瓣等等带蒂皮瓣或肌皮瓣等。","引流装置","特殊缝线,止血材料","次",null,1700,1360,1190,"甲类","颌面","停用"]
[659,"HHN73304","唇部恶性肿物切除术","唇恶性肿物切除,淋巴清扫,拉拢缝合或局部皮瓣修复。不含远位瓣切取､缺损修复。","引流装置","特殊缝线,止血材料","次","",1100,880,770,"甲类","颌面","停用"]
[660,"HHN77301","唇部恶性肿物扩大切除术","唇恶性肿物扩大切除,淋巴清扫术,拉拢缝合或局部皮瓣修复。不含远位瓣切取､缺损修复。","引流装置","特殊缝线,止血材料","次","",1300,1040,910,"甲类","颌面","停用"]
[661,"HHP77401","口内入路颊部恶性肿物扩大切除术","指小于2厘米颊部恶性肿物经口内扩大切除,淋巴结清扫,拉拢缝合和邻位皮瓣的转移修复,植皮修复。不含远位瓣切取､取皮术､面神经探查术。","引流装置","补片,止血材料,特殊缝线","次","",1400,1120,980,"甲类","颌面","停用"]
[662,"HHA73301","口腔颌面部巨大静脉畸形切除术","指面颈部海绵状血管瘤大部切除面神经解剖,血管探查结扎及组织成形。不含微波热凝､射频止血。","引流装置","止血材料,特殊缝线","次","",1800,1440,1260,"甲类","颌面","停用"]
[663,"HHA73302","口腔颌面部巨大动静脉畸形切除术","含畸形病灶的显露,神经探查解剖。不含组织缺损修复大部切除及组织成形､微波热凝､射频止血。","引流装置","止血材料,特殊缝线","次","",2000,1600,1400,"甲类","颌面","停用"]
[664,"HHQ73402","半舌切除术","舌背､舌缘肿物外正常组织范围内切开,恶性肿物一般在肿物外1.5厘米左右切开,扩大切除,完整切除,止血,术中结扎舌动脉,然后将残留的舌体组织拉拢缝合,将舌背黏膜与舌腹黏膜对位间断缝合。不含舌缺损再造术。","引流装置","止血材料,特殊缝线","次","",1000,800,700,"甲类","颌面","停用"]
[665,"HHQ75401","全舌切除术","含切开,止血,结扎舌动静脉,恶性肿物全舌及周围组织的扩大切除。不含颈淋巴清扫术､舌缺损再造术。","引流装置","止血材料,特殊缝线","次","",1100,880,770,"甲类","颌面","停用"]
[666,"HHQ77401","舌恶性肿物扩大切除术","切开,止血,结扎舌动静脉,将舌部恶性肿物,包括周围组织扩大切除,缺损拉拢缝合。不含颈淋巴清扫术､舌缺损再造术。","引流装置","止血材料,特殊缝线","次","",1500,1200,1050,"甲类","颌面","停用"]
[667,"HHQ89401","带蒂复合组织瓣舌再造术","指舌恶性肿瘤切除后舌体部分缺损,接受远处自体游离瓣来修复重建舌体。含受床制备,带蒂皮瓣或带蒂肌皮瓣就位缝合,舌外形修整。不含肌皮瓣切取。","引流装置","止血材料,特殊缝线","次","",1270,1015,890,"乙类","颌面","停用"]
[668,"HHQ89402","血管化组织瓣舌再造术","舌部缺损区的受区及血管准备,血管化组织瓣就位,血管准备,纤维外科技术和显微外科器械吻合血管,舌成形,伤口处理。不含带血管蒂组织瓣切取。","引流装置","止血材料,特殊缝线","次","",1400,1120,980,"乙类","颌面","停用"]
[669,"HHR77301","腭部恶性肿瘤扩大切除术","指腭部恶性肿物表面或周围设计切口,扩大切除邻近软组织(含淋巴结),部分硬腭的切除,处理创面。不含洞穿缺损邻近组织瓣的转移修复､远位瓣的切取。","引流装置","止血材料,特殊缝线","次","",1000,800,700,"甲类","颌面","停用"]
[670,"HHB83301","面部软组织不对称畸形局部组织瓣矫正术","指在麻醉下设计,局部组织瓣切取,换位,旋转,滑行,缝合矫正畸形。","引流装置","止血材料,特殊缝线","次","",1500,1200,1050,"丙类","颌面","停用"]
[671,"HHB83302","面部软组织不对称畸形游离组织矫正术","指在麻醉下设计,皮下分离,畸形区受床准备,游离脂肪或真皮充填,缝合,组织对称性成形。不含游离脂肪切取､游离真皮切取。","引流装置","止血材料,特殊缝线","次","",1500,1200,1050,"丙类","颌面","停用"]
[672,"HHZ73301","鳃裂瘘管切除术","局部消毒麻醉,沿瘘管外口注入美蓝示踪。瘘管切除,(仔细辨认可能与之伴行或其周围之面神经主干或分支,必要时做面神经监测)缝合,包扎。不含面神经监测。","引流装置","特殊缝线,止血材料","单侧",null,{"v":1100,"d":"1100.00"},{"v":880,"d":"880.00"},{"v":770,"d":"770.00"},"乙类","颌面","停用"]
[673,"HHZ73303","鳃裂囊肿瘘切除术","含翻瓣,追踪囊肿蒂部所在,解除粘连,囊肿及鳃裂瘘切除。颈动脉探查保护,解剖保护面神经。","引流装置","特殊缝线,止血材料","次",null,{"v":1000,"d":"1000.00"},{"v":800,"d":"800.00"},{"v":700,"d":"700.00"},"乙类","颌面","停用"]
[674,"HHY73301","颈部囊状水瘤切除术","消毒铺巾,沿颈侧皮纹切开,分离掀起皮瓣,暴露肿物区,沿包膜暴露分离肿瘤,保护好周围结构,完整切除逐层缝合,放置引流,加压包扎,根据病情可气管切开。不含气管切开､病理学检查。","引流装置","气管切开套管,特殊缝线,止血材料","次",null,{"v":1000,"d":"1000.00"},{"v":800,"d":"800.00"},{"v":700,"d":"700.00"},"甲类","颌面","停用"]
[675,"HHZ73304","第一鳃裂囊肿摘除术","耳后或者颌后切口,逐层进入,探查鳃裂囊肿的位置,解剖面神经总干或者各个分支,保护好面神经后,探查鳃裂囊肿和外耳道及面神经总干的关系,然后完整摘除囊肿,处理创面,缝合伤口。","引流装置","特殊缝线,止血材料","次",null,{"v":1100,"d":"1100.00"},{"v":880,"d":"880.00"},{"v":770,"d":"770.00"},"乙类","颌面","停用"]
[676,"HHZ73305","第二鳃裂囊肿摘除术","颌下区或者颈侧区囊肿表面弧形切口,切开皮肤､皮下和颈阔肌,翻瓣暴露囊肿位置和范围,探查囊中和颈部血管鞘的关系,沿着囊肿周围剥离,探查囊肿蒂部的走形,完整切除囊肿和其蒂部,如果和咽部相通,要缝合咽部伤口,处理创面,止血,缝合伤口。","引流装置","特殊缝线,止血材料","次",null,{"v":1100,"d":"1100.00"},{"v":880,"d":"880.00"},{"v":770,"d":"770.00"},"乙类","颌面","停用"]
[677,"HHZ73307","鳃裂囊肿切除术","消毒铺巾,经颈侧切开,逐层切开,应用电烧止血。分离暴露鳃裂囊肿,注意保护血管和相关的神经。切除囊肿,止血缝合,放置引流,切口加压包扎。肿物送病理。不含病理学检查。","引流装置","特殊缝线,止血材料","次","",900,720,630,"乙类","颌面","停用"]
[678,"HHZ73306","第三､四鳃裂囊肿摘除术","颈根部囊肿表面水平切口,从颈阔肌下翻瓣,翻瓣暴露囊肿位置和范围,探查囊中和颈部血管鞘的关系,沿着囊肿周围剥离,探查囊肿蒂部的走形,完整切除囊肿和其蒂部,如果和相通,要缝合食道开口端的伤口,处理创面,止血,缝合伤口。","引流装置","特殊缝线,止血材料","次",null,{"v":1100,"d":"1100.00"},{"v":880,"d":"880.00"},{"v":770,"d":"770.00"},"乙类","颌面","停用"]
[679,"HHZ73302","复发性鳃裂瘘管切除术","局部消毒麻醉,沿瘘管外口注入美蓝示踪。瘘管(连同与其粘连之表皮瘢痕)切除,(仔细辨认可能与之伴行或其周围之面神经主干或分支,必要时做面神经监测)缝合,包扎。不含面神经监测。","引流装置","特殊缝线,止血材料","单侧",null,{"v":1100,"d":"1100.00"},{"v":880,"d":"880.00"},{"v":770,"d":"770.00"},"乙类","颌面","停用"]
[680,"HHL73303","腮腺部分切除术","含翻瓣,解剖面神经,腮腺浅叶切除,不含淋巴结清扫。","引流装置","特殊缝线,止血材料","次",null,{"v":1400,"d":"1400.00"},{"v":1120,"d":"1120.00"},{"v":980,"d":"980.00"},"甲类","颌面","停用"]
[681,"HHL73302","腮腺浅叶肿物切除术","耳屏前绕耳垂至颌下S形切口,从腮腺咬肌筋膜表面翻瓣,暴露肿物,含腮腺浅叶肿物切除,腮腺浅叶切除､面神经解剖导管处理,缝合伤口,加压包扎。不含淋巴清扫术。","引流装置","特殊缝线,止血材料","次",null,1400,1120,980,"甲类","颌面","停用"]
[682,"HHL77301","腮腺恶性肿瘤扩大切除术","耳屏前绕耳垂至颌下S形切口,从腮腺咬肌筋膜表面翻瓣,暴露肿物,解剖面神经,腮腺恶性肿瘤,全腮腺组织切除,肿瘤邻近组织切除,导管处理及伤口处理。含颈淋巴清扫术。","引流装置","特殊缝线,止血材料","次",null,1300,1040,910,"甲类","颌面","停用"]
[683,"HHL73305","颌下腺摘除术","含切开翻瓣,颌外动､静脉结扎､舌神经处理颌下腺摘除,导管结扎及神经处理。","引流装置","特殊缝线,止血材料","次",null,820,660,570,"甲类","颌面","停用"]
[684,"HHL73307","舌下腺摘除术","指口内舌颌沟切口,切开黏膜和黏膜下层,显露舌下腺,探查舌神经和颌下腺导管走行,并摘除舌下腺,处理创面,缝合伤口。","引流装置","特殊缝线,止血材料","次",null,900,720,630,"甲类","颌面","停用"]
[685,"HHL73308","腮腺全切除术","含翻瓣,解剖面神经,腮腺深叶肿物切除,腮腺全切除,导管处理。不含淋巴结清扫。","引流装置","特殊缝线,止血材料","次","",1400,1120,980,"甲类","颌面","停用"]
[686,"HHL73304","腮腺咬肌区静脉畸形切除术","指切开皮肤,翻瓣,肿瘤显露,腮腺导管,面神经解剖,切除肿瘤。不含微波热凝､射频止血。","引流装置","特殊缝线,止血材料","次",null,{"v":1700,"d":"1700.00"},{"v":1360,"d":"1360.00"},{"v":1190,"d":"1190.00"},"甲类","颌面","停用"]
[687,"HHL73306","舌下腺囊肿袋形术","在舌下腺囊中表面,切除圆形或卵圆形黏膜和囊壁,然后囊肿壁和口底黏膜拉拢缝合。","引流装置","特殊缝线,止血材料","次",null,700,560,490,"甲类","颌面","停用"]
[688,"HHJ77301","髁状突恶性肿物扩大切除术","含髁突恶性肿物切除,部分升支切除,肿物周围组织(含淋巴结)扩大切除。手术需使用微动力系统。不含骨缺损修复术､淋巴清扫术。","引流装置","止血材料,特殊缝线","次",null,1370,1100,960,"甲类","颌面","停用"]
[689,"HHF73301","上颌骨部分切除术","口内前庭沟切口加上腭部切口,也可以辅助面部韦伯切口,切开暴露牙槽突根尖上截骨范围,用电锯或骨刀截开,撬动骨块,摘除病变骨,止血后打包关闭伤口。手术需使用微动力系统。不含取皮术､植皮术､腭护板制作､缺损修复。","引流装置","止血材料,特殊缝线","次","",1100,880,770,"甲类","颌面","停用"]
[690,"HHF89304","上颌骨缺损网托加松质骨移植术","指部分上颌骨缺损的修复。含受床､钛网及松质骨植入,颌间固定。手术需使用微动力系统。不含取骨术､取皮术､计算机辅助设计､颌骨模型制备､口外重建板预成型。","引流装置","止血材料,内固定材料,特殊缝线","单侧","",2000,1600,1400,"乙类","颌面","停用"]
[691,"HHE73301","颌骨中心性血管畸形切除术","含病变的显露,然后截除病变骨,止血植皮,创面严密止血。不含骨缺损修复术､血管介入栓塞术。","结扎丝,引流装置","内固定材料,止血材料,特殊缝线","次",null,1800,1440,1260,"甲类","颌面","停用"]
[692,"HHF73401","上颌骨囊肿摘除术","口内牙龈切开,或前庭沟切开,骨膜下翻瓣,咬骨钳或电钻磨头开窗,刮治囊腔,病源牙根尖截除,摘除囊肿,骨腔处理,缝合伤口。加压包扎。不含囊肿侵犯上颌窦而所做的上颌窦根治术､拔牙术。","引流装置","止血材料,特殊缝线","次",{"$nulls":5},"颌面","停用"]
[693,"HHF73302","上颌骨次全切除术","口内前庭沟和上腭部切口,加上面部韦伯切口,切开暴露上颌骨前壁,剥离鼻腔鼻底黏膜,用电锯或骨刀截开腭中缝､上颌骨鼻突和翼上颌连接,保留眶底,撬动骨块,摘除病变骨,止血后打包关闭伤口。手术需使用微动力系统。不含邻近瓣转移修复､取皮术和植皮､腭护板制作､缺损修复､淋巴结清扫。","引流装置","止血材料,特殊缝线","单侧","",1200,960,840,"甲类","颌面","停用"]
[694,"HHF75301","上颌骨全切术","指保留眶底的一侧上颌骨肿瘤及邻近受侵犯软组织切除,植皮覆盖创面。口内前庭沟和上腭部切口,加上面部韦伯切口,切开暴露上颌骨前壁,剥离鼻腔鼻底黏膜和眶底骨膜,用电锯或骨刀截开腭中缝､上颌骨鼻突､翼上颌连接和上颌骨颧突,保留眶底,撬动骨块,摘除病变骨,止血后打包关闭伤口。手术需使用微动力系统。不含缺损修复术､取皮术､腭护板制作､缺损修复､淋巴结清扫。","引流装置","止血材料,特殊缝线","单侧","",1400,1120,980,"甲类","颌面","停用"]
[695,"HHF77301","上颌骨扩大切除术","指扩大至颧骨､眶及对侧上颌骨肿瘤及周围受侵犯的软组织和骨组织切除。切口和翻瓣暴露手术区和全上颌骨切除类似,但是切除范围超过一侧上颌骨,手术需使用微动力系统､眶底缺损修复术和上颌骨缺损修复和腭护板制作､淋巴结清扫。不含眶内容物切除､植皮覆盖､取皮术。","引流装置","止血材料,特殊缝线","单侧","",1600,1280,1120,"甲类","颌面","停用"]
[696,"HHG73402","口内入路下颌骨部分切除术","根据要切除的下颌骨范围,切开下颌牙龈缘,骨膜下翻瓣,暴露手术区骨质,电锯截除下颌骨骨块,磨头修整骨创面,保持下颌骨下缘的连续性,关闭伤口。不含拔除相关牙齿､病理性骨折内固定术。","引流装置","止血材料,特殊缝线","次",null,{"v":1100,"d":"1100.00"},{"v":880,"d":"880.00"},{"v":770,"d":"770.00"},"甲类","颌面","停用"]
[697,"HHG73303","口外入路下颌骨部分切除术","下颌下切口,切开皮肤,皮下颈阔肌,结扎颌外动脉及面前静脉,保护面神经下颌缘支,切开下颌骨下缘骨膜,翻瓣暴露截骨区,电锯截除下颌骨骨块,磨头修整骨创面,探查颏神经或下齿槽神经血管束,保持下颌骨连续性,关闭伤口。不含拔除相关牙齿､病理性骨折内固定术。","引流装置","止血材料,特殊缝线","次",null,1100,880,770,"甲类","颌面","停用"]
[698,"HHG81301","下颌骨骨质打磨术","使用口腔微动力系统对下颌骨骨质打磨。","引流装置","内固定材料,止血材料,特殊缝线","单侧",{"$nulls":5},"颌面","停用"]
[699,"HHG73306","下颌骨去皮质术解剖下牙槽神经血管束","消毒铺巾,设计切口,显露下颌骨颊侧面和颏孔,判断下颌管的走行方向和位置,用小圆钻在颊侧骨皮质标记下颌管位置,将下颌管表面的颊侧骨板纵向分成数块,用骨凿将其劈下,显露骨松质,使下齿槽神经血管束游离。","引流装置","特殊缝线,内固定材料,止血材料","次",{"$nulls":5},"颌面","停用"]
[700,"HHC73301","颌骨骨纤维异常增殖症切除成形术","指颌面部异常增殖骨样组织切除手术,含异常骨组织部分或全部切除及骨及邻近软组织成形术。消毒铺巾,设计切口,切开显露骨肿瘤部位,应用动力系统,牙科钻,摆动锯,来复锯或骨凿将肿瘤部分或全部去除。彻底止血,冲洗,缝合,关闭创口,放置引流,包扎。","引流装置","特殊缝线,止血材料","次",null,1200,960,840,"甲类","颌面","停用"]
[701,"HHG73308","下颌下缘去骨成形术","可选用口内或口外手术进路。口外经颌下切口,分层切开,显露下颌骨体,口内经路沿下颌前庭沟切开黏膜达骨面,骨膜下分离并显露下颌骨。按照设计用微型骨锯在下颌骨体作截骨至下颌骨达到设计形态,进一步修整骨断面及外形。术中注意保护并妥善处理下牙槽神经血管束､面神经､面动静脉。处理术区,缝合伤口。手术需使用微动力系统。","引流装置","特殊缝线,止血材料","单侧",null,"市场调节价","市场调节价","市场调节价","丙类","颌面","停用"]
[702,"HHG73304","半侧下颌骨切除术","指经口内外联合切口的下颌骨及肿瘤切除。颌下切口,切开皮肤､皮下颈阔肌,结扎颌外动脉及面前静脉,保护面神经下颌缘支,切开下颌骨下缘骨膜,翻瓣暴露截骨区,电锯截截开下颌骨,口内切开相应手术区的牙龈缘,分离下颌骨颊舌侧的骨膜,摘除半侧下颌骨。止血,绑牙弓夹板并行颌间结扎,维持余留牙咬合关系,植入重建钛板以保证余留下颌位置和运动形态。处理术区,缝合伤口。手术需使用微动力系统。不含术前预绑的牙弓夹板､术前计算机辅助设计预成型钛重建板､钛重建板的植入重建咬合关系､植入骨瓣的切取。","引流装置","止血材料,特殊缝线","次",null,1200,960,840,"甲类","颌面","停用"]
[703,"HHG73305","下颌骨大部切除术","指经口内外联合切口的下颌骨及肿瘤切除。颌下切口,切开皮肤､皮下颈阔肌,结扎颌外动脉及面前静脉,保护面神经下颌缘支,切开下颌骨下缘骨膜,翻瓣暴露截骨区,电锯截开下颌骨,口内切开相应手术区的牙龈缘,分离下颌骨颊舌侧的骨膜,摘除半侧下颌骨。止血,绑牙弓夹板并行颌间结扎,维持余留牙咬合关系,植入重建钛板以保证余留下颌位置和运动形态。处理术区,缝合伤口。手术需使用微动力系统。不含术前预绑的牙弓夹板､术前计算机辅助设计预成型钛重建板､钛重建板的植入重建咬合关系､植入骨瓣的切取､重建下颌骨､计算机辅助设计､淋巴结清扫。","引流装置","止血材料,特殊缝线","次",null,1500,1200,1050,"甲类","颌面","停用"]
[704,"HHG75301","全下颌骨切除术","指经口内外联合切口的下颌骨及肿瘤切除。双侧颌下颏下切口,切开皮肤､皮下颈阔肌,结扎颌外动脉及面前静脉,保护面神经下颌缘支,切开下颌骨下缘骨膜,切断下颌骨周围肌肉附丽,翻瓣暴露截骨区,切除范围含双侧颏状突或保留部分升支和髁状突,电锯截开下颌骨,口内切开相应手术区的牙龈缘,分离下颌骨颊舌侧的骨膜,摘除全下颌骨。止血,植入重建钛板以及人工下颌骨,以保证余留下颌位置和运动形态。处理术区,缝合伤口。手术需使用微动力系统。不含术前计算机辅助设计预成型钛重建板以及钛重建板的植入重建咬合关系､术前预制人工下颌骨和模型制作､植入骨瓣的切取､切除后的下颌骨重建和气管切开术､淋巴结清扫。","牙弓夹板,结扎丝,引流装置","止血材料,特殊缝线","次",null,1570,1255,1100,"甲类","颌面","停用"]
[705,"HHG83301","下颌骨缺损游离植骨修复术","经口内或口外切口。指下颌骨缺损以游离植骨的形式修复其连续性,含颌间固定,植骨床制备和植骨小于或等于3厘米。手术需使用微动力系统。不含计算机辅助设计､颌骨模型制备､口外重建板预成型。","牙弓夹板,结扎丝,引流装置","内固定材料,止血材料,特殊缝线","单侧","骨缺损大于3厘米,每增加1厘米加收不超过20%",1600,1280,1120,"乙类","颌面","停用"]
[706,"HHA83304","口腔颌面部复合组织缺损游离骨肌皮瓣移植修复术","指颌面部软组织､骨组织复合缺损的修复。含受床准备,血管准备､血管吻合,肌皮骨瓣就位塑形与移植固定,颌间固定。手术需使用微动力系统。不含带血管游离肌皮骨瓣切取。","引流装置","内固定材料,止血材料","次","",1600,1280,1120,"甲类","颌面","停用"]
[707,"HHD81302","颧骨磨削术","消毒铺巾,口内上颌黏膜设计切口,骨膜下剥离显露上颌骨前壁,颧骨和部分颧弓,保护眶下神经。用磨球将颧骨颧结节等高处磨除,彻底止血,观察左右是否对称,冲洗,放置引流,缝合,包扎。","引流装置","特殊缝线,内固定材料,止血材料","单侧","","市场调节价","市场调节价","市场调节价","丙类","颌面","停用"]
[708,"HHB73304","颌面皮肤瘘管病灶切除术","麻醉,切开探查病灶,切除病灶及瘘管。","注射器,引流装置","止血材料,特殊缝线","次",null,470,380,330,"甲类","颌面","停用"]
[709,"HHL89302","颌下腺移植术","受区颞部切开皮肤和皮下,颞浅动静脉解剖,制备接受颌下腺体的受床,供体颌下腺切取移植及动静脉吻合血管吻合术及导管吻合术,导管口易位。","引流装置","特殊缝线,止血材料","次",null,1800,1440,1260,"丙类","颌面","停用"]
[710,"KHJ70701","颞下颌脱位关节复位术","指颞下颌关节脱位的常规手法复位及限制张口的固定措施。","","","次","",{"v":40,"d":"40.00"},{"v":32,"d":"32.00"},{"v":28,"d":"28.00"},"甲类","颌面","停用"]
[711,"HHJ73301","髁状突良性肿物切除术","指耳屏前和发际内切口，显露髁突肿物并切除，髁突及关节修整。不含各种材料的关节重建术、淋巴结清扫。","引流装置","止血材料，特殊缝线","次","",1370,1100,960,"甲类","颌面","停用"]
[712,"HHJ73302","髁状突高位切除术","含显露，髁状突高位切除，髁状突关节面磨改。手术需使用微动力系统。","引流装置","止血材料，特殊缝线","次","",1270,1015,890,"甲类","颌面","停用"]
[713,"HHJ73305","颞下颌关节盘摘除术","经颞部耳屏前切口入路，分层切开翻瓣，注意保护面神经和腮腺。到达关节区后打开关节囊，显露病变关节盘并摘除。处理术区，缝合伤口。","引流装置","补片，止血材料，特殊缝线","单侧","",1500,1200,1050,"甲类","颌面","停用"]
[714,"HHJ71601","关节镜下颞下颌关节盘复位固定术","在麻醉下,关节镜置入探查关节盘位置,复位关节盘并固定。","引流装置","止血材料,特殊缝线","单侧",null,{"v":1250,"d":"1250.00"},{"v":1000,"d":"1000.00"},{"v":875,"d":"875.00"},"乙类","颌面","停用"]
[715,"HHJ71301","颞下颌关节盘复位固定术","经颞部耳屏前切口入路,分层切开翻瓣,注意保护面神经和腮腺。到达关节区后打开关节囊,显露移位的关节盘,将其松解复位并缝合固定于周围组织。处理术区,缝合伤口。","引流装置","补片,止血材料,特殊缝线","单侧",null,{"v":1600,"d":"1600.00"},{"v":1280,"d":"1280.00"},{"v":1120,"d":"1120.00"},"甲类","颌面","停用"]
[716,"HHJ99501","颞下颌关节镜手术治疗","局部麻醉,耳前切口,关节镜进入关节腔(上腔或下腔),根据术前检查和制订的手术方案以及镜下显示的关节腔内病变,进行颞下颌关节盘复位术､修补术､粘连剥离术､微小滑膜软骨瘤清除术､关节面骨关节病刨削术､活检术等。","引流装置","止血材料,特殊缝线","单侧",null,{"v":700,"d":"700.00"},{"v":560,"d":"560.00"},{"v":490,"d":"490.00"},"乙类","颌面","停用"]
[717,"HHJ89301","颞下颌关节成形加游离植骨重建术","经颞部耳屏前切口入路,分层切开翻瓣,注意保护面神经和腮腺。到达关节区后打开关节囊,显露关节区及融合骨球,截除骨球,修整骨断面,制造人工间隙,截除或不截除喙突,将游离骨块塑形后移植并固定于关节区形成关节头,处理术区,缝合伤口。手术需使用微动力系统。不含取骨术。","引流装置","内固定材料,止血材料,特殊缝线","单侧",null,1700,1360,1190,"乙类","颌面","停用"]
[718,"HHJ83303","颞下颌关节成形术","经颞部耳屏前切口入路,分层切开翻瓣,注意保护面神经和腮腺。到达关节区后打开关节囊,显露关节区及融合骨球,截开骨球,修整骨断面,制造人工间隙,间隙内植入或不植入间置物(钛网､硅胶､高分子材料或邻近组织瓣等)。截除或不截除喙突,处理术区,缝合伤口。手术需使用微动力系统。","引流装置","内固定材料,衬垫材料,止血材料,特殊缝线","单侧",null,{"v":1700,"d":"1700.00"},{"v":1360,"d":"1360.00"},{"v":1190,"d":"1190.00"},"乙类","颌面","停用"]
[719,"HHJ66301","颞下颌关节置换术","经颞部耳屏前切口入路,分层切开翻瓣,注意保护面神经和腮腺。到达关节区后打开关节囊,显露关节区及融合骨球,截除骨球,修整骨断面做关节窝成形,然后将关节代用品植入,关节窝部分固定于颧弓根部,髁状突部分固定于升支区域,分别作坚强固定。处理术区,缝合伤口。手术需使用微动力系统。","引流装置","人工关节,内固定材料,止血材料,特殊缝线","单侧",null,1700,1360,1190,"甲类","颌面","停用"]
[720,"HHJ83302","髁突陈旧骨折错位升支截骨矫正术","经口内下颌升支前缘和前庭沟入路作下颌升支矢状劈开,颌间固定恢复咬合关系后将截骨部位作坚强内固定。手术需使用微动力系统。","牙弓夹板,引流装置","内固定材料,功能丝,止血材料,特殊缝线","单侧",null,1800,1440,1260,"乙类","颌面","停用"]
[721,"HHJ83301","髁突骨球截除血管化骨移植重建术","经颞部耳屏前切口入路,分层切开翻瓣,注意保护面神经和腮腺。到达关节区后打开关节囊,显露关节区及融合骨球,截除骨球,修整骨断面。解剖受区血管为血管吻合做准备。将带血管蒂的移植骨转移至受区后先吻合血管,再将骨块修整外形､成形､固定,重建关节。处理术区,缝合伤口。手术需使用微动力系统。不含取骨术。","引流装置","内固定材料,止血材料,特殊缝线","单侧",null,1700,1360,1190,"乙类","颌面","停用"]
[722,"HHN83320","单侧Ⅰ度唇裂修复术","消毒铺巾,设计切口,将白唇的皮下裂和红唇的裂缘用曲线切除,然后将红唇做Z形缝合。","引流装置","特殊缝线,止血材料","单侧",null,{"v":900,"d":"900.00"},{"v":720,"d":"720.00"},{"v":630,"d":"630.00"},"乙类","颌面","停用"]
[723,"HHN83322","单侧Ⅱ度唇裂修复+鼻畸形修复术","消毒铺巾,设计切口,切开,充分下降患侧唇峰,剪断口轮匝肌异位止点,重建口轮匝肌环。分层缝合。调整红唇形态,分层缝合。切开患侧鼻翼缘,游离鼻翼软骨,调整至适当位置,缝合。鼻翼缘切口,设计鼻翼软骨黏膜瓣,调整鼻部形态,缝合。","引流装置","特殊缝线,止血材料","单侧",null,{"v":1100,"d":"1100.00"},{"v":880,"d":"880.00"},{"v":770,"d":"770.00"},"乙类","颌面","停用"]
[724,"HHN83321","单侧Ⅱ度唇裂修复术","消毒铺巾,设计切口,切开,充分下降患侧唇峰,剪断口轮匝肌异位止点,重建口轮匝肌环。分层缝合。调整红唇形态,分层缝合。","引流装置","特殊缝线,止血材料","单侧",null,{"v":1000,"d":"1000.00"},{"v":800,"d":"800.00"},{"v":700,"d":"700.00"},"乙类","颌面","停用"]
[725,"HHN83326","单侧Ⅲ度唇裂修复+鼻畸形修复术","消毒铺巾,设计切口,切开,充分下降患侧唇峰,剪断口轮匝肌异位止点,重建口轮匝肌环。分层缝合。调整红唇形态,分层缝合。切开患侧鼻翼缘,游离鼻翼软骨,调整至适当位置,缝合。","引流装置","特殊缝线,止血材料","单侧",null,{"v":1200,"d":"1200.00"},{"v":960,"d":"960.00"},{"v":840,"d":"840.00"},"乙类","颌面","停用"]
[726,"HHN83323","双侧Ⅰ度唇裂修复术","消毒铺巾,设计切口,切开,将两侧皮下裂和红唇缘用曲线切除,分层缝合。","引流装置","特殊缝线,止血材料","次",null,{"v":1100,"d":"1100.00"},{"v":880,"d":"880.00"},{"v":770,"d":"770.00"},"乙类","颌面","停用"]
[727,"HHN83324","双侧Ⅱ度唇裂修复+鼻畸形修复术","消毒铺巾,设计切口,切开,调整白唇瓣和红唇黏膜瓣的位置,调整口轮匝肌至正常解剖位置,分层缝合白唇,口轮匝肌和红唇黏膜。鼻翼缘切口,设计鼻翼软骨黏膜瓣,调整鼻部形态,缝合。","引流装置","特殊缝线,止血材料","次",null,{"v":1200,"d":"1200.00"},{"v":960,"d":"960.00"},{"v":840,"d":"840.00"},"乙类","颌面","停用"]
[728,"HHN83325","双侧Ⅲ度唇裂修复+鼻畸形修复术","消毒铺巾,设计切口,切开,调整白唇瓣和红唇黏膜瓣的位置,调整口轮匝肌至正常解剖位置,分层缝合白唇,口轮匝肌和红唇黏膜。鼻翼缘切口,设计鼻翼软骨黏膜瓣,调整鼻部形态,缝合。","引流装置","特殊缝线,止血材料","次",null,{"v":1300,"d":"1300.00"},{"v":1040,"d":"1040.00"},{"v":910,"d":"910.00"},"乙类","颌面","停用"]
[729,"HHF89305","梨状孔周围植骨术","消毒铺巾,口内黏膜切口设计,切开,骨膜下剥离显露上颌骨､梨状孔､眶下神经,植入自体骨或人工骨矫正凹陷,观察两侧对称后,钛钉钛板内固定,缝合切口。不含自体骨切取。","引流装置","特殊缝线,内固定材料,止血材料","次",null,{"v":1200,"d":"1200.00"},{"v":960,"d":"960.00"},{"v":840,"d":"840.00"},"乙类","颌面","停用"]
[730,"HHN83319","单侧唇皮下裂修复术","消毒铺巾,红白唇交界处切口,重组口轮匝肌,缝合。","引流装置","特殊缝线,止血材料","单侧",null,{"v":1200,"d":"1200.00"},{"v":960,"d":"960.00"},{"v":840,"d":"840.00"},"乙类","颌面","停用"]
[731,"HHN73301","唇瘘切除术","消毒铺巾,切开,切除唇部瘘管,止血,缝合。","引流装置","特殊缝线,止血材料","次",null,{"v":900,"d":"900.00"},{"v":720,"d":"720.00"},{"v":630,"d":"630.00"},"乙类","颌面","停用"]
[732,"HHA83302","面斜裂修复术","指麻醉下测量,定点,设计,阻滞麻醉,分层切开,分离口轮匝肌,肌功能修整,按照设计作组织瓣的旋转移位,伤口减张分层缝合。","","止血材料,特殊缝线","单侧","",1370,1100,960,"乙类","颌面","停用"]
[733,"HHA83301","面横裂修复术","指麻醉下测量､定点､设计,阻滞麻醉､分层切开,分离口轮匝肌,肌功能修整,按照设计作组织瓣的旋转移位,伤口减张分层缝合。","引流装置","止血材料,特殊缝线","单侧","双侧加收不超过60%",1370,1100,960,"乙类","颌面","停用"]
[734,"HHN83305","大口畸形矫正术","消毒铺巾,确定新口角位置,设计红唇黏膜瓣,向内翻转做口内黏膜,缝合口轮匝肌,对偶缝合口角皮肤。","引流装置","特殊缝线,止血材料","次",null,"市场调节价","市场调节价","市场调节价","丙类","颌面","停用"]
[735,"HHA83303","复杂面裂修复术","指麻醉下测量,定点,设计,阻滞麻醉,分层切开,分离表情肌,肌功能修整,按照设计作组织瓣的旋转移位,伤口减张分层缝合,常需多个局部皮瓣转移修复。","引流装置","止血材料,特殊缝线","单侧","",1000,800,700,"乙类","颌面","停用"]
[736,"HHN83314","上唇缺损鼻唇沟瓣修复术","含两侧皮瓣的设计,切取,隧道的制备,转移修复。不含带蒂皮瓣Ⅱ期断蒂术。","引流装置","特殊缝线,止血材料","次",null,1300,1040,910,"乙类","颌面","停用"]
[737,"HHN83315","唇缺损皮管修复术","消毒,设计切口,切开,切取下唇瓣,含皮管展开,唇缺损修复与成形。","引流装置","特殊缝线,止血材料","次",null,1200,960,840,"乙类","颌面","停用"]
[738,"HHN89301","交叉唇瓣(Abbes′瓣)断蒂术","消毒铺巾,切断唇瓣(Abbes′瓣)蒂部,修整红唇黏膜,缝合。","引流装置","特殊缝线,止血材料","次",null,{"v":1000,"d":"1000.00"},{"v":800,"d":"800.00"},{"v":700,"d":"700.00"},"乙类","颌面","停用"]
[739,"HHN83317","唇缺损交叉唇瓣修复术","含唇瓣(Abbes′瓣)的制备,转移,受区准备,唇外形成形消毒,设计切口,切开,切取下唇瓣,保护蒂部的唇动脉,转移唇瓣至上唇,修复缺损。","引流装置","特殊缝线,止血材料","次",null,1200,960,840,"乙类","颌面","停用"]
[740,"HHN83316","全唇缺损局部组织瓣修复术","含易位､滑行､旋转组织瓣设计,唇缺损的关闭与修整,组织瓣转移后成形。","引流装置","特殊缝线,止血材料","次",null,1200,960,840,"乙类","颌面","停用"]
[741,"HHN83303","人中沟成形术","消毒铺巾,设计切口,局部麻醉,局部改形､皮瓣转移以形成人中沟,双极电凝止血,缝合切口。","引流装置","特殊缝线,止血材料","次",null,"市场调节价","市场调节价","市场调节价","丙类","颌面","停用"]
[742,"HHN83311","单侧唇裂术后继发唇畸形矫正术","消毒铺巾,设计切口,切除瘢痕,切断口轮匝肌异位止点,使其解剖复位,调整白唇皮瓣､红唇黏膜瓣,止血,缝合。","引流装置","特殊缝线,止血材料","单侧",null,"市场调节价","市场调节价","市场调节价","丙类","颌面","停用"]
[743,"HHC83301","犁骨瓣修复术","指在浸润麻醉下,切开犁骨黏膜,犁骨瓣成形,缝合于鼻侧黏膜,关闭硬腭前部裂隙。","引流装置","止血材料,特殊缝线","次",null,{"v":900,"d":"900.00"},{"v":720,"d":"720.00"},{"v":630,"d":"630.00"},"乙类","颌面","停用"]
[744,"HHR83314","单瓣后退腭裂修复术","消毒铺巾,设计切口,将舌形粘骨膜瓣由前向后剥离,剪断腭腱膜及鼻侧黏膜,缝合鼻侧黏膜,肌层和口腔侧黏膜。","引流装置","止血材料,特殊缝线","次",null,{"v":1400,"d":"1400.00"},{"v":1120,"d":"1120.00"},{"v":980,"d":"980.00"},"乙类","颌面","停用"]
[745,"HHR83315","颊肌黏膜瓣转移腭裂修复术","消毒铺巾,设计切口,切开,按两瓣后推术形成腭部两大黏膜瓣,将颊肌黏膜瓣缝合于遗留创面。","引流装置","止血材料,特殊缝线","次",null,{"v":1200,"d":"1200.00"},{"v":960,"d":"960.00"},{"v":840,"d":"840.00"},"乙类","颌面","停用"]
[746,"HHR83316","萨氏微创腭裂修复术","消毒铺巾,设计切口,自裂隙缘切口,切开解剖腭帆提肌,腭帆提肌吊带,缝合。","引流装置","止血材料,特殊缝线","次",null,{"v":1200,"d":"1200.00"},{"v":960,"d":"960.00"},{"v":840,"d":"840.00"},"乙类","颌面","停用"]
[747,"HHR83313","反向双\"Z\"腭裂修复术","麻醉下先行黏膜下浸润麻醉,裂隙缘切开,腭侧龈缘内侧做松弛切口,粘骨膜下分离,切断腭腱膜,松解腭大神经血管束,凿断翼钩,游离腭帆提肌,重建腭帆吊带,鼻腔黏膜反向\"Z\"字成形术,缝合鼻腔黏膜､肌肉及口腔黏膜,悬雍垂成形。","引流装置","止血材料,特殊缝线","次",null,{"v":1200,"d":"1200.00"},{"v":960,"d":"960.00"},{"v":840,"d":"840.00"},"乙类","颌面","停用"]
[748,"HHR83317","腭瘘修复术","指应用兰氏法､舌瓣和局部粘骨膜瓣等修复腭瘘。消毒铺巾,于腭瘘边缘分别剥离,剥离两侧松弛切口,止血,分别缝合鼻腔侧黏膜和口腔侧黏膜。","引流装置","止血材料,特殊缝线","次",null,1100,880,770,"乙类","颌面","停用"]
[749,"HHR83318","颊肌黏膜瓣转移腭瘘修复术","全麻,消毒,于口腔内切取颊肌黏膜瓣,转移至腭瘘处修补。","引流装置","止血材料,特殊缝线","次",null,1200,960,840,"乙类","颌面","停用"]
[750,"HHE83303","牙槽突裂植骨成形术","指麻醉下牙槽突裂隙切开,翻瓣,缝合鼻腔侧黏膜,植骨床准备,髂部小切口切开至骨面,取骨器取松质骨,骨移植､裂隙关闭。","引流装置","内固定材料,特殊缝线","单侧",null,1300,1040,910,"乙类","颌面","停用"]
[751,"HHG83303","带血管游离骨复合组织瓣移植下颌骨缺损修复术","应用游离髂骨,肩胛骨,腓骨等行带血管骨复合组织瓣游离移植重建下颌骨。以腓骨为例,经口内或口外切口,消毒铺巾,小腿腓侧设计游离骨肌皮瓣,切开皮肤,制取骨肌皮瓣。解剖面部受区血管,显露下颌骨缺损区。吻合受区血管和腓骨瓣血管,骨断段应用坚固内固定术固定。彻底止血,冲洗,缝合,放置引流,包扎。","引流装置,冲洗液","特殊缝线,内固定材料,止血材料","单侧","不得在口腔种植中收取",{"v":1300,"d":"1300.00"},{"v":1040,"d":"1040.00"},{"v":910,"d":"910.00"},"乙类","颌面","停用"]
[752,"HHE83305","单侧齿槽嵴裂修复术","消毒铺巾,唇侧裂隙两侧切口,掀起黏膜瓣,形成封闭的植骨袋,取髂骨前上缘处的骨松质,植入植骨袋,将瘘孔周围黏膜翻转做为衬里,用邻近的黏膜瓣转移修复创面,转移白唇皮瓣､红唇黏膜瓣,调整上唇形态,重组口轮匝肌,鼻翼缘切口,设计鼻翼软骨黏膜瓣,调整鼻部形态,缝合。不含自体骨取骨术。","引流装置","特殊缝线,止血材料","单侧",null,1000,800,700,"丙类","颌面","停用"]
[753,"HHE62304","牙槽嵴植骨增高术","麻醉,切开黏膜,翻瓣,使用微动力系统牙槽嵴修整,植骨,修正形态,植骨固定,伤口缝合。不含取骨术。","注射器,引流装置","内固定材料,特殊缝线","每牙","口外切口加收不超过50%",{"v":300,"d":"300.00"},{"v":240,"d":"240.00"},{"v":210,"d":"210.00"},"丙类","颌面","停用"]
[754,"HHE83302","颌骨缺损修复术","经口内或口外入路。上､下颌骨因为肿瘤切除后缺损,术前计算机辅助设计成型修复重建钛网,将钛网植入缺损区固定,将松质骨充填入太网内,修复骨性上颌骨。不含松质骨取骨术､软组织重建､钛网制作。","结扎丝,引流装置","止血材料,内固定材料","次",null,{"v":1500,"d":"1500.00"},{"v":1200,"d":"1200.00"},{"v":1050,"d":"1050.00"},"乙类","颌面","停用"]
[755,"HHC83303","面颌骨缺损移植术","局部麻醉,准备植骨床,局部取自体骨,将植骨材料(自体骨和/或骨代用品)植于缺损区,表面覆盖生物隔膜,必要时用膜固定钉加以固定,软组织瓣减张处理,伤口严密缝合。","引流装置,注射器","屏障膜,内固定材料,特殊缝线,止血材料","次",null,{"v":2000,"d":"2000.00"},{"v":1600,"d":"1600.00"},{"v":1400,"d":"1400.00"},"乙类","颌面","停用"]
[756,"HHF89301","上颌骨缺损带蒂骨移植术","含受床准备,带蒂骨瓣转移植入固定,颌间固定和邻位皮瓣修复缺损。手术需使用微动力系统。不含取瓣术､计算机辅助设计､颌骨模型制备､口外重建板预成型。","引流装置","止血材料,内固定材料,特殊缝线","单侧","",{"v":1900,"d":"1900.00"},{"v":1520,"d":"1520.00"},{"v":1330,"d":"1330.00"},"乙类","颌面","停用"]
[757,"HHF89303","上颌骨缺损吻合血管复合瓣移植修复术","采用韦伯切口,含受床及血管准备,解剖出颞浅动静脉或者颌外动静脉为供区营养血管,供骨成形,骨瓣连接固定,皮瓣缺损修复,显微镜下微血管吻合,受区伤口处理。手术需使用微动力系统､复合组织瓣切取。","引流装置","止血材料,内固定材料,特殊缝线","次","",{"v":2400,"d":"2400.00"},{"v":1920,"d":"1920.00"},{"v":1680,"d":"1680.00"},"乙类","颌面","停用"]
[758,"HHF89302","上颌骨缺损吻合血管骨移植修复术","采用韦伯切口,含受床及血管准备,解剖出颞浅动静脉或者颌外动静脉为供区营养血管,供骨成形,骨瓣连接固定,显微镜下微血管吻合,受区伤口处理。手术需使用微动力系统。","引流装置","止血材料,内固定材料,特殊缝线","次","",{"v":2200,"d":"2200.00"},{"v":1760,"d":"1760.00"},{"v":1540,"d":"1540.00"},"乙类","颌面","停用"]
[759,"HHF83303","上颌骨缺损游离植骨修复术","经口内或口外入路分层切开显露骨折错位愈合部位,用微型骨锯将其截开,修整截骨断面,行颌间固定恢复咬合关系后,骨缺损区植骨,重新坚强内固定。手术需使用微动力系统。不含取骨术､计算机辅助设计､颌骨模型制备､口外重建板预成型。","引流装置","止血材料,内固定材料","单侧","",{"v":1300,"d":"1300.00"},{"v":1040,"d":"1040.00"},{"v":910,"d":"910.00"},"乙类","颌面","停用"]
[760,"HHG89303","下颌骨缺损带蒂骨移植术","含颌间固定,邻近带蒂骨瓣修复。手术需使用微动力系统。不含计算机辅助设计､颌骨模型制备､口外重建板预成型。","牙弓夹板,引流装置","内固定材料,止血材料,特殊缝线","单侧",null,{"v":1200,"d":"1200.00"},{"v":960,"d":"960.00"},{"v":840,"d":"840.00"},"乙类","颌面","停用"]
[761,"HHG89304","下颌骨缺损带血管蒂游离骨瓣移植术","指下颌骨缺损用带血管骨瓣移植修复缺损。含颌间固定,受床制备,骨床准备,血管准备及植骨固定,手术需使用微动力系统､计算机辅助设计､颌骨模型制备､口外重建板预成型。不含复合骨瓣切取。","牙弓夹板,引流装置","内固定材料,止血材料,特殊缝线","单侧","",{"v":1400,"d":"1400.00"},{"v":1120,"d":"1120.00"},{"v":980,"d":"980.00"},"乙类","颌面","停用"]
[762,"HHG83305","下颌骨缺损牵张成骨修复术","经口外切口进路,分层切开,显露下颌骨缺损区,颌间结扎固定维持缺损区域大小,必要时钛板固定。用微型锯或钻制备转移盘,牵张器塑形后安装并固定。术中需保护面神经。需使用微动力系统。","引流装置","牵张器,内固定材料,止血材料,特殊缝线","单侧","骨缺损大于3厘米,每增加1厘米加收不超过20%",{"v":1700,"d":"1700.00"},{"v":1360,"d":"1360.00"},{"v":1190,"d":"1190.00"},"乙类","颌面","停用"]
[763,"HHG89301","下颌骨缺损钛板重建术","指下颌骨缺损以重建钛板恢复其连续性。含颌间固定手术需使用微动力系统。","牙弓夹板,引流装置","内固定材料,止血材料,特殊缝线","单侧",null,{"v":1300,"d":"1300.00"},{"v":1040,"d":"1040.00"},{"v":910,"d":"910.00"},"乙类","颌面","停用"]
[764,"HHG83302","下颌骨缺损修复体植入修复术","经口内或口外切口。指用快速成型技术制作的个体化支架,重建骨连续性,含颌间固定,受床准备及支架固定。手术需使用微动力系统。不含计算机辅助设计､颌骨模型制备､口外重建板预成型。","牙弓夹板,引流装置","内固定材料,止血材料,特殊缝线","单侧",null,{"v":1600,"d":"1600.00"},{"v":1280,"d":"1280.00"},{"v":1120,"d":"1120.00"},"乙类","颌面","停用"]
[765,"HHQ83403","局部皮瓣舌整形术","指因为外伤和肿瘤切除后造成舌体缺损,采用舌自身组织局部瓣修复整形舌形态。","引流装置","止血材料,特殊缝线","次",null,1270,1015,890,"乙类","颌面","停用"]
[766,"HHQ83402","巨舌畸形矫正术","对淋巴管瘤､血管畸形及先天性巨舌畸形进行治疗。设计切除肥大舌体,止血,缝合。","引流装置","止血材料,特殊缝线","次",null,900,720,630,"乙类","颌面","停用"]
[767,"HHN83313","部分唇缺损局部组织瓣修复术","含易位､滑行､旋转组织瓣设计,唇缺损的关闭与修整,组织瓣转移后的成形。","引流装置","特殊缝线,止血材料","次",null,1200,960,840,"乙类","颌面","停用"]
[768,"HHN83318","唇正中裂修复术","指麻醉下测量,定点,设计,阻滞麻醉,手术切开,组织瓣转移,修复裂隙,唇红修整,伤口减张。","引流装置","唇弓,特殊缝线,止血材料","次",null,1200,960,840,"乙类","颌面","停用"]
[769,"HHN59301","唇粘连术","指新生儿唇裂的裂隙关闭。含裂隙缘切开皮肤红唇交界区,成创面,缝合减张,需使用手术放大镜。","引流装置","止血材料,特殊缝线","单侧",null,920,740,645,"乙类","颌面","停用"]
[770,"HHR83310","Ⅰ度腭裂修复术","Ⅰ度腭裂指仅软腭裂开。麻醉下先行黏膜下浸润麻醉,裂隙缘切开,游离腭帆提肌,重建腭帆吊带,缝合鼻腔黏膜及口腔黏膜,悬雍垂成形。含悬雍垂裂､软腭裂､隐裂修复。","引流装置","止血材料,特殊缝线","次",null,1000,800,700,"乙类","颌面","停用"]
[771,"HHR83311","Ⅱ度腭裂修复术","Ⅱ度腭裂指硬腭的不完全裂开。麻醉下先行黏膜下浸润麻醉,裂隙缘切开,腭侧龈缘内侧做松弛切口,粘骨膜下分离,切断腭腱膜,松解腭大神经血管束,凿断翼钩,游离腭帆提肌,重建腭帆吊带,缝合鼻腔黏膜､肌肉及口腔黏膜,悬雍垂成形。","引流装置","腭护板,特殊缝线,止血材料","次",null,1200,960,840,"乙类","颌面","停用"]
[772,"HHR81301","腭咽环扎腭裂修复术","指麻醉下先行黏膜下浸润麻醉,切开,腭咽腔环形缩窄,缝合。不含硬､软腭裂修复､硬腭前部牙槽裂关闭。","引流装置","止血材料,特殊缝线","次",null,1300,1040,910,"乙类","颌面","停用"]
[773,"HHR83301","咽腭弓成形术","消毒铺巾,开口器暴露咽腔,可用头灯或配光源的专用开口器直视口咽腔,沿悬雍垂两侧,切除部分软腭,缝合切口。","引流装置","止血材料,特殊缝线","次",null,{"v":1100,"d":"1100.00"},{"v":880,"d":"880.00"},{"v":770,"d":"770.00"},"乙类","颌面","停用"]
[774,"HHR88401","软腭前移术","消毒铺巾,开口器暴露口腔,可用头灯或配光源的专用开口器直视口咽腔,硬腭部位弧形切开,分离,暴露硬腭,切开鼻底黏膜,咬骨钳咬除大约1厘米骨质,电钻打孔,缝合线固定软腭,缝合切口止血,局部可应用碘坊纱布压迫或戴腭托保护。不含腭托的制作。","引流装置","止血材料,特殊缝线","次",null,{"v":800,"d":"800.00"},{"v":640,"d":"640.00"},{"v":560,"d":"560.00"},"乙类","颌面","停用"]
[775,"HHR83309","腭咽过度闭合矫正术","消毒,切除过长的软腭后缘,肥大的悬雍垂和松弛的咽侧壁黏膜,必要时切除肥大的扁桃体,将咽侧壁黏膜向前绷紧缝合。不含扁桃体切除术。","引流装置","止血材料,特殊缝线","次",null,{"v":1100,"d":"1100.00"},{"v":880,"d":"880.00"},{"v":770,"d":"770.00"},"乙类","颌面","停用"]
[777,"HHR83306","腭咽肌瓣成形术","于两侧腭咽弓各形成腭咽肌瓣,于咽后壁掀起一短黏膜瓣,将腭咽肌瓣转移至咽喉壁缺损处。不含腭部裂隙关闭。","引流装置","止血材料,特殊缝线","次","",1100,880,770,"乙类","颌面","停用"]
[778,"HHR83312","Ⅲ度腭裂修复术","Ⅲ度腭裂指硬腭的全层裂开。麻醉下先行黏膜下浸润麻醉,裂隙缘切开,腭侧龈缘内侧做松弛切口,粘骨膜下分离,切断腭腱膜,松解腭大神经血管束,凿断翼钩,游离腭帆提肌,重建腭帆吊带,缝合鼻腔黏膜､肌肉及口腔黏膜,悬雍垂成形。","引流装置","腭护板,特殊缝线,止血材料","次","",1400,1120,980,"乙类","颌面","停用"]
[782,"HHA65302","面颈深部异物探查取出术","位于颈深筋膜深面或特殊结构如骨内､骨间隙､咽旁､颈鞘等深在位置。含面部深在异物如(翼腭窝､颞下及翼颌区)的探查,根据具体情况设计口内或者口外颌下切口,逐层进入,异物取出。不含截骨术､再固定术。","引流装置","","次","",1000,800,700,"甲类","颌面","停用"]
[784,"HHF65301","上颌窦开窗异物取出术","局麻下切开黏骨膜,翻瓣,上颌窦开窗,探查,异物(拔牙断根)取出,缝合伤口。不含口腔内窥镜使用。","注射器,引流装置","特殊缝线","次","",600,480,420,"甲类","颌面","停用"]
[785,"HHE57302","口内入路颌间挛缩瘢痕切除松解术","指麻醉下颊部瘢痕切除,下颌升支内外侧瘢痕松解,颌间支撑,咀嚼肌松解,植皮。不含取皮术。","结扎丝,引流装置","止血材料,特殊缝线","单侧","",1500,1200,1050,"甲类","颌面","停用"]
[786,"HHE57301","口内外联合入路颌间挛缩松解术","指麻醉下颊部瘢痕切除,升支内外侧粘连松解,喙突截除,咀嚼肌松解,颌间支撑,创面植皮。不含取皮术。","结扎丝,引流装置","特殊缝线","单侧","",1500,1200,1050,"甲类","颌面","停用"]
[787,"HHF62302","上颌骨截骨外置式牵张器置入牵张成骨术","上颌骨截骨完成后将外牵张支架置入固定。处理术区,缝合伤口。需使用微动力系统。不含上颌骨截骨术。","引流装置,骨蜡","内固定材料,牵张器,止血材料,特殊缝线","部位","",1700,1360,1190,"丙类","颌面","停用"]
[788,"HHE62301","牙槽嵴低平牵张成骨增高术","经口内或口外入路切开软组织显露牙槽嵴,水平截开拟牵张区域的骨质并作必要的修整,先进行牵张器塑形,然后安置并固定,处理术区缝合伤口。手术需使用微动力系统。","引流装置","牵张器,内固定材料,特殊缝线,止血材料","部位","",1700,1360,1190,"丙类","颌面","停用"]
[789,"HHE62302","牙槽嵴低平种植型牵张器增高术","经口内入路切开牙龈显露牙槽嵴,水平截开拟牵张区域的骨质并作必要的修整,安置种植牵张器,处理术区缝合伤口。","引流装置","牵张器,内固定材料,特殊缝线,止血材料","个","",1700,1360,1190,"丙类","颌面","停用"]
[790,"HHF62301","上颌骨内置式牵引器置入牵张成骨术","上颌骨截骨完成后,将内置牵张器塑形,植入,固定于上颌骨上。处理术区,缝合伤口。需使用微动力系统。不含上颌骨截骨术。","引流装置,骨蜡","内固定材料,牵张器,止血材料,特殊缝线","部位","",1700,1360,1190,"丙类","颌面","停用"]
[791,"HHG83306","下颌骨畸形截骨外牵张器牵张成骨术","下颌骨截骨完成后将外牵张支架置入固定。处理术区,缝合伤口。需使用微动力系统。不含下颌骨截骨术。","引流装置","牵张器,内固定材料,止血材料,特殊缝线","单侧","",1700,1360,1190,"丙类","颌面","停用"]
[792,"HHC64301","外置式牵张器支架拆除术","剪断牵引丝,旋出固定螺钉,拆除支架。","","","次","",180,140,120,"丙类","颌面","停用"]
[793,"HHC64302","内置式骨牵张器拆除术","切开局部软组织,显露牵张器,旋出固定螺钉,取出牵张器。处理术区缝合伤口。","引流装置","止血材料,特殊缝线","部位","",400,320,280,"丙类","颌面","停用"]
[794,"HHP73301","嚼肌部分切除术","消毒铺巾,麻醉,口内切开显露嚼肌,在嚼肌内侧面用组织剪或电刀将嚼肌深层均匀分离,根据术前设计去除部分嚼肌。不含下颌角的三角形去骨。","引流装置","特殊缝线,止血材料","次","",1300,1040,910,"丙类","颌面","停用"]
[795,"HYE83305","神经移植面瘫矫正术","消毒铺巾,切开皮肤,解剖两侧面神经,根据需要切取一定长度的腓肠神经,将移植的神经分别与近侧端和远位端侧的面神经进行吻合,矫正面瘫畸形,电凝止血,留置引流。不含神经切取。","引流装置","特殊缝线","次","",1300,1040,910,"丙类","颌面","停用"]
[796,"HYE83306","吻合血管神经肌瓣移植面瘫矫正术","消毒铺巾,切取带血管神经的肌瓣,实施吻合血管神经的肌瓣游离移植,矫正面瘫畸形,术中电凝止血,术后引流。","引流装置","特殊缝线","次","",1300,1040,910,"丙类","颌面","停用"]
[797,"HHA83305","陈旧性面瘫血管化游离肌瓣矫正术","指在麻醉下设计,双侧翻瓣,解剖面神经,受区血管准备,肌瓣就位固定,显微镜吻合血管神经,面部成形。不含神经血管蒂游离肌瓣切取术。","引流装置","止血材料,特殊缝线","次","",1500,1200,1050,"乙类","颌面","停用"]
[798,"HYE83304","静态悬吊面瘫畸形矫正术","消毒铺巾,分别在颞部､患侧鼻唇沟､健侧上下唇和健侧眉头下缘做切口,剥离,形成皮下隧道,应用自体阔筋膜或人工合成材料等,对移位的上下唇､口角､鼻唇沟､下睑等进行悬吊,矫正面瘫畸形,术中电凝止血,术后引流。不含阔筋膜切取。","引流装置","修补材料,特殊缝线","次","",1250,1000,875,"丙类","颌面","停用"]
[799,"EACLB001","经皮穿刺插管主动脉造影术","消毒铺巾,局部麻醉,经深动脉穿刺,置血管鞘,导管插入主动脉,经导管注入对比剂,造影成功后分析诊断造影结果｡不含三维影像｡","胶片,注射器,高压注射器,穿刺针","造影导管,导丝,血管鞘组","次","",1900,1615,1425,"乙类","血管淋巴","停用"]
[800,"EACLB002","经皮选择性主动脉造影术","消毒铺巾,局部麻醉,穿刺置管,经股动脉(或腋动脉)途径穿刺,置管｡主动脉造影,摄片,穿刺点压迫包扎,人工报告｡不含监护､DSA引导｡","胶片,注射器,高压注射器,穿刺针","造影导管,导丝,血管鞘组,封堵器","次","",1900,1615,1425,"乙类","血管淋巴","停用"]
[801,"QHXZ0053","经皮穿刺插管选择性动脉造影术","消毒铺巾,局部麻醉,经动脉穿刺,置血管鞘,导管插入靶动脉,经导管注入对比剂,造影成功后分析诊断造影结果。压迫止血。不含监护、DSA引导。","注射器","导管，导丝，血管鞘组","次",null,1900,1520,1330,"乙类","血管淋巴","停用"]
[802,"EACLG001","经皮穿刺插管选择性锁骨下动脉造影术","消毒铺巾,局部麻醉,穿刺置管,经股动脉(或腋动脉)途径穿刺,置管,主动脉造影,锁骨下动脉选择性造影摄片,穿刺点压迫包扎,人工报告｡不含监护､DSA引导｡","胶片,注射器,高压注射器,穿刺针,肝素","造影导管,导丝,血管鞘组,封堵器","次","",1900,1615,1425,"乙类","血管淋巴","停用"]
[803,"EACLJ003","经皮穿刺插管选择性肋间动脉造影术","消毒铺巾,局部麻醉,穿刺置管,经股动脉(或腋动脉)途径穿刺,置管,主动脉造影,肋间动脉选择性造影摄片,穿刺点压迫包扎,人工报告｡不含监护､DSA引导｡","胶片,注射器,高压注射器,穿刺针","造影导管,导丝,血管鞘组,封堵器","次","",1900,1615,1425,"乙类","血管淋巴","停用"]
[804,"EACLJ002","经皮穿刺插管选择性胸廓内动脉造影术","消毒铺巾,局部麻醉,穿刺置管,经股动脉(或腋动脉)途径穿刺,置管,主动脉造影,胸廓内动脉选择性造影摄片,穿刺点压迫包扎,人工报告｡不含监护､DSA引导｡","胶片,注射器,高压注射器,穿刺针","造影导管,导丝,血管鞘组,封堵器","次","",1900,1615,1425,"乙类","血管淋巴","停用"]
[805,"EACLJ001","经皮穿刺插管选择性支气管动脉造影术","消毒铺巾,局部麻醉,穿刺置管,经股动脉途径穿刺､置管,胸主动脉,支气管动脉选择性造影摄片,穿刺点压迫包扎,人工报告｡不含监护､DSA引导｡","胶片,注射器,高压注射器,穿刺针","造影导管,导丝,血管鞘组,封堵器","次","",1900,1615,1425,"乙类","血管淋巴","停用"]
[806,"EACLL001","经皮穿刺插管选择性腹腔动脉干造影术","消毒铺巾,局部麻醉,经股动脉途径穿刺,置管,腹主动脉造影,腹腔干动脉选择性造影,酌情动脉瘤瘤体和动脉直径测量,不含DSA引导｡","胶片,注射器,高压注射器,穿刺针","造影导管,导引导管,导丝,血管鞘组","次","",1900,1615,1425,"乙类","血管淋巴","停用"]
[807,"EACLM001","经皮穿刺插管选择性胃左动脉造影术","消毒铺巾,局部麻醉,穿刺置管,经股动脉途径穿刺,置管,腹主动脉造影,胃左动脉选择性造影摄片,穿刺点压迫包扎,人工报告｡不含监护､DSA引导｡","胶片,注射器,高压注射器,穿刺针","造影导管,导丝,血管鞘组,封堵器","次","",1900,1615,1425,"乙类","血管淋巴","停用"]
[808,"EACLP002","经皮穿刺插管超选择性肝动脉造影术","消毒铺巾,局部麻醉,股动脉(或桡动脉)穿刺置入鞘管,经鞘置管,腹主动脉造影,腹腔干造影,超选择性肝动脉(肝叶､肝段)动脉造影,刺点压迫包扎,人工报告｡不含监护､DSA引导､超声引导｡","胶片,注射器,高压注射器,穿刺针","造影导管,导丝,血管鞘组,导引导丝","次","",2000,1700,1500,"乙类","血管淋巴","停用"]
[809,"EACLP001","经皮穿刺插管选择性肝动脉造影术","消毒铺巾,局部麻醉,穿刺置管,经股动脉途径穿刺,置管,腹主动脉造影,肝总动脉选择性造影摄片,穿刺点压迫包扎,人工报告｡不含监护､DSA引导｡","胶片,注射器,高压注射器,穿刺针","造影导管,导丝,血管鞘组,封堵器","次","",1900,1615,1425,"乙类","血管淋巴","停用"]
[810,"EACLP003","经皮穿刺插管选择性胃十二指肠动脉造影术","消毒铺巾,局部麻醉,穿刺置管,经股动脉(或腋动脉)途径穿刺,置管,腹主动脉造影,胃十二指肠动脉选择性造影摄片,穿刺点压迫包扎,人工报告｡不含监护､DSA引导｡","胶片,注射器,高压注射器,穿刺针","造影导管,导丝,血管鞘组,导引导丝","次","",1900,1615,1425,"乙类","血管淋巴","停用"]
[811,"EACLS001","经皮穿刺插管选择性脾动脉造影术","消毒铺巾,局部麻醉,股动脉(或桡动脉)穿刺置入鞘管,经鞘置管,腹主动脉造影,腹腔干造影,脾动脉选择性造影摄片,穿刺点压迫包扎,人工报告｡不含监护､DSA引导｡","胶片,注射器,高压注射器,穿刺针","造影导管,导丝,血管鞘组,封堵器","次","",1900,1615,1425,"乙类","血管淋巴","停用"]
[812,"EACLT001","经皮穿刺插管选择性肠系膜上动脉造影术","消毒铺巾,局部麻醉,股动脉(或桡动脉)穿刺置入鞘管,经鞘置管,腹主动脉造影,肠系膜上动脉选择性造影摄片,穿刺点压迫包扎,人工报告｡不含监护､DSA引导｡","胶片,注射器,高压注射器,穿刺针","造影导管,导丝,血管鞘组,封堵器","次","",1900,1615,1425,"乙类","血管淋巴","停用"]
[813,"EACLU001","经皮穿刺插管选择性肠系膜下动脉造影术","消毒铺巾,局部麻醉,股动脉(或桡动脉)穿刺置入鞘管,经鞘置管,腹主动脉造影,肠系膜下动脉选择性造影摄片,穿刺点压迫包扎,人工报告｡不含监护､DSA引导｡","胶片,注射器,高压注射器,穿刺针","造影导管,导丝,血管鞘组,封堵器","次","",1900,1615,1425,"乙类","血管淋巴","停用"]
[814,"EACLK001","经皮穿刺插管选择性肾上腺动脉造影术","消毒铺巾,局部麻醉,股动脉(或桡动脉)穿刺置入鞘管,经鞘置管,腹主动脉造影,肾上腺动脉选择性造影摄片,穿刺点压迫包扎,人工报告｡不含监护､DSA引导｡","胶片,注射器,高压注射器,穿刺针","造影导管,导丝,血管鞘组,封堵器","次","",1900,1615,1425,"乙类","血管淋巴","停用"]
[815,"EACLW001","经皮穿刺插管选择性肾动脉造影术","消毒铺巾,局部麻醉,股动脉(或桡动脉)穿刺置入鞘管,经鞘置管,腹主动脉造影,肾动脉选择性造影摄片,穿刺点压迫包扎,人工报告｡不含监护､DSA引导｡","胶片,注射器,高压注射器,穿刺针","造影导管,导丝,血管鞘组,封堵器","次","",1900,1615,1425,"乙类","血管淋巴","停用"]
[816,"EACLX001","经皮穿刺插管选择性子宫动脉造影术","消毒铺巾,局部麻醉,股动脉穿刺置入鞘管,经鞘置管,腹主动脉造影,髂内动脉造影,子宫动脉选择性造影摄片,穿刺点压迫包扎,人工报告｡不含监护､DSA引导｡","胶片,注射器,高压注射器,穿刺针","造影导管,导丝,血管鞘组,封堵器","次","",1900,1615,1425,"乙类","血管淋巴","停用"]
[817,"EACL0001","经皮选择性腰动脉造影术","消毒铺巾,局部麻醉,股动脉穿刺置入鞘管,经鞘置管,腹主动脉造影,超选腰动脉选择性造影摄片,穿刺点压迫包扎,人工报告｡不含监护､DSA引导｡","胶片,注射器,高压注射器,穿刺针","造影导管,导丝,血管鞘组,封堵器","次","",1900,1615,1425,"乙类","血管淋巴","停用"]
[818,"EACL1001","经皮穿刺插管选择性髂内动脉造影术","消毒铺巾,局部麻醉,股动脉穿刺置入鞘管,经鞘置管,腹主动脉造影,髂内动脉选择性造影摄片,穿刺点压迫包扎,人工报告｡不含监护､DSA引导｡","胶片,注射器,高压注射器,穿刺针","造影导管,导丝,血管鞘组,封堵器","次","",1900,1615,1425,"乙类","血管淋巴","停用"]
[819,"EACL3001","经皮穿刺插管选择性上肢动脉造影术","患者仰卧于造影台,局麻下穿刺腋动脉,置入血管鞘管,肝素抗凝,导丝引导下将导管选择到锁骨下动脉,逐段行上肢动脉造影,造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎｡不含DSA引导｡","胶片,注射器,高压注射器,穿刺针","造影导管,导丝,血管鞘组,封堵器","次","",1900,1615,1425,"乙类","血管淋巴","停用"]
[820,"EACL5001","经皮穿刺插管选择性下肢动脉造影术","消毒铺巾,局部麻醉,股动脉穿刺置入鞘管,经鞘置管,腹主动脉造影,髂外动脉造影,逐段造影摄片,穿刺点压迫包扎,人工报告｡不含监护､DSA引导｡","胶片,注射器,高压注射器,穿刺针","造影导管,导丝,血管鞘组","次","",1900,1615,1425,"乙类","血管淋巴","停用"]
[821,"EACMB001","经皮穿刺插管上腔静脉造影术","患者仰卧于造影台,局麻下穿刺锁骨下静脉､颈内静脉或股静脉,置入鞘管,沿鞘管放入导丝和猪尾造影导管入上腔静脉近端,退出导丝,将猪尾导管与高压注射器连接,注入对比剂进行静脉造影,造影完毕,退出导管和血管鞘,穿刺处弹力绷带加压包扎｡不含DSA引导｡","胶片,注射器,高压注射器,穿刺针","造影导管,导丝,血管鞘组,封堵器","次","",1100,935,825,"乙类","血管淋巴","停用"]
[822,"EACMF001","经皮穿刺插管上肢静脉造影术","患者仰卧于造影台,穿刺手背浅静脉,建立输液通道,用三通连接输液通道,止血带阻断上肢浅静脉,注入对比剂,数字减影造影机下透视,显示上肢静脉有无病变及病变情况并拍片｡造影完毕,退出穿刺针,穿刺处弹力绷带加压包扎｡不含DSA引导｡","注射器,穿刺针,胶片","造影导管,导丝,血管鞘组","次","",1100,935,825,"乙类","血管淋巴","停用"]
[823,"EACMF002","上肢静脉切开造影术","用于上肢淋巴水肿体表静脉穿刺造影困难者｡导管室血管造影机下,患者平卧位,造影侧手背消毒铺巾,手背行局麻后切开皮肤,于皮下组织中寻得浅静脉,前臂上止血带,行静脉穿刺成功结扎固定穿刺针后高压注射器注入对比剂,使上肢深静脉显影至锁骨下静脉出口,留取影像资料,了解深静脉通畅度及瓣膜功能,留取影像资料｡造影完毕,拔除静脉穿刺针,手背切口间断缝合｡敷料覆盖伤口｡不含DSA引导｡","胶片,注射器,高压注射器","","次","",1100,935,825,"乙类","血管淋巴","停用"]
[824,"EACM1001","经皮穿刺下肢静脉造影术","患者仰卧于造影台,局麻下穿刺足背浅静脉,建立输液通道,用三通连接输液通道,应用止血带阻断下肢浅静脉,注入对比剂,数字减影机下透视,显示下肢深静脉有无病变及病变情况并摄片,造影完毕,退出穿刺针,穿刺处弹力绷带加压包扎｡不含DSA引导｡","注射器,胶片,高压注射器,高压连接管","造影导管,导丝,血管鞘组","次","",1100,935,825,"乙类","血管淋巴","停用"]
[825,"EACM1002","下肢静脉切开造影术","导管室血管造影机下,患者平卧位,造影侧足背消毒铺巾,足背行局麻后切开皮肤,于皮下组织中寻找浅静脉,小腿下1/3上止血带,行静脉穿刺成功后高压注射器注入对比剂,使下肢深静脉显影,了解深静脉通畅度及瓣膜功能,留取影像资料,造影完毕,拔除静脉穿刺针,足背切口间断缝合,敷料覆盖伤口｡不含DSA引导｡","胶片,注射器,高压注射器","","次","",1100,935,825,"乙类","血管淋巴","停用"]
[826,"EACML001","经皮穿刺插管下腔静脉造影术","患者仰卧于造影台,局麻下穿刺股静脉(或颈内动静脉､锁骨下静脉),成功后放置血管鞘管,沿鞘管放入导丝和猪尾造影导管入下腔静脉远端,退出导丝,将猪尾导管与高压注射器连接,注入对比剂进行静脉造影,必要时可深入导管至下腔静脉近端造影,造影完毕,退出导管和血管鞘,穿刺处弹力绷带加压包扎｡不含DSA引导｡","胶片,注射器,高压注射器,穿刺针","造影导管,导丝,血管鞘组,封堵器","次","",1100,935,825,"乙类","血管淋巴","停用"]
[827,"EACMM001","经皮穿刺插管选择性肝静脉造影术","患者仰卧于造影台,局麻下穿刺股静脉(或颈内动静脉､腋静脉或肱静脉),放置血管鞘管,沿鞘管放入导丝,沿导丝造影导管入肝后段下腔静脉,超选肝静脉,退出导丝,将导管与高压注射器连接,注入对比剂进行静脉造影,造影完毕,退出导管和血管鞘,穿刺处弹力绷带加压包扎｡不含DSA引导｡","注射器,穿刺针,胶片","造影导管,导丝,血管鞘组,封堵器","次","",1100,935,825,"乙类","血管淋巴","停用"]
[828,"EACMN001","经皮经肝穿刺门静脉造影术","局麻下患者平卧于造影床,应用肝穿针在右侧肋间向肝脏穿刺,边穿刺边注入对比剂,透视下寻找门静脉,直到肝内门静脉显影,交换导丝,进行门静脉插管,并注入适量对比剂进行血管造影,造影完毕后拔出导管,压迫止血,并用弹力绷带加压固定不少于8小时｡不含DSA引导､超声引导｡","胶片,注射器,穿刺针","造影导管,导丝,血管鞘组","次","",1100,935,825,"乙类","血管淋巴","停用"]
[829,"EACMN002","经皮经脾穿刺门静脉造影术","局麻下患者平卧于造影床,应用穿刺针在左侧肋间向脾脏穿刺,边穿刺边注入对比剂,透视下寻找脾静脉,直到门静脉显影,交换导丝,进行门静脉插管,并注入适量对比剂进行血管造影,造影完毕后拔出导管,压迫止血,并用弹力绷带加压固定不少于8小时｡不含DSA引导｡","胶片,注射器,穿刺针","造影导管,导丝,血管鞘组","次","",1100,935,825,"乙类","血管淋巴","停用"]
[830,"EACMU001","经皮穿刺插管选择性肾静脉造影术","患者仰卧于造影台,局麻下穿刺股静脉(或颈内动静脉､腋静脉､肱静脉),放置血管鞘管,沿鞘管放入导丝,沿导丝造影导管入下腔静脉,超选肾静脉,退出导丝,将导管与高压注射器连接,注入对比剂进行静脉造影｡造影完毕,退出导管和血管鞘,穿刺处弹力绷带加压包扎｡不含DSA引导｡","注射器,穿刺针,胶片","造影导管,导丝,血管鞘组,封堵器","次","",1100,935,825,"乙类","血管淋巴","停用"]
[831,"EACMW001","经皮穿刺插管性腺静脉造影术","消毒麻醉,股静脉或颈静脉或上肢静脉穿刺插管,选择卵巢静脉或精索静脉,注射对比剂并摄片,拔管压迫止血,冲洗胶片,人工报告｡不含监护､DSA引导｡","胶片,穿刺针","造影导管,导丝,血管鞘组","次","",1100,935,825,"乙类","血管淋巴","停用"]
[832,"QHXZ0054","经皮穿刺插管选择性静脉造影术","消毒铺巾,局部麻醉,经静脉穿刺,置血管鞘,导管插入靶静脉,经导管注入对比剂,造影成功后分析诊断造影结果,压迫止血。不含监护、DSA引导。","注射器","造影导管，导丝，血管鞘组","次",null,1400,1120,980,"乙类","血管淋巴","停用"]
[833,"FNJ08302","开腹术中腹膜后淋巴管造影术","主要用于盆腹部淋巴管发育不全､盆腹部淋巴管扩张性病变乳糜池胸导管术前淋巴管造影未能显影､腹盆部淋巴漏术前未能明确诊断的病例。术前造影于开腹探查术中,打开后腹膜,在手术显微镜下,用显微器械解剖寻找腹膜后淋巴管,以淋巴管造影导管行淋巴管穿刺后注入对比剂,行腰干､乳糜池､胸导管造影,留取乳糜池､胸导管回流的X线影像。","胶片,注射器,压力泵,染色剂","造影导管","次","",1800,1440,1260,"乙类","血管淋巴","停用"]
[834,"FNJ08301","开腹术中经小肠淋巴管造影术","主要用于小肠淋巴管扩张症小肠淋巴回流状况不明,小肠淋巴管扩张症病变肠管术中不能判断的病例。于开腹探查术中,在手术显微镜下,用显微器械解剖寻找游离小肠浆膜或肠系膜淋巴管,以淋巴管造影导管行淋巴管穿刺后注入显影剂,行小肠及肠系膜淋巴管､肠干､乳糜池､胸导管造影,留取乳糜池､胸导管回流的X线影像。","胶片,注射器,压力泵,染色剂","造影导管","次","",1900,1520,1330,"乙类","血管淋巴","停用"]
[835,"FNK08101","经腹股沟淋巴结穿刺直接淋巴管造影术","用于经下肢淋巴管直接淋巴管造影困难的病例。导管室血管造影机下,患者平卧位,造影侧腹股沟区消毒铺巾,行局麻后切开皮肤,在手术显微镜下,用显微器械解剖寻找腹股沟淋巴结,以淋巴管造影导管行淋巴结输入淋巴管穿刺后注入对比剂,使淋巴管显影并寻找病变位置,造影完毕,拔除造影针,皮肤切口间断缝合,敷料覆盖伤口。","胶片,注射器,压力泵,染色剂","造影导管","次","",1600,1280,1120,"乙类","血管淋巴","停用"]
[836,"FNN08101","经上肢淋巴结直接淋巴管造影术","用于诊断上肢淋巴回流障碍。导管室血管造影机下,患者平卧位,造影侧手背消毒铺巾,于各手指指蹼间注入淋巴管染色剂,手背行局麻后切开皮肤,在手术显微镜下,用显微器械解剖寻找蓝染淋巴管,以淋巴管造影导管行淋巴管穿刺后注入对比剂,使上肢淋巴管显影并寻找病变位置,造影完毕,拔除造影针,手背切口间断缝合,敷料覆盖伤口。","胶片,注射器,压力泵,染色剂","造影导管,特殊缝线","次","",800,640,560,"乙类","血管淋巴","停用"]
[837,"FNP08102","经下肢淋巴管淋巴管系造影术","用于乳糜回流障碍患者乳糜回流状态动态检查。导管室血管造影机下,患者平卧位,造影侧足背消毒铺巾,于各足趾间注入淋巴管染色剂,足背行局麻后切开皮肤,在手术显微镜下,用显微器械解剖寻找蓝染淋巴管,以淋巴管造影导管行淋巴管穿刺后注入对比剂,使淋巴系统全程显影并寻找病变位置,造影中动态观察,分段留取动态影像,充分观察淋巴干盆腹胸回流返流以及漏出情况,直至胸导管颈段显影,观察胸导管出口情况,观察各部淋巴返流情况,造影完毕,拔除造影针,足背切口间断缝合,敷料覆盖伤口,患者下地活动后,再次动态观察淋巴回流与返流情况。不含DSA引导。","胶片,注射器,压力泵,染色剂","造影导管,特殊缝线","次","",800,640,560,"乙类","血管淋巴","停用"]
[838,"FNP08101","经下肢淋巴管直接淋巴管造影术","用于诊断下肢淋巴回流障碍。导管室血管造影机下,患者平卧位,造影侧足背消毒铺巾,于各足趾间注入淋巴管染色剂,足背行局麻后切开皮肤,在手术显微镜下,用显微器械解剖寻找蓝染淋巴管,以淋巴管造影导管行淋巴管穿刺后注入对比剂,使下肢淋巴管显影并寻找病变位置。造影完毕,拔除造影针,足背切口间断缝合,敷料覆盖伤口。","胶片,注射器,压力泵,染色剂","造影导管,特殊缝线","次","",800,640,560,"乙类","血管淋巴","停用"]
[839,"FNG08101","颈干直接淋巴管造影术","用于诊断头颈面部淋巴回流障碍。导管室血管造影机下,患者平卧位,于造影侧头部皮下注入淋巴管染色剂,于乳突区行局麻后切开皮肤,在手术显微镜下,用显微器械解剖寻找乳突淋巴结所属蓝染淋巴管,以淋巴管造影导管行淋巴管穿刺后注入对比剂,造影行颈干淋巴管造影,造影完毕,拔除造影针,皮肤切口间断缝合,敷料覆盖伤口。","胶片,注射器,压力泵,染色剂","造影导管,特殊缝线","次","",200,160,140,"乙类","血管淋巴","停用"]
[840,"HM959201","经皮穿刺临时性球囊闭塞术","用于术前暂时止血。消毒铺巾,麻醉,穿刺置管,造影摄片,引入不可脱球囊暂时闭塞血管,造影复查,穿刺点压迫包扎。人工报告。不含监护。","穿刺针,压力泵","导管,导丝,血管鞘组,球囊扩张导管","次","",2400,1920,1680,"乙类","血管淋巴","停用"]
[841,"HLK80212","腹主动脉-髂动脉球囊成形术","局麻,经股动脉或肱桡动脉穿刺,置管,腹主､髂动脉造影,球囊导管扩张,再次造影评估疗效,拔管穿刺点加压包扎。不含动脉切开置管术､球囊扩张､支架置入､经皮动脉穿刺置管术､DSA引导。","测压管,注射器","球囊扩张导管,特殊缝线,止血材料","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[842,"HLE80202","经皮穿刺无名动脉球囊成形术","消毒铺巾,麻醉,穿刺置管,造影摄片,球囊扩张,造影复查,穿刺点压迫包扎。人工报告。不含监护。","穿刺针,压力泵","导管,导丝,血管鞘组,球囊扩张导管","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[843,"HLG80202","经皮穿刺锁骨下动脉球囊成形术","消毒铺巾,麻醉,穿刺置管,造影摄片,球囊扩张,造影复查,穿刺点压迫包扎。人工报告。不含监护。","穿刺针,压力泵,注射器","导管,导丝,血管鞘组,球囊扩张导管","次","",2400,1920,1680,"乙类","血管淋巴","停用"]
[844,"HL580201","经皮穿刺顺行同侧小腿动脉内球囊成形术","患者仰卧于造影台,局麻下顺行穿刺股动脉,置入血管鞘管,肝素抗凝,造影观察同侧下肢动脉的情况,路图下,导丝引导将导管插入到病变部位,更换交换导丝,插入球囊到病变部位,行下肢动脉狭窄球囊扩张,术后经鞘管造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,封堵器","次","以1支血管为基价,每增加1支加收不超过80%",2800,2240,1960,"乙类","血管淋巴","停用"]
[845,"HL680212","经皮穿刺顺行单侧股深动脉内球囊成形术","患者仰卧于造影台,局麻下顺行穿刺股动脉,置入血管鞘管,肝素抗凝,造影观察同侧下肢动脉的情况,路图下,导丝引导将导管插入到病变部位,更换交换导丝,插入球囊到病变部位,行股深动脉狭窄球囊扩张,术后经鞘管造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,封堵器","单侧","",2800,2240,1960,"乙类","血管淋巴","停用"]
[846,"HL680213","经皮穿刺对侧股深动脉内球囊成形术","患者仰卧于造影台,局麻下逆行穿刺股动脉,置入血管鞘管,肝素抗凝,猪尾导管造影观察腹主动脉分叉及髂动脉的情况,路图下,导丝引导将导管插入到病变部位,更换交换导丝,更换长的血管鞘管插入到对侧髂动脉,插入球囊到病变部位,行下肢动脉狭窄球囊扩张,术后经鞘管造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,封堵器","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[847,"HL880201","经皮穿刺顺行同侧足部动脉球囊成形术","患者仰卧于造影台,局麻下顺行穿刺股动脉,置入血管鞘管,肝素抗凝,造影观察同侧下肢动脉的情况,路图下,导丝引导将导管插入到病变部位,更换交换导丝,插入球囊到病变部位,行下肢动脉狭窄球囊扩张,术后经鞘管造影。造影结束拔除血管鞘管,穿刺点弹力绷带压迫止血。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,封堵器","次","以1支血管为基价,每增加1支加收不超过80%",2800,2240,1960,"乙类","血管淋巴","停用"]
[848,"HL780206","经皮穿刺顺行同侧腘动脉内球囊成形术","患者仰卧于造影台,局麻下顺行穿刺股动脉,置入血管鞘管,肝素抗凝,路图下,导丝引导将导管插入到病变部位,更换交换导丝,插入球囊到对侧病变部位,行下肢动脉狭窄球囊扩张,术后经鞘管造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,封堵器","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[849,"HL680201","经皮穿刺股动脉球囊成形术","消毒铺巾,局部麻醉,穿刺置管,造影摄片,球囊扩张,造影复查,穿刺点压迫包扎。人工报告。不含监护。","穿刺针,压力泵,注射器","导管,导丝,血管鞘组,球囊扩张导管","次","",3600,2880,2520,"乙类","血管淋巴","停用"]
[850,"HL680203","经皮穿刺顺行同侧股浅动脉球囊成形术","患者仰卧于造影台,局麻下顺行穿刺股动脉,置入血管鞘管,肝素抗凝,造影观察股浅动脉的情况,路图下,导丝引导将导管插入到病变部位,更换交换导丝,插入球囊到病变部位,行股浅动脉狭窄球囊扩张,退管造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,封堵器","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[851,"HL680204","经皮穿刺对侧股浅动脉球囊成形术","患者仰卧于造影台,局麻下逆行穿刺股动脉,置入血管鞘管,肝素抗凝,猪尾导管造影观察腹主动脉分叉及髂动脉的情况,路图下,导丝引导将导管插入到病变部位,更换交换导丝,更换长的血管鞘管插入到对侧髂动脉,插入球囊到病变部位,行股浅动脉狭窄球囊扩张,术后经鞘管造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,封堵器","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[852,"HL780201","经皮穿刺单侧腘动脉内球囊成形术","患者仰卧于造影台,局麻下逆行穿刺股动脉,置入血管鞘管,肝素抗凝,猪尾导管造影观察腹主动脉分叉及髂动脉的情况,路图下,导丝引导将导管插入到病变部位,更换交换导丝,更换长的血管鞘管插入到对侧股总动脉,插入球囊到对侧病变部位,行下肢动脉狭窄球囊扩张,术后经鞘管造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,封堵器","单侧","",2800,2240,1960,"乙类","血管淋巴","停用"]
[853,"HL080202","经皮穿刺髂动脉球囊成形术","局麻,经股动脉或肱桡动脉穿刺,置管,髂动脉造影､球囊导管扩张,再次造影评估疗效,拔管穿刺点加压包扎。不含动脉切开置管术､球囊扩张､支架置入､经皮动脉穿刺置管术､DSA引导。","测压管,注射器","球囊扩张导管,特殊缝线","次","",2600,2080,1820,"乙类","血管淋巴","停用"]
[854,"HLS80203","经皮穿刺脾动脉球囊成形术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,脾动脉选择性造影,动脉直径测量,球囊导管扩张,再次行动脉造影评价疗效和观察有无并发症出现。不含DSA引导。","穿刺针,压力泵,注射器","导管,导丝,血管鞘组,导引导管,球囊扩张导管,支架","次","",3600,2880,2520,"乙类","血管淋巴","停用"]
[855,"HL180201","经皮穿刺髂内动脉球囊成形术","局麻,经股动脉或肱桡动脉穿刺,置管,髂内动脉造影､球囊导管扩张。再次造影评估疗效。拔管穿刺点加压包扎。不含DSA引导。","测压管,穿刺针,注射器","球囊扩张导管,特殊缝线,止血材料","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[856,"HLQ80203","经皮穿刺肝固有动脉球囊成形术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,肝固有动脉选择性造影,动脉直径测量,球囊导管扩张,再次行动脉造影评价疗效和观察有无并发症出现。","穿刺针,压力泵,注射器","导管,导丝,血管鞘组,导引导管,球囊扩张导管,支架","次","",2700,2160,1890,"乙类","血管淋巴","停用"]
[857,"HLT80203","经皮穿刺肠系膜上动脉球囊成形术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,肠系膜上动脉选择性造影,直径测量,球囊导管扩张狭窄段,再次行动脉造影评价疗效和观察有无并发症出现。","穿刺针,压力泵,注射器","导管,导丝,血管鞘组,导引导管,球囊扩张导管","次","",3600,2880,2520,"乙类","血管淋巴","停用"]
[858,"HLW80202","经皮穿刺肾动脉球囊成形术","消毒铺巾,麻醉,穿刺置管,造影摄片,球囊扩张,造影复查,穿刺点压迫包扎。人工报告。不含监护。","穿刺针,压力泵,注射器","导管,导丝,血管鞘组,球囊扩张导管","次","",2500,2000,1750,"乙类","血管淋巴","停用"]
[859,"HLP80204","经皮穿刺肝总动脉球囊成形术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,肝总动脉选择性造影,动脉直径测量,球囊导管扩张,再次行动脉造影评价疗效和观察有无并发症出现。","穿刺针,压力泵,注射器","导管,导丝,血管鞘组,导引导管,球囊扩张导管,支架","次","",3400,2720,2380,"乙类","血管淋巴","停用"]
[860,"HLU80201","经皮穿刺肠系膜下动脉球囊成形术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,肠系膜下动脉选择性造影,直径测量,球囊导管扩张狭窄段,再次行动脉造影评价疗效和观察有无并发症出现。不含DSA引导。","穿刺针,压力泵,注射器","导管,导丝,血管鞘组,导引导管,球囊扩张导管","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[861,"HLL80202","经皮穿刺腹腔干动脉球囊成形术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,腹腔干动脉选择性造影,动脉直径测量,球囊导管扩张,再次行动脉造影评价疗效和观察有无并发症出现。不含DSA引导。","穿刺针,压力泵,注射器","导管,导丝,血管鞘组,导引导管,球囊扩张导管,支架","次","",2600,2080,1820,"乙类","血管淋巴","停用"]
[862,"HLM80201","经皮穿刺胃左动脉球囊成形术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,胃左动脉选择性造影,动脉直径测量,球囊导管扩张,再次行动脉造影评价疗效和观察有无并发症出现。","穿刺针,压力泵,注射器","导管,导丝,血管鞘组,导引导管,球囊扩张导管,支架","次","",3600,2880,2520,"乙类","血管淋巴","停用"]
[863,"QHXZ0048","经皮穿刺插管静（动）脉球囊扩张术","消毒铺巾，麻醉下，穿刺置管，造影摄片，球囊扩张，造影复查，穿刺点压迫包扎，人工报告。不含监护。","注射器","造影导管，导丝，血管鞘组，导引导管，球囊扩张导管","次",null,2000,1600,1400,"乙类","血管淋巴","停用"]
[864,"HML80204","经皮穿刺下腔静脉球囊成形术","患者仰卧于造影台,局麻下穿刺股静脉,放置血管鞘管,沿鞘管放入导丝和猪尾造影导管入下腔静脉远端,退出导丝,将猪尾导管与高压注射器连接,注入对比剂进行正､侧及斜位静脉造影,造影完毕,交换导管进行球囊扩张,并在造影机下反复透视直至扩张满意,退出导管和血管鞘,穿刺处弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,高压注射器,注射器","导管,导丝,血管鞘组,球囊扩张导管,封堵器","次","",1600,1280,1120,"乙类","血管淋巴","停用"]
[865,"HMB80202","经皮穿刺上腔静脉球囊成形术","患者仰卧于造影台,局麻下穿刺股静脉(或颈内静脉或锁骨下静脉),放置血管鞘管,沿鞘管放入导丝和猪尾造影导管入上腔静脉,退出导丝,将猪尾导管与高压注射器连接,注入对比剂进行静脉造影,造影完毕,交换导管进行球囊扩张,并在造影机下反复透视直至扩张满意,退出导管和血管鞘,穿刺处弹力绷带加压包扎。不含影像学引导(DSA引导)。","注射器,穿刺针","导管,导丝,血管鞘组,球囊扩张导管,封堵器","次","",1800,1440,1260,"乙类","血管淋巴","停用"]
[866,"HML83201","经皮穿刺下腔静脉导管破膜成形术","患者仰卧于造影台,局麻下穿刺股静脉和颈内静脉,分别放置血管鞘管,沿鞘管放入导丝和猪尾造影导管至邻近下腔静脉病变处,退出导丝,将猪尾导管与高压注射器连接,注入对比剂进行静脉造影,造影完毕,交换破膜导管及心房穿刺针,透视下进行膈膜穿通,再进行球囊扩张,最后退出导管和血管鞘,穿刺处弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,高压注射器,注射器","导管,导丝,血管鞘组,球囊扩张导管,封堵器","次","",1600,1280,1120,"乙类","血管淋巴","停用"]
[867,"HMM83201","经皮穿刺颈内静脉肝静脉成形术","患者仰卧于造影台,局麻下穿刺颈内静脉,放置血管鞘管,沿鞘管放入导丝和猪尾造影导管入下腔静脉远端,退出导丝,将猪尾导管与高压注射器连接,注入对比剂进行下腔静脉造影,经颈静脉插入导丝和导管经过右心房和下腔静脉分别选入各支肝静脉,退出导丝,造影证实,更换交换导丝,进入球囊扩张狭窄处,退出导管,插入造影管造影,结束。拔血管鞘,穿刺处弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,封堵器","次","",2400,1920,1680,"乙类","血管淋巴","停用"]
[868,"HMM83202","经皮穿刺股静脉肝静脉成形术","患者仰卧于造影台,局麻下穿刺股静脉,放置血管鞘管,沿股静脉鞘管放入导丝和猪尾造影导管入下腔静脉远端,退出导丝,将猪尾导管与高压注射器连接,注入对比剂进行下腔静脉造影,经股静脉插入导丝和导管分别选入各支肝静脉,退出导丝,造影证实,更换交换导丝,进入球囊扩张狭窄处,退出导管,插入造影管造影,结束,拔血管鞘,穿刺处弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,封堵器","次","",2400,1920,1680,"乙类","血管淋巴","停用"]
[869,"HMC80201","经皮穿刺无名/锁骨下静脉球囊扩张术","消毒麻醉,股静脉或肘部静脉穿刺插管,静脉造影并摄片,球囊扩张无名或锁骨下静脉,造影评价扩张效果,拔管压迫止血,冲洗胶片。人工报告。不含监护。","穿刺针,压力泵,注射器","导管,导丝,血管鞘组,球囊扩张导管","次","",2600,2080,1820,"乙类","血管淋巴","停用"]
[870,"HMX80203","经皮髂静脉球囊扩张术","消毒麻醉,股静脉或颈静脉穿刺插管,髂静脉造影并摄片,球囊扩张髂静脉,造影评价扩张效果,拔管压迫止血,冲洗胶片。人工报告。不含监护。","穿刺针,压力泵,注射器","导管,导丝,血管鞘组,球囊扩张导管","次","",2600,2080,1820,"乙类","血管淋巴","停用"]
[871,"HMM80202","经皮穿刺肝静脉球囊成形术","消毒麻醉,经皮肝穿刺,肝静脉插管造影并摄片,球囊扩张肝静脉,造影评价扩张效果,拔管压迫止血,冲洗胶片。人工报告。不含监护。","穿刺针,压力泵,注射器","导管,导丝,血管鞘组,球囊扩张导管","次","",2700,2160,1890,"乙类","血管淋巴","停用"]
[872,"HLJ80201","胸主动脉支架成形术","局麻,经股动脉或肱桡动脉穿刺,置管,胸主动脉造影､支架植入,再次造影评估疗效,拔管穿刺点加压包扎。","测压管,注射器","支架,特殊缝线,止血材料","次","",2500,2000,1750,"乙类","血管淋巴","停用"]
[873,"HLJ80301","胸主动脉外伤破裂腔内隔绝术","全麻,股动脉或肱动脉穿刺主动脉造影,股总动脉切开或穿刺,植入支架人工血管,再次造影观察效果,退出输送器,缝合股总动脉及切口。","穿刺针","造影导管,导丝,血管鞘组,人工血管,特殊缝线","次","腹主动脉或髂总动脉入路加收不超过20%",2000,1600,1400,"乙类","血管淋巴","停用"]
[874,"QHXZ0051","经皮穿刺插管静（动）脉支架成形术","消毒铺巾，麻醉下，穿刺置管，造影摄片，支架置入，造影复查，穿刺点压迫包扎，人工报告。不含监护。","注射器","导管，导丝，血管鞘组，导引导管，球囊扩张导管，支架","次","行经皮穿刺插管动脉支架成形术在该价格基础上加收20%",2500,2000,1750,"乙类","血管淋巴","停用"]
[875,"HLK80213","腹主动脉-髂动脉球囊扩张支架成形术","局麻,经股动脉或肱桡动脉穿刺,置管,腹主､髂动脉造影､球囊导管扩张支架置入,再次造影评估疗效,拔管穿刺点加压包扎。不含动脉切开置管术､球囊扩张､支架置入､经皮动脉穿刺置管术､DSA引导。","测压管,注射器","支架,特殊缝线,止血材料","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[876,"HLB80203","夹层动脉瘤腔内隔绝术","局麻或全麻,主动脉造影,切开或穿刺外周动脉,植入膜支架,再次造影观察效果。","注射器","导管,支架,血液回收装置,特殊缝线,止血材料，封堵器","次","",4000,3400,2890,"乙类","血管淋巴","停用"]
[877,"HLB80206","急性主动脉综合征腔内隔绝术","含主动脉壁内血肿､溃疡。全麻,股动脉或肱动脉穿刺主动脉造影,股总动脉切开或穿刺,植入支架人工血管,再次造影观察效果,退出输送器,缝合股总动脉及切口。","穿刺针","造影导管,导丝,血管鞘组,人工血管,特殊缝线","次","腹主动脉或髂总动脉入路加收不超过20%",3000,2400,2100,"乙类","血管淋巴","停用"]
[878,"HLJ80302","降主动脉瘤腔内隔绝术","局麻或全麻,股动脉或肱动脉穿刺主动脉造影,股总动脉切开或穿刺,植入支架人工血管,再次造影观察效果,退出输送器,缝合股总动脉及切口。","穿刺针,注射器","造影导管,导丝,血管鞘组,人工血管,特殊缝线,覆膜支架","次","腹主动脉或髂总动脉入路加收不超过20%",3200,2720,2312,"乙类","血管淋巴","停用"]
[879,"HLK80201","腹主动脉炎性瘤腔内隔绝术","全麻,股动脉或肱动脉穿刺主动脉造影,股总动脉切开或穿刺,植入支架人工血管,再次造影观察效果,退出输送器,缝合股总动脉及切口。","穿刺针","造影导管,导丝,血管鞘组,人工血管,特殊缝线","次","腹主动脉或髂总动脉入路加收不超过20%",2800,2240,1960,"乙类","血管淋巴","停用"]
[880,"HLB80208","N2区主动脉夹层腔内隔绝术","局麻或全麻,股动脉或肱动脉穿刺主动脉造影,股总动脉切开或穿刺,植入支架人工血管,再次造影观察效果,退出输送器,缝合股总动脉及切口。","穿刺针,注射器","造影导管,导丝,血管鞘组,人工血管,特殊缝线","次","腹主动脉或髂总动脉入路加收不超过20%",3000,2400,2100,"乙类","血管淋巴","停用"]
[881,"HLB80210","N3区主动脉夹层腔内隔绝术","局麻或全麻,股动脉或肱动脉穿刺主动脉造影,股总动脉切开或穿刺,植入直管型或分支型支架人工血管,再次造影观察效果,退出输送器,缝合股总动脉及切口。","穿刺针,注射器","造影导管,导丝,血管鞘组,人工血管,特殊缝线","次","腹主动脉或髂总动脉入路加收不超过20%",3000,2400,2100,"乙类","血管淋巴","停用"]
[882,"HLB80211","N1区主动脉夹层腔内隔绝术","全麻,股动脉或肱动脉穿刺升主动脉造影,股总动脉切开或穿刺,植入支架人工血管,再次造影观察效果,退出输送器,缝合股总动脉及切口。","穿刺针","造影导管,导丝,血管鞘组,人工血管,特殊缝线","次","腹主动脉或髂总动脉入路加收不超过20%",3000,2400,2100,"乙类","血管淋巴","停用"]
[883,"HLB80204","胸腹主动脉瘤腔内隔绝术","含分支移植物技术､开窗移植物技术､豁口型移植物技术。全麻,股动脉或肱动脉穿刺主动脉造影,股总动脉切开或穿刺,植入分支型或开窗型支架人工血管,再次造影观察效果,退出输送器,缝合股总动脉及切口。","穿刺针","造影导管,导丝,血管鞘组,人工血管,特殊缝线，封堵器，覆膜支架","次","腹主动脉或髂总动脉入路加收不超过20%",4000,3200,2800,"乙类","血管淋巴","停用"]
[884,"HLK80207","肾周腹主动脉瘤腔内隔绝术","全麻,股动脉穿刺腹主动脉造影,股总动脉切开或穿刺,植入分支型支架人工血管,再次造影观察效果,退出输送器,缝合股总动脉及切口。","穿刺针","造影导管,导丝,血管鞘组,支架,人工血管,特殊缝线","次","髂动脉入路加收不超过20%",2800,2240,1960,"乙类","血管淋巴","停用"]
[885,"HLK80210","腹主动脉下腔静脉瘘腔内隔绝术","全麻,股动脉或肱动脉穿刺主动脉造影,股总动脉切开或穿刺,植入支架人工血管,再次造影观察效果,退出输送器,缝合股总动脉及切口。","穿刺针,引流装置","造影导管,导丝,血管鞘组,人工血管,特殊缝线","次","腹主动脉或髂总动脉入路加收不超过20%",2700,2160,1890,"乙类","血管淋巴","停用"]
[886,"HLK80203","腹主动脉瘤腔内隔绝术","只限于直形腔内移植物。局部麻醉､腰麻或全身麻醉,腹股沟部切口,经髂股动脉途径置管,腹主动脉双髂动脉造影,测量瘤体和动脉直径。游离控制股动脉,全身肝素化,直形大动脉覆膜支架(支架型人工血管)植入腹主动脉,再次动脉造影评价疗效,关闭切口。不含DSA引导。","注射器,穿刺针","导管,导丝,血管鞘组,人工血管,特殊缝线,止血材料,覆膜支架","次","",3200,2720,2312,"乙类","血管淋巴","停用"]
[887,"HLK80202","腹主动脉外伤破裂腔内隔绝术","全麻,股动脉或肱动脉穿刺主动脉造影,股总动脉切开或穿刺,植入支架人工血管,再次造影观察效果,退出输送器,缝合股总动脉及切口。","穿刺针","造影导管,导丝,血管鞘组,人工血管,特殊缝线","次","腹主动脉或髂总动脉入路加收不超过20%",2800,2240,1960,"乙类","血管淋巴","停用"]
[888,"HLK80204","假性腹主动脉瘤腔内隔绝术","指应用直形腔内移植物。局部麻醉､连续硬膜外麻醉或全身麻醉,腹股沟部切口,经髂股动脉途径置管,腹主动脉双髂动脉造影,测量瘤体和动脉直径,股动脉切口,游离控制股动脉,全身肝素化,直形大动脉覆膜支架(支架型人工血管)植入腹主动脉,再次动脉造影评价疗效,关闭切口。不含DSA引导。","注射器,穿刺针","导管,导丝,血管鞘组,支架,特殊缝线,止血材料","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[889,"HLK83302","经颈动脉切开腹主动脉覆膜支架腔内修复术","局部麻醉､连续硬膜外麻醉或全身麻醉,颈部切口,经颈动脉途径置管,腹主动脉双髂动脉造影,测量瘤体和动脉直径,全身肝素化,直形大动脉覆膜支架(支架型人工血管)植入腹主动脉,再次动脉造影评价疗效,关闭切口。不含DSA引导。","引流装置,注射器","支架,特殊缝线,止血材料","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[890,"HL080204","经皮穿刺髂动脉覆膜支架腔内隔绝术","局部麻醉､连续硬膜外麻醉或全身麻醉,腹股沟部切口,经髂股动脉途径置管,腹主动脉双髂动脉造影,测量瘤体和动脉直径,股动脉切口,游离控制股动脉,全身肝素化,直形大动脉覆膜支架(支架型人工血管)置入髂动脉,再次动脉造影评价疗效,关闭切口。","引流装置,注射器","支架,特殊缝线,止血材料","次","以1个支架为基价,每增加1个加收不超过50%",2600,2080,1820,"乙类","血管淋巴","停用"]
[891,"HLK83501","腹腔镜下瘤颈成形+腹主动脉瘤腔内隔绝术","含直管形､分支型､一体化移植物､动脉支架分割(AUI)技术。全麻,腹腔镜下腹主动脉瘤瘤颈成形。股动脉穿刺腹主动脉造影,股总动脉切开或穿刺,植入支架人工血管,再次造影观察效果,退出输送器,缝合股总动脉及切口。","引流装置","造影导管,导丝,血管鞘组,支架,人工血管,腔镜材料","次","髂动脉入路加收不超过20%",3000,2400,2100,"乙类","血管淋巴","停用"]
[892,"HLK83801","经腹瘤颈成形+腹主动脉瘤腔内隔绝术","含直管形､分支型､一体化移植物､动脉支架分割(AUI)技术。全麻,开腹,腹主动脉瘤瘤颈成形,股动脉穿刺腹主动脉造影,股总动脉切开或穿刺,植入支架人工血管,再次造影观察效果,退出输送器,缝合股总动脉及切口,关腹。","穿刺针,引流装置","造影导管,导丝,血管鞘组,人工血管,特殊缝线","次","髂动脉入路加收不超过20%",2800,2240,1960,"乙类","血管淋巴","停用"]
[893,"HLK80214","腹主/髂动脉支架成形术","局麻,经股动脉或肱桡动脉穿刺,置管,腹主､髂动脉造影､支架置入,再次造影评估疗效,拔管穿刺点加压包扎。不含动脉切开置管术､球囊扩张､支架置入､经皮动脉穿刺置管术､DSA引导。","测压管,注射器","支架,特殊缝线,止血材料","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[894,"HLG80201","经皮穿刺锁骨下动脉支架置入术","局麻,经股动脉或肱动脉穿刺,置管,全身肝素化,超滑导丝与导管配合越过病变,球囊扩张,支架置入,必要时后扩张,造影评价术后血管状况。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,颈动脉支架,栓子保护装置","次","",3000,2400,2100,"乙类","血管淋巴","停用"]
[895,"HLF80202","经皮穿刺颈外动脉支架置入术","局麻,经股动脉途径穿刺,置管,全身肝素化,超滑导丝与导管配合,经颈总动脉进入颈外动脉,球囊扩张,支架置入,必要时后扩张,造影评价术后血管状况。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,颈动脉支架,栓子保护装置","次","",3000,2400,2100,"乙类","血管淋巴","停用"]
[896,"HLF80203","经皮穿刺颈内动脉支架置入术","局麻,经股动脉途径穿刺,置管,全身肝素化,超滑导丝与导管配合,经颈外动脉进入颈内动脉,脑保护装置放置于虹吸部,球囊扩张,支架置入,必要时后扩张,回收脑保护装置,造影评价术后血管状况,行颅内造影,观察有无栓塞并发症。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,颈动脉支架,栓子保护装置","次","",3300,2640,2310,"乙类","血管淋巴","停用"]
[897,"HLF80301","颈动脉创伤性动静脉瘘腔内隔绝术","消毒铺巾,腹股沟切口显露股动脉,穿刺股动脉,留置导鞘,导丝引导下覆膜支架到达创伤部位,定位释放支架,球囊扩张使之贴附。造影显示封闭完全后撤除导丝,拔出鞘管,缝合动脉穿刺处。创口逐层缝合,必要时补片修补。","穿刺针","导管,导丝,血管鞘组,球囊扩张导管,支架,封堵器,特殊缝线","次","以1个支架为基价,每增加1个加收不超过50%",2300,1840,1610,"乙类","血管淋巴","停用"]
[898,"HLE80201","经皮穿刺无名动脉支架置入术","局麻,经股动脉或肱动脉途径穿刺,置管,全身肝素化,超滑导丝与导管配合越过病变段,球囊扩张,支架置入,必要时后扩张,造影评价术后血管状况。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,颈动脉支架,栓子保护装置","次","",2600,2080,1820,"乙类","血管淋巴","停用"]
[899,"HL080205","经皮穿刺髂股动脉支架置入术","消毒铺巾,麻醉,穿刺置管,造影摄片,球囊扩张,支架置入,造影复查,穿刺点压迫包扎。人工报告。不含监护。","穿刺针,压力泵,注射器","导管,导丝,血管鞘组,球囊扩张导管,支架","次","",3600,2880,2520,"乙类","血管淋巴","停用"]
[900,"HL080201","经皮穿刺髂动脉球囊扩张+支架置入术","局麻,经股动脉或肱桡动脉穿刺,置管,髂动脉造影､球囊导管扩张支架置入,再次造影评估疗效,拔管穿刺点加压包扎。不含动脉切开置管术､球囊扩张､支架置入､经皮动脉穿刺置管术､DSA引导。","测压管,注射器","球囊扩张导管,支架,特殊缝线","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[901,"HL580202","经皮穿刺单侧小腿动脉球囊扩张+支架置入术","患者仰卧于造影台,局麻下顺行穿刺股动脉,置入血管鞘管,肝素抗凝,造影观察同侧股､腘及小腿动脉的情况,路图下,导丝引导将导管通过动脉病变部位,更换交换导丝,沿导丝插入球囊到病变部位,行动脉狭窄球囊扩张,然后退出球囊导管,造影,路图下沿导丝插入支架输送器,释放支架,术后经鞘管造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎。此操作含胫前､胫后和腓动脉。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,支架,封堵器","单侧","以1支血管为基价,每增加1支加收不超过80%;每增加1个支架加收不超过20%",3000,2400,2100,"乙类","血管淋巴","停用"]
[902,"HL680214","经皮穿刺单侧股深动脉球囊扩张+支架置入术","患者仰卧于造影台,局麻下逆行穿刺股动脉,置入血管鞘管,肝素抗凝,插入猪尾管造影观察腹主动脉分叉部位及对侧髂､股动脉的情况,路图下,导丝引导将导管通过腘动脉病变部位,更换交换导丝,更换长血管鞘管并插入到髂外或股总动脉部位,沿导丝插入球囊到病变部位,行动脉狭窄球囊扩张,然后退出球囊导管,造影,路图下沿导丝插入支架输送器,释放支架,术后经鞘管造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,支架,封堵器","单侧","",3200,2560,2240,"乙类","血管淋巴","停用"]
[903,"HL680216","经上肢动脉穿刺单侧股深动脉球囊扩张+支架置入术","患者仰卧于造影台,局麻下穿刺肱或腋动脉,置入血管鞘管,肝素抗凝,插入猪尾管造影,路图下,导丝引导将导管通过主动脉至股深动脉病变部位,更换交换导丝,更换长血管鞘管并插入到髂外或股总动脉部位,沿导丝插入球囊到病变部位,行动脉狭窄球囊扩张,然后退出球囊导管,造影,路图下沿导丝插入支架输送器,释放支架,术后经鞘管造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,支架,封堵器","单侧","",3200,2560,2240,"乙类","血管淋巴","停用"]
[904,"HL680205","经皮穿刺单侧股浅动脉球囊扩张+支架置入术","患者仰卧于造影台,局麻下顺行穿刺股动脉,置入血管鞘管,肝素抗凝,造影观察股浅动脉的情况,路图下,导丝引导将导管通过股浅动脉病变部位,更换交换导丝,沿导丝插入球囊到病变部位,行动脉狭窄球囊扩张,然后退出球囊导管,造影,路图下沿导丝插入支架输送器,释放支架,术后经鞘管造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,支架,封堵器","单侧","",3200,2560,2240,"乙类","血管淋巴","停用"]
[905,"HL780202","经皮穿刺单侧腘动脉球囊扩张+支架置入术","患者仰卧于造影台,局麻下逆行穿刺股动脉,置入血管鞘管,肝素抗凝,插入猪尾管造影观察腹主动脉分叉部位及对侧髂､股动脉的情况,路图下,导丝引导将导管通过腘动脉病变部位,更换交换导丝,更换长血管鞘管并插入到髂外或股总动脉部位,沿导丝插入球囊到病变部位,行动脉狭窄球囊扩张,然后退出球囊导管,造影,路图下沿导丝插入支架输送器,释放支架,术后经鞘管造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,支架,封堵器","单侧","",3200,2560,2240,"乙类","血管淋巴","停用"]
[906,"HL680211","股/腘动脉支架成形术","患者仰卧于造影台,局麻下顺行穿刺股动脉,置入血管鞘管,肝素抗凝,插入猪尾管造影观察腹主动脉分叉部位及同侧髂､股动脉的情况,路图下,导丝引导将导管通过股动脉(或腘动脉)病变部位,更换交换导丝,更换长血管鞘管并插入到股总动脉部位,沿导丝插入支架输送器至病变部位,释放支架,术后经鞘管造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,支架,封堵器","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[907,"HL780204","经足背动脉穿刺单侧腘动脉球囊扩张+支架置入术","患者仰卧于造影台,局麻下逆行穿刺胫后动脉远端,置入血管鞘管,肝素抗凝,插入猪尾管造影,路图下,导丝引导将导管逆行至腘动脉近段病变部位,更换交换导丝,沿导丝插入球囊到病变部位,行动脉狭窄球囊扩张,然后退出球囊导管,造影,路图下沿导丝插入支架输送器,释放支架,术后经鞘管造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,支架,封堵器","单侧","以1个支架为基价,每增加1个加收不超过50%",3200,2560,2240,"乙类","血管淋巴","停用"]
[908,"HL780209","经足背动脉穿刺单侧胫前动脉球囊扩张+支架置入术","患者仰卧于造影台,局麻下逆行穿刺足背动脉,置入血管鞘管,肝素抗凝,插入猪尾管造影,路图下,导丝引导将导管逆行至胫前动脉病变部位,更换交换导丝,沿导丝插入球囊到病变部位,行动脉狭窄球囊扩张,然后退出球囊导管,造影,路图下沿导丝插入支架输送器,释放支架,术后经鞘管造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,支架,封堵器","单侧","以1个支架为基价,每增加1个加收不超过50%",3200,2560,2240,"乙类","血管淋巴","停用"]
[909,"HL780205","经胫后动脉穿刺单侧腘动脉球囊扩张+支架置入术","患者仰卧于造影台,局麻下逆行穿刺胫后动脉远端,置入血管鞘管,肝素抗凝,插入猪尾管造影,路图下,导丝引导将导管逆行至腘动脉(或胫后动脉)近段病变部位,更换交换导丝,沿导丝插入球囊到病变部位,行动脉狭窄球囊扩张,然后退出球囊导管,造影,路图下沿导丝插入支架输送器,释放支架,术后经鞘管造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,支架,封堵器","单侧","以1个支架为基价,每增加1个加收不超过50%",3200,2560,2240,"乙类","血管淋巴","停用"]
[910,"HL780210","经胫后动脉穿刺单侧胫后动脉球囊扩张+支架置入术","患者仰卧于造影台,局麻下逆行穿刺胫后动脉远端,置入血管鞘管,肝素抗凝,插入猪尾管造影,路图下,导丝引导将导管逆行至胫后动脉近段病变部位,更换交换导丝,沿导丝插入球囊到病变部位,行动脉狭窄球囊扩张,然后退出球囊导管,造影,路图下沿导丝插入支架输送器,释放支架,术后经鞘管造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,支架,封堵器","单侧","以1个支架为基价,每增加1个加收不超过50%",2800,2240,1960,"乙类","血管淋巴","停用"]
[911,"HL380201","上肢动脉支架成形术","患者仰卧于造影台,局麻下穿刺腋动脉,置入血管鞘管,肝素抗凝,导丝引导下将导管选择到锁骨下动脉,逐段行上肢动脉造影,上肢狭窄处动脉导入支架并释放,再次造影评价支架释放情况,造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,导引导丝,支架,封堵器","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[912,"HL380202","腋动脉支架成形术","局麻,经股动脉或肱动脉穿刺,置管,全身肝素化,超滑导丝与导管配合越过病变,支架置入,必要时后扩张,造影评价术后血管状况。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,颈动脉支架,栓子保护装置","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[913,"HL680206","经颈动脉穿刺单侧股浅动脉球囊扩张+支架置入术","患者仰卧于造影台,局麻下穿刺颈动脉,置入血管鞘管,肝素抗凝,造影观察股浅动脉的情况,路图下,导丝引导将导管通过主动脉､股浅动脉病变部位,更换交换导丝,沿导丝插入球囊到病变部位,行动脉狭窄球囊扩张,然后退出球囊导管,造影,路图下沿导丝插入支架输送器,释放支架,术后经鞘管造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,支架,封堵器","单侧","",3200,2560,2240,"乙类","血管淋巴","停用"]
[914,"HL680215","经颈动脉穿刺单侧股深动脉球囊扩张+支架置入术","患者仰卧于造影台,局麻下穿刺颈动脉,置入血管鞘管,肝素抗凝,插入猪尾管造影,路图下,导丝引导将导管通过主动脉､股动脉到股深动脉病变部位,更换交换导丝,更换长血管鞘管并插入到髂外或股总动脉部位,沿导丝插入球囊到病变部位,行动脉狭窄球囊扩张,然后退出球囊导管,造影,路图下沿导丝插入支架输送器,释放支架,术后经鞘管造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,支架,封堵器","单侧","",3200,2560,2240,"乙类","血管淋巴","停用"]
[915,"HL680207","经上肢动脉穿刺单侧股浅动脉球囊扩张+支架置入术","患者仰卧于造影台,局麻下穿刺肱(或腋)动脉,置入血管鞘管,肝素抗凝,造影观察股浅动脉的情况,路图下,导丝引导将导管通过主动脉及股浅动脉病变部位,更换交换导丝,沿导丝插入球囊到病变部位,行动脉狭窄球囊扩张,然后退出球囊导管,造影,路图下沿导丝插入支架输送器,释放支架,术后经鞘管造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,支架,封堵器","单侧","",3200,2560,2240,"乙类","血管淋巴","停用"]
[916,"HL680208","经腘动脉穿刺单侧股浅动脉球囊扩张+支架置入术","患者仰卧于造影台,局麻下逆行穿刺腘动脉,置入血管鞘管,肝素抗凝,路图下,导丝引导将导管逆行至股浅动脉病变部位,更换交换导丝,沿导丝插入球囊到病变部位,行动脉狭窄球囊扩张,然后退出球囊导管,造影,路图下沿导丝插入支架输送器,释放支架,术后经鞘管造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,支架,封堵器","单侧","",3200,2560,2240,"乙类","血管淋巴","停用"]
[917,"HLK80211","腹主动脉单侧髂动脉覆膜支架腔内隔绝术","局部麻醉､连续硬膜外麻醉或全身麻醉,腹股沟部切口,经髂股动脉途径置管,腹主动脉双髂动脉造影､测量腹主动脉瘤､髂动脉瘤瘤体和动脉直径。游离控制股动脉,全身肝素化,直形大动脉覆膜支架(支架型人工血管)植入腹主动脉及患侧髂动脉,使用封堵器封闭健侧髂总动脉,再次动脉造影评价疗效,关闭切口。不含DSA引导。","注射器,穿刺针","导管,导丝,血管鞘组,支架,特殊缝线,止血材料","单侧","",2800,2240,1960,"乙类","血管淋巴","停用"]
[918,"HM880202","经皮穿刺血液透析静脉回路支架置入术","消毒麻醉,透析静脉回路穿刺插管,引流静脉造影并摄片,置入支架,造影评价效果,拔管压迫止血,冲洗胶片。人工报告。不含监护。","穿刺针,压力泵","导管,导丝,血管鞘组,球囊扩张导管,支架","次","",3400,2720,2380,"乙类","血管淋巴","停用"]
[919,"HLS80301","经皮穿刺脾动脉支架置入术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,脾动脉选择性造影､动脉直径测量,放置支架,酌情球囊导管扩张,再次行动脉造影评价疗效和观察有无并发症出现。不含球囊成形术､DSA引导。","穿刺针,压力泵,注射器","导管,导丝,血管鞘组,导引导管,支架,特殊缝线","次","",3600,2880,2520,"乙类","血管淋巴","停用"]
[920,"HLA80202","经皮穿刺肺动脉支架置入术","消毒铺巾,麻醉,穿刺置管,造影摄片,球囊扩张,支架置入,造影复查,穿刺点压迫包扎。人工报告。不含监护。","穿刺针,压力泵","导管,导丝,血管鞘组,球囊扩张导管,支架","次","",2600,2080,1820,"乙类","血管淋巴","停用"]
[921,"HLQ80201","经皮穿刺肝固有动脉瘤栓塞+支架置入术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,肝固有动脉选择性造影,瘤体和动脉直径测量,弹簧圈置入术,必要时明胶海绵等栓塞物栓塞,置入裸支架,再次行动脉造影评价疗效和观察有无并发症出现。","穿刺针,注射器","导管,导丝,血管鞘组,导引导管,支架,弹簧圈,栓塞材料","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[922,"HL180202","经皮穿刺髂内动脉球囊扩张+支架置入术","局麻,经股动脉或肱桡动脉穿刺,置管,髂内动脉造影､球囊导管扩张支架置入,再次造影评估疗效,拔管穿刺点加压包扎。不含动脉切开置管术､球囊扩张､支架置入､经皮动脉穿刺置管术､DSA引导。","测压管,穿刺针,注射器","支架,球囊扩张导管,导丝,特殊缝线,止血材料","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[923,"HLW80201","经皮穿刺肾动脉支架成形术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,肾动脉选择性造影､动脉直径测量。放置支架,酌情球囊导管扩张,再次行动脉造影评价疗效和观察有无并发症出现。不含球囊成形术､DSA引导。","穿刺针,压力泵,注射器","导管,导丝,血管鞘组,导引导管,支架","次","",2500,2000,1750,"乙类","血管淋巴","停用"]
[924,"HLL80203","经皮穿刺腹腔干动脉支架成形术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,腹腔干动脉选择性造影,动脉直径测量,放置支架,酌情球囊导管扩张,再次行动脉造影评价疗效和观察有无并发症出现。不含球囊成形术。","穿刺针,压力泵,注射器","导管,导丝,血管鞘组,导引导管,支架","次","",2600,2080,1820,"乙类","血管淋巴","停用"]
[925,"HLP80203","经皮穿刺肝总动脉支架成形术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,肝总动脉选择性造影,动脉直径测量,放置支架。酌情球囊导管扩张,再次行动脉造影评价疗效和观察有无并发症出现。不含球囊成形术。","穿刺针,压力泵,注射器","导管,导丝,血管鞘组,导引导管,支架","次","",3400,2720,2380,"乙类","血管淋巴","停用"]
[926,"HLQ80204","经皮穿刺肝固有动脉支架成形术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,肝固有动脉选择性造影､动脉直径测量,放置支架,酌情球囊导管扩张,再次行动脉造影评价疗效和观察有无并发症出现。不含球囊成形术､DSA引导。","穿刺针,压力泵,注射器","导管,导丝,血管鞘组,导引导管,支架","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[927,"HLT80204","经皮穿刺肠系膜上动脉支架成形术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,肠系膜上动脉选择性造影,直径测量,狭窄段放置支架酌情球囊导管扩张狭窄段,再次行动脉造影评价疗效和观察有无并发症出现。不含球囊扩张术､DSA引导。","穿刺针,压力泵,注射器","导管,导丝,血管鞘组,导引导管,支架","次","",3600,2880,2520,"乙类","血管淋巴","停用"]
[928,"HLU80202","经皮穿刺肠系膜下动脉支架成形术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,肠系膜下动脉选择性造影,直径测量,狭窄段放置支架酌情球囊导管扩张狭窄段,再次行动脉造影评价疗效和观察有无并发症出现。不含球囊扩张术､DSA引导。","穿刺针,压力泵,注射器","导管,导丝,血管鞘组,导引导管,支架","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[929,"HLP80201","经皮穿刺肝总动脉瘤腔内隔绝术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,肝总动脉选择性造影,瘤体和动脉直径测量,覆膜支架置入术,再次行动脉造影评价疗效和观察有无并发症出现。","穿刺针,注射器","导管,导丝,血管鞘组,导引导管,支架","次","",3000,2400,2100,"乙类","血管淋巴","停用"]
[930,"HLQ80202","经皮穿刺肝固有动脉瘤腔内隔绝术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,肝固有动脉选择性造影,瘤体和动脉直径测量。覆膜支架置入术,再次行动脉造影评价疗效和观察有无并发症出现。不含DSA引导。","穿刺针,注射器","导管,导丝,血管鞘组,导引导管,支架","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[931,"HLS80201","经皮穿刺脾动脉瘤腔内隔绝术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,脾动脉选择性造影,瘤体和动脉直径测量,覆膜支架置入术,再次行动脉造影评价疗效和观察有无并发症出现。","穿刺针,注射器","导管,导丝,血管鞘组,导引导管,支架","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[932,"HLS80202","经皮穿刺脾动脉瘤栓塞+支架置入术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,脾动脉选择性造影,瘤体和动脉直径测量,弹簧圈置入术,必要时明胶海绵等栓塞物栓塞,置入裸支架,再次行动脉造影评价疗效和观察有无并发症出现。","穿刺针,注射器","导管,导丝,血管鞘组,导引导管,支架,弹簧圈,栓塞材料","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[933,"HLT80201","经皮穿刺肠系膜上动脉瘤腔内隔绝术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,肠系膜上动脉选择性造影､瘤体和动脉直径测量,覆膜支架置入术,再次行动脉造影评价疗效和观察有无并发症出现。不含DSA引导。","穿刺针,注射器","导管,导丝,血管鞘组,导引导管,支架","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[934,"HLT80202","经皮穿刺肠系膜上动脉瘤栓塞+支架置入术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,肠系膜上动脉选择性造影,瘤体和动脉直径测量,弹簧圈置入术,必要时明胶海绵等栓塞物栓塞,置入裸支架,再次行动脉造影评价疗效和观察有无并发症出现。不含DSA引导。","穿刺针,注射器","导管,导丝,血管鞘组,导引导管,支架,弹簧圈,栓塞材料","次","",3100,2480,2170,"乙类","血管淋巴","停用"]
[935,"HLU80203","经皮穿刺肠系膜下动脉瘤栓塞+支架置入术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,肠系膜下动脉选择性造影,瘤体和动脉直径测量,弹簧圈置入术,必要时明胶海绵等栓塞物栓塞,置入裸支架,再次行动脉造影评价疗效和观察有无并发症出现。不含DSA引导。","穿刺针,注射器","导管,导丝,血管鞘组,导引导管,支架,弹簧圈,栓塞材料","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[936,"HLU80204","经皮穿刺肠系膜下动脉瘤腔内隔绝术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,肠系膜下动脉选择性造影,瘤体和动脉直径测量,覆膜支架置入术,再次行动脉造影评价疗效和观察有无并发症出现。不含DSA引导。","穿刺针,注射器","导管,导丝,血管鞘组,导引导管,支架","次","",2000,1600,1400,"乙类","血管淋巴","停用"]
[937,"HLW80203","经皮穿刺肾动脉瘤栓塞+支架置入术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,肾动脉选择性造影､瘤体和动脉直径测量。弹簧圈置入术,必要时明胶海绵等栓塞物栓塞。置入裸支架,再次行动脉造影评价疗效和观察有无并发症出现。不含DSA引导。","穿刺针,注射器","支架,导管,导丝,血管鞘组,导引导管,弹簧圈,栓塞材料","次","",3000,2400,2100,"乙类","血管淋巴","停用"]
[938,"HLW80204","经皮穿刺肾动脉瘤腔内隔绝术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,肾动脉选择性造影､瘤体和动脉直径测量。覆膜支架置入术,再次行动脉造影评价疗效和观察有无并发症出现。不含DSA引导。","穿刺针,注射器","导管,导丝,血管鞘组,导引导管,支架","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[939,"HLM80202","经皮穿刺胃左动脉支架成形术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,胃左动脉选择性造影,动脉直径测量,放置支架,酌情球囊导管扩张,再次行动脉造影评价疗效和观察有无并发症出现。不含球囊成形术､DSA引导。","穿刺针,压力泵,注射器","导管,导丝,血管鞘组,导引导管,支架","次","",3400,2720,2380,"乙类","血管淋巴","停用"]
[940,"HLM80203","经皮穿刺胃左动脉瘤腔内隔绝术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,胃左动脉选择性造影,瘤体和动脉直径测量。覆膜支架置入术,再次行动脉造影评价疗效和观察有无并发症出现。","穿刺针,注射器","导管,导丝,血管鞘组,导引导管,支架","次","",3000,2400,2100,"乙类","血管淋巴","停用"]
[941,"HLM80204","经皮穿刺胃左动脉瘤栓塞+支架置入术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,胃左动脉选择性造影,瘤体和动脉直径测量。弹簧圈置入术,必要时明胶海绵等栓塞物栓塞。置入裸支架,再次行动脉造影评价疗效和观察有无并发症出现。","穿刺针,注射器","导管,导丝,血管鞘组,导引导管,支架,弹簧圈,栓塞材料","次","",3000,2400,2100,"乙类","血管淋巴","停用"]
[942,"HLL80201","经皮穿刺腹腔干动脉瘤栓塞+支架置入术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,腹腔干选择性造影,瘤体和动脉直径测量,弹簧圈置入术,必要时明胶海绵等栓塞物栓塞,置入裸支架,再次行动脉造影评价疗效和观察有无并发症出现。","穿刺针,注射器","导管,导丝,血管鞘组,导引导管,支架,弹簧圈,栓塞材料","次","",3000,2400,2100,"乙类","血管淋巴","停用"]
[943,"HLL80204","经皮穿刺腹腔干动脉瘤腔内隔绝术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,腹腔干选择性造影,瘤体和动脉直径测量,覆膜支架置入术,再次行动脉造影评价疗效和观察有无并发症出现。","穿刺针,注射器","导管,导丝,血管鞘组,导引导管,支架","次","",2000,1600,1400,"乙类","血管淋巴","停用"]
[944,"HLB80207","V2区主动脉夹层腔内隔绝术","含分支移植物技术､开窗移植物技术､豁口型移植物技术。全麻,股动脉或肱动脉穿刺主动脉造影,股总动脉切开或穿刺,植入分支型或开窗型支架人工血管,再次造影观察效果,退出输送器,缝合股总动脉及切口。","穿刺针","造影导管,导丝,血管鞘组,人工血管,特殊缝线","次","腹主动脉或髂总动脉入路加收不超过20%",3000,2400,2100,"乙类","血管淋巴","停用"]
[945,"HLB80209","V3区主动脉夹层腔内隔绝术","局麻或全麻,股动脉或肱动脉穿刺主动脉造影,股总动脉切开或穿刺,植入分支型或开窗型支架人工血管,再次造影观察效果,退出输送器,缝合股总动脉及切口。","穿刺针,注射器","造影导管,导丝,血管鞘组,人工血管,特殊缝线","次","腹主动脉或髂总动脉入路加收不超过20%",3000,2400,2100,"乙类","血管淋巴","停用"]
[946,"HLB80303","经胸杂交技术V2区主动脉夹层腔内隔绝术","全麻,开胸,升主动脉到双侧颈总动脉人工血管旁路术,关胸。股动脉或肱动脉穿刺主动脉造影,股总动脉切开或穿刺,植入支架人工血管,再次造影观察效果,退出输送器,缝合股总动脉及切口。","穿刺针,引流装置","造影导管,导丝,血管鞘组,人工血管,特殊缝线","次","腹主动脉或髂总动脉入路加收不超过20%",2000,1600,1400,"乙类","血管淋巴","停用"]
[947,"HLB80304","胸外杂交技术V2区主动脉夹层腔内隔绝术","全麻,右颈总动脉-左颈总动脉(或左锁骨下动脉)人工血管旁路,股动脉或肱动脉穿刺主动脉造影,股总动脉切开或穿刺,植入支架人工血管,再次造影观察效果,退出输送器,缝合股总动脉及切口。","穿刺针,引流装置","造影导管,导丝,血管鞘组,人工血管,特殊缝线","次","腹主动脉或髂总动脉入路加收不超过20%",3500,2800,2450,"乙类","血管淋巴","停用"]
[948,"HLB80305","经腹杂交技术V3区主动脉夹层腔内隔绝术","全麻,开腹,腹主动脉到内脏动脉人工血管旁路术,关腹。股动脉或肱动脉穿刺主动脉造影,股总动脉切开或穿刺,植入支架人工血管,再次造影观察效果,退出输送器,缝合股总动脉及切口。","穿刺针,引流装置","造影导管,导丝,血管鞘组,人工血管,特殊缝线","次","腹主动脉或髂总动脉入路加收不超过20%",1800,1440,1260,"乙类","血管淋巴","停用"]
[949,"HLK80208","腹主动脉瘤腔内隔绝术+髂内动脉重建","含直管形､分支型､一体化移植物､AUI技术。全麻,股动脉穿刺腹主动脉造影,腹膜外径路重建髂内动脉,髂总或髂外动脉切开或穿刺,植入支架人工血管,再次造影观察效果,退出输送器,缝合股总动脉及切口。","穿刺针,引流装置","造影导管,导丝,血管鞘组,人工血管,特殊缝线","次","",2200,1760,1540,"乙类","血管淋巴","停用"]
[950,"HL080203","髂动静脉瘘腔内隔绝术","局麻或全麻,股总动脉穿刺,髂动脉造影,置入覆膜支架,再次造影观察效果,退出输送器,压迫穿刺点或使用血管闭合装置。","穿刺针,引流装置,注射器","造影导管,导丝,血管鞘组,支架","次","",2600,2080,1820,"乙类","血管淋巴","停用"]
[951,"HL083301","经颈动脉置管髂动脉覆膜支架腔内修复术","局部麻醉､连续硬膜外麻醉或全身麻醉,颈部切口,经颈动脉途径置管,腹主动脉双髂动脉造影,测量瘤体和动脉直径,全身肝素化,直形大动脉覆膜支架(支架型人工血管)置入髂动脉,再次动脉造影评价疗效。关闭切口。","引流装置,注射器","支架,特殊缝线,止血材料","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[952,"HLB80212","烟囱技术V2区主动脉夹层腔内隔绝术","局麻或全麻,股动脉或肱动脉穿刺主动脉造影,股总动脉切开或穿刺,植入分支型或开窗型支架人工血管,肱动脉或颈动脉切口或穿刺植入覆膜支架或裸支架,再次造影观察效果,退出输送器,缝合股总动脉及切口,拔出导丝,穿刺点压迫止血。","穿刺针,注射器","造影导管,导丝,血管鞘组,人工血管,特殊缝线","次","腹主动脉或髂总动脉入路加收不超过20%",3500,2800,2450,"乙类","血管淋巴","停用"]
[953,"HMB80204","经皮穿刺上腔静脉球囊扩张+支架置入术","患者仰卧于造影台,局麻下穿刺腋静脉､肱静脉､颈内静脉或锁骨下静脉,放置血管鞘管,沿鞘管放入导丝和猪尾造影导管入上腔静脉近端,退出导丝,将猪尾导管与高压注射器连接,注入对比剂进行静脉造影,造影完毕,交换导管进行球囊扩张后置入支架,再次造影确认支架张开状态后,退出导管和血管鞘,穿刺处弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,支架,封堵器","次","以1个支架为基价,每增加1个加收不超过50%",2600,2080,1820,"乙类","血管淋巴","停用"]
[954,"HMB80203","经皮穿刺上腔静脉内支架置入术","患者仰卧于造影台,局麻下穿刺股静脉(或颈内静脉或锁骨下静脉),放置血管鞘管,沿鞘管放入导丝和猪尾造影导管入上腔静脉,退出导丝,将猪尾导管与高压注射器连接,注入对比剂进行静脉造影并将病变部位定位,造影完毕,交换导管置入支架。退出导管和血管鞘,穿刺处弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,高压注射器,注射器","导管,导丝,血管鞘组,支架,封堵器","次","以1个支架为基价,每增加1个加收不超过50%",1800,1440,1260,"乙类","血管淋巴","停用"]
[955,"HML80201","经皮穿刺下腔静脉内支架置入术","患者仰卧于造影台,局麻下穿刺股静脉,放置血管鞘管,沿鞘管放入导丝和猪尾造影导管入下腔静脉远端,退出导丝,将猪尾导管与高压注射器连接,注入对比剂进行静脉造影并将病变部位定位,造影完毕,交换导管置入支架。退出导管和血管鞘,穿刺处弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,支架,封堵器","次","以1个支架为基价,每增加1个加收不超过50%",2200,1760,1540,"乙类","血管淋巴","停用"]
[956,"HML80202","经皮穿刺下腔静脉球囊扩张+支架置入术","患者仰卧于造影台,局麻下穿刺股静脉,放置血管鞘管,沿鞘管放入导丝和猪尾造影导管入下腔静脉远端,退出导丝,将猪尾导管与高压注射器连接,注入对比剂进行静脉造影并定位病变部位,造影完毕,交换导管进行球囊扩张和支架置入。再次造影确认支架张开状态后,退出导管和血管鞘,穿刺处弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,支架,封堵器","次","以1个支架为基价,每增加1个加收不超过50%",2600,2080,1820,"乙类","血管淋巴","停用"]
[957,"HMC80202","经皮穿刺无名/锁骨下静脉支架置入术","消毒麻醉,股静脉或肘部静脉穿刺插管,静脉造影并摄片,置入支架,造影评价效果,拔管压迫止血,冲洗胶片。人工报告。不含监护。","穿刺针,压力泵,注射器","导管,导丝,血管鞘组,球囊扩张导管,支架","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[958,"HMC80203","经皮无名/锁骨下静脉球囊扩张+支架置入术","消毒麻醉,股静脉或肘部静脉穿刺插管,静脉造影并摄片,球囊预扩张静脉狭窄后置入支架,造影评价效果,拔管压迫止血,冲洗胶片。人工报告。不含监护。","穿刺针,压力泵,注射器","导管,导丝,血管鞘组,球囊扩张导管,支架","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[959,"HMX80201","经皮穿刺髂静脉支架置入术","患者仰卧于造影台,局麻下穿刺股静脉,放置血管鞘管,沿鞘管放入导丝和猪尾造影导管入髂静脉远端,退出导丝,将猪尾导管与高压注射器连接,注入对比剂进行静脉造影并定位病变部位,造影完毕,交换导管置入支架。退出导管和血管鞘,穿刺处弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,支架,封堵器","次","以1个支架为基价,每增加1个加收不超过50%",2700,2160,1890,"乙类","血管淋巴","停用"]
[960,"HMX80202","经皮穿刺髂静脉内球囊扩张+支架置入术","患者仰卧于造影台,局麻下穿刺股静脉,放置血管鞘管,沿鞘管放入导丝和造影导管入髂静脉远端,退出导丝,注入对比剂进行静脉造影并定位病变部位,造影完毕,交换导管行球囊扩张后置入支架。再次造影确认支架张开状态后,退出导管和血管鞘,穿刺处加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,支架,封堵器","次","以1个支架为基价,每增加1个加收不超过50%",3200,2560,2240,"乙类","血管淋巴","停用"]
[961,"HMM80201","经皮穿刺肝静脉支架置入术","消毒麻醉,股静脉或颈静脉穿刺插管,肝静脉造影并摄片,置入支架,造影评价效果,拔管压迫止血,冲洗胶片。人工报告。不含监护。","穿刺针,压力泵,注射器","导管,导丝,血管鞘组,球囊扩张导管,支架","次","",2700,2160,1890,"乙类","血管淋巴","停用"]
[962,"HMN80201","经皮肝穿刺门静脉系统支架置入术","消毒麻醉,经皮经肝穿刺门静脉肝内分支,引入导管进入门静脉或肠系膜上静脉造影,置入支架,造影评价效果,冲洗胶片。人工报告。不含监护。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,支架","次","",2500,2000,1750,"乙类","血管淋巴","停用"]
[963,"HMN80301","门静脉支架置入术","逐层进腹,探查,游离肝脏及肝门,游离门静脉及分支,切开门静脉,支架置入,缝合门静脉,创面止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置","门静脉支架,血管夹,特殊缝线","次","",2300,1840,1610,"乙类","血管淋巴","停用"]
[964,"HMU80201","经皮肾静脉球囊扩张+支架置入术","消毒麻醉,股静脉或颈静脉穿刺插管,肾静脉造影并摄片,球囊预扩张静脉狭窄后置入支架,造影评价效果,拔管压迫止血,冲洗胶片。人工报告。不含监护。","穿刺针,压力泵,注射器","导管,导丝,血管鞘组,球囊扩张导管,支架","次","",3600,2880,2520,"乙类","血管淋巴","停用"]
[965,"HMM80203","经皮肝穿刺肝静脉球囊扩张+支架置入术","消毒麻醉,经皮肝穿刺,肝静脉插管造影并摄片,球囊扩张肝静脉后置入支架,造影评价效果,拔管压迫止血,冲洗胶片。人工报告。不含监护。","穿刺针,压力泵,注射器","导管,导丝,血管鞘组,球囊扩张导管,支架","次","",3600,2880,2520,"乙类","血管淋巴","停用"]
[966,"HLK87202","腹主动脉-髂动脉置管溶栓复通术","局麻,经股动脉或肱桡动脉穿刺,置管,腹主､髂动脉造影,导丝引导下应用溶栓药物推注开通动脉管腔,再次造影评估疗效,如仍有狭窄可行球囊扩张支架置入,拔管穿刺点加压包扎。不含动脉切开置管术､球囊扩张､支架置入､DSA引导。","测压管,注射器","支架","次","",2400,1920,1680,"乙类","血管淋巴","停用"]
[967,"HLK83203","腹主动脉-髂动脉旋磨腔内复通术","局麻,经股动脉或肱桡动脉穿刺,置管,腹主､髂动脉造影,导丝引导下应用旋磨导管开通动脉管腔,再次造影评估疗效,如仍有狭窄可行球囊扩张支架置入,拔管穿刺点加压包扎。不含经皮动脉穿刺置管术､动脉切开置管术､球囊扩张､支架置入､DSA引导。","测压管,注射器","支架,特殊缝线,止血材料","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[968,"HL072201","经皮穿刺髂动脉射频消融再通术","局麻,经股动脉或肱桡动脉穿刺,置管,髂动脉造影､导丝引导下应用射频消融导管开通动脉管腔,再次造影评估疗效,如仍有狭窄可行球囊扩张支架置入。拔管穿刺点加压包扎。不含经皮动脉穿刺置管术､动脉切开置管术､球囊扩张､支架置入､DSA引导。","测压管,注射器","支架","次","",2200,1760,1540,"乙类","血管淋巴","停用"]
[969,"HL087201","经皮穿刺髂动脉激光再通术","局麻,经股动脉或肱桡动脉穿刺,置管,髂动脉造影､导丝引导下应用激光导管开通动脉管腔,再次造影评估疗效,如仍有狭窄可行球囊扩张支架置入。拔管穿刺点加压包扎。不含经皮动脉穿刺置管术､动脉切开置管术､球囊扩张､支架置入､DSA引导。","测压管,注射器","支架,特殊缝线","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[970,"HLK87201","腹主动脉-髂动脉激光腔内复通术","局麻,经股动脉或肱桡动脉穿刺,置管,腹主､髂动脉造影､导丝引导下应用激光导管开通动脉管腔,再次造影评估疗效,如仍有狭窄可行球囊扩张支架置入,拔管穿刺点加压包扎。不含经皮动脉穿刺置管术､动脉切开置管术､球囊扩张､支架置入､DSA引导。","测压管,注射器","支架,特殊缝线,止血材料","次","",2400,1920,1680,"乙类","血管淋巴","停用"]
[971,"HLK83204","腹主动脉-髂动脉旋切腔内复通术","局麻,经股动脉或肱桡动脉穿刺,置管,腹主､髂动脉造影,导丝引导下应用旋切导管开通动脉管腔,再次造影评估疗效,如仍有狭窄可行球囊扩张支架置入,拔管穿刺点加压包扎。不含动脉切开置管术､球囊扩张､支架置入､经皮动脉穿刺置管术､DSA引导。","测压管,注射器","支架,特殊缝线,止血材料","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[972,"HLK72201","腹主动脉-髂动脉射频消融腔内复通术","局麻,经股动脉或肱桡动脉穿刺,置管,腹主､髂动脉造影,导丝引导下应用射频消融导管开通动脉管腔,再次造影评估疗效,如仍有狭窄可行球囊扩张支架置入,拔管穿刺点加压包扎。不含经皮动脉穿刺置管术､动脉切开置管术､球囊扩张､支架置入､DSA引导。","注射器,测压管,引流装置","支架,特殊缝线,止血材料","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[973,"HL573201","经皮穿刺下肢动脉斑块旋切术","患者仰卧于造影台,局麻下顺行穿刺股动脉,置入血管鞘管,肝素抗凝,造影明确病变部位后,路图下,导丝引导将旋切导管插入到病变部位,逐段行下肢动脉斑块旋切,术后造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟,弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,旋切导管,封堵器","次","以1支血管为基价,每增加1支加收不超过30%",2800,2240,1960,"乙类","血管淋巴","停用"]
[974,"HL587202","经皮穿刺下肢动脉闭塞激光再通术","患者仰卧于造影台,局麻下顺行穿刺股动脉,置入血管鞘管,肝素抗凝,造影明确病变部位后,路图下,导丝引导将激光导管插入到病变部位,逐段行下肢动脉激光再通,术后造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟,弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,激光导管,封堵器","次","以1支血管为基价,每增加1支加收不超过30%",2100,1680,1470,"乙类","血管淋巴","停用"]
[975,"HL387201","经皮穿刺上肢动脉闭塞激光再通术","患者仰卧于造影台,局麻下顺行穿刺腋动脉,置入血管鞘管,肝素抗凝,造影明确病变部位后,路图下,导丝引导将激光导管插入到病变部位,逐段行上肢动脉激光再通,术后造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟,弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,激光导管,封堵器","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[976,"HL580204","经皮穿刺顺行小腿动脉旋切+球囊成形术","患者仰卧于造影台,局麻下顺行穿刺股动脉,置入血管鞘管,肝素抗凝,造影观察小腿动脉的情况,路图下,导丝引导将导管插入到病变部位,更换交换导丝,插入旋切导管,行斑块旋切后,退出导管,交换球囊到病变部位,行小腿动脉狭窄球囊扩张,退管造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎。此操作限于胫前､胫后和腓动脉。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,旋切导管,封堵器","次","以1支血管为基价,每增加1支加收不超过60%",3000,2400,2100,"乙类","血管淋巴","停用"]
[977,"HL680209","经皮穿刺顺行股浅动脉旋切+球囊成形术","患者仰卧于造影台,局麻下顺行穿刺股动脉,置入血管鞘管,肝素抗凝,造影观察股浅动脉的情况,路图下,导丝引导将导管插入到病变部位,更换交换导丝,插入旋切导管,行斑块旋切后,退出导管,交换球囊到病变部位,行股浅动脉狭窄球囊扩张,退管造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,旋切导管,封堵器","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[978,"HL680210","经皮穿刺股浅动脉旋切+球囊成形术","患者仰卧于造影台,局麻下逆行穿刺股动脉,置入血管鞘管,肝素抗凝,造影观察股浅动脉的情况,路图下,导丝引导将导管插入到病变部位,更换交换导丝,插入旋切导管,行斑块旋切后,退出导管,交换球囊到病变部位,行股浅动脉狭窄球囊扩张,退管造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,旋切导管,封堵器","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[979,"HL680217","经皮穿刺顺行股深动脉旋切+球囊成形术","患者仰卧于造影台,局麻下顺行穿刺股动脉,置入血管鞘管,肝素抗凝,造影观察股深动脉的情况,路图下,导丝引导将导管插入到病变部位,更换交换导丝,插入旋切导管,行斑块旋切后,退出导管,交换球囊到病变部位,行股深动脉狭窄球囊扩张,退管造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,旋切导管,封堵器","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[980,"HL780203","经皮穿刺单侧腘动脉激光再通+球囊成形术","患者仰卧于造影台,局麻下顺行穿刺股动脉,置入血管鞘管,肝素抗凝,造影观察腘动脉的情况,路图下,导丝引导将导管插入到病变部位,更换交换导丝,插入激光光纤导管,行激光成形后,退出光纤交换球囊到病变部位,行股浅动脉狭窄球囊扩张,退管造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,封堵器","单侧","",3200,2560,2240,"乙类","血管淋巴","停用"]
[981,"HL780207","经皮穿刺顺行腘动脉旋切+球囊成形术","患者仰卧于造影台,局麻下顺行穿刺股动脉,置入血管鞘管,肝素抗凝,造影观察腘动脉的情况,路图下,导丝引导将导管插入到病变部位,更换交换导丝,插入旋切导管,行斑块旋切后,退出导管,交换球囊到病变部位,行腘动脉狭窄球囊扩张,退管造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,旋切导管,封堵器","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[982,"HL780208","经皮穿刺逆行腘动脉旋切+球囊成形术","患者仰卧于造影台,局麻下逆行穿刺股动脉,置入血管鞘管,肝素抗凝,造影观察腘动脉的情况,路图下,导丝引导将导管插入到病变部位,更换交换导丝,插入旋切导管,行斑块旋切后,退出导管,交换球囊到病变部位,行腘动脉狭窄球囊扩张,退管造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,旋切导管,封堵器","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[983,"HL880202","经皮穿刺单侧足部动脉激光再通+球囊成形术","患者仰卧于造影台,局麻下顺行穿刺股动脉,置入血管鞘管,肝素抗凝,造影观察足部动脉的情况,路图下,导丝引导将导管插入到病变部位,更换交换导丝,插入激光光纤导管,行激光成形后,退出光纤交换球囊到病变部位,行股浅动脉狭窄球囊扩张,退管造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,封堵器","单侧","以1支血管为基价,每增加1支加收不超过80%",3200,2560,2240,"乙类","血管淋巴","停用"]
[984,"HL880203","经皮穿刺顺行足部动脉旋切+球囊成形术","患者仰卧于造影台,局麻下顺行穿刺股动脉,置入血管鞘管,肝素抗凝,造影观察足部动脉的情况,路图下,导丝引导将导管插入到病变部位,更换交换导丝,插入旋切导管,行斑块旋切后,退出导管,交换球囊到病变部位,行足部动脉狭窄球囊扩张,退管造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,旋切导管,封堵器","次","以1支血管为基价,每增加1支加收不超过80%",3200,2560,2240,"乙类","血管淋巴","停用"]
[985,"HL580203","经皮穿刺单侧小腿动脉激光再通+球囊成形术","患者仰卧于造影台,局麻下顺行穿刺股动脉,置入血管鞘管,肝素抗凝,造影观察小腿动脉的情况,路图下,导丝引导将导管插入到病变部位,更换交换导丝,插入激光光纤导管,行激光成形后,退出光纤交换球囊到病变部位,行股浅动脉狭窄球囊扩张,退管造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎。此操作限于胫前､胫后和腓动脉。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,封堵器","单侧","以1支血管为基价,每增加1支加收不超过80%",3000,2400,2100,"乙类","血管淋巴","停用"]
[986,"HL680202","经皮穿刺单侧股动脉激光再通+球囊成形术","患者仰卧于造影台,局麻下顺行穿刺股动脉,置入血管鞘管,肝素抗凝,造影观察股浅动脉的情况,路图下,导丝引导将导管插入到病变部位,更换交换导丝,插入激光光纤导管,行激光成形后,退出光纤交换球囊到病变部位,行股浅动脉狭窄球囊扩张,退管造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,封堵器","单侧","",3200,2560,2240,"乙类","血管淋巴","停用"]
[987,"HL587201","经皮穿刺选择性下肢动脉置管溶栓术","患者仰卧于造影台,局麻下穿刺股动脉,置入血管鞘管,肝素抗凝,导丝引导下将导管选择到腹主动脉的一级主干分支,造影证实后,退出导管更换溶栓导管,经导管注入溶栓药治疗,穿刺点妥善固定溶栓导管后,无菌敷料外敷。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组","次","以1支血管为基价,每增加1支加收不超过30%",2100,1680,1470,"乙类","血管淋巴","停用"]
[988,"HL087202","经皮穿刺髂动脉置管溶栓术","局麻,经股动脉或肱桡动脉穿刺,置管,腹主动脉造影,导丝引导下应用溶栓药物推注开通动脉管腔,再次造影评估疗效,如仍有狭窄可行球囊扩张支架置入,拔管穿刺点加压包扎。不含动脉切开置管术､球囊扩张､支架置入､DSA引导。","测压管,注射器","支架,特殊缝线","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[989,"HL065201","经皮穿刺髂动脉血栓切除术","局麻､连续硬膜外麻醉或全身麻醉,腹正中绕脐切口或患侧腹膜外切口,股三角区纵切口,全身肝素化,控制并阻断髂动脉,于髂动脉病变处切开,血栓切除,并以Fog⁃arty取栓导管向病变近远心端取栓,关闭切口。不含髂内动脉重建､肠系膜下动脉重建。","测压管,引流装置,注射器","取栓导管,补片,特殊缝线","次","",2500,2000,1750,"乙类","血管淋巴","停用"]
[990,"HL083201","经皮穿刺髂动脉旋磨再通术","局麻,经股动脉或肱桡动脉穿刺,置管,髂动脉造影､导丝引导下应用旋磨导管开通动脉管腔,再次造影评估疗效,如仍有狭窄可行球囊扩张支架置入。拔管穿刺点加压包扎。不含经皮动脉穿刺置管术､动脉切开置管术､球囊扩张､支架置入､DSA引导。","测压管,注射器","支架","次","",2300,1840,1610,"乙类","血管淋巴","停用"]
[991,"HL083202","经皮穿刺髂动脉旋切再通术","局麻,经股动脉或肱桡动脉穿刺,置管,髂动脉造影､导丝引导下应用旋切导管开通动脉管腔,再次造影评估疗效,如仍有狭窄可行球囊扩张支架置入。拔管穿刺点加压包扎。不含动脉切开置管术､球囊扩张､支架置入､经皮动脉穿刺置管术､DSA引导。","测压管,注射器","支架","次","",2300,1840,1610,"乙类","血管淋巴","停用"]
[992,"HLA65201","经皮肺动脉内血栓抽吸术","消毒铺巾,麻醉,穿刺置管,造影摄片,血栓抽吸或机械碎栓,复查造影,拔管,穿刺点压迫包扎。人工报告。不含监护。","穿刺针","导管,导丝,血管鞘组","次","",2130,1700,1490,"乙类","血管淋巴","停用"]
[993,"HLP65201","经皮肝动脉内血栓抽吸术","消毒铺巾,麻醉,穿刺置管,造影摄片,血栓抽吸或机械碎栓,复查造影,拔管,穿刺点压迫包扎。人工报告。不含监护。","穿刺针","导管,导丝,血管鞘组","次","",2000,1600,1400,"乙类","血管淋巴","停用"]
[994,"HLP72201","经皮穿刺肝动脉内溶栓术","消毒铺巾,麻醉,穿刺置管,造影摄片,局部溶栓,复查造影,拔管,穿刺点压迫包扎。人工报告。不含监护。","穿刺针","导管,导丝,血管鞘组","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[995,"HLP72202","经皮肝动脉内血栓碎栓术","消毒铺巾,麻醉,穿刺置管,造影摄片,机械碎栓,复查造影,拔管,穿刺点压迫包扎。人工报告。不含监护。","穿刺针","导管,导丝,血管鞘组","次","",2000,1600,1400,"乙类","血管淋巴","停用"]
[996,"HLT65201","经皮穿刺肠系膜上动脉内血栓抽吸术","消毒铺巾,麻醉,穿刺置管,造影摄片,血栓抽吸或机械碎栓,复查造影,拔管,穿刺点压迫包扎。人工报告。不含监护。","穿刺针,注射器","导管,导丝,血管鞘组","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[997,"HLW65201","经皮肾动脉内血栓抽吸术","消毒铺巾,麻醉,穿刺置管,造影摄片,血栓抽吸或机械碎栓,复查造影,拔管,穿刺点压迫包扎。人工报告。不含监护。","穿刺针,注射器","导管,导丝,血管鞘组","次","",2300,1840,1610,"乙类","血管淋巴","停用"]
[998,"HLT72201","经皮肠系膜上动脉内血栓碎栓术","消毒铺巾,麻醉,穿刺置管,造影摄片,机械碎栓,复查造影,拔管,穿刺点压迫包扎。人工报告。不含监护。","穿刺针,注射器","导管,导丝,血管鞘组","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[999,"HLW72201","经皮肾动脉内血栓碎栓术","消毒铺巾,麻醉,穿刺置管,造影摄片,机械碎栓,复查造影,拔管,穿刺点压迫包扎。人工报告。不含监护。","穿刺针,压力泵,注射器","导管,导丝,血管鞘组","次","",2400,1920,1680,"乙类","血管淋巴","停用"]
[1000,"HLT72202","经皮穿刺肠系膜上动脉内溶栓术","消毒铺巾,麻醉,穿刺置管,造影摄片,局部溶栓,复查造影,拔管,穿刺点压迫包扎。人工报告。不含监护。","穿刺针,注射器","导管,导丝,血管鞘组","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1001,"HLA72201","经皮穿刺肺动脉内溶栓术","消毒铺巾,麻醉,穿刺置管,造影摄片,局部溶栓,复查造影,拔管,穿刺点压迫包扎。人工报告。不含监护。","穿刺针","导管,导丝,血管鞘组","次","",1800,1440,1260,"乙类","血管淋巴","停用"]
[1002,"HLA72202","经皮肺动脉内血栓碎栓术","消毒铺巾,麻醉,穿刺置管,造影摄片,机械碎栓,复查造影,拔管,穿刺点压迫包扎。人工报告。不含监护。","穿刺针","导管,导丝,血管鞘组","次","",1800,1440,1260,"乙类","血管淋巴","停用"]
[1003,"HLW72202","经皮穿刺肾动脉溶栓术","消毒铺巾,麻醉,穿刺置管,造影摄片,局部溶栓,复查造影,拔管,穿刺点压迫包扎。人工报告。不含监护。","穿刺针,注射器","导管,导丝,血管鞘组","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1004,"HMB80201","经皮穿刺上腔静脉内激光再通成形术","患者仰卧于造影台,局麻下穿刺腋静脉､肱静脉､颈内静脉或锁骨下静脉,放置血管鞘管,沿鞘管放入导丝和猪尾造影导管入上腔静脉近端,退出导丝,将猪尾导管与高压注射器连接,注入对比剂进行静脉造影,造影完毕,交换激光探头,边造影边行血管再通,必要时对再通的血管进行球囊扩张和支架置入,治疗完毕,退出导管和血管鞘,穿刺处弹力绷带加压包扎。不含影像学引导(DSA引导)。","注射器,穿刺针","导管,导丝,血管鞘组,球囊扩张导管,支架,封堵器","次","",2000,1600,1400,"乙类","血管淋巴","停用"]
[1005,"HM873301","经皮静脉内旋切术","患者仰卧于造影台,局麻下穿刺腋静脉､肱静脉､颈内静脉或锁骨下静脉,放置血管鞘管,沿鞘管放入导丝和猪尾造影导管入上腔静脉近端,退出导丝,将猪尾导管与高压注射器连接,注入对比剂进行静脉造影。血栓定位后,旋切导管置于血栓部位边造影边旋切,旋切完毕后退出旋切导管,穿刺处包扎。不含影像学引导(DSA引导)。","穿刺针,注射器,高压注射器","导管,导丝,血管鞘组,旋切导管","次","",1400,1120,980,"乙类","血管淋巴","停用"]
[1006,"HML80203","经皮穿刺下腔静脉内激光再通成形术","患者仰卧于造影台,局麻下穿刺股静脉,放置血管鞘管,沿鞘管放入导丝和猪尾造影导管入下腔静脉远端,退出导丝,将猪尾导管与高压注射器连接,注入对比剂进行静脉造影,造影完毕,交换激光探头,边造影边行血管再通,必要时对再通的血管进行球囊扩张和支架置入,治疗完毕退出导管和血管鞘,穿刺处弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,高压注射器,注射器","导管,导丝,血管鞘组,球囊扩张导管,支架,封堵器","次","",2000,1600,1400,"乙类","血管淋巴","停用"]
[1007,"HMB87201","经皮穿刺上腔静脉内插管溶栓术","患者仰卧于造影台,局麻下穿刺腋静脉､肱静脉､颈内静脉或锁骨下静脉,放置血管鞘管,沿鞘管放入导丝和猪尾造影导管入上腔静脉近端,退出导丝,将猪尾导管与高压注射器连接,注入对比剂进行静脉造影,血栓定位后,溶栓导管置于血栓部位,注入溶栓药物后固定导管,穿刺处包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,溶栓导管","次","",1500,1200,1050,"乙类","血管淋巴","停用"]
[1008,"HML72201","经皮穿刺下腔静脉内插管溶栓术","患者仰卧于造影台,局麻下穿刺股静脉,放置血管鞘管,沿鞘管放入导丝和猪尾造影导管入下腔静脉近端,退出导丝,将猪尾导管与高压注射器连接,注入对比剂进行静脉造影。血栓定位后,交换导管置入溶栓导管于血栓部位,注入溶栓药物后固定导管,穿刺处无菌敷料包扎。不含影像学引导(DSA引导)。","穿刺针,高压注射器,注射器","导管,导丝,血管鞘组,溶栓导管","次","",1500,1200,1050,"乙类","血管淋巴","停用"]
[1009,"HMX72201","经皮穿刺髂静脉内溶栓术","患者仰卧于造影台,局麻下穿刺股静脉,放置血管鞘管,沿鞘管放入导丝和猪尾造影导管入髂总静脉(或股总静脉)远端,退出导丝,将猪尾导管与高压注射器连接,注入对比剂进行静脉造影。血栓定位后,交换导管置入溶栓导管于血栓部位,注入溶栓药物后固定导管,穿刺处包扎。不含影像学引导(DSA引导)。","穿刺针,高压注射器,注射器","溶栓导管,导管,导丝,血管鞘组","次","",1500,1200,1050,"乙类","血管淋巴","停用"]
[1010,"QHXZ0050","经皮穿刺插管静（动）脉溶栓术","消毒铺巾，麻醉下，穿刺置管，造影摄片，溶栓，造影复查，穿刺点压迫包扎。人工报告。不含监护。","注射器","造影导管，导丝，血管鞘组，导引导管，溶栓导管","次","行经皮穿刺插管动脉溶栓术在该价格基础上加收20%",2100,1680,1470,"乙类","血管淋巴","停用"]
[1011,"HM272201","经皮穿刺股总静脉内溶栓术","患者仰卧于造影台,在血栓以远部位局麻下穿刺下肢静脉(或股静脉),放置血管鞘管,沿鞘管放入导丝和猪尾造影导管入股总静脉远端,退出导丝,将猪尾导管与高压注射器连接,注入对比剂进行静脉造影。血栓定位后,交换导管置入溶栓导管于血栓部位,注入溶栓药物后固定导管,穿刺处包扎。不含影像学引导(DSA引导)。","穿刺针,高压注射器,注射器","导管,导丝,血管鞘组,溶栓导管","次","",1700,1360,1190,"乙类","血管淋巴","停用"]
[1012,"HMC72201","经皮穿刺无名静脉内溶栓术","患者仰卧于造影台,在血栓以远部位局麻下穿刺腋静脉､肱静脉､颈内静脉或锁骨下静脉,放置血管鞘管,沿鞘管放入导丝和猪尾造影导管入无名静脉(或锁骨下静脉或腋静脉)远端,退出导丝,将猪尾导管与高压注射器连接,注入对比剂进行静脉造影,血栓定位后,交换导管置入溶栓导管于血栓部位,注入溶栓药物后固定导管,穿刺处包扎。不含影像学引导(DSA引导)。","穿刺针,高压注射器,注射器","导管,导丝,血管鞘组,溶栓导管","次","",1600,1280,1120,"乙类","血管淋巴","停用"]
[1013,"HME72202","经皮穿刺锁骨下静脉内溶栓术","患者仰卧于造影台,在血栓以远部位局麻下穿刺腋静脉､肱静脉,放置血管鞘管,沿鞘管放入导丝和猪尾造影导管入无名静脉(或锁骨下静脉或腋静脉)远端,退出导丝,将猪尾导管与高压注射器连接,注入对比剂进行静脉造影,血栓定位后,交换导管置入溶栓导管于血栓部位,注入溶栓药物后固定导管,穿刺处包扎。不含影像学引导(DSA引导)。","穿刺针,高压注射器,注射器","导管,导丝,血管鞘组,溶栓导管","次","",1600,1280,1120,"乙类","血管淋巴","停用"]
[1014,"HMC80204","经皮穿刺无名静脉内激光再通成形术","患者仰卧于造影台,局麻下穿刺肘前静脉､颈内静脉或锁骨下静脉,放置血管鞘管,沿鞘管放入导丝和导管入无名静脉远端,退出导丝,注入对比剂进行静脉造影,造影完毕,交换激光探头,边造影边行血管再通,必要时对再通的血管进行球囊扩张和支架置入,治疗完毕退出导管和血管鞘,穿刺处弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,支架,封堵器","次","",1800,1440,1260,"乙类","血管淋巴","停用"]
[1015,"HME80201","经皮穿刺锁骨下静脉内激光再通成形术","患者仰卧于造影台,局麻下穿刺腋静脉或肱静脉,放置血管鞘管,沿鞘管放入导丝和导管入锁骨下静脉远端,退出导丝,将造影导管与高压注射器连接,注入对比剂进行静脉造影,造影完毕,交换激光探头,边造影边行血管再通,必要时对再通的血管进行球囊扩张和支架置入,治疗完毕,退出导管和血管鞘,穿刺处弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,高压注射器,注射器","导管,导丝,血管鞘组,球囊扩张导管,支架,封堵器","次","",1800,1440,1260,"乙类","血管淋巴","停用"]
[1016,"HMF80201","经皮穿刺上肢静脉内激光再通成形术","患者仰卧于造影台,局麻下穿刺肘正中静脉(或头静脉),建立输液通道,用三通连接输液通道,止血带阻断上肢浅静脉,注入对比剂,数字减影机下透视,显示上肢深静脉病变情况,造影完毕,交换激光探头,边造影边行血管再通,必要时对再通的血管进行球囊扩张和支架置入。治疗完毕退出穿刺针,穿刺处弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,支架,封堵器","次","",1800,1440,1260,"乙类","血管淋巴","停用"]
[1017,"HM183201","经皮穿刺下肢静脉内激光再通成形术","患者仰卧于造影台,局麻下穿刺足背浅静脉,建立输液通道,用三通连接输液通道,应用止血带阻断下肢浅静脉,注入对比剂,数字减影机下透视,显示下肢深静脉有无病变及病变情况,造影完毕,交换激光探头,边造影边行血管再通,必要时对再通的血管进行球囊扩张和支架置入。治疗完毕退出穿刺针,穿刺处弹力绷带加压包扎。不含影像学引导(DSA引导)。","注射器,穿刺针","导管,导丝,血管鞘组,球囊扩张导管,支架,封堵器","次","",1600,1280,1120,"乙类","血管淋巴","停用"]
[1018,"HM283201","经皮穿刺股总静脉内激光再通成形术","患者仰卧于造影台,局麻下穿刺股静脉,放置血管鞘管,沿鞘管放入导丝和猪尾造影导管入股静脉远端,退出导丝,将猪尾导管与高压注射器连接,注入对比剂进行静脉造影,造影完毕,交换激光探头,边造影边行血管再通,必要时对再通的血管进行球囊扩张和支架置入,治疗完毕退出导管和血管鞘,穿刺处弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,高压注射器,注射器","导管,导丝,血管鞘组,球囊扩张导管,支架,封堵器","次","以1支血管为基价,每增加1支加收不超过60%",1800,1440,1260,"乙类","血管淋巴","停用"]
[1019,"HMH72202","经皮穿刺腋静脉内溶栓术","患者仰卧于造影台,局麻下穿刺上肢静脉(或股静脉),放置血管鞘管,沿鞘管放入导丝和猪尾造影导管入腋静脉远端,退出导丝,将猪尾导管与高压注射器连接,注入对比剂进行静脉造影。血栓定位后,交换导管置入溶栓导管于血栓部位,注入溶栓药物后固定导管,穿刺处包扎。不含影像学引导(DSA引导)。","穿刺针,高压注射器,注射器","导管,导丝,血管鞘组,溶栓导管","次","",1500,1200,1050,"乙类","血管淋巴","停用"]
[1020,"HMX83201","经皮穿刺髂静脉内激光再通成形术","患者仰卧于造影台,局麻下穿刺股静脉,放置血管鞘管,沿鞘管放入导丝和猪尾造影导管入髂静脉(或股静脉)远端,退出导丝,将猪尾导管与高压注射器连接,注入对比剂进行静脉造影,造影完毕,交换激光探头,边造影边行血管再通,必要时对再通的血管进行球囊扩张和支架置入。治疗完毕退出导管和血管鞘,穿刺处弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,高压注射器,注射器","导管,导丝,血管鞘组,球囊扩张导管,支架,封堵器","次","以1支血管为基价,每增加1支加收不超过60%",2000,1600,1400,"乙类","血管淋巴","停用"]
[1021,"HMU83201","经皮穿刺肾静脉内激光再通成形术","患者仰卧于造影台,局麻下穿刺股静脉(或颈内静脉或腋静脉或肱静脉),放置血管鞘管,沿鞘管放入导丝造影导管入下腔静脉,超选肾静脉,退出导丝,将导管与高压注射器连接,注入对比剂进行静脉造影,造影完毕,交换激光探头,边造影边行血管再通,必要时对再通的血管进行球囊扩张和支架置入,治疗完毕退出导管和血管鞘,穿刺处弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,球囊扩张导管,支架,封堵器","次","",2000,1600,1400,"乙类","血管淋巴","停用"]
[1022,"HL362201","经皮穿刺上肢动脉置管术","消毒铺巾,局部麻醉,穿刺置管,造影摄片,留管包扎,肝素冲洗液封管。人工报告。不含监护。","穿刺针,注射器","导管,导丝,血管鞘组","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1023,"HLP62201","经皮穿刺肝动脉置管术","消毒铺巾,麻醉,穿刺置管,造影摄片,留管包扎,肝素冲洗液封管。人工报告。不含监护。","穿刺针","导管,导丝,血管鞘组,特殊缝线","次","",2000,1600,1400,"乙类","血管淋巴","停用"]
[1024,"HM860201","经皮穿刺选择性上下腔静脉取血术","消毒麻醉,股静脉或颈静脉穿刺插管,选择上下腔静脉,注射对比剂并摄片取血,拔管压迫止血,冲洗胶片。人工报告。不含监护､实验室检查。","穿刺针","导管,导丝,血管鞘组","次","",600,480,420,"乙类","血管淋巴","停用"]
[1025,"HMU60201","经皮穿刺双肾静脉取血术","消毒铺巾,局部麻醉,穿刺股静脉,放置鞘管,经鞘管在监护仪监护及血管造影机X线引导下,沿引导钢丝将取血导管分别送至双侧肾静脉内,推注少量对比剂确认导管位置,抽取血液送检。不含监护､影像学引导(DSA引导)。","穿刺针,电极,注射器","导管,导丝,血管鞘组,导引导丝","次","",1200,960,840,"乙类","血管淋巴","停用"]
[1026,"HMU60202","经皮穿刺选择性肾静脉取血术","消毒麻醉,股静脉或颈静脉穿刺插管,选择肾静脉,注射对比剂并摄片取血,拔管压迫止血,冲洗胶片。人工报告。不含监护､实验室检查。","穿刺针,注射器","导管,导丝,血管鞘组","次","",1200,960,840,"乙类","血管淋巴","停用"]
[1027,"HMV60201","经皮穿刺选择性肾上腺静脉取血术","消毒麻醉,股静脉或颈静脉穿刺插管,选择肾上腺静脉,注射对比剂并摄片取血,拔管压迫止血,冲洗胶片。人工报告。不含监护､实验室检查。","穿刺针,注射器","导管,导丝,血管鞘组","次","",1200,960,840,"乙类","血管淋巴","停用"]
[1028,"HMN48101","经皮肝穿刺门静脉化疗术","一般用于门静脉化疗。局麻下患者平卧于造影床,应用肝穿针在右侧肋间向肝脏穿刺,边穿刺边注入对比剂,透视下寻找门静脉,直到肝内门静脉显影,交换导丝,进行门静脉插管,并注入适量对比剂确认导管位于静脉内,固定导管不动,注入化疗药物并冲管后拔出导管,压迫止血,并用弹力绷带加压固定不少于8小时。不含影像学引导(DSA引导)。","穿刺针,注射器","","次","",900,720,630,"乙类","血管淋巴","停用"]
[1029,"HMN48102","经皮脾穿刺门静脉化疗术","局麻下患者平卧于造影床,应用穿刺针在左侧肋间向脾脏穿刺,边穿刺边注入对比剂,透视下寻找脾静脉,直到门静脉显影,交换导丝,进行门静脉插管,并注入适量对比剂确认导管位于静脉内,固定导管不动,注入化疗药物并冲管后拔出导管,压迫止血,并用弹力绷带加压固定不少于8小时。不含影像学引导(DSA引导)。","穿刺针,注射器","","次","",900,720,630,"乙类","血管淋巴","停用"]
[1030,"HL948202","经皮动脉内灌注化疗术","消毒铺巾,局部麻醉,穿刺置管,造影摄片,药物灌注,拔管,穿刺点压迫包扎。人工报告。不含监护。","穿刺针,注射器","导管,导丝,血管鞘组","次","",1500,1200,1050,"乙类","血管淋巴","停用"]
[1031,"HMK60201","经皮穿刺选择性奇静脉取血术","消毒麻醉,股静脉或颈静脉穿刺插管,选择奇静脉,注射对比剂并摄片取血,拔管压迫止血,冲洗胶片。人工报告。不含监护､实验室检查。","穿刺针,注射器","导管,导丝,血管鞘组","次","",1000,800,700,"乙类","血管淋巴","停用"]
[1032,"HMM60201","经皮穿刺选择性肝静脉取血术","消毒麻醉,股静脉或颈静脉穿刺插管,选择肝静脉,注射对比剂并摄片取血,拔管压迫止血,冲洗胶片。人工报告。不含监护。","穿刺针,注射器","导管,导丝,血管鞘组","次","",900,720,630,"乙类","血管淋巴","停用"]
[1033,"HMC60201","经皮穿刺选择性甲状旁腺静脉取血术","消毒麻醉,股静脉或颈静脉穿刺插管,选择甲状旁腺静脉或其它引流静脉,注射对比剂并摄片取血,拔管压迫止血,冲洗胶片。人工报告。不含监护､实验室检查。","穿刺针,注射器","导管,导丝,血管鞘组","次","",1100,880,770,"乙类","血管淋巴","停用"]
[1034,"HL948201","动脉内高压注射","将造影导管送至拟造影动脉部位,应用高压注射泵完成动脉造影。导管尾端接压力监测,测定动脉内压力,必要时在特定部位取血进行血气分析。不含监护､影像学引导(DSA引导)。","高压注射器,环柄注射器,穿刺针,电极,测压管","导管,导丝,血管鞘组,造影导管,导引导丝","次","",530,420,370,"乙类","血管淋巴","停用"]
[1035,"HLT62201","经皮穿刺肠系膜上动脉置管术","消毒铺巾,麻醉,穿刺置管,造影摄片,留管包扎,肝素冲洗液封管。人工报告。不含监护。","穿刺针,注射器","导管,导丝,血管鞘组,特殊缝线","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1036,"HLU62201","经皮穿刺肠系膜下动脉置管术","消毒,麻醉,穿刺置管,造影摄片,留管包扎,肝素冲洗液封管。人工报告。不含监护。","穿刺针,注射器","导管,导丝,血管鞘组,特殊缝线","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1037,"HLX62201","经皮穿刺子宫动脉置管术","消毒铺巾,麻醉,穿刺置管,经股动脉(或腋动脉)途径穿刺,置管,主动脉造影､子宫动脉选择性造影后留置导管,妥善外固定。人工报告。不含监护。","穿刺针,注射器","导管,导丝,血管鞘组,特殊缝线,止血材料","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1038,"HL562201","经皮穿刺下肢动脉置管术","消毒铺巾,麻醉,穿刺置管,造影摄片,留管包扎,肝素冲洗液封管。人工报告。不含监护。","穿刺针,注射器","导管,导丝,血管鞘组","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1039,"HMN62201","经皮肝穿刺门静脉导管药盒系统置入术","消毒麻醉,经皮经肝穿刺门静脉肝内分支,引入导管进入门静脉或肠系膜上静脉造影,留置导管药盒系统,冲洗胶片。人工报告。不含监护。","穿刺针,注射器","导管,导丝,血管鞘组","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1040,"HLA59202","经皮穿刺支气管动脉栓塞术","消毒铺巾,麻醉,穿刺置管,造影摄片,栓塞,复查造影,拔管,穿刺点压迫包扎。人工报告。不含监护。","穿刺针","导管,导丝,血管鞘组,栓塞材料","次","",2900,2320,2030,"乙类","血管淋巴","停用"]
[1041,"HLF59201","经皮穿刺甲状腺动脉栓塞术","消毒铺巾,麻醉,穿刺置管,造影摄片,栓塞,复查造影,拔管,穿刺点压迫包扎。人工报告。不含监护。","穿刺针","导管,导丝,血管鞘组,栓塞材料","次","",2600,2080,1820,"乙类","血管淋巴","停用"]
[1042,"HLL59201","经皮穿刺腹腔干动脉瘤栓塞术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,腹腔干选择性造影､瘤体和动脉直径测量,弹簧圈置入瘤体内,必要时明胶海绵等栓塞物栓塞,再次行动脉造影评价疗效和观察有无并发症出现。不含DSA引导。","穿刺针,注射器","导管,导丝,血管鞘组,导引导管,弹簧圈,栓塞材料","次","",2000,1600,1400,"乙类","血管淋巴","停用"]
[1043,"HLL59202","经皮穿刺腹腔干动脉栓塞术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,腹腔干选择性造影,动脉直径测量,弹簧圈置入腹腔干,必要时明胶海绵等栓塞物栓塞,再次行动脉造影评价疗效和观察有无并发症出现。","穿刺针,注射器","导管,导丝,血管鞘组,导引导管,弹簧圈,栓塞材料","次","",2000,1600,1400,"乙类","血管淋巴","停用"]
[1044,"HLM59201","经皮穿刺胃左动脉瘤栓塞术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,胃左动脉选择性造影,瘤体和动脉直径测量,弹簧圈置入瘤体内,必要时明胶海绵等栓塞物栓塞,再次行动脉造影评价疗效和观察有无并发症出现。不含DSA引导。","穿刺针,注射器","导管,导丝,血管鞘组,导引导管,弹簧圈,栓塞材料","次","",2150,1720,1505,"乙类","血管淋巴","停用"]
[1045,"HLM59202","经皮穿刺胃左动脉栓塞术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,胃左动脉选择性造影､动脉直径测量,弹簧圈置入胃左动脉,必要时明胶海绵等栓塞物栓塞,再次行动脉造影评价疗效和观察有无并发症出现。不含DSA引导。","穿刺针,注射器","导管,导丝,血管鞘组,导引导管,弹簧圈,栓塞材料","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1046,"HLP80202","经皮穿刺肝总动脉瘤栓塞+支架置入术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,肝总动脉选择性造影,瘤体和动脉直径测量,弹簧圈置入术,必要时明胶海绵等栓塞物栓塞,置入裸支架,再次行动脉造影评价疗效和观察有无并发症出现。不含DSA引导。","穿刺针,注射器","导管,导丝,血管鞘组,导引导管,支架,弹簧圈,栓塞材料","次","",3000,2400,2100,"乙类","血管淋巴","停用"]
[1047,"HLQ59201","经皮穿刺肝固有动脉瘤栓塞术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,肝固有动脉选择性造影,瘤体和动脉直径测量,弹簧圈置入瘤体,必要时明胶海绵等栓塞物栓塞,再次行动脉造影评价疗效和观察有无并发症出现。","穿刺针,注射器","导管,导丝,血管鞘组,导引导管,弹簧圈,栓塞材料","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1048,"HLQ59202","经皮穿刺肝固有动脉栓塞术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,肝固有动脉选择性造影､动脉直径测量,弹簧圈置入肝固有动脉,必要时明胶海绵等栓塞物栓塞,再次行动脉造影评价疗效和观察有无并发症出现。不含DSA引导。","穿刺针,注射器","导管,导丝,血管鞘组,导引导管,弹簧圈,栓塞材料","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1049,"HLR59201","经皮穿刺胃十二指肠动脉栓塞术","消毒铺巾,麻醉,穿刺置管,造影摄片,栓塞,复查造影,拔管,穿刺点压迫包扎。人工报告。不含监护。","穿刺针,注射器","导管,导丝,血管鞘组,栓塞材料","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1050,"HLR59202","经皮穿刺胃网膜动脉栓塞术","消毒铺巾,麻醉,穿刺置管,造影摄片,栓塞,复查造影,拔管,穿刺点压迫包扎。人工报告。不含监护。","穿刺针,注射器","导管,导丝,血管鞘组,栓塞材料","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1051,"HLS59202","经皮穿刺脾动脉栓塞术","消毒铺巾,麻醉,穿刺置管,造影摄片,栓塞,复查造影,拔管,穿刺点压迫包扎。人工报告。不含监护。","穿刺针,注射器","导管,导丝,血管鞘组,栓塞材料","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1052,"HLT59202","经皮穿刺肠系膜上动脉瘤栓塞术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,肠系膜上动脉选择性造影,瘤体和动脉直径测量,弹簧圈置入瘤体内,必要时明胶海绵等栓塞物栓塞,再次行动脉造影评价疗效和观察有无并发症出现。","穿刺针,注射器","导管,导丝,血管鞘组,导引导管,弹簧圈,栓塞材料","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1053,"HLT59203","经皮穿刺肠系膜上动脉栓塞术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,肠系膜上动脉选择性造影､动脉直径测量,弹簧圈置入肠系膜上动脉,必要时明胶海绵等栓塞物栓塞,再次行动脉造影评价疗效和观察有无并发症出现。不含DSA引导。","穿刺针,注射器","导管,导丝,血管鞘组,导引导管,弹簧圈,栓塞材料","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1054,"HLT59201","经皮穿刺胰十二指肠动脉栓塞术","消毒铺巾,麻醉,穿刺置管,造影摄片,栓塞,复查造影,拔管,穿刺点压迫包扎。人工报告。不含监护。","穿刺针,注射器","导管,导丝,血管鞘组,栓塞材料","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1055,"HLU59201","经皮穿刺肠系膜下动脉瘤栓塞术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,肠系膜下动脉选择性造影､瘤体和动脉直径测量,弹簧圈置入动脉瘤体内,必要时明胶海绵等栓塞物栓塞,再次行动脉造影评价疗效和观察有无并发症出现。不含DSA引导。","穿刺针,注射器","导管,导丝,血管鞘组,导引导管,弹簧圈,栓塞材料","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1056,"HLU59202","经皮穿刺肠系膜下动脉栓塞术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,肠系膜下动脉选择性造影､动脉直径测量,弹簧圈置入肠系膜下动脉,必要时明胶海绵等栓塞物栓塞,再次行动脉造影评价疗效和观察有无并发症出现。不含DSA引导。","穿刺针,注射器","导管,导丝,血管鞘组,导引导管,弹簧圈,栓塞材料","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1057,"HLX59203","经皮穿刺生殖动脉栓塞术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,生殖动脉选择性造影､动脉直径测量。弹簧圈置入生殖动脉,必要时明胶海绵等栓塞物栓塞,再次行动脉造影评价疗效和观察有无并发症出现。不含DSA引导。","穿刺针,注射器","导管,导丝,血管鞘组,导引导管,弹簧圈,栓塞材料","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1058,"HLX59201","经皮穿刺子宫动脉栓塞术","消毒铺巾,麻醉,穿刺置管,造影摄片,栓塞,复查造影,拔管,穿刺点压迫包扎。人工报告。不含监护。","穿刺针,注射器","导管,导丝,血管鞘组,栓塞材料","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1059,"HL159202","经皮穿刺膀胱动脉栓塞术","消毒铺巾,麻醉,穿刺置管,造影摄片,栓塞,复查造影,拔管,穿刺点压迫包扎。人工报告。不含监护。","穿刺针,注射器","导管,导丝,血管鞘组,栓塞材料","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1060,"HL159201","经皮穿刺髂内动脉栓塞术","消毒铺巾,麻醉,穿刺置管,造影摄片,栓塞,复查造影,拔管,穿刺点压迫包扎。人工报告。不含监护。","穿刺针,注射器","导管,导丝,血管鞘组,栓塞材料","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1061,"HL359201","经皮穿刺上肢动脉瘤栓塞术","患者仰卧于造影台,局麻下顺行穿刺股动脉,置入血管鞘管,肝素抗凝,造影明确病变部位后,路图下,导丝引导将导管插入到病变部位,将栓塞物沿导管小心注入上肢动脉内,不断造影观察栓塞物的位置及上肢病变部位内的血流情况直至瘤腔上肢病变部位闭塞,术后拔除血管鞘管,穿刺点压迫止血20分钟,弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,栓塞材料,封堵器","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1062,"HL559201","经皮穿刺下肢动脉栓塞术","患者仰卧于造影台,局麻下顺行穿刺股动脉,置入血管鞘管,肝素抗凝,造影明确病变部位后,路图下,导丝引导将导管插入到病变部位,将栓塞物沿导管小心注入,不断造影观察栓塞物的位置及病变处的血流情况直至瘤腔闭塞,术后拔除血管鞘管,穿刺点压迫止血20分钟,弹力绷带加压包扎。限于动静脉畸形､动静脉瘘和动脉破裂出血。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,栓塞材料,封堵器","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1063,"HMN59101","经皮肝穿刺门静脉栓塞术","局麻下患者平卧于造影床,应用肝穿针在右侧肋间向肝脏穿刺,边穿刺边注入对比剂,透视下寻找门静脉,直到肝内门静脉显影,交换导丝,进行门静脉插管,并注入适量对比剂确认在静脉内,然后对其进行栓塞治疗,同时造影确认栓塞的效果直至满意,完毕后拔出导管,压迫止血,并用弹力绷带加压固定不少于8小时。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,栓塞材料","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1064,"HMN59102","经皮脾穿刺门静脉栓塞术","局麻下患者平卧于造影床,应用穿刺针在左侧肋间向脾脏穿刺,边穿刺边注入对比剂,透视下寻找脾静脉,直到门静脉显影,交换导丝,进行门静脉插管,并注入适量对比剂确认在静脉内,然后对其进行栓塞治疗,同时造影确认栓塞的效果直至满意,完毕后拔出导管,压迫止血,并用弹力绷带加压固定不少于8小时。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,栓塞材料","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1065,"HMT59101","经皮肝穿刺胃冠状静脉栓塞术","定位,消毒铺巾,局麻,经皮经肝穿刺肝内门静脉,冠状静脉插管,注射栓塞剂,缝合伤口。","穿刺针,引流装置,测压管,注射器","导管,导丝,血管鞘组,栓塞材料,特殊缝线","次","",1800,1440,1260,"乙类","血管淋巴","停用"]
[1066,"HMT59304","经腹选择性胃冠状静脉栓塞术","逐层进腹,探查,门静脉测压,冠状静脉插管,注射栓塞剂,创面止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。不含肝活检术。","穿刺针,测压管,引流装置,冲洗液","导管,导丝,血管鞘组,栓塞材料","次","",2000,1600,1400,"乙类","血管淋巴","停用"]
[1067,"HMT59305","胃冠状静脉栓塞术","逐层进腹,探查,冠状静脉分离,结扎,注入栓塞剂,观察血运,止血,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,栓塞材料,特殊缝线","次","",1700,1360,1190,"乙类","血管淋巴","停用"]
[1068,"HMT59503","经腹腔镜胃冠状静脉栓塞术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,冠状静脉分离,结扎,注入栓塞剂,观察血运,止血,置管引出固定,缝合伤口。","引流装置","栓塞材料,腔镜材料","次","",1900,1520,1330,"乙类","血管淋巴","停用"]
[1069,"HMW59201","经皮选择性性腺静脉栓塞术","消毒麻醉,股静脉或颈静脉穿刺插管,选择卵巢静脉或精索静脉,注射对比剂并摄片,使用弹簧圈､可脱球囊或硬化剂栓塞,重复造影评价栓塞效果,拔管压迫止血,冲洗胶片。人工报告。不含监护。","穿刺针,注射器","导管,导丝,血管鞘组,栓塞材料","次","",1700,1360,1190,"乙类","血管淋巴","停用"]
[1070,"HMY59201","经皮选择性髂内静脉栓塞术","消毒麻醉,股静脉穿刺插管,选择髂内静脉,注射对比剂并摄片,使用弹簧圈､可脱球囊或硬化剂栓塞,重复造影评价栓塞效果,拔管压迫止血,冲洗胶片。人工报告。不含监护。","穿刺针,注射器","导管,导丝,血管鞘组,栓塞材料","次","",1800,1440,1260,"乙类","血管淋巴","停用"]
[1071,"QHXZ0122","锁骨下动脉栓塞术","局麻下，穿刺置管，造影摄片，选择破口或动脉开口给予栓塞，复查造影，拔管，穿刺点压迫包扎。",0,"导管，导丝，栓塞材料","次",null,2100,1680,1470,"乙类","血管淋巴","停用"]
[1072,"HLP59202","经皮穿刺肝总动脉栓塞术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,肝总动脉选择性造影,动脉直径测量,弹簧圈置入肝总动脉,必要时明胶海绵等栓塞物栓塞,再次行动脉造影评价疗效和观察有无并发症出现。","穿刺针,注射器","导管,导丝,血管鞘组,导引导管,弹簧圈,栓塞材料","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1073,"HLP59101","经皮肝动脉栓塞术","定位,消毒铺巾,局麻,经外周动脉插管达肝动脉,注入栓塞剂,影像评估栓塞效果,止血,缝合切口,加压包扎。不含影像检查。","引流装置,注射器","血管夹,栓塞材料,特殊缝线,止血材料","次","",1200,960,840,"乙类","血管淋巴","停用"]
[1074,"HLX59202","经皮穿刺生殖动脉瘤栓塞术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,生殖动脉选择性造影､瘤体和动脉直径测量。弹簧圈置入瘤体,必要时明胶海绵等栓塞物栓塞,再次行动脉造影评价疗效和观察有无并发症出现。不含DSA引导。","穿刺针,注射器","导管,导丝,血管鞘组,导引导管,支架,弹簧圈,栓塞材料","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1075,"HM959303","先天性动静脉瘘栓塞术","消毒铺巾,切开局部皮肤及皮下,游离出动静脉,寻找瘘口,局部注射栓塞材料。开放阻断证实栓塞成功后彻底止血冲洗后放置引流,关闭切口。","穿刺针,引流装置,冲洗液","导管,导丝,血管鞘组,球囊扩张导管,栓塞材料,特殊缝线,止血材料","次","",1800,1440,1260,"乙类","血管淋巴","停用"]
[1076,"HMB62201","经皮穿刺上腔静脉滤器置入术","患者仰卧于造影台,局麻下穿刺股静脉(或健侧颈内静脉或锁骨下静脉),置入血管鞘管,插入导管到上腔静脉造影并测量上腔静脉直径,定位后,插入滤器输送器至上腔静脉,适当位置释放滤器,再次造影,显示位置正确后,退出输送器,穿刺处弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,滤网,封堵器","次","",2000,1600,1400,"乙类","血管淋巴","停用"]
[1077,"HML62201","经皮穿刺下腔静脉滤器置入术","患者仰卧于造影台,局麻下穿刺健侧股静脉或颈内静脉,置入血管鞘管。交换导丝,插入导管到肾下下腔静脉造影并测量下腔静脉直径,定位髂静脉分叉及肾静脉位置后,插入滤器输送器至肾下下腔静脉,适当位置释放滤器,再次造影,显示位置正确后,退出输送器,穿刺处弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,滤网,封堵器","次","",2000,1600,1400,"乙类","血管淋巴","停用"]
[1078,"HML64201","经皮穿刺下腔静脉滤器取出术","患者仰卧于造影台,局麻下穿刺健侧股静脉,置入鞘管,插入导管入下腔静脉造影,测量完毕后更换专用回收器械,经鞘管深入至肾下下腔静脉,在造影机透视下抓捕滤器并回收入鞘管内,退出回收装置,穿刺处弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,封堵器","次","",1800,1440,1260,"乙类","血管淋巴","停用"]
[1079,"HMB64201","经皮穿刺上腔静脉滤器取出术","患者仰卧于造影台,局麻下穿刺健侧颈内静脉,置入鞘管,插入导管入上腔静脉造影,完毕后更换专用回收器械,经鞘管深入至上腔静脉,在透视下抓捕滤器并回收入鞘管内,退出回收装置,穿刺处弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,封堵器","次","",2000,1600,1400,"乙类","血管淋巴","停用"]
[1080,"HQT64301","转流管取出术","平卧位,消毒铺巾,切除颈部原切口瘢痕,切开皮肤､颈阔肌､皮下脂肪,牵开胸锁乳突肌,游离转流管颈静脉入口处,拔出转流管颈血管段,结扎静脉入口。腹部原切口,切除手术瘢痕､皮肤､皮下脂肪､腹外斜肌腱膜,分开腹壁肌肉,荷包缝合转流管腹膜入口处腹膜,拔出转流管,结扎荷包缝合,缝合腹膜､腹外斜肌腱膜､皮下脂肪､皮肤,颈部缝合皮下脂肪､颈阔肌､皮肤,切口无菌敷料覆盖。不含术中经转流管造影。","引流装置","特殊缝线,止血材料,转流管","次","",1100,880,770,"乙类","血管淋巴","停用"]
[1081,"HMB65201","经皮穿刺上腔静脉内血管异物取出术","患者仰卧于造影台,局麻下经皮穿刺股静脉,置入血管鞘管,造影证实异物部位及种类,经鞘管插入圈套器,透视下调整部位及角度,套牢异物,透视下回撤圈套器至股静脉附近,小的异物可连同鞘管一起拔除,大的异物需另作股静脉切口切开取出,局部弹力绷带压迫或缝合血管。不含影像学引导(DSA引导)。","注射器,穿刺针","导管,导丝,血管鞘组,封堵器,圈套器,特殊缝线","次","",1600,1280,1120,"乙类","血管淋巴","停用"]
[1082,"HMC65201","经皮穿刺无名静脉内血管异物取出术","患者仰卧于造影台,局麻下经皮穿刺腋静脉,置入血管鞘管,造影证实异物部位及种类,经鞘管插入圈套器,透视下调整部位及角度,套牢异物,透视下回撤圈套器至腋静脉附近,小的异物可连同鞘管一起拔除,大的异物需另作腋静脉切口切开取出,局部弹力绷带压迫或缝合血管。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,封堵器,圈套器,特殊缝线","次","",1600,1280,1120,"乙类","血管淋巴","停用"]
[1083,"HME65201","经皮穿刺锁骨下静脉内血管异物取出术","患者仰卧于造影台,局麻下经皮穿刺腋静脉(或股静脉),置入血管鞘管,造影证实异物部位及种类,经鞘管插入圈套器,透视下调整部位及角度,套牢异物,透视下回撤圈套器至腋静脉附近,小的异物可连同鞘管一起拔除,大的异物需另作腋静脉切口切开取出,局部弹力绷带压迫或缝合血管。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,封堵器,圈套器,特殊缝线","次","",1600,1280,1120,"乙类","血管淋巴","停用"]
[1084,"HMH65201","经皮穿刺腋静脉内血管异物取出术","患者仰卧于造影台,局麻下经皮穿刺肱静脉(或股静脉),置入血管鞘管,造影证实异物部位及种类,经鞘管插入圈套器,透视下调整部位及角度,套牢异物,透视下回撤圈套器至腋静脉附近,小的异物可连同鞘管一起拔除,大的异物需另作腋静脉切口切开取出。局部弹力绷带压迫或缝合血管。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,封堵器,圈套器,特殊缝线","次","",1800,1440,1260,"乙类","血管淋巴","停用"]
[1085,"HML65201","经皮穿刺下腔静脉内血管异物取出术","患者仰卧于造影台,局麻下经皮穿刺股静脉,置入血管鞘管,造影证实异物部位及种类,经鞘管插入圈套器,透视下调整部位及角度,套牢异物,透视下回撤圈套器至股静脉附近,小的异物可连同鞘管一起拔除,大的异物需另作股静脉切口切开取出,局部弹力绷带压迫或缝合血管。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,封堵器,圈套器,特殊缝线","次","",2400,1920,1680,"乙类","血管淋巴","停用"]
[1086,"HMX65201","经皮穿刺髂静脉内血管异物取出术","患者仰卧于造影台,局麻下经皮穿刺股静脉,置入血管鞘管,造影证实异物部位及种类,经鞘管插入圈套器,透视下调整部位及角度,套牢异物,透视下回撤圈套器至股静脉附近,小的异物可连同鞘管一起拔除,大的异物需另作股静脉切口切开取出。局部弹力绷带压迫或缝合血管。不含影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,封堵器,圈套器,特殊缝线","次","",1600,1280,1120,"乙类","血管淋巴","停用"]
[1087,"HM265201","经皮穿刺股总静脉内血管异物取出术","患者仰卧于造影台,局麻下经皮穿刺腘浅静脉(或股浅静脉),置入血管鞘管,造影证实异物部位及种类,经鞘管插入圈套器,透视下调整部位及角度,套牢异物,透视下回撤圈套器至股静脉附近,小的异物可连同鞘管一起拔除,大的异物需另作股静脉切口切开取出。局部弹力绷带压迫或缝合血管。不含监护､影像学引导(DSA引导)。","穿刺针,注射器","导管,导丝,血管鞘组,封堵器,圈套器,特殊缝线","次","",1600,1280,1120,"乙类","血管淋巴","停用"]
[1088,"HL965201","经皮穿刺动脉内异物取出术","消毒铺巾,麻醉,穿刺置管,造影摄片,异物抓取,拔管,穿刺点压迫包扎。人工报告。不含监护。","穿刺针,注射器","导管,导丝,血管鞘组","次","",2000,1600,1400,"乙类","血管淋巴","停用"]
[1089,"HL372201","经皮穿刺上肢动脉内超声消融术","患者仰卧于造影台,局麻下顺行穿刺腋动脉,置入血管鞘管,肝素抗凝,造影明确病变部位后,路图下,导丝引导将超声消融导管插入到病变部位,逐段行上肢动脉斑块超声消融治疗,术后造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎。不含影像学引导(DSA引导)。","注射器,穿刺针","导管,导丝,血管鞘组,封堵器","次","",2200,1760,1540,"乙类","血管淋巴","停用"]
[1090,"HL572201","经皮穿刺下肢动脉内超声消融术","患者仰卧于造影台,局麻下顺行穿刺股动脉,置入血管鞘管,肝素抗凝,造影明确病变部位后,路图下,导丝引导将超声消融导管插入到病变部位,逐段行下肢动脉斑块超声消融治疗,术后造影。造影结束拔除血管鞘管,穿刺点压迫止血20分钟后弹力绷带加压包扎。此操作通常顺行。不含影像学引导(DSA引导)。","注射器,穿刺针","导管,导丝,血管鞘组,封堵器","次","",2200,1760,1540,"乙类","血管淋巴","停用"]
[1091,"HMB72201","经皮穿刺上腔静脉血栓超声消融术","患者仰卧于造影台,局麻下穿刺腋静脉､肱静脉､颈内静脉或锁骨下静脉,放置血管鞘管,沿鞘管放入导丝和猪尾造影导管入上腔静脉,退出导丝,将猪尾导管与高压注射器连接,注入对比剂进行静脉造影,血栓定位后,交换导管置入超声消融导管于血栓部位,进行超声消融完毕后退出导管和鞘管,穿刺处弹力绷带加压包扎。不含影像学引导(DSA引导)。","注射器,穿刺针","导管,导丝,血管鞘组,消融导管,封堵器","次","",1500,1200,1050,"乙类","血管淋巴","停用"]
[1092,"HMC72202","经皮穿刺无名静脉血栓超声消融术","患者仰卧于造影台,于血栓以远部位局麻下穿刺腋静脉､肱静脉､颈内静脉或锁骨下静脉,放置血管鞘管,沿鞘管放入导丝和猪尾造影导管入无名静脉(或锁骨下静脉或腋静脉),退出导丝,将猪尾导管与高压注射器连接,注入对比剂进行静脉造影,血栓定位后,交换导管置入超声消融导管于血栓部位,进行超声消融完毕后再造影确认,退出导管和鞘管,穿刺处弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,高压注射器,注射器","导管,导丝,血管鞘组,消融导管,封堵器","次","",1800,1440,1260,"乙类","血管淋巴","停用"]
[1093,"HME72201","经皮穿刺锁骨下静脉血栓超声消融术","患者仰卧于造影台,于血栓以远部位局麻下穿刺腋静脉､肱静脉,放置血管鞘管,沿鞘管放入导丝和猪尾造影导管入无名静脉(或锁骨下静脉或腋静脉)远端,退出导丝,将猪尾导管与高压注射器连接,注入对比剂进行静脉造影。血栓定位后,交换导管置入超声消融导管于血栓部位,进行超声消融完毕后再造影确认,退出导管和鞘管,穿刺处弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,高压注射器,注射器","导管,导丝,血管鞘组,消融导管,封堵器","次","",1700,1360,1190,"乙类","血管淋巴","停用"]
[1094,"HML72202","经皮穿刺下腔静脉血栓超声消融术","患者仰卧于造影台,局麻下穿刺股静脉,放置血管鞘管,沿鞘管放入导丝和猪尾造影导管入下腔静脉远端,退出导丝,将猪尾导管与高压注射器连接,注入对比剂进行静脉造影。血栓定位后,交换导管置入超声消融导管于血栓部位,进行超声消融完毕后造影再确认,退出导管和鞘管,穿刺处弹力绷带加压包扎。不含影像学引导(DSA引导)。","注射器,穿刺针,高压注射器","导管,导丝,血管鞘组,消融导管,封堵器","次","",1700,1360,1190,"乙类","血管淋巴","停用"]
[1095,"HMX72202","经皮穿刺髂静脉血栓超声消融术","患者仰卧于造影台,于血栓以远部位局麻下穿刺股静脉,放置血管鞘管,沿鞘管放入导丝和猪尾造影导管入髂总静脉(或股总静脉)远端,退出导丝,将猪尾导管与高压注射器连接,注入对比剂进行静脉造影。血栓定位后,交换导管置入超声消融导管于血栓部位,进行超声消融完毕后再造影确认,退出导管和鞘管,穿刺处弹力绷带加压包扎。不含影像学引导(DSA引导)。","注射器,穿刺针,高压注射器","导管,导丝,血管鞘组,封堵器","次","",1500,1200,1050,"乙类","血管淋巴","停用"]
[1096,"HM172201","经皮穿刺下肢静脉血栓超声消融术","患者仰卧于造影台,于血栓部位以远局麻下穿刺腘静脉,放置血管鞘管,沿鞘管放入导丝和造影导管入下肢静脉远端,退出导丝,将导管与高压注射器连接,注入对比剂进行静脉造影,血栓定位后,交换导管置入超声消融导管于血栓部位,进行超声消融完毕后再造影确认,退出导管和鞘管,穿刺处弹力绷带加压包扎。不含影像学引导(DSA引导)。","注射器,穿刺针","导管,导丝,血管鞘组,消融导管,封堵器","次","",1500,1200,1050,"乙类","血管淋巴","停用"]
[1097,"HM272202","经皮穿刺股总静脉血栓超声消融术","患者仰卧于造影台,于血栓以远部位局麻下穿刺股静脉(或腘静脉),放置血管鞘管,沿鞘管放入导丝和猪尾造影导管入髂总静脉(或股总静脉)远端,退出导丝,将猪尾导管与高压注射器连接,注入对比剂进行静脉造影。血栓定位后,交换导管置入超声消融导管于血栓部位,进行超声消融完毕后再造影确认,退出导管和鞘管,穿刺处弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,高压注射器,注射器","导管,导丝,血管鞘组,消融导管,封堵器","次","",1700,1360,1190,"乙类","血管淋巴","停用"]
[1098,"HMF72201","经皮穿刺上肢静脉血栓超声消融术","患者仰卧于造影台,于血栓部位以远局麻下穿刺头静脉(或贵要静脉),放置血管鞘管,沿鞘管放入导丝和造影导管入上肢静脉远端,退出导丝,将导管与高压注射器连接,注入对比剂进行静脉造影,血栓定位后,交换导管置入超声消融导管于血栓部位,进行超声消融完毕后再造影确认,退出导管和鞘管,穿刺处弹力绷带加压包扎。不含影像学引导(DSA引导)。","注射器,穿刺针","导管,导丝,血管鞘组,消融导管,封堵器","次","",1600,1280,1120,"乙类","血管淋巴","停用"]
[1099,"HMH72201","经皮穿刺腋静脉血栓超声消融术","患者仰卧于造影台,于血栓以远部位局麻下穿刺上肢静脉､肱静脉,放置血管鞘管,沿鞘管放入导丝和猪尾造影导管入无名静脉(或锁骨下静脉或腋静脉)远端,退出导丝,将猪尾导管与高压注射器连接,注入对比剂进行静脉造影,血栓定位后,交换导管置入超声消融导管于血栓部位,进行超声消融完毕后再造影确认,退出导管和鞘管,穿刺处弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,高压注射器,注射器","导管,导丝,血管鞘组,封堵器","次","",1800,1440,1260,"乙类","血管淋巴","停用"]
[1100,"HMN86201","经颈内静脉穿刺肝内门腔静脉分流术(TIPS)","患者仰卧于造影台,局麻下穿刺颈内静脉,放置血管鞘管,沿鞘管放入导丝和猪尾造影导管入下腔静脉,退出导丝,将猪尾导管与高压注射器连接,注入对比剂进行下腔静脉造影,经颈静脉插入导丝和导管经过右心房和下腔静脉分别选入各支肝静脉,退出导丝,造影证实,更换交换导丝,进入特制带鞘穿刺针,边穿刺边造影直至进入门静脉,退出穿刺针,沿导丝插入球囊导管扩张后置入支架,造影管造影证实后退出导丝导管,穿刺处弹力绷带加压包扎。不含影像学引导(DSA引导)､X线监控及摄片。","穿刺针,注射器","导管,导丝,血管鞘组,支架,封堵器","次","",2700,2160,1890,"乙类","血管淋巴","停用"]
[1101,"HKV86301","冠状静脉下腔静脉分流术","逐层进腹,探查､经网膜门静脉测压,显露并游离冠状静脉､显露并游离下腔静脉,将冠状静脉及下腔静脉行端侧吻合术,创面止血､经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。不含自体血管采取术。","测压管,引流装置,冲洗液","人工血管,血管夹,特殊缝线,止血材料","次","",2400,1920,1680,"乙类","血管淋巴","停用"]
[1102,"HMN58301","门静脉奇静脉断流术","指Aoki术式,即青木春夫手术。逐层进腹,探查,经网膜门静脉测压,离断胃底贲门和食管下段周围血管,切除脾脏,切开胃底浆肌层,缝扎黏膜下血管,缝合胃壁切口,折叠胃底,切断迷走神经干,幽门成形,创面止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。不含食管下段横断吻合术､胃造瘘术。","测压管,引流装置","血管夹,特殊缝线,止血材料","次","",2200,1760,1540,"甲类","血管淋巴","停用"]
[1103,"HPC58302","门体静脉断流术","经腹切口,探查,经网膜门静脉测压,离断胃底贲门及下段食管周围血管,保留冠状静脉,横断食管下端,再行食管吻合重建､创面止血,腹腔引流戳孔引出固定,清点器具､纱布无误,冲洗腹腔,逐层关胸,关腹。不含幽门成形术､肝活检术､胃底折叠术､胃造瘘术。","测压管,引流装置,冲洗液","吻合器,血管夹,特殊缝线,止血材料","次","",2600,2080,1820,"甲类","血管淋巴","停用"]
[1104,"HMN86301","门静脉肺分流术","指脾肺固定术。逐层进腹,探查,经网膜门静脉测压,游离脾脏,切开左侧膈肌,将脾脏移入胸腔,去除脾脏包膜,摩擦左肺下叶肺表面,造成创面,将脾脏与左肺下叶缝合固定,止血,关闭膈肌,胸腔置闭式引流管,腹腔引流管分别戳孔引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","测压管,引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",2700,2160,1890,"乙类","血管淋巴","停用"]
[1105,"HMN86302","门静脉腔静脉H型架桥分流术","逐层进腹,探查,经网膜门静脉测压,游离门静脉,游离十二指肠,显露并游离下腔静脉,将人工血管与门静脉及下腔静脉分别行端侧吻合,创面止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。不含自体血管采取术。","测压管,引流装置,冲洗液","人工血管,血管夹,特殊缝线,吻合器","次","",2700,2160,1890,"乙类","血管淋巴","停用"]
[1106,"HMR86302","脾肾静脉分流术","逐层进腹,探查,经网膜门静脉测压,脾脏切除,游离脾蒂及胰腺尾部的脾静脉近端,显露并游离左肾静脉,行脾静脉肾静脉端侧吻合,创面止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。不含胰尾切除术､各种断流手术。","测压管,引流装置,冲洗液","血管夹,特殊缝线,吻合器","次","",2400,1920,1680,"乙类","血管淋巴","停用"]
[1107,"HM880203","经皮穿刺血液透析静脉回路球囊扩张+支架置入术","消毒麻醉,经透析静脉回路或上游动脉穿刺插管,引流造影并摄片,球囊预扩张静脉狭窄后置入支架,造影评价效果,拔管压迫止血,冲洗胶片。人工报告。不含监护。","穿刺针,压力泵","导管,导丝,血管鞘组,球囊扩张导管,支架","次","",3600,2880,2520,"乙类","血管淋巴","停用"]
[1108,"HM872202","经皮穿刺血液透析通路血栓碎栓术","消毒麻醉,穿刺透析通路插管,造影并摄片,引入碎栓装置取出血栓,造影评价效果,拔管压迫止血,冲洗胶片。人工报告。不含监护。","穿刺针,注射器","导管,导丝,血管鞘组","次","",1500,1200,1050,"乙类","血管淋巴","停用"]
[1109,"HM872201","经皮血液透析通路溶栓术","消毒麻醉,穿刺透析通路插管,造影并摄片,引入溶栓导管或溶栓导丝靠近或插入血栓,药物溶栓,造影评价效果,拔管压迫止血,冲洗胶片。人工报告。不含监护。","穿刺针,注射器","导管,导丝,血管鞘组","次","",1600,1280,1120,"乙类","血管淋巴","停用"]
[1110,"HM880201","经皮血液透析静脉回路球囊成形术","消毒麻醉,透析静脉回路穿刺插管,引流静脉造影并摄片,球囊扩张引流静脉狭窄,造影评价扩张效果,拔管压迫止血,冲洗胶片。人工报告。不含监护。","穿刺针,压力泵","导管,导丝,血管鞘组,球囊扩张导管","次","",3000,2400,2100,"乙类","血管淋巴","停用"]
[1111,"HM659302","小隐静脉腔内射频闭合术","患者俯卧于手术台,消毒铺巾,外踝切口,切开小隐静脉,经套管针插入射频光纤,至小隐静脉根部开通射频,边后退边加压,小切口剥除小腿曲张静脉团,皮内缝合切口,绷带加压包扎。","","导管,导丝,特殊缝线","单侧","",900,720,630,"乙类","血管淋巴","停用"]
[1112,"HM572201","大隐静脉激光治疗","术前准备,建立静脉通道。相应肢体皮肤消毒,铺消毒巾,皮肤小切口,彩色多普勒超声引导下将激光电极导管送入大隐静脉,超声监测激光腔内治疗。图文报告。不含超声引导。","电极导管","","每根血管","",1500,1200,1050,"乙类","血管淋巴","停用"]
[1113,"HM572202","大隐静脉射频消融治疗","术前准备,建立静脉通道,静脉滴注抗凝药。局部皮肤消毒,铺消毒巾,皮肤小切口,彩色多普勒超声引导下在大隐静脉旁注射麻醉药,并引导将射频导管送入大隐静脉,超声监测射频治疗,图文报告。不含超声引导。","","射频导管","每根血管","",800,640,560,"乙类","血管淋巴","停用"]
[1114,"HM559302","大隐静脉腔内射频闭合术","消毒铺巾,踝内侧切口,切开大隐静脉,经套管针插入射频光纤,至大隐静脉根部开通射频,边后退边加压,小切口剥除小腿曲张静脉团,皮内缝合切口,绷带加压包扎。","注射器","导管,导丝,特殊缝线","单侧","",2000,1700,1445,"乙类","血管淋巴","停用"]
[1115,"HM559301","大隐静脉腔内激光闭合术","消毒铺巾,踝内侧切口,切开大隐静脉,经套管针插入激光光纤,至大隐静脉根部开通激光,边后退边加压,小切口剥除小腿曲张静脉团,皮内缝合切口,绷带加压包扎。","注射器","导管,导丝,特殊缝线","单侧","",1100,880,770,"乙类","血管淋巴","停用"]
[1116,"HM473301","下肢浅静脉静脉团透光旋切术","消毒铺巾,在小腿局部切口,进入透光旋切导管和光源,对静脉团进行旋切､吸出,皮内缝合切口,绷带加压包扎。","","导管,导丝,特殊缝线","单侧","",2000,1600,1400,"甲类","血管淋巴","停用"]
[1117,"HM659301","小隐静脉腔内激光闭合术","患者俯卧于手术台,消毒铺巾,外踝切口,切开小隐静脉,经套管针插入激光光纤,至小隐静脉根部开通激光,边后退边加压。小切口剥除小腿曲张静脉团。皮内缝合切口,绷带加压包扎。","","导管,导丝,特殊缝线","单侧","",900,720,630,"乙类","血管淋巴","停用"]
[1118,"FRB09301","移植肾探查术","消毒,沿原切口电刀逐层切开,暴露移植肾脏,探查观察肾脏颜色,血流变化,探查周围有无渗血,止血,缝合,关闭切口。","引流装置","血管夹,止血材料,特殊缝线","次","",1200,960,840,"乙类","血管淋巴","停用"]
[1119,"FKA09301","开胸心脏探查术","正中切口,显露心包,探查,进行相应处理,止血,钢丝固定胸骨,留置引流管,关胸。","引流装置","特殊缝线,止血材料","次","",1500,1200,1050,"甲类","血管淋巴","停用"]
[1120,"FLF09301","颈动脉探查术","消毒铺巾,胸锁乳突肌前缘切口,游离颈动脉,套绕血管阻断带,探查颈动脉有无钙化､纤维化,管腔是否通畅。必要时静脉肝素抗凝,阻断并切开颈动脉。探查完毕,进一步处理病变或止血､冲洗后放植引流,缝合切口,无菌敷料外敷。必要时颅脑血管超声(TCD)监测,多用于创伤和流出道探查。不含TCD术中监测。","引流装置","特殊缝线,止血材料","次","",1300,1040,910,"乙类","血管淋巴","停用"]
[1121,"FL309301","上肢血管探查术","消毒铺巾,切开皮肤,游离动脉,探查动脉有无搏动､断裂､外压､血栓等,再进行相应治疗。必要时切开动脉探查腔内,彻底止血后放植引流,关闭切口。含肱动脉或桡动脉或尺动脉探查。","引流装置","特殊缝线,止血材料","次","以1个部位为基价,每增加1个加收不超过80%",800,640,560,"甲类","血管淋巴","停用"]
[1122,"FL309302","腋动脉探查术","消毒铺巾,锁骨下外侧横切口,切断胸小肌,游离动脉,探查动脉有无搏动､断裂､外压､血栓､管腔是否通畅等,再进行相应治疗。必要时切开动脉探查腔内,彻底止血后放植引流,关闭切口。","引流装置","特殊缝线,止血材料","次","",800,640,560,"甲类","血管淋巴","停用"]
[1123,"FL509301","下肢胫动脉探查术","消毒铺巾,切开皮肤,游离胫前(或胫后动脉或足背动脉),探查动脉有无搏动､断裂､外压､血栓等,再进行相应治疗。必要时切开动脉探查腔内,彻底止血后放植引流,关闭切口。","引流装置","特殊缝线,止血材料","次","",800,640,560,"甲类","血管淋巴","停用"]
[1124,"FL609301","下肢股腘动脉探查术","消毒铺巾,切开皮肤,游离动脉,探查动脉有无搏动､断裂､外压､血栓等,再进行相应治疗。必要时切开动脉探查腔内,彻底止血后放植引流,关闭切口。","引流装置","特殊缝线,止血材料","次","",800,640,560,"甲类","血管淋巴","停用"]
[1125,"HLK66201","腹主动脉瘤切除人工血管置换术","含腹主真性动脉瘤及夹层动脉瘤。连续硬膜外麻醉或全身麻醉,常规入腹,全身肝素化,控制并阻断腹主动脉及双髂动脉,结扎肠系膜下动脉,切开动脉瘤体,缝扎腰动脉,以直型人工血管分别与腹主动脉近远心端吻合,关腹。不含髂内动脉､肠系膜下动脉重建。","注射器,测压管","人工血管,特殊缝线,止血材料","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[1126,"HLK66301","经腹膜外径路腹主动脉瘤人工血管置换术","连续硬膜外麻醉或全身麻醉,腹膜外路径显露腹主动脉及双髂动脉,全身肝素化,控制并阻断腹主动脉及双髂动脉,结扎肠系膜下动脉,切开动脉瘤体,缝扎腰动脉,以直型人工血管分别与腹主动脉近远心端吻合,关腹。不含髂内动脉､肠系膜下动脉重建。","引流装置","人工血管,特殊缝线","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1127,"HLK66207","腹主动脉瘤切除腹主动脉-双侧股动脉人工血管置换术(Y型人工血管)","含腹主真性动脉瘤及夹层动脉瘤。连续硬膜外麻醉或全身麻醉,常规入腹,股三角区纵切口,全身肝素化,控制并阻断腹主动脉及双髂动脉,打后腹膜隧道连接腹部与股部切口,结扎肠系膜下动脉,切开动脉瘤体,缝扎腰动脉及髂动脉断端,保留或重建至少一侧髂内动脉,以Y型人工血管分别与腹主动脉及髂､股动脉吻合,关腹及股部切口。不含髂内动脉､肠系膜下动脉重建。","测压管","人工血管,特殊缝线,止血材料","次","",2200,1760,1540,"乙类","血管淋巴","停用"]
[1128,"HLK66208","腹主动脉瘤-髂动脉瘤切除腹主动脉-双股动脉人工血管移植术","含腹主真性动脉瘤及夹层动脉瘤。连续硬膜外麻醉或全身麻醉,常规入腹,股三角区纵切口,全身肝素化,控制并阻断腹主动脉及双髂股动脉,打后腹膜隧道连接腹部与股部切口,结扎肠系膜下动脉,切开动脉瘤体,缝扎腰动脉及髂动脉断端,保留或重建至少一侧髂内动脉,以Y型人工血管分别与腹主动脉及双侧股动脉吻合,关腹及股部切口。不含髂内动脉､肠系膜下动脉重建。","测压管","人工血管,特殊缝线,止血材料","次","",2200,1760,1540,"乙类","血管淋巴","停用"]
[1129,"HLK66202","腹主动脉瘤切除腹主动脉-双髂动脉人工血管置换术(Y型人工血管)","含腹主真性动脉瘤及夹层动脉瘤。连续硬膜外麻醉或全身麻醉,常规入腹,全身肝素化,控制并阻断腹主动脉及双髂动脉,结扎肠系膜下动脉,切开动脉瘤体,腹主动脉瘤切除,缝扎腰动脉,以Y型人工血管分别与腹主动脉及双侧髂动脉吻合,保留或重建至少一侧髂内动脉,关腹。不含髂内动脉､肠系膜下动脉重建。","注射器,测压管","人工血管,特殊缝线,止血材料","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1130,"HLK66203","腹主动脉瘤-髂动脉瘤切除腹主动脉-双髂动脉人工血管移植术","含腹主真性动脉瘤及夹层动脉瘤。连续硬膜外麻醉或全身麻醉,常规入腹,全身肝素化,控制并阻断腹主动脉及双髂动脉,结扎肠系膜下动脉,切开动脉瘤体,缝扎腰动脉,以Y型人工血管分别与腹主动脉及双侧髂动脉吻合,保留或重建至少一侧髂内动脉,关腹。不含髂内动脉､肠系膜下动脉重建。","测压管","人工血管,特殊缝线,止血材料","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1131,"HLK66206","腹主动脉瘤-髂动脉瘤切除腹主动脉-单侧髂股动脉人工血管移植术","含腹主真性动脉瘤及夹层动脉瘤。连续硬膜外麻醉或全身麻醉,常规入腹,股三角区纵切口,全身肝素化,控制并阻断腹主动脉及双髂动脉,打后腹膜隧道连接腹部与股部切口,结扎肠系膜下动脉,切开动脉瘤体,缝扎腰动脉及髂动脉断端,保留或重建至少一侧髂内动脉,以Y型人工血管分别与腹主动脉及髂､股动脉吻合,关腹及股部切口。不含髂内动脉､肠系膜下动脉重建。","测压管","人工血管,特殊缝线,止血材料","单侧","",2200,1760,1540,"乙类","血管淋巴","停用"]
[1132,"HLK59201","腹主动脉动脉瘤旷置术","含腹主真性动脉瘤及夹层动脉瘤。连续硬膜外麻醉或全身麻醉,常规入腹,全身肝素化,控制并缝闭腹主动脉瘤颈和/或髂动脉瘤颈,结扎肠系膜下动脉,以人工血管重建盆腔及下肢血运,关腹。","测压管","人工血管,特殊缝线,止血材料","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1133,"HLK59202","腹主动脉瘤髂动脉瘤旷置术","含腹主真性动脉瘤及夹层动脉瘤。连续硬膜外麻醉或全身麻醉,常规入腹,全身肝素化,控制并缝闭腹主动脉瘤颈和/或髂动脉瘤颈,结扎肠系膜下动脉,以人工血管重建盆腔及下肢血运,关腹。不含髂内动脉､肠系膜下动脉重建。","测压管","人工血管,特殊缝线,止血材料","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1134,"HLK83201","腹主动脉瘤成形术","含腹主真性动脉瘤及夹层动脉瘤。连续硬膜外麻醉或全身麻醉,常规入腹,全身肝素化,控制并阻断腹主动脉及双髂动脉,结扎肠系膜下动脉,折叠缩缝动脉瘤壁或以人工材料包裹､修补动脉瘤体,关腹。不含髂内动脉､肠系膜下动脉重建。","测压管,引流装置","人工血管,特殊缝线,止血材料","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1135,"HLK83202","腹主动脉瘤髂动脉瘤成形术","含腹主真性动脉瘤及夹层动脉瘤。连续硬膜外麻醉或全身麻醉,常规入腹,全身肝素化,控制并阻断腹主动脉及双髂动脉,结扎肠系膜下动脉,折叠缩缝动脉瘤壁或以人工材料包裹､修补动脉瘤体,以各类栓塞材料填注旷置瘤腔,关腹。不含髂内动脉､肠系膜下动脉重建。","测压管,引流装置","人工血管,特殊缝线,止血材料","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1136,"HLJ66303","部分胸降主动脉夹层动脉瘤人工血管替换术","开胸,建立体外循环,以人工血管替换部分胸降主动脉根据需要重建部分肋间动脉血运,关胸。不含体外循环。","引流装置","人工血管,钢丝,血液回收装置,补片,特殊缝线,止血材料","次","肋间动脉重建加收不超过90%",4000,3200,2800,"乙类","血管淋巴","停用"]
[1137,"HLK66303","肾上腹主动脉瘤人工血管置换术","全麻,腹主动脉瘤､肾动脉游离､阻断,瘤体切开,人工血管植入,内脏动脉重建,关腹。","引流装置","人工血管,特殊缝线","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1138,"HLK66302","腹主动脉假性动脉瘤切除腹主动脉人工血管置换术","连续硬膜外麻醉或全身麻醉,常规入腹,全身肝素化,控制并阻断腹主动脉及双髂动脉,结扎肠系膜下动脉,切开动脉瘤体,缝扎腰动脉,以直型人工血管分别与腹主动脉近远心端真腔吻合,关腹。不含髂内动脉､肠系膜下动脉重建。","测压管","人工血管,特殊缝线,止血材料","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1139,"HLK66204","腹主动脉瘤切除腹主动脉-单侧髂单侧股动脉人工血管置换术(Y型人工血管)","含腹主真性动脉瘤及夹层动脉瘤。连续硬膜外麻醉或全身麻醉,常规入腹,股三角区纵切口,全身肝素化,控制并阻断腹主动脉及双髂动脉,打后腹膜隧道连接腹部与股部切口,结扎肠系膜下动脉,切开动脉瘤体,缝扎腰动脉及髂动脉断端,保留或重建至少一侧髂内动脉,以Y型人工血管分别与腹主动脉及髂､股动脉吻合,关腹及股部切口。不含髂内动脉､肠系膜下动脉重建。","测压管","人工血管,特殊缝线,止血材料","单侧","",2200,1760,1540,"乙类","血管淋巴","停用"]
[1140,"HLK66307","破裂腹主动脉瘤切除腹主动脉-单侧髂股动脉人工血管置换术","连续硬膜外麻醉或全身麻醉,常规入腹,股三角区纵切口,全身肝素化,控制并阻断腹主动脉及双髂动脉,打后腹膜隧道连接腹部与股部切口,结扎肠系膜下动脉,切开动脉瘤体,缝扎腰动脉及髂动脉断端,保留或重建至少一侧髂内动脉,以Y型人工血管分别与腹主动脉及髂､股动脉吻合,关腹及股部切口。不含髂内动脉､肠系膜下动脉重建。","测压管,引流装置","人工血管,特殊缝线,止血材料","单侧","",2300,1840,1610,"乙类","血管淋巴","停用"]
[1141,"HLK66308","腹主动脉假性动脉瘤切除腹主动脉-单侧髂单侧股动脉人工血管置换术","连续硬膜外麻醉或全身麻醉,常规入腹,股三角区纵切口,全身肝素化,控制并阻断腹主动脉及双髂动脉,打后腹膜隧道连接腹部与股部切口,结扎肠系膜下动脉,切开动脉瘤体,缝扎腰动脉及髂动脉断端,保留或重建至少一侧髂内动脉,以Y型人工血管分别与腹主动脉及髂､股动脉吻合,关腹及股部切口。不含髂内动脉､肠系膜下动脉重建。","测压管,引流装置","人工血管,特殊缝线,止血材料","单侧","",2300,1840,1610,"乙类","血管淋巴","停用"]
[1142,"HLK66311","腹主动脉假性动脉瘤切除腹主动脉-股动脉人工血管置换术","连续硬膜外麻醉或全身麻醉,腹正中绕脐切口,股三角区纵切口,全身肝素化,控制并阻断腹主动脉及双髂股动脉,打后腹膜隧道连接腹部与股部切口,结扎肠系膜下动脉,切开动脉瘤体,缝扎腰动脉及髂动脉断端,保留或重建至少一侧髂内动脉,以Y型人工血管分别与腹主动脉及双侧股动脉吻合,关腹及股部切口。不含髂内动脉､肠系膜下动脉重建。","测压管,引流装置","人工血管,特殊缝线,止血材料","次","",2300,1840,1610,"乙类","血管淋巴","停用"]
[1143,"HLK66312","髂动脉假性动脉瘤切除腹主动脉-股动脉人工血管置换术","连续硬膜外麻醉或全身麻醉,腹正中绕脐切口,股三角区纵切口,全身肝素化,控制并阻断腹主动脉及髂股动脉,打后腹膜隧道连接腹部与股部切口,结扎肠系膜下动脉,切开动脉瘤体,缝扎腰动脉及髂动脉断端,以人工血管分别与腹主动脉及股动脉吻合,关腹及股部切口。不含髂内动脉､肠系膜下动脉重建。","测压管,引流装置","人工血管,特殊缝线,止血材料","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1144,"HLK66305","腹主动脉假性动脉瘤切除腹主动脉-髂动脉人工血管置换术","连续硬膜外麻醉或全身麻醉,常规入腹,全身肝素化,控制并阻断腹主动脉及双髂动脉,结扎肠系膜下动脉,切开动脉瘤体,缝扎腰动脉,以Y型人工血管分别与腹主动脉及双侧髂动脉吻合,保留或重建至少一侧髂内动脉,关腹。不含髂内动脉､肠系膜下动脉重建。","测压管,引流装置","人工血管,特殊缝线,止血材料","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1145,"HLK66306","髂动脉假性动脉瘤切除腹主动脉-髂动脉人工血管置换术","连续硬膜外麻醉或全身麻醉,常规入腹,全身肝素化,控制并阻断腹主动脉及双髂动脉,结扎肠系膜下动脉,切开动脉瘤体,缝扎腰动脉,以Y型人工血管分别与腹主动脉及双侧髂动脉吻合,保留或重建至少一侧髂内动脉,关腹。不含髂内动脉､肠系膜下动脉重建。","测压管,引流装置","人工血管,特殊缝线,止血材料","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1146,"HLK66502","腹腔镜下腹主动脉闭塞行腹主-双股(髂)动脉人工血管旁路移植术","全麻,腹腔镜下分离显露腹主动脉,保护输尿管,肽夹夹闭相关腰动脉,肝素化后阻断腹主动脉,植入人工血管,镜下单纯连续行端端吻合,腹股沟区切口显露股动脉,腹膜后引出人工血管行端侧吻合,开放阻断,彻底止血,开放窗口分层缝合。","引流装置","人工血管,腔镜材料","次","",2400,1920,1680,"乙类","血管淋巴","停用"]
[1147,"HLK83303","腹主动脉假性动脉瘤成形术","连续硬膜外麻醉或全身麻醉,常规入腹,全身肝素化,控制并阻断腹主动脉及双髂动脉,结扎肠系膜下动脉,折叠缩缝动脉瘤壁或以人工材料包裹､修补动脉瘤体,以各类栓塞材料填注旷置瘤腔,关腹。不含髂内动脉､肠系膜下动脉重建。","测压管,引流装置","修补材料,栓塞材料,特殊缝线,止血材料","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1148,"HLK80205","腹主动脉瘤Y型移植物腔内隔绝术","局部麻醉､连续硬膜外麻醉或全身麻醉,双侧腹股沟部切口,经髂股动脉途径置管,腹主动脉双髂动脉造影,测量瘤体和动脉直径。游离控制双股动脉,全身肝素化,Y型大动脉覆膜支架(支架型人工血管)植入腹主动脉,再次动脉造影评价疗效,关闭切口。不含DSA引导。","注射器,穿刺针","导管,导丝,血管鞘组,支架,特殊缝线,止血材料","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1149,"HLK80301","经腹杂交技术肾周或肾上腹主动脉瘤腔内隔绝术(逆行旁路技术)","全麻,开腹,逆行髂总动脉到内脏动脉人工血管旁路术,关腹。股动脉或肱动脉穿刺主动脉造影,股总动脉切开或穿刺,植入支架人工血管,再次造影观察效果,退出输送器,缝合股总动脉及切口。","穿刺针,引流装置","造影导管,导丝,血管鞘组,人工血管,特殊缝线","次","髂动脉入路加收不超过20%",2800,2240,1960,"乙类","血管淋巴","停用"]
[1150,"HLK80302","经腹杂交技术肾周及肾上腹主动脉瘤腔内隔绝术(顺行旁路技术)","全麻,顺行腹主动脉或降主动脉到内脏动脉人工血管旁路术,关腹。股动脉或肱动脉穿刺主动脉造影,股总动脉切开或穿刺,植入支架人工血管,再次造影观察效果,退出输送器,缝合股总动脉及切口。","穿刺针,引流装置","造影导管,导丝,血管鞘组,人工血管,特殊缝线","次","髂动脉入路加收不超过20%",2800,2240,1960,"乙类","血管淋巴","停用"]
[1151,"HLK80206","假性腹主动脉瘤Y型移植物腔内隔绝术","局部麻醉､连续硬膜外麻醉或全身麻醉,腹股沟部切口,经髂股动脉途径置管,腹主动脉双髂动脉造影､测量瘤体和动脉直径。股动脉切口,游离控制股动脉,全身肝素化,直形大动脉覆膜支架(支架型人工血管)植入腹主动脉,再次动脉造影评价疗效,关闭切口。不含DSA引导。","注射器,穿刺针","导管,导丝,血管鞘组,支架,特殊缝线,止血材料","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1152,"HLK80209","腹主动脉瘤腔内隔绝术+髂总动脉缩窄术","含直管形､分支型､一体化移植物､AUI技术。全麻,股动脉穿刺腹主动脉造影,腹膜外径路重建髂内动脉,髂总或髂外动脉切开或穿刺,植入支架人工血管,再次造影观察效果,退出输送器,缝合股总动脉及切口。","穿刺针,引流装置","造影导管,导丝,血管鞘组,人工血管,特殊缝线","次","",2200,1760,1540,"乙类","血管淋巴","停用"]
[1153,"HLK66304","肾周腹主动脉瘤人工血管置换术","全麻,腹主动脉瘤､肾动脉游离､阻断,瘤体切开,人工血管植入,肾动脉重建,关腹。","引流装置","人工血管,特殊缝线","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1154,"HL066301","破裂髂动脉瘤切除腹主动脉-双髂动脉人工血管置换术","连续硬膜外麻醉或全身麻醉,常规入腹,全身肝素化,控制并阻断腹主动脉及双髂动脉,折叠缩缝动脉瘤壁或以人工材料包裹､修补动脉瘤体,以各类栓塞材料填注旷置瘤腔,关腹。不含髂内动脉､肠系膜下动脉重建。","测压管,引流装置","人工血管,栓塞材料,特殊缝线,止血材料","次","",3700,2960,2590,"乙类","血管淋巴","停用"]
[1155,"HL066302","破裂髂动脉瘤切除腹主动脉-双股动脉人工血管置换术","连续硬膜外麻醉或全身麻醉,腹正中绕脐切口,股三角区纵切口,全身肝素化,控制并阻断腹主动脉及髂股动脉,打后腹膜隧道连接腹部与股部切口,结扎肠系膜下动脉,切开动脉瘤体,缝扎腰动脉及髂动脉断端,以人工血管分别与腹主动脉及股动脉吻合,关腹及股部切口。不含髂内动脉､肠系膜下动脉重建。","测压管,引流装置","人工血管,特殊缝线,止血材料,吻合器","次","",3700,2960,2590,"乙类","血管淋巴","停用"]
[1156,"HL066303","破裂髂动脉瘤切除腹主动脉-单侧髂股动脉人工血管置换术","连续硬膜外麻醉或全身麻醉,常规入腹,股三角区纵切口,全身肝素化,控制并阻断腹主动脉及双髂动脉,打后腹膜隧道连接腹部与股部切口,结扎肠系膜下动脉,切开动脉瘤体,缝扎腰动脉及髂动脉断端,保留或重建至少一侧髂内动脉,以Y型人工血管分别与腹主动脉及髂､股动脉吻合,关腹及股部切口。不含髂内动脉､肠系膜下动脉重建。","测压管,引流装置","人工血管,特殊缝线,止血材料,吻合器","单侧","",3700,2960,2590,"乙类","血管淋巴","停用"]
[1157,"HLB74301","胸腹主动脉瘤切除+内脏血管重建术","全麻后仰卧,开胸开腹,游离显露胸腹主动脉,游离瘤体近端和远端以及各内脏动脉主要分支,深低温,设置转流管或安置体外循环,肝素化后阻断降主动脉,切开,先行降主动脉和人工血管吻合,逐次边开放边吻合肋间､腹腔干､肠系膜上和肾动静脉､肠系膜下动静脉,最后与远端腹主动脉吻合,切除部分瘤壁,开放阻断彻底止血,放置引流,关胸关腹。","引流装置","人工血管,血液回收装置,特殊缝线","次","",4100,3280,2870,"乙类","血管淋巴","停用"]
[1158,"HLK66209","复杂腹主动脉瘤切除腹主动脉人工血管移植术","含腹主真性动脉瘤及夹层动脉瘤。含瘤颈短于1厘米,瘤体直径大于7厘米,瘤体迂曲成角大于90°,开腹手术后,炎性动脉瘤,感染性动脉瘤。连续硬膜外麻醉或全身麻醉,常规入腹,全身肝素化,控制并阻断腹主动脉及双髂动脉,结扎肠系膜下动脉,切开动脉瘤体,缝扎腰动脉,以直型人工血管分别与腹主动脉近远心端吻合,关腹。不含髂内动脉､肠系膜下动脉重建。","测压管","人工血管,特殊缝线,止血材料","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1159,"HLK66211","复杂腹主动脉瘤切除腹主动脉-股动脉人工血管移植术","含腹主真性动脉瘤及夹层动脉瘤,瘤颈短于1厘米,瘤体直径大于7厘米,瘤体迂曲成角大于90°,开腹手术后,炎性动脉瘤,感染性动脉瘤。连续硬膜外麻醉或全身麻醉,腹正中绕脐切口,股三角区纵切口,全身肝素化,控制并阻断腹主动脉及双髂股动脉,打后腹膜隧道连接腹部与股部切口,结扎肠系膜下动脉,切开动脉瘤体,缝扎腰动脉及髂动脉断端,保留或重建至少一侧髂内动脉,以Y型人工血管分别与腹主动脉及双侧股动脉吻合,关腹及股部切口。不含髂内动脉､肠系膜下动脉重建。","测压管","人工血管,特殊缝线,止血材料","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1160,"HLK66210","复杂腹主动脉瘤切除腹主动脉-髂动脉人工血管移植术","含腹主真性动脉瘤及夹层动脉瘤。含瘤颈短于1厘米,瘤体直径大于7厘米,瘤体迂曲成角大于90°,开腹手术后,炎性动脉瘤,感染性动脉瘤。连续硬膜外麻醉或全身麻醉,常规入腹,全身肝素化,控制并阻断腹主动脉及双髂动脉,结扎肠系膜下动脉,切开动脉瘤体,缝扎腰动脉,以Y型人工血管分别与腹主动脉及双侧髂动脉吻合,保留或重建至少一侧髂内动脉,关腹。不含髂内动脉､肠系膜下动脉重建。","测压管","人工血管,特殊缝线,止血材料","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1161,"HLK66310","破裂腹主动脉瘤切除腹主动脉-双股动脉人工血管置换术","连续硬膜外麻醉或全身麻醉,腹正中绕脐切口,股三角区纵切口,全身肝素化,控制并阻断腹主动脉及双髂股动脉,打后腹膜隧道连接腹部与股部切口,结扎肠系膜下动脉,切开动脉瘤体,缝扎腰动脉及髂动脉断端,保留或重建至少一侧髂内动脉,以Y型人工血管分别与腹主动脉及双侧股动脉吻合,关腹及股部切口。不含髂内动脉､肠系膜下动脉重建。","测压管,引流装置","人工血管,特殊缝线,止血材料","次","",2300,1840,1610,"乙类","血管淋巴","停用"]
[1162,"HLK66309","破裂腹主动脉瘤切除腹主动脉-双髂动脉人工血管置换术","连续硬膜外麻醉或全身麻醉,常规入腹,全身肝素化,控制并阻断腹主动脉及双髂动脉,结扎肠系膜下动脉,切开动脉瘤体,缝扎腰动脉,以Y型人工血管分别与腹主动脉及双侧髂动脉吻合,保留或重建至少一侧髂内动脉,关腹。不含髂内动脉､肠系膜下动脉重建。","测压管,引流装置","人工血管,特殊缝线,止血材料","次","",2300,1840,1610,"乙类","血管淋巴","停用"]
[1163,"HLK66205","复杂腹主动脉瘤切除腹主动脉-单侧髂单侧股动脉人工血管移植术","含腹主真性动脉瘤及夹层动脉瘤,瘤颈短于1厘米,瘤体直径大于7厘米,瘤体迂曲成角大于90°,开腹手术后,炎性动脉瘤,感染性动脉瘤。连续硬膜外麻醉或全身麻醉,常规入腹,股三角区纵切口,全身肝素化,控制并阻断腹主动脉及双髂动脉,打后腹膜隧道连接腹部与股部切口,结扎肠系膜下动脉,切开动脉瘤体,缝扎腰动脉及髂动脉断端,保留或重建至少一侧髂内动脉,以Y型人工血管分别与腹主动脉及髂､股动脉吻合,关腹及股部切口。不含髂内动脉､肠系膜下动脉重建。","测压管","人工血管,特殊缝线,止血材料","单侧","",2200,1760,1540,"乙类","血管淋巴","停用"]
[1164,"HLK66501","腹腔镜下腹主动脉瘤切除+腹主-双股(髂)动脉人工血管旁路移植术","全麻,腹腔镜下分离显露腹主动脉,保护输尿管,肽夹夹闭相关腰动脉,肝素化后阻断腹主动脉,植入人工血管,镜下单纯连续行端端吻合,腹股沟区切口显露股动脉,腹膜后引出人工血管行端侧吻合,开放阻断,彻底止血,开放窗口分层缝合。","引流装置","人工血管,腔镜材料","次","",2400,1920,1680,"乙类","血管淋巴","停用"]
[1165,"HLF73302","颈动脉体瘤切除术","颈动脉三角区弧形或T形切口,切开皮肤､皮下和颈阔肌,翻瓣,显露手术区,探查颈动脉体瘤范围和位置,仔细从颈动脉表面剥离肿瘤,不含下颌角截骨术和内固定术､颈动脉血运重建。","引流装置","特殊缝线","次","",1800,1440,1260,"乙类","血管淋巴","停用"]
[1166,"HLF73306","颈外动脉瘤切除术","经单侧颈部切口入路,分离显露控制瘤体两端,切除瘤体,结扎颈外动脉两端。","引流装置","补片,人工血管,特殊缝线","次","",2000,1600,1400,"乙类","血管淋巴","停用"]
[1167,"HLF73304","颈动脉体瘤切除动脉结扎术","颈动脉三角区弧形或T形切口,切开皮肤､皮下和颈阔肌,翻瓣,显露手术区,探查颈动脉体瘤范围和位置,仔细从颈动脉表面剥离肿瘤,肿瘤造成颈总动脉和颈内动脉破损严重,无法修补,手术当中结扎颈总动脉或颈内动脉。处理创面,缝合伤口。不含下颌角截骨术､内固定术。","引流装置","特殊缝线,止血材料","次","",2200,1760,1540,"乙类","血管淋巴","停用"]
[1168,"HLF66301","颈动脉瘤切除血管移植术","经单侧颈部切口入路,分离显露控制瘤体两端。切除瘤体(含假性动脉瘤､颈动脉体瘤等),人工血管或者自体静脉所作各种形式的转流术,必要时取自体静脉,不含自体静脉取材术。","引流装置","人工血管,颈动脉内转流管,特殊缝线","次","",3000,2400,2100,"乙类","血管淋巴","停用"]
[1169,"HLF86301","颈动脉体瘤切除转流术","颈动脉三角区弧形或T形切口,切开皮肤､皮下和颈阔肌,翻瓣,显露手术区,探查颈动脉体瘤范围和位置,仔细从颈动脉表面剥离肿瘤,结扎颈内动脉,应用人工血管或者自体静脉与结扎血管近远端行端端吻合,分层缝合切口。不含下颌角截骨术和内固定术､颈动脉血运重建､自体静脉取材术。","引流装置","人工血管,特殊缝线","次","",3000,2400,2100,"乙类","血管淋巴","停用"]
[1170,"HLF86302","颈动脉瘤切除吻合术","制迂曲动脉两端,切除迂曲部分,切除多余动脉,两剩余端直接吻合。","引流装置","补片,颈动脉内转流管,特殊缝线","次","",2300,1840,1610,"乙类","血管淋巴","停用"]
[1171,"HLF73303","颈动脉体瘤切除血管修补术","颈动脉三角区弧形或T形切口,切开皮肤､皮下和颈阔肌,翻瓣,显露手术区,探查颈动脉体瘤范围和位置,仔细从颈动脉表面剥离肿瘤,如果颈总动脉和颈内动脉有小的破损,可以用显微外科技术缝合,彻底剥离摘除颈动脉体瘤。不含下颌角截骨术和内固定术､用颈外动脉近心端和颈内动脉远心端吻合重新建立颈内动脉供血。","引流装置","特殊缝线,止血材料","次","",1600,1280,1120,"乙类","血管淋巴","停用"]
[1172,"HLF74301","巨大颈动脉体瘤切除+淋巴结清扫+血管重建术","麻醉成功后,取仰卧偏头位,颈侧切口切开皮肤､颈阔肌,仔细分离显露瘤体,注意保护压迫移位的血管和神经。充分游离至显露颈总动脉近端､颈内和颈外动脉远心端并套绕止血带,肝素化后阻断,必要时放置颈内动脉转流管,严密监测生命体征状态下摘除部分或者全部瘤体及包裹在瘤体内的血管､神经。止血并清扫颈侧至颅底的淋巴结,必要时切除腮腺､二腹肌､下颌骨,一期端端吻合重建颈总-颈内动脉通路,充分止血,放置引流,逐层关闭切口。","引流装置","人工血管,特殊缝线","次","",3300,2640,2310,"乙类","血管淋巴","停用"]
[1173,"HLF74302","颈动脉瘤切除血管重建术","经单侧颈部切口入路,分离瘤体并切除,人工血管或者自体静脉转流。不含自体静脉取材术。","引流装置","人工血管,颈动脉内转流管,特殊缝线","次","",3000,2400,2100,"乙类","血管淋巴","停用"]
[1174,"HLF73301","颈动脉假性动脉瘤切除术","经单侧颈部切口入路,分离显露控制瘤体两端,破瘤,清除积血,修补破口。","引流装置","补片,人工血管,特殊缝线","次","",1800,1440,1260,"乙类","血管淋巴","停用"]
[1175,"HLF73305","颈动脉体瘤切除颈动脉结扎术","颈动脉三角区弧形或T形切口,切开皮肤､皮下和颈阔肌,翻瓣,显露手术区,探查颈动脉体瘤范围和位置,仔细从颈动脉表面剥离肿瘤,结扎颈外(或颈内)动脉,分层缝合切口。不含下颌角截骨术和内固定术､颈动脉血运重建。","引流装置","特殊缝线","次","",2200,1760,1540,"乙类","血管淋巴","停用"]
[1176,"HLM73301","胃左动脉瘤切除术","全麻,腹部正中切口开腹,切开后腹膜,显露控制腹腔动脉､胃左动脉和动脉瘤,切除动脉瘤或旷置动脉瘤,结扎胃左动脉,放置引流管,关腹。","引流装置","特殊缝线,止血材料","次","",2500,2000,1750,"乙类","血管淋巴","停用"]
[1177,"HLM86301","胃左动脉瘤切除+胃左动脉自体大隐静脉旁路术","全麻,腹正中切口开腹,切开后腹膜,显露控制胃左动脉和动脉瘤,全身肝素化,阻断胃左动脉､切除动脉瘤,取大隐静脉与腹主动脉(或腹腔干或胃左动脉近段)端-侧吻合,另一端与胃左动脉吻合,关腹。不含自体静脉取材术。","引流装置","特殊缝线,止血材料,吻合器","次","",3300,2640,2310,"乙类","血管淋巴","停用"]
[1178,"HLM86302","胃左动脉瘤切除+胃左动脉人工血管旁路术","全麻,腹正中切口开腹,切开后腹膜,显露控制胃左动脉和动脉瘤,全身肝素化,阻断胃左动脉､切除或旷置动脉瘤,取人工血管与腹主动脉(或腹腔干或胃左动脉近段)端-侧吻合,另一端与胃左动脉吻合,关腹。","引流装置","人工血管,特殊缝线,止血材料,吻合器","次","",3300,2640,2310,"乙类","血管淋巴","停用"]
[1179,"HLL73301","腹腔干动脉瘤切除术","全麻,胸腹联合切口腹膜后途径或腹部正中切口开腹,切开后腹膜,显露控制腹腔干动脉,切除动脉瘤或旷置动脉瘤,结扎腹腔干动脉,放置引流管,关腹。","引流装置","特殊缝线,止血材料","次","",2600,2080,1820,"乙类","血管淋巴","停用"]
[1180,"HLL74301","腹腔干动脉瘤切除+腹腔干重建术","全麻,胸腹联合切口腹膜后途径或腹正中切口开腹,显露控制腹主动脉､腹腔干､分支动脉和动脉瘤,全身肝素化,阻断腹腔干､切除动脉瘤,腹腔干端-端吻合或缝合动脉破口,关腹。","引流装置","特殊缝线,止血材料","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[1181,"HLL74303","腹腔干动脉瘤切除+腹腔干人工血管间置重建术","全麻,胸腹联合切口腹膜后途径或腹正中切口开腹,显露控制腹主动脉､腹腔干､分支动脉和动脉瘤,全身肝素化,阻断腹主动脉和腹腔干､切除动脉瘤,人工血管与腹主动脉(或腹腔干近段)端-侧吻合,另一端与腹腔干动脉吻合,关腹。","引流装置","人工血管,特殊缝线,止血材料","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[1182,"HLL74302","腹腔干动脉瘤切除+腹腔干自体大隐静脉间置重建术","全麻,胸腹联合切口腹膜后途径或腹正中切口开腹,显露控制腹主动脉､腹腔干､分支动脉和动脉瘤,单侧股部纵切口,取大隐静脉,剪裁大隐静脉,肝素水灌注,全身肝素化,阻断腹腔干､切除动脉瘤,取大隐静脉与腹腔干(或一端与腹主动脉端-侧吻合)端-端吻合(2次),关腹。不含大隐静脉取材。","引流装置","特殊缝线,止血材料","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[1183,"HLS74303","脾动脉瘤切除+脾动脉自体大隐静脉间置重建术","全麻,左侧肋弓下弧行切口开腹。显露控制脾动脉和动脉瘤,单侧股部纵切口,取大隐静脉,剪裁大隐静脉,肝素水灌注,全身肝素化,阻断脾动脉,切除动脉瘤,取大隐静脉与脾动脉端-端吻合(2次),关腹。不含自体静脉取材术。","引流装置","特殊缝线,止血材料,吻合器","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[1184,"HLS75301","脾动脉瘤切除+脾切除术","全麻,左侧肋弓下弧行切口开腹,显露控制脾动脉､脾静脉和动脉瘤,切除脾脏和动脉瘤或旷置,接扎脾动､静脉,放置脾窝引流管,关腹。","引流装置","特殊缝线,止血材料","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1185,"HLS74301","脾动脉瘤切除+脾动脉重建术","全麻,左侧肋弓下弧行切口开腹,显露控制脾动脉和动脉瘤,全身肝素化,阻断脾动脉,切除动脉瘤,脾动脉端-端吻合或缝合动脉破口,关腹。","引流装置","特殊缝线,止血材料","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[1186,"HLS74302","脾动脉瘤切除+脾动脉人工血管间置重建术","全麻,左侧肋弓下弧行切口开腹,显露控制脾动脉和动脉瘤,全身肝素化,阻断脾动脉,切除动脉瘤,取人工血管与脾动脉端-端吻合(2次),关腹。","引流装置","人工血管,特殊缝线,止血材料,吻合器","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[1187,"HLP86304","肝总动脉瘤切除+肝总动脉人工血管旁路术","全麻,腹正中切口开腹或胸腹联合切口,经腹膜后,显露控制肝总动脉和动脉瘤,全身肝素化,切除动脉瘤,取人工血管与腹主动脉(或肝总动脉近段)端-侧吻合,另一端与肝总动脉吻合,关腹。","引流装置","人工血管,特殊缝线,吻合器","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1188,"HLM74301","胃左动脉瘤切除+胃左动脉重建术","全麻,腹正中切口开腹显露控制胃左动脉和动脉瘤,全身肝素化,阻断胃左动脉､切除动脉瘤,胃左动脉端-端吻合或缝合动脉破口,关腹。","引流装置","特殊缝线,止血材料,吻合器","次","",3000,2400,2100,"乙类","血管淋巴","停用"]
[1189,"HLM74303","胃左动脉瘤切除+胃左动脉人工血管间置重建术","全麻,腹正中切口开腹,切开后腹膜,显露控制胃左动脉和动脉瘤,全身肝素化,阻断胃左动脉､切除动脉瘤,取人工血管与胃左动脉端-端吻合(2次),关腹。","引流装置","人工血管,特殊缝线,止血材料,吻合器","次","",3000,2400,2100,"乙类","血管淋巴","停用"]
[1190,"HLM74302","胃左动脉瘤切除+胃左动脉自体大隐静脉间置重建术","全麻,腹正中切口开腹,切开后腹膜,显露控制胃左动脉和动脉瘤,全身肝素化,阻断胃左动脉､切除动脉瘤,取大隐静脉与胃左动脉端-端吻合(2次),关腹。不含自体静脉取材术。","引流装置","特殊缝线,止血材料,吻合器","次","",3000,2400,2100,"乙类","血管淋巴","停用"]
[1191,"HLP74301","肝总动脉瘤切除+肝总动脉重建术","全麻,腹正中切口开腹或胸腹联合切口,经腹膜后,显露控制肝总动脉和动脉瘤,全身肝素化,阻断肝总动脉,切除动脉瘤,肝总动脉端-端吻合或缝合动脉破口,关腹。","引流装置","特殊缝线,止血材料,吻合器","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1192,"HLP74303","肝总动脉瘤切除+肝总动脉人工血管间置重建术","全麻,腹正中切口开腹或胸腹联合切口,经腹膜后,显露控制肝总动脉和动脉瘤,全身肝素化,阻断肝总动脉,切除动脉瘤,取人工血管与肝总动脉端-端吻合(2次),关腹。","引流装置","人工血管,特殊缝线,止血材料,吻合器","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[1193,"HLQ74302","肝固有动脉瘤切除+肝固有动脉重建术","全麻,腹正中切口开腹显露控制肝固有动脉和动脉瘤,全身肝素化,阻断肝固有动脉､切除动脉瘤。肝固有动脉端-端吻合或缝合动脉破口,关腹。","引流装置","特殊缝线,止血材料,吻合器","次","",3100,2480,2170,"乙类","血管淋巴","停用"]
[1194,"HLQ74301","肝固有动脉瘤切除+肝固有动脉人工血管间置重建术","全麻,腹正中切口开腹,切开后腹膜。显露控制肝固有动脉和动脉瘤,全身肝素化,阻断肝固有动脉,切除动脉瘤,取人工血管与肝固有动脉端-端吻合(2次),关腹。","引流装置","人工血管,特殊缝线,止血材料,吻合器","次","",3100,2480,2170,"乙类","血管淋巴","停用"]
[1195,"HLT74301","肠系膜上动脉瘤切除+肠系膜上动脉重建术","全麻,胸腹联合切口,腹膜后途径或腹正中切口开腹,肠系膜根部显露控制肠系膜上动脉,打开后腹膜显露控制腹主动脉,全身肝素化,阻断肠系膜上动脉必要时阻断腹主动脉,切除动脉瘤,肠系膜上动脉端-端吻合或缝合动脉破口,关腹。","引流装置","特殊缝线,止血材料,吻合器","次","",3700,2960,2590,"乙类","血管淋巴","停用"]
[1196,"HLT74302","肠系膜上动脉瘤切除+肠系膜上动脉人工血管间置重建术","全麻,胸腹联合切口,腹膜后途径或腹正中切口开腹,肠系膜根部显露控制肠系膜上动脉,打开后腹膜显露控制腹主动脉,全身肝素化,阻断肠系膜上动脉必要时阻断腹主动脉,切除动脉瘤,取人工血管与肠系膜上动脉端-端吻合(或近端与腹主动脉端-侧吻合),关腹。","引流装置","人工血管,特殊缝线,止血材料,吻合器","次","",3700,2960,2590,"乙类","血管淋巴","停用"]
[1197,"HLT74303","肠系膜上动脉瘤切除+肠系膜上动脉自体大隐静脉间置重建术","全麻,胸腹联合切口,腹膜后途径或腹正中切口开腹,肠系膜根部显露控制肠系膜上动脉,打开后腹膜显露控制腹主动脉,全身肝素化,阻断肠系膜上动脉必要时阻断腹主动脉,切除动脉瘤,取自体静脉与肠系膜上动脉端-端吻合(2次)(或近端与腹主动脉端-侧吻合),关腹。不含自体静脉取材术。","引流装置","特殊缝线,止血材料,吻合器","次","",3700,2960,2590,"乙类","血管淋巴","停用"]
[1198,"HLU74301","肠系膜下动脉瘤切除+肠系膜下动脉重建术","全麻,腹正中切口开腹,打开后腹膜,显露控制肠系膜下动脉和腹主动脉,全身肝素化,阻断肠系膜下动脉,必要时阻断腹主动脉,切除动脉瘤,肠系膜下动脉端-端吻合或缝合动脉破口,必要时补片扩大成形,关腹。不含静脉取材引导。","引流装置","补片,特殊缝线,止血材料,吻合器","次","",3700,2960,2590,"乙类","血管淋巴","停用"]
[1199,"HLU74302","肠系膜下动脉瘤切除+肠系膜下动脉人工血管间置重建术","全麻,腹正中切口开腹,打开后腹膜,显露控制肠系膜下动脉和腹主动脉,全身肝素化,阻断肠系膜下动脉,必要时阻断腹主动脉,切除动脉瘤,取人工血管与肠系膜下动脉端-端吻合(或近端与腹主动脉端-侧吻合),关腹。","引流装置","人工血管,特殊缝线,止血材料,吻合器","次","",3700,2960,2590,"乙类","血管淋巴","停用"]
[1200,"HLU74303","肠系膜下动脉瘤切除+肠系膜下动脉自体大隐静脉间置重建术","全麻,腹正中切口开腹,打开后腹膜,显露控制肠系膜下动脉和腹主动脉,全身肝素化,阻断肠系膜下动脉,必要时阻断腹主动脉,切除动脉瘤,取自体静脉与肠系膜下动脉端-端吻合(2次)(或近端与腹主动脉端-侧吻合),关腹。不含自体静脉取材术。","引流装置","特殊缝线,止血材料","次","",3700,2960,2590,"乙类","血管淋巴","停用"]
[1201,"HLP59303","肝动脉栓塞术","逐层进腹,探查,游离肝门,肝动脉穿刺,注入栓塞剂,观察栓塞效果,止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,栓塞材料,特殊缝线,止血材料","次","",1500,1200,1050,"甲类","血管淋巴","停用"]
[1202,"HLP59502","经腹腔镜肝动脉栓塞术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,游离肝门,肝动脉穿刺,注入栓塞剂,观察栓塞效果,止血,置管引出固定,缝合切口。","引流装置","栓塞材料,腔镜材料","次","",1700,1360,1190,"乙类","血管淋巴","停用"]
[1203,"HLS59201","脾动脉瘤栓塞术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,脾动脉选择性造影､瘤体和动脉直径测量。弹簧圈置入瘤体,必要时明胶海绵等栓塞物栓塞,再次行动脉造影评价疗效和观察有无并发症出现。不含DSA引导。","穿刺针,注射器","导管,导丝,血管鞘组,导引导管,弹簧圈,栓塞材料","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1204,"HLB66303","全程主动脉人工血管置换术","开胸,开腹,经股动脉､腋动脉､升主动脉或其它部位动脉插管建立体外循环,深低温,采用适宜的脑保护和脊髓保护方法,以人工血管替换全程主动脉(不含主动脉瓣),并完成主动脉的分支如无名动脉､左颈总动脉､左锁骨下动脉､肋间动脉､腹腔干､左右肾动脉､肠系膜上动脉､左右髂动脉的血运重建。关胸,关腹。不含体外循环。","引流装置","人工血管,钢丝,血液回收装置,特殊缝线,止血材料","次","",4700,3760,3290,"乙类","血管淋巴","停用"]
[1205,"HLG73301","锁骨下动脉瘤切除术","锁骨上切口入路,切除瘤体,人工血管或者自体静脉转流。不含自体静脉取材术。","引流装置","人工血管,特殊缝线","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1206,"HLE73301","无名动脉瘤切除术","正中开胸入路,切除瘤体,人工血管转流。","引流装置","人工血管,特殊缝线","次","",2000,1600,1400,"乙类","血管淋巴","停用"]
[1207,"HL774301","腘窝陷迫综合征腘动脉切除重建术","全麻,俯卧或侧卧,后侧入路,游离腘动脉,切除压迫的异位肌肉或束带,切除闭塞的腘动脉,取自体大隐静脉原位重建,关闭切口。","引流装置","特殊缝线","次","",1800,1440,1260,"乙类","血管淋巴","停用"]
[1208,"HLW89301","肾血管重建术","消毒,电刀逐层切开,暴露肾脏动脉,探查肾脏动脉,找到狭窄的动脉段,阻断动脉血流,切除病变部分,血管缝合线吻合血管,松开止血的血管钳,观察血流情况,留置引流,关闭切口。","引流装置","人工血管,血管夹,特殊缝线,止血材料","次","",2600,2080,1820,"乙类","血管淋巴","停用"]
[1209,"HLL86302","腹腔干动脉瘤切除+腹腔干人工血管旁路术","全麻,胸腹联合切口腹膜后途径或腹正中切口开腹,显露控制腹主动脉､腹腔干､分支动脉和动脉瘤,全身肝素化,阻断腹主动脉和腹腔干､切除或旷置动脉瘤,人工血管与腹主动脉(或腹腔干近段)端-侧吻合,另一端与腹腔干吻合,关腹。","引流装置","人工血管,特殊缝线,止血材料,吻合器","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1210,"HLL86301","腹腔动脉瘤切除+腹腔干自体大隐静脉旁路术","全麻,胸腹联合切口腹膜后途径或腹正中切口开腹,显露控制腹主动脉､腹腔干､分支动脉和动脉瘤,单侧股部纵切口,取大隐静脉,剪裁大隐静脉,肝素水灌注,全身肝素化,阻断腹腔干､切除或旷置动脉瘤,取大隐静脉与腹主动脉(或腹腔干近段)端-侧吻合,另一端与腹腔干吻合,关腹。不含大隐静脉取材。","引流装置","特殊缝线,止血材料,吻合器","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1211,"HLK86304","腹主动脉-肠系膜上动脉人工血管旁路术","全麻,腹正中切口开腹或胸腹联合切口腹膜外途径。肠系膜根部显露控制肠系膜上动脉,打开后腹膜显露控制腹主动脉,全身肝素化,阻断肠系膜上动脉和部分阻断腹主动脉(肾下),肠系膜上动脉取栓,取闭塞段以远正常的肠系膜上动脉与腹主动脉端-端吻合。必要时动脉造影,关腹。不含动脉造影。","测压管,引流装置","人工血管,特殊缝线,止血材料","次","",2000,1600,1400,"乙类","血管淋巴","停用"]
[1212,"HL086301","单侧髂动脉闭塞主-髂动脉人工血管旁路术","连续硬膜外麻醉或全身麻醉,常规入腹,全身肝素化,控制并阻断腹主动脉及双髂动脉,以直型人工血管分别与腹主动脉及患侧髂动脉吻合,关腹。不含髂内动脉､肠系膜下动脉重建。","测压管,引流装置","人工血管,特殊缝线,止血材料,吻合器","单侧","",2900,2320,2030,"乙类","血管淋巴","停用"]
[1213,"HL086302","双侧髂动脉闭塞主-髂动脉人工血管旁路术(Y型人工血管)","连续硬膜外麻醉或全身麻醉,常规入腹,全身肝素化,控制并阻断腹主动脉及双髂动脉,以Y型人工血管分别与腹主动脉及双侧髂动脉吻合,关腹。不含髂内动脉､肠系膜下动脉重建。","测压管,引流装置","人工血管,特殊缝线,止血材料,吻合器","次","",2900,2320,2030,"乙类","血管淋巴","停用"]
[1214,"HL086303","髂股动脉闭塞腹主动脉-股动脉人工血管旁路术","连续硬膜外麻醉或全身麻醉,腹正中绕脐切口,股三角区纵切口,全身肝素化,控制并阻断腹主动脉及双髂股动脉,打后腹膜隧道连接腹部与股部切口,以人工血管分别与肾下腹主动脉及患侧股动脉吻合,关闭切口。不含髂内动脉､肠系膜下动脉重建。","测压管,引流装置","人工血管,特殊缝线,止血材料,吻合器","次","",2900,2320,2030,"乙类","血管淋巴","停用"]
[1215,"HL066201","髂动脉瘤切除人工血管置换术","含腹主真性动脉瘤及夹层动脉瘤。连续硬膜外麻醉或全身麻醉,腹正中绕脐切口,股三角区纵切口,全身肝素化,控制并阻断腹主动脉及髂股动脉,打后腹膜隧道连接腹部与股部切口,结扎肠系膜下动脉,切开动脉瘤体,缝扎腰动脉及髂动脉断端,以人工血管分别与腹主动脉及股动脉吻合,关腹及股部切口。不含髂内动脉､肠系膜下动脉重建。","测压管,引流装置","人工血管,特殊缝线,止血材料,吻合器","次","以1支血管为基价,每增加1支加收不超过50%",2700,2160,1890,"乙类","血管淋巴","停用"]
[1216,"HLJ73301","部分胸降主动脉切除术","全麻,侧开胸,以人工血管替换部分胸主动脉根据需要重建部分肋间动脉血运,关胸。","引流装置","人工血管,钢丝,血液回收装置,补片,特殊缝线,止血材料","次","肋间动脉重建加收不超过90%",3000,2400,2100,"乙类","血管淋巴","停用"]
[1217,"HLB83301","N1区主动脉夹层瘤颈成形加腔内隔绝术","局麻或全麻,开胸行升主动脉瘤颈成形,股动脉或肱动脉穿刺升主动脉造影,股总动脉切开或穿刺,植入支架人工血管,再次造影观察效果,退出输送器,缝合股总动脉及切口,关胸。","穿刺针,引流装置,注射器","造影导管,导丝,血管鞘组,人工血管,特殊缝线","次","腹主动脉或髂总动脉入路加收不超过20%",1800,1440,1260,"乙类","血管淋巴","停用"]
[1218,"HLB80301","经腹杂交技术胸腹主动脉瘤腔内隔绝术(逆行旁路技术)","全麻,开腹,逆行腹主动脉到内脏动脉人工血管旁路术,股动脉或肱动脉穿刺主动脉造影,股总动脉切开或穿刺,植入支架人工血管,再次造影观察效果,退出输送器,缝合股总动脉及切口,关腹。","穿刺针,引流装置","造影导管,导丝,血管鞘组,人工血管,特殊缝线","次","腹主动脉或髂总动脉入路加收不超过20%",2000,1600,1400,"乙类","血管淋巴","停用"]
[1219,"HLB80302","经胸腹联合杂交技术胸腹主动脉瘤腔内隔绝术(顺行旁路技术)","全麻,开胸,开腹,顺行升主动脉或降主动脉到内脏动脉人工血管旁路术,关胸,关腹。股动脉或肱动脉穿刺主动脉造影,股总动脉切开或穿刺,植入支架人工血管,再次造影观察效果,退出输送器,缝合股总动脉及切口。","穿刺针,引流装置","造影导管,导丝,血管鞘组,人工血管,特殊缝线","次","腹主动脉或髂总动脉入路加收不超过20%",2000,1600,1400,"乙类","血管淋巴","停用"]
[1220,"HLG83301","锁骨下动脉修复术","消毒铺巾,损伤局部切口,必要时切断锁骨,显露游离受损血管,静脉肝素抗凝,阻断血管,缝合,补片成形,对端吻合或人工血管自体血管间置,彻底止血冲洗后放置引流,关闭切口。不含血管探查术､自体血管取材术。","引流装置","补片,人工血管,特殊缝线,止血材料","每根血管","",2200,1760,1540,"乙类","血管淋巴","停用"]
[1221,"HLF89301","颈动脉重建术","颈动脉三角区弧形或T形切口,切开皮肤､皮下和颈阔肌,翻瓣,显露手术区,探查颈动脉因为肿瘤或者外伤造成的破坏程度,测量颈总动脉及颈内动脉破坏的长度和两端的管径,准备人工血管,与缺损区匹配,分流管分流颈内动脉血液,测量颈内动脉残端动脉压,达到要求的血压后,截断破损的颈动脉,置换成人工血管,无创伤线缝合人工血管和自体血管断端。必要时用显微外科器械和显微镜,血管内排气后,拔除分流管,加强血管吻合断端口,处理创面缝合伤口,稍加压包扎伤口。不含下颌角截骨术､内固定术。","引流装置","人工血管,颈动脉内转流管,特殊缝线,止血材料","次","",3000,2400,2100,"乙类","血管淋巴","停用"]
[1222,"HLT83301","肠系膜上动脉成形术","全麻,腹正中切口开腹。肠系膜根部显露控制肠系膜上动脉,必要时打开后腹膜显露控制腹主动脉,全身肝素化,阻断肠系膜上动脉必要时阻断腹主动脉,切开肠系膜上动脉,剥除增生的内膜,冲洗管腔,缝合动脉切口,酌情用自体静脉或人工材料补片扩大成形,观察肠管血运,关腹。不含自体静脉取材。","引流装置,冲洗液","补片,特殊缝线,止血材料","次","",2000,1600,1400,"乙类","血管淋巴","停用"]
[1223,"HLP73301","肝总动脉瘤切除+肝总动脉结扎术","全麻,腹正中切口开腹或胸腹联合切口,经腹膜后,显露控制肝总动脉和动脉瘤,切除肝总动脉瘤,接扎肝总动脉,关腹。","引流装置","特殊缝线","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1224,"HLP74302","肝总动脉瘤切除+肝总动脉自体大隐静脉间置重建术","全麻,腹正中切口开腹或胸腹联合切口,经腹膜后,显露控制肝总动脉和动脉瘤,全身肝素化,阻断肝总动脉､切除动脉瘤,取大隐静脉与肝总动脉端-端吻合(2次),关腹。不含自体静脉取材术。","引流装置","特殊缝线,止血材料,吻合器","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[1225,"HLQ73301","肝固有动脉瘤切除+肝固有动脉结扎术","全麻,腹正中切口开腹,切开后腹膜,显露控制肝固有动脉和动脉瘤,切除肝固有动脉瘤,接扎肝固有动脉,关腹。","引流装置","特殊缝线","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1226,"HLQ86301","肝固有动脉瘤旷置+肝固有动脉自体大隐静脉旁路术","全麻,腹正中切口开腹,切开后腹膜。显露控制肝固有动脉和动脉瘤,全身肝素化,阻断肝固有动脉,结扎动脉瘤,取大隐静脉与腹主动脉(或肝总动脉或肝固有动脉近段)端-侧吻合,另一端与肝固有动脉吻合,关腹。不含自体静脉取材术。","引流装置","特殊缝线,止血材料,吻合器","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1227,"HLR73301","胃十二指肠动脉动脉瘤切除术","全麻,腹正中切口开腹,显露控制胃十二指肠动脉瘤,切除,关腹。","引流装置","特殊缝线,止血材料","次","",3100,2480,2170,"乙类","血管淋巴","停用"]
[1228,"HLS86301","脾动脉瘤旷置+脾动脉人工血管旁路术","全麻,左侧肋弓下弧行切口开腹,显露控制脾动脉和动脉瘤,全身肝素化,阻断脾动脉,结扎动脉瘤,取人工血管与腹主动脉(或脾动脉近端)端-侧吻合,另一端与脾动脉吻合,关腹。","引流装置","人工血管,特殊缝线,止血材料,吻合器","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[1229,"HLS86302","脾动脉瘤切除+脾动脉人工血管旁路术","全麻,左侧肋弓下弧行切口开腹,显露控制脾动脉和动脉瘤,全身肝素化,阻断脾动脉,切除动脉瘤,取人工血管与腹主动脉(或脾动脉近端)端-侧吻合,另一端与脾动脉吻合,关腹。","引流装置","人工血管,特殊缝线,吻合器","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[1230,"HLT73301","胰十二指肠动脉动脉瘤切除术","全麻,腹正中切口开腹,显露控制胰十二指肠动脉瘤,切除,关腹。","引流装置","特殊缝线,止血材料","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[1231,"HLT73302","肠系膜上动脉瘤切除术","全麻,胸腹联合切口,腹膜后途径或腹正中切口开腹,肠系膜根部显露控制肠系膜上动脉,必要时打开后腹膜显露控制腹主动脉,全身肝素化,阻断肠系膜上动脉必要时阻断腹主动脉,切除结扎动脉瘤,关腹。","引流装置","特殊缝线","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[1232,"HLT86301","肠系膜上动脉瘤旷置+肠系膜上动脉人工血管旁路术","全麻,胸腹联合切口,腹膜后途径或腹正中切口开腹,肠系膜根部显露控制肠系膜上动脉,打开后腹膜显露控制腹主动脉,全身肝素化,阻断肠系膜上动脉必要时阻断腹主动脉,旷置动脉瘤,取人工血管与肠系膜上动脉端-侧吻合(或近端与腹主动脉端-侧吻合),人工血管另一端与肠系膜上动脉远端吻合,关腹。","引流装置","人工血管,特殊缝线,止血材料,吻合器","次","",3700,2960,2590,"乙类","血管淋巴","停用"]
[1233,"HLT86302","肠系膜上动脉瘤切除+肠系膜上动脉人工血管旁路术","全麻,胸腹联合切口,腹膜后途径或腹正中切口开腹,肠系膜根部显露控制肠系膜上动脉,打开后腹膜显露控制腹主动脉,全身肝素化,阻断肠系膜上动脉必要时阻断腹主动脉,切除动脉瘤,取人工血管与肠系膜上动脉端-侧吻合(或近端与腹主动脉端-侧吻合),人工血管另一端与肠系膜上动脉远端吻合,关腹。","引流装置","人工血管,特殊缝线,吻合器","次","",3700,2960,2590,"乙类","血管淋巴","停用"]
[1234,"HLT86303","肠系膜上动脉瘤旷置+肠系膜上动脉自体大隐静脉旁路术","全麻,胸腹联合切口,腹膜后途径或腹正中切口开腹,肠系膜根部显露控制肠系膜上动脉,必要时打开后腹膜显露控制腹主动脉,全身肝素化,阻断肠系膜上动脉必要时阻断腹主动脉,旷置动脉瘤,取自体静脉与肠系膜上动脉端-侧吻合(或近端与腹主动脉端-侧吻合),关腹。不含自体静脉取材术。","引流装置","特殊缝线,止血材料,吻合器","次","",3700,2960,2590,"乙类","血管淋巴","停用"]
[1235,"HLT86304","肠系膜上动脉瘤切除+肠系膜上动脉自体大隐静脉旁路术","全麻,胸腹联合切口,腹膜后途径或腹正中切口开腹,肠系膜根部显露控制肠系膜上动脉,必要时打开后腹膜显露控制腹主动脉,全身肝素化,阻断肠系膜上动脉必要时阻断腹主动脉,切除动脉瘤,取自体静脉与肠系膜上动脉端-侧吻合(或近端与腹主动脉端-侧吻合),关腹。不含自体静脉取材术。","引流装置","特殊缝线,吻合器","次","",3700,2960,2590,"乙类","血管淋巴","停用"]
[1236,"HLT86305","肠系膜上动脉人工血管旁路术","全麻,腹正中切口开腹。肠系膜根部显露控制肠系膜上动脉,打开后腹膜显露控制腹主动脉,全身肝素化,阻断肠系膜上动脉必要时阻断腹主动脉,取人工血管与肠系膜上动脉端-侧吻合(或近端与腹主动脉端-侧吻合),人工血管另一端与肠系膜上动脉远端正常段血管吻合,观察肠管血运,关腹。","引流装置","人工血管,特殊缝线,止血材料","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1237,"HLT86306","肠系膜上动脉自体大隐静脉旁路术","全麻,腹正中切口开腹。肠系膜根部显露控制肠系膜上动脉,必要时打开后腹膜显露控制腹主动脉,全身肝素化,阻断肠系膜上动脉必要时阻断腹主动脉,取自体静脉与肠系膜上动脉端-侧吻合(或近端与腹主动脉端-侧吻合),另一端与肠系膜上动脉远端正常段血管吻合。观察肠管血运,关腹。不含自体静脉取材术。","引流装置","特殊缝线,止血材料","次","",2000,1600,1400,"乙类","血管淋巴","停用"]
[1238,"HLU86301","肠系膜下动脉瘤旷置+肠系膜下动脉人工血管旁路术","全麻,腹正中切口开腹,打开后腹膜,显露控制肠系膜下动脉和腹主动脉,全身肝素化,阻断肠系膜下动脉,必要时阻断腹主动脉,旷置动脉瘤,取人工血管与肠系膜下动脉端-侧吻合(或近端与腹主动脉端-侧吻合),人工血管另一端与肠系膜下动脉远端吻合,关腹。","引流装置","人工血管,特殊缝线,止血材料,吻合器","次","",3700,2960,2590,"乙类","血管淋巴","停用"]
[1239,"HLU86302","肠系膜下动脉瘤切除+肠系膜下动脉人工血管旁路术","全麻,腹正中切口开腹,打开后腹膜,显露控制肠系膜下动脉和腹主动脉,全身肝素化,阻断肠系膜下动脉,必要时阻断腹主动脉,切除动脉瘤,取人工血管与肠系膜下动脉端-侧吻合(或近端与腹主动脉端-侧吻合),人工血管另一端与肠系膜下动脉远端吻合,关腹。","引流装置","人工血管,特殊缝线,吻合器","次","",3700,2960,2590,"乙类","血管淋巴","停用"]
[1240,"HLU86303","肠系膜下动脉瘤旷置+肠系膜下动脉自体大隐静脉旁路术","全麻,腹正中切口开腹,打开后腹膜,显露控制肠系膜下动脉和腹主动脉,全身肝素化,阻断肠系膜下动脉,必要时阻断腹主动脉,旷置动脉瘤,取自体静脉与肠系膜下动脉端-侧吻合(或近端与腹主动脉端-侧吻合),另一端与远端的正常段肠系膜下动脉吻合,关腹。不含自体静脉取材术。","引流装置","特殊缝线,止血材料,吻合器","次","",3700,2960,2590,"乙类","血管淋巴","停用"]
[1241,"HLW86301","肾动脉人工血管旁路术","全麻,胸腹联合切口或腹直肌旁切口､腹膜后途径,或腹正中切口,打开后腹膜。显露控制肾脏､肾动脉､肾静脉和腹主动脉(酌情控制下腔静脉)。肾脏表面覆盖冰屑降温,全身肝素化,阻断肾动脉(必要时阻断腹主动脉),取人工血管与腹主动脉(或肾动脉近端)端-侧吻合,另一端与远端正常的肾动脉吻合,关腹。肾动脉阻断过程中酌情经肾动脉灌注肾保护液､阻断肾静脉并引流保护液。","引流装置","人工血管,灌注导管,特殊缝线,止血材料,吻合器","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1242,"HLW86302","肾动脉自体大隐静脉旁路术","全麻,胸腹联合切口或腹直肌旁切口､腹膜后途径,或腹正中切口,打开后腹膜。显露控制肾脏､肾动脉､肾静脉和腹主动脉(酌情控制下腔静脉)。肾脏表面覆盖冰屑降温,全身肝素化,阻断肾动脉(必要时阻断腹主动脉),取自体静脉与腹主动脉(或肾动脉近端)端-侧吻合,另一端与远端正常肾动脉吻合,关腹。肾动脉阻断过程中酌情经肾动脉灌注肾保护液､阻断肾静脉并引流保护液。不含自体静脉取材术。","引流装置","灌注导管,特殊缝线,止血材料,吻合器","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1243,"HLW86303","肾动脉瘤旷置+肾动脉人工血管旁路术","全麻,胸腹联合切口或腹直肌旁切口､腹膜后途径,或腹正中切口,打开后腹膜。显露控制肾脏､肾动脉､肾静脉和腹主动脉。肾脏表面覆盖冰屑降温,全身肝素化,阻断肾动脉,旷置动脉瘤,取人工血管与腹主动脉(或肾动脉近端)端-侧吻合,另一端与肾动脉远端吻合,关腹。肾动脉阻断过程中酌情经肾动脉灌注肾保护液､阻断肾静脉并引流保护液。","引流装置","人工血管,灌注导管,特殊缝线,止血材料,吻合器","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1244,"HLW86304","肾动脉瘤切除+肾动脉人工血管旁路术","全麻,胸腹联合切口或腹直肌旁切口､腹膜后途径,或腹正中切口,打开后腹膜。显露控制肾脏､肾动脉､肾静脉和腹主动脉。肾脏表面覆盖冰屑降温,全身肝素化,阻断肾动脉,切除动脉瘤,取人工血管与腹主动脉(或肾动脉近端)端-侧吻合,另一端与肾动脉远端吻合,关腹。肾动脉阻断过程中酌情经肾动脉灌注肾保护液､阻断肾静脉并引流保护液。","引流装置","人工血管,灌注导管,特殊缝线,吻合器","次","",3700,2960,2590,"乙类","血管淋巴","停用"]
[1245,"HLW86305","肾动脉瘤旷置+肾动脉自体大隐静脉旁路术","全麻,胸腹联合切口或腹直肌旁切口､腹膜后途径,或腹正中切口,打开后腹膜。显露控制肾脏､肾动脉､肾静脉和腹主动脉,肾脏表面覆盖冰屑降温,全身肝素化,阻断肾动脉,旷置动脉瘤,取自体静脉与腹主动脉(或肾动脉近端)端-侧吻合,另一端与肾动脉远端吻合,关腹。肾动脉阻断过程中必要时经肾动脉灌注肾保护液､阻断肾静脉并引流保护液。不含自体静脉取材术。","引流装置","灌注导管,特殊缝线,止血材料,吻合器","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1246,"HLW86306","肾动脉瘤切除+肾动脉自体大隐静脉旁路术","全麻,胸腹联合切口或腹直肌旁切口､腹膜后途径,或腹正中切口,打开后腹膜。显露控制肾脏､肾动脉､肾静脉和腹主动脉。肾脏表面覆盖冰屑降温,全身肝素化,阻断肾动脉,切除动脉瘤,取自体静脉与腹主动脉(或肾动脉近端)端-侧吻合,另一端与肾动脉远端吻合,关腹。肾动脉阻断过程中酌情经肾动脉灌注肾保护液､阻断肾静脉并引流保护液。不含自体静脉取材术。","引流装置","灌注导管,特殊缝线,吻合器","次","",3700,2960,2590,"乙类","血管淋巴","停用"]
[1247,"HLW89302","肾动脉瘤切除自体肾移植术","全麻,胸腹联合切口或腹直肌旁切口､腹膜后途径,或腹正中切口,打开后腹膜。显露控制肾脏､肾动脉､肾静脉和腹主动脉,全身肝素化,切除或旷置结扎动脉瘤,结扎和切断肾动､静脉和输尿管。肾脏保护液灌注。将肾动､静脉分别与髂(髂内)动､静脉吻合,吻合输尿管､放置输尿管支撑导管,关腹。不含肾动脉成形术。","引流装置,肾保护液","导管,灌注导管,特殊缝线,止血材料,吻合器","次","",3700,2960,2590,"乙类","血管淋巴","停用"]
[1248,"HLX73301","生殖动脉瘤切除术","全麻,腹正中切口,打开后腹膜或腹直肌旁切口､腹膜后途径,显露控制生殖动脉,切除或旷置结扎动脉瘤,关腹。","引流装置","特殊缝线,止血材料","次","",2500,2000,1750,"乙类","血管淋巴","停用"]
[1249,"HLU86304","肠系膜下动脉瘤切除+肠系膜下动脉自体大隐静脉旁路术","全麻,腹正中切口开腹,打开后腹膜,显露控制肠系膜下动脉和腹主动脉,全身肝素化,阻断肠系膜下动脉,必要时阻断腹主动脉,切除动脉瘤,取自体静脉与肠系膜下动脉端-侧吻合(或近端与腹主动脉端-侧吻合),另一端与远端的正常段肠系膜下动脉吻合,关腹。不含自体静脉取材术。","引流装置","特殊缝线,吻合器","次","",3700,2960,2590,"乙类","血管淋巴","停用"]
[1250,"HLU73301","肠系膜下动脉瘤切除术","全麻,腹正中切口开腹,打开后腹膜,显露控制肠系膜下动脉和腹主动脉,全身肝素化,阻断肠系膜下动脉,必要时阻断腹主动脉,切除结扎动脉瘤,关腹。","引流装置","特殊缝线","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[1251,"HLU86305","肠系膜下动脉人工血管旁路术","全麻,腹正中切口开腹,打开后腹膜,显露控制肠系膜下动脉和腹主动脉,全身肝素化,阻断肠系膜下动脉,必要时阻断腹主动脉。取人工血管与肠系膜下动脉端-侧吻合(或近端与腹主动脉端-侧吻合),人工血管另一端与肠系膜下动脉远端正常段吻合,关腹。","引流装置","人工血管,特殊缝线,止血材料,吻合器","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1252,"HLU86306","肠系膜下动脉自体大隐静脉旁路术","全麻,腹正中切口开腹,打开后腹膜,显露控制肠系膜下动脉和腹主动脉,全身肝素化,阻断肠系膜下动脉,必要时阻断腹主动脉,取自体静脉与肠系膜下动脉端-侧吻合(或近端与腹主动脉端-侧吻合),另一端与远端正常的肠系膜下动脉吻合,关腹。不含自体静脉取材术。","引流装置","特殊缝线,止血材料,吻合器","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1253,"HLQ86302","肝固有动脉瘤切除+肝固有动脉自体大隐静脉旁路术","全麻,腹正中切口开腹,切开后腹膜。显露控制肝固有动脉和动脉瘤,全身肝素化,阻断肝固有动脉,切除动脉瘤,取大隐静脉与腹主动脉(或肝总动脉或肝固有动脉近段)端-侧吻合,另一端与肝固有动脉吻合,关腹。不含自体静脉取材术。","引流装置","特殊缝线,吻合器","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1254,"HLQ86303","肝固有动脉瘤旷置+肝固有动脉人工血管旁路术","全麻,腹正中切口开腹,切开后腹膜。显露控制肝固有动脉和动脉瘤。全身肝素化,阻断肝固有动脉,结扎动脉瘤,取人工血管与腹主动脉(或肝总动脉或肝固有动脉近段)端-侧吻合,另一端与肝固有动脉吻合,关腹。","引流装置","人工血管,特殊缝线,止血材料,吻合器","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1255,"HLQ86304","肝固有动脉瘤切除+肝固有动脉人工血管旁路术","全麻,腹正中切口开腹,切开后腹膜。显露控制肝固有动脉和动脉瘤,全身肝素化,阻断肝固有动脉,切除动脉瘤,取人工血管与腹主动脉(或肝总动脉或肝固有动脉近段)端-侧吻合,另一端与肝固有动脉吻合,关腹。","引流装置","人工血管,特殊缝线,吻合器","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1256,"HLP86301","肝总动脉瘤旷置+肝总动脉自体大隐静脉旁路术","全麻,腹正中切口开腹或胸腹联合切口,经腹膜后,显露控制肝总动脉和动脉瘤,全身肝素化,阻断肝总动脉､结扎。取大隐静脉与腹主动脉(或肝总动脉近端)端-侧吻合,另一端与肝总动脉吻合,关腹。不含自体静脉取材术。","引流装置","特殊缝线,止血材料,吻合器","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1257,"HLP86302","肝总动脉瘤切除+肝总动脉自体大隐静脉旁路术","全麻,腹正中切口开腹或胸腹联合切口,经腹膜后,显露控制肝总动脉和动脉瘤,全身肝素化,切除动脉瘤,取大隐静脉与腹主动脉(或肝总动脉近端)端-侧吻合,另一端与肝总动脉吻合,关腹。不含自体静脉取材术。","引流装置","特殊缝线,吻合器","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1258,"HLP86303","肝总动脉瘤旷置+肝总动脉人工血管旁路术","全麻,腹正中切口开腹或胸腹联合切口,经腹膜后,显露控制肝总动脉和动脉瘤,全身肝素化,阻断肝总动脉,结扎动脉瘤,取人工血管与腹主动脉(或肝总动脉近段)端-侧吻合,另一端与肝总动脉吻合,关腹。","引流装置","人工血管,特殊缝线,止血材料,吻合器","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1259,"HML89302","下腔静脉重建术","全麻,腹正中切口开腹,打开后腹膜,显露控制下腔,全身肝素化,阻断下腔静脉。缝合静脉破口。必要时补片扩大成形,关腹。不含静脉取材。","引流装置","补片,特殊缝线,止血材料","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1260,"HMB86302","上腔静脉综合征直行人工血管转流术","消毒铺巾,正中开胸,游离阻塞段近远端在内的上腔静脉。静脉肝素抗凝,阻断并切开阻塞远近侧上腔静脉,行人工血管近远端吻合,彻底止血后放置引流,关胸。不含病理学检查。","引流装置","人工血管,带针胸骨钢丝,特殊缝线,止血材料,吻合器","次","",2200,1760,1540,"乙类","血管淋巴","停用"]
[1261,"HMN86303","门腔静脉侧侧吻合术","逐层进腹,探查,经网膜门静脉测压,游离门静脉,游离十二指肠,显露并游离下腔静脉,行门静脉下腔静脉侧侧吻合,创面止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。不含各种断流手术。","测压管,引流装置,冲洗液","血管夹,特殊缝线,吻合器","次","",2700,2160,1890,"甲类","血管淋巴","停用"]
[1262,"HMN86304","门腔静脉端侧吻合术","逐层进腹,探查､经网膜门静脉测压,游离门静脉,游离十二指肠,显露并游离下腔静脉,切断门静脉,行门静脉远肝端下腔静脉端侧吻合,创面止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。不含各种断流手术､门静脉动脉化手术､脾切除术。","测压管,引流装置,冲洗液","血管夹,特殊缝线,吻合器","次","",2700,2160,1890,"甲类","血管淋巴","停用"]
[1263,"HNR86304","显微镜下胸导管甲状腺中静脉吻合术","平卧位,全麻后消毒铺巾,左颈部切口,切开皮肤､颈阔肌､皮下脂肪､切断胸锁乳突肌,显微镜下剪开颈动脉鞘,游离颈内静脉并牵开,于颈血管后方游离胸导管,根据胸导管及血管直径,确认需与甲状腺中静脉吻合后,无创游离甲状腺中静脉,胸导管近心端､甲状腺中静脉远心端结扎,肝素冲洗液冲洗管腔,胸导管远心端与甲状腺中静脉近心端吻合,显微镜下止血,结扎小淋巴漏口,确认无出血及淋巴漏,逐层缝合,皮肤皮内缝合,无菌敷料覆盖切口。","引流装置","特殊缝线,止血材料,吻合器","每根血管","",1900,1520,1330,"乙类","血管淋巴","停用"]
[1264,"HNR86305","显微镜下胸导管颈横静脉静脉吻合术","平卧位,全麻后消毒铺巾,左颈部切口,切开皮肤､颈阔肌､皮下脂肪､切断胸锁乳突肌,显微镜下剪开颈动脉鞘,游离颈内静脉并牵开,于颈血管后方游离胸导管,根据胸导管及血管直径,确认需与颈横静脉吻合后,无创游离颈横静脉,胸导管近心端､颈横静脉远心端结扎,肝素冲洗液冲洗管腔,胸导管远心端与颈横静脉近心端端端吻合。显微镜下止血,结扎小淋巴漏口,确认无出血及淋巴漏,逐层缝合,皮肤皮内缝合,无菌敷料覆盖切口。","引流装置","特殊缝线,止血材料,吻合器","每根血管","",1900,1520,1330,"乙类","血管淋巴","停用"]
[1265,"HNR86306","显微胸导管椎静脉吻合术","平卧位,全麻后消毒铺巾,左颈部切口,切开皮肤､颈阔肌､皮下脂肪､切断胸锁乳突肌,显微镜下剪开颈动脉鞘,游离颈内静脉并牵开,于颈血管后方游离胸导管,根据胸导管及血管直径,确认需与椎静脉吻合后,无创游离椎静脉,胸导管近心端､椎静脉远心端结扎,肝素冲洗液冲洗管腔,胸导管远心端与椎静脉近心端端端吻合,显微镜下止血,结扎小淋巴漏口,确认无出血及淋巴漏,逐层缝合,皮肤皮内缝合,无菌敷料覆盖切口。","引流装置","特殊缝线,止血材料,吻合器","每根血管","",1900,1520,1330,"乙类","血管淋巴","停用"]
[1266,"HMD73301","颈内扩张静脉切除成形术","消毒铺巾,切开颈部皮肤和皮下,游离颈内静脉,静脉肝素抗凝,阻断颈静脉,切除扩张的部分静脉壁,缝合颈静脉,彻底止血､冲洗后留置引流,分层缝合切口,无菌敷料外敷。必要时可使用各种材料包裹静脉壁。不含自体血管取材术。","引流装置","特殊缝线,止血材料","次","",1300,1040,910,"乙类","血管淋巴","停用"]
[1267,"HM489301","下肢浅组静脉动脉化重建术","消毒铺巾,下肢局部切口,游离动脉和相应位置的浅静脉,(破坏瓣膜),静脉近端与动脉吻合,彻底止血冲洗后放置引流,关闭切口。","引流装置,冲洗液","特殊缝线,止血材料","次","",800,640,560,"乙类","血管淋巴","停用"]
[1268,"HM266301","股静脉/腘静脉带瓣膜段植换术","消毒铺巾,股静脉(或腘静脉)切口,显露游离出股静脉(或腘静脉),寻找病变瓣膜,静脉肝素后,阻断并切除病变瓣膜段静脉,用人工瓣(或生物瓣或自体静脉)置换吻合,放置引流,关闭切口。不含自体血管取材术。","引流装置","心脏瓣膜,特殊缝线,止血材料","次","",2500,2000,1750,"乙类","血管淋巴","停用"]
[1269,"HM873302","四肢深静脉瘤切除术","消毒铺巾,切开患肢皮肤和皮下,游离病变静脉,静脉肝素抗凝,阻断静脉,切除静脉瘤,缝合静脉。必要时应用自体静脉(或人工血管)重建血运,彻底止血､冲洗后留置引流,分层缝合切口,无菌敷料外敷。不含自体血管取材术。","引流装置,冲洗液","人工血管,特殊缝线,止血材料","次","",1800,1440,1260,"甲类","血管淋巴","停用"]
[1270,"HMP89301","肠系膜上静脉重建术","全麻,腹正中切口开腹,肠系膜根部显露控制肠系膜上静脉,必要时打开后腹膜显露控制下腔静脉,全身肝素化,阻断肠系膜上静脉根据需要阻断下腔静脉,缝合静脉破口。必要时补片扩大成形或自体静脉间置移植重建肠系膜上静脉,关腹。不含静脉取材。","测压管,引流装置","修补材料,特殊缝线,止血材料","次","",2700,2160,1890,"乙类","血管淋巴","停用"]
[1271,"HMQ89301","肠系膜下静脉重建术","全麻,腹正中切口开腹,打开后腹膜,显露控制肠系膜下静脉,全身肝素化,阻断肠系膜下静脉,缝合静脉破口。必要时补片扩大成形,关腹。不含静脉取材。","测压管,引流装置","修补材料,特殊缝线,止血材料","次","",2200,1760,1540,"乙类","血管淋巴","停用"]
[1272,"HMR86304","脾静脉腔静脉吻合术","逐层进腹,探查,经网膜门静脉测压,脾脏切除,游离脾蒂及胰腺尾部的脾静脉近端,游离胰腺体尾部､显露并游离下腔静脉前外侧壁,行脾静脉下腔静脉端侧吻合术,创面止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。不含胰尾切除术､各种断流手术。","测压管,引流装置,冲洗液","血管夹,特殊缝线,吻合器","次","",2200,1760,1540,"甲类","血管淋巴","停用"]
[1273,"HMR89301","脾静脉重建术","全麻,左侧肋弓下弧行切口开腹或腹膜后途径。显露控制脾动脉和脾静脉,全身肝素化,阻断脾静脉,缝合静脉破口。必要时补片扩大成形或自体静脉间置移植,关腹。不含静脉取材术。","引流装置","补片,特殊缝线,止血材料","次","",2200,1760,1540,"乙类","血管淋巴","停用"]
[1274,"HMU89301","肾静脉重建术","全麻,胸腹联合切口或腹直肌旁切口､腹膜后途径,或腹正中切口,打开后腹膜。显露控制肾脏､肾动脉､肾静脉,必要时控制下腔静脉。肾脏表面覆盖冰屑降温,全身肝素化,阻断肾静脉,根据需要阻断肾动脉。缝合静脉破口,必要时补片成形,或行自体静脉间置移植术重建肾静脉,肾动脉阻断过程中酌情经肾动脉灌注肾保护液､阻断肾静脉并引流保护液,关腹。不含静脉取材。","引流装置","灌注导管,修补材料,特殊缝线,止血材料","次","",2500,2000,1750,"乙类","血管淋巴","停用"]
[1275,"HMW89301","生殖静脉重建术","全麻,腹正中切口开腹,打开后腹膜,显露控制生殖静脉,全身肝素化,阻断生殖静脉,缝合静脉破口。必要时补片扩大成形,关腹。不含静脉取材。","引流装置","补片,特殊缝线,止血材料","次","",2200,1760,1540,"乙类","血管淋巴","停用"]
[1276,"HMP86301","肠系膜上静脉下腔静脉端侧吻合术(Marion手术)","逐层进腹,探查,经网膜门静脉测压,显露游离肠系膜上静脉,显露并游离下腔静脉,切断下腔静脉,远端结扎,行近端下腔静脉肠系膜上静脉根部的端侧吻合,创面止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","测压管,引流装置,冲洗液","血管夹,特殊缝线,吻合器","次","",2400,1920,1680,"甲类","血管淋巴","停用"]
[1277,"HMP86303","肠系膜上静脉下腔静脉侧侧吻合术","逐层进腹,探查,经网膜门静脉测压,显露游离肠系膜上静脉,显露并游离下腔静脉,将两静脉侧侧吻合,创面止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","测压管,引流装置,冲洗液","血管夹,特殊缝线,吻合器","次","",2400,1920,1680,"甲类","血管淋巴","停用"]
[1278,"HMR86303","远端脾静脉肾静脉吻合术(Warren手术)","逐层进腹,探查,经网膜门静脉测压,切开胃结肠韧带,结扎冠状静脉､胃左动脉､胃网膜右动静脉､胃右动静脉,暂时阻断脾动脉,游离胰后方的脾静脉至肠系膜下静脉汇入处并切断脾静脉,游离左肾静脉,行远端脾静脉左肾静脉端侧吻合,创面止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。不含各种断流手术。","测压管,引流装置,冲洗液","血管夹,特殊缝线,吻合器","次","",2400,1920,1680,"甲类","血管淋巴","停用"]
[1279,"HM873303","内脏静脉瘤切除术","消毒铺巾,开胸(或腹),切开皮肤和皮下,游离病变静脉,静脉肝素抗凝,阻断静脉,切除静脉瘤,缝合静脉。必要时应用自体静脉(或人工血管)重建血运,彻底止血,冲洗后留置引流,分层缝合切口,无菌敷料外敷。不含自体血管取材术。","引流装置,冲洗液","人工血管,特殊缝线,止血材料","次","",2000,1600,1400,"甲类","血管淋巴","停用"]
[1280,"HLB83303","胸腹主动脉损伤修复术","开胸或开腹,必要时建立体外循环,显露损伤处主动脉根据需要直接缝合损伤处或以人工血管替换,关胸,关腹。不含体外循环。","引流装置","人工血管,钢丝,血液回收装置,特殊缝线,止血材料","次","",3000,2400,2100,"乙类","血管淋巴","停用"]
[1281,"HLK83309","腹主动脉下腔静脉修复术","连续硬膜外麻醉或全身麻醉,常规入腹,全身肝素化,控制并阻断腹主动脉､下腔静脉､髂动脉､髂静脉､肠系膜下动脉,剖开腹主动脉髂动脉或下腔静脉髂静脉,直接缝合或应用自体静脉､人工材料关闭瘘口,缝合动脉或静脉壁,关腹。不含自体血管材料取材。","测压管,引流装置","修补材料,特殊缝线,止血材料","次","",2600,2080,1820,"乙类","血管淋巴","停用"]
[1282,"HLJ83301","胸主动脉损伤修复术","全麻,胸部切口或胸腹联合切口腹膜外途径。显露控制损伤动脉,及胸腹主动脉,全身肝素化,阻断损伤动脉和部分或完全阻断胸腹主动脉,直接修复损伤动脉(或采用人工材料或自体材料修补)。必要时动脉造影,关胸。不含动脉造影､自体血管材料取材。","测压管","修补材料,特殊缝线,止血材料","次","",2400,1920,1680,"乙类","血管淋巴","停用"]
[1283,"HLK83305","腹主动脉损伤修复术","全麻,腹正中切口开腹或胸腹联合切口腹膜外途径,显露控制损伤动脉,及胸腹主动脉,全身肝素化,阻断损伤动脉和部分或完全阻断胸腹主动脉,直接修复损伤动脉或采用人工材料或自体材料修补。必要时动脉造影,关胸,关腹。不含动脉造影､自体血管材料取材。","测压管,引流装置","修补材料,特殊缝线,止血材料","次","",2300,1840,1610,"乙类","血管淋巴","停用"]
[1284,"HLK83301","腹主/髂动脉损伤修复术","全麻,腹正中切口开腹或腹膜外途径,股部切口。显露控制损伤动脉,全身肝素化,阻断损伤动脉和部分或完全阻断腹主动脉,直接修复损伤动脉或采用人工材料或自体材料修补。必要时动脉造影,关腹。不含动脉造影､自体血管材料取材。","测压管,引流装置","修补材料,特殊缝线,止血材料","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1285,"HL083205","髂动脉瘤成形术","含腹主真性动脉瘤及夹层动脉瘤。连续硬膜外麻醉或全身麻醉,常规入腹,全身肝素化,控制并阻断腹主动脉及双髂动脉,折叠缩缝动脉瘤壁或以人工材料包裹,修补动脉瘤体,以各类栓塞材料填注旷置瘤腔,关腹。不含髂内动脉､肠系膜下动脉重建。","测压管,引流装置","人工血管,特殊缝线,止血材料","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1286,"HL083206","髂动脉假性动脉瘤成形术","连续硬膜外麻醉或全身麻醉,常规入腹,全身肝素化,控制并阻断腹主动脉及双髂动脉,折叠缩缝动脉瘤壁或以人工材料包裹､修补动脉瘤体,以各类栓塞材料填注旷置瘤腔,关腹。不含髂内动脉､肠系膜下动脉重建。","测压管,引流装置","修补材料,栓塞材料,特殊缝线,止血材料","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1287,"HLJ89301","肋间动脉重建术","开胸,经股动脉､腋动脉､升主动脉或其它部位动脉插管建立体外循环,深低温停循环,成形胸降主动脉,并与人工血管吻合。完成其它部位相应手术操作后关胸。不含体外循环。","引流装置","成形环,人工血管,钢丝,特殊缝线","次","",2000,1600,1400,"乙类","血管淋巴","停用"]
[1288,"HL159301","骨盆骨折髂内动脉结扎术","消毒铺巾,切开暴露髂内动脉,给予结扎止血,冲洗缝合伤口。","引流装置","特殊缝线","次","",1600,1280,1120,"甲类","血管淋巴","停用"]
[1289,"HLF83301","颈动脉迂曲矫正术","经单侧颈部切口入路,分离显露控制迂曲动脉两端,切除迂曲部分,切除多余动脉,两剩余端直接吻合。","引流装置","补片,人工血管,特殊缝线","次","",2500,2000,1750,"乙类","血管淋巴","停用"]
[1290,"HL383305","肱动脉修复术","消毒铺巾,损伤局部切口,显露游离受损血管,静脉肝素抗凝,阻断血管,缝合,补片成形､对端吻合或人工血管自体血管间置,彻底止血冲洗后放置引流,关闭切口。不含血管探查术､自体血管取材术。","引流装置,冲洗液","人工血管,补片,特殊缝线,止血材料","每根血管","",2000,1600,1400,"乙类","血管淋巴","停用"]
[1291,"HM983303","烧伤破裂血管修补缝合术","术区皮肤消毒,显露破裂的血管,探查并确定血管破裂部位及程度,缝合修补破裂血管。","引流装置","功能性敷料,特殊缝线","每根血管","",800,640,560,"甲类","血管淋巴","停用"]
[1292,"HM989302","烧伤破裂血管移植术","术区皮肤消毒,显露破裂的血管,探查并确定血管坏死范围,清除坏死血管后用人造血管或自体血管等进行修复,创面用皮瓣修复。不含自体血管采取术。","引流装置","功能性敷料,人工血管,特殊缝线","每根血管","",1200,960,840,"乙类","血管淋巴","停用"]
[1293,"HL383301","前臂动脉修复术","消毒铺巾,创伤局部切口,显露游离受损血管,静脉肝素抗凝,阻断血管,缝合,补片成形,对端吻合或人工血管自体血管间置,彻底止血冲洗后放置引流,关闭切口。含桡动脉和尺动脉修复术。不含血管探查术､自体血管取材术。","引流装置,冲洗液","人工血管,补片,特殊缝线,止血材料","每根血管","每增加1根血管加收不超过80%",2200,1760,1540,"乙类","血管淋巴","停用"]
[1294,"HL383303","腋动脉修复术","消毒铺巾,损伤局部切口,显露游离受损血管,静脉肝素抗凝,阻断血管,缝合,补片成形､对端吻合或人工血管自体血管间置,彻底止血冲洗后放置引流,关闭切口。不含血管探查术､自体血管取材术。","引流装置,冲洗液","人工血管,补片,特殊缝线,止血材料","每根血管","",2200,1760,1540,"乙类","血管淋巴","停用"]
[1295,"HL583301","小腿动脉修复术","消毒铺巾,损伤局部切口,显露游离受损血管,静脉肝素抗凝,阻断血管,缝合､补片成形､对端吻合或人工血管自体血管间置,彻底止血冲洗后放置引流,关闭切口。含胫前动脉､胫后动脉和腓动脉修复。不含血管探查术､自体血管取材术。","引流装置","人工血管,补片,特殊缝线,止血材料","每根血管","每增加1根血管加收不超过80%",2200,1760,1540,"乙类","血管淋巴","停用"]
[1296,"HL683301","股动脉修复术","消毒铺巾,损伤局部切口,显露游离受损血管,静脉肝素抗凝,阻断血管,缝合､补片成形､对端吻合或人工血管自体血管间置,彻底止血冲洗后放置引流,关闭切口。含股总动脉､股深动脉和股浅动脉修复。不含血管探查术､自体血管取材术。","引流装置,冲洗液","人工血管,补片,特殊缝线,止血材料","每根血管","每增加1根血管加收不超过80%",2200,1760,1540,"乙类","血管淋巴","停用"]
[1297,"HL783301","腘动脉修复术","消毒铺巾,损伤局部切口,显露游离受损血管,静脉肝素抗凝,阻断血管,缝合､补片成形､对端吻合或人工血管自体血管间置,彻底止血冲洗后放置引流,关闭切口。不含血管探查术､自体血管取材术。","引流装置,冲洗液","人工血管,补片,特殊缝线,止血材料,吻合器","每根血管","",1900,1520,1330,"乙类","血管淋巴","停用"]
[1298,"HL059201","髂动脉假性动脉瘤旷置术","连续硬膜外麻醉或全身麻醉,常规入腹,全身肝素化,控制并缝闭腹主动脉瘤颈和/或髂动脉瘤颈,结扎肠系膜下动脉,以人工血管重建盆腔及下肢血运,关腹。不含髂内动脉､肠系膜下动脉重建。","测压管,引流装置","人工血管,特殊缝线,止血材料","次","",3000,2400,2100,"乙类","血管淋巴","停用"]
[1299,"HL059202","髂动脉瘤旷置术","含腹主真性动脉瘤及夹层动脉瘤。连续硬膜外麻醉或全身麻醉,常规入腹,全身肝素化,控制并缝闭腹主动脉瘤颈和/或髂动脉瘤颈,结扎肠系膜下动脉,以人工血管重建盆腔及下肢血运,关腹。不含髂内动脉､肠系膜下动脉重建。","测压管,引流装置","人工血管,特殊缝线,止血材料","次","",3000,2400,2100,"乙类","血管淋巴","停用"]
[1300,"HLP59302","肝动脉结扎术","逐层进腹,探查,游离肝门,肝动脉结扎,止血,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","",1300,1040,910,"甲类","血管淋巴","停用"]
[1301,"HLP59501","经腹腔镜肝动脉结扎术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,游离肝门,肝动脉结扎,止血,缝合伤口。","引流装置","腔镜材料","次","",1500,1200,1050,"乙类","血管淋巴","停用"]
[1302,"HLL57301","腹腔干动脉综合征中弓韧带松解术","全麻,腹正中切口开腹,显露腹腔干及中弓韧带,切断中弓韧带,关腹。","引流装置","特殊缝线,止血材料","次","",2200,1760,1540,"甲类","血管淋巴","停用"]
[1303,"HLP59301","肝总动脉瘤旷置+肝总动脉结扎术","全麻,腹正中切口开腹或胸腹联合切口,经腹膜后,显露控制肝总动脉和动脉瘤,阻断肝总动脉,结扎动脉瘤,关腹。","引流装置","特殊缝线,止血材料","次","",2500,2000,1750,"乙类","血管淋巴","停用"]
[1304,"HLQ59301","肝固有动脉瘤旷置+肝固有动脉结扎术","全麻,腹正中切口开腹,切开后腹膜,显露控制肝固有动脉和动脉瘤,接扎肝固有动脉,关腹。","引流装置","特殊缝线,止血材料","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1305,"HLT59301","肠系膜上动脉瘤旷置术","全麻,胸腹联合切口,腹膜后途径或腹正中切口开腹,肠系膜根部显露控制肠系膜上动脉,必要时打开后腹膜显露控制腹主动脉,全身肝素化,阻断肠系膜上动脉必要时阻断腹主动脉,旷置动脉瘤,关腹。","引流装置","特殊缝线,止血材料","次","",2700,2160,1890,"乙类","血管淋巴","停用"]
[1306,"HLU59301","肠系膜下动脉瘤旷置术","全麻,腹正中切口开腹,打开后腹膜,显露控制肠系膜下动脉和腹主动脉,全身肝素化,阻断肠系膜下动脉,必要时阻断腹主动脉,旷置动脉瘤,关腹。","引流装置","特殊缝线,止血材料","次","",2700,2160,1890,"乙类","血管淋巴","停用"]
[1307,"HLU89301","肠系膜下动脉重建术","全麻,腹正中切口开腹或胸腹联合切口腹膜外途径。打开后腹膜显露控制腹主动脉及肠系膜下动脉,全身肝素化,阻断肠系膜下动脉和腹主动脉(肾下),取闭塞段以远正常的肠系膜下动脉与腹主动脉端-侧吻合。必要时动脉造影。不含动脉造影,关腹。","测压管,引流装置","特殊缝线,止血材料,吻合器","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1308,"HM883301","腔静脉损伤修复术","开胸或开腹,必要时建立体外循环,显露损伤处腔静脉,根据需要直接缝合损伤处或以人工血管替换,关胸,关腹。不含体外循环。","引流装置","人工血管,钢丝,血液回收装置,补片,特殊缝线,止血材料","次","",3000,2400,2100,"乙类","血管淋巴","停用"]
[1309,"HML74301","下腔静脉血管平滑肌肉瘤切除人工血管重建术","全麻,仰卧,经腹入路,游离下腔静脉肿瘤及近远端下腔静脉,切除肿瘤,人工血管重建下腔静脉,关闭切口。","引流装置","人工血管,特殊缝线,止血材料","次","",2600,2080,1820,"乙类","血管淋巴","停用"]
[1310,"HMQ59301","肠系膜下静脉结扎术","全麻,腹正中切口开腹,打开后腹膜,显露控制肠系膜下静脉,结扎肠系膜下静脉,关腹。","测压管,引流装置","特殊缝线,止血材料","次","",1800,1440,1260,"甲类","血管淋巴","停用"]
[1311,"HMX73301","髂静脉血管平滑肌肉瘤切除术","全麻,仰卧,经腹或腹膜后径路,游离髂静脉肿瘤及近远端静脉,切除肿瘤,结扎静脉,关闭切口。","引流装置","特殊缝线,止血材料","次","",1500,1200,1050,"乙类","血管淋巴","停用"]
[1312,"HMX74301","髂静脉血管平滑肌肉瘤切除人工血管重建术","全麻,仰卧,经腹或腹膜后径路,游离髂静脉肿瘤及近远端静脉,切除肿瘤,人工血管重建髂静脉,关闭切口。","引流装置","人工血管,特殊缝线,止血材料","次","",1800,1440,1260,"乙类","血管淋巴","停用"]
[1313,"HML73301","下腔静脉血管平滑肌肉瘤切除术","全麻,仰卧,经腹入路,游离下腔静脉肿瘤及近远端下腔静脉,切除肿瘤,关闭切口。","引流装置","特殊缝线,止血材料","次","",2000,1600,1400,"乙类","血管淋巴","停用"]
[1314,"HME83301","锁骨下静脉修复术","消毒铺巾,损伤局部切口,必要时切断锁骨,显露游离受损血管,静脉肝素抗凝,阻断血管,缝合､补片成形､对端吻合或人工血管自体血管间置,彻底止血冲洗后放置引流,关闭切口。不含血管探查术､自体血管取材术。","引流装置","人工血管,补片,特殊缝线,止血材料","每根血管","",2200,1760,1540,"乙类","血管淋巴","停用"]
[1315,"HMF83302","肱静脉修复术","消毒铺巾,损伤局部切口,显露游离受损血管,静脉肝素抗凝,阻断血管,缝合､补片成形､对端吻合或人工血管自体血管间置,彻底止血冲洗后放置引流,关闭切口。不含血管探查术､自体血管取材术。","引流装置","人工血管,补片,特殊缝线,止血材料","每根血管","",1800,1440,1260,"乙类","血管淋巴","停用"]
[1316,"HMF83301","前臂静脉修复术","消毒铺巾,损伤局部切口,显露游离受损血管,静脉肝素抗凝,阻断血管,缝合､补片成形､对端吻合或人工血管自体血管间置,彻底止血冲洗后放置引流,关闭切口。含正中静脉和头静脉修复术。不含血管探查术､自体血管取材术。","引流装置","人工血管,补片,特殊缝线,止血材料","次","以1支血管为基价,每增加1支加收不超过80%",1800,1440,1260,"乙类","血管淋巴","停用"]
[1317,"HMH83301","腋静脉修复术","消毒铺巾,损伤局部切口,显露游离受损血管,静脉肝素抗凝,阻断血管,缝合､补片成形､对端吻合或人工血管自体血管间置,彻底止血冲洗后放置引流,关闭切口。不含血管探查术､自体血管取材术。","引流装置","人工血管,补片,特殊缝线,止血材料","每根血管","",2000,1600,1400,"乙类","血管淋巴","停用"]
[1318,"HM283301","股静脉修复术","消毒铺巾,损伤局部切口,显露游离受损血管,静脉肝素抗凝,阻断血管,缝合､补片成形､对端吻合或人工血管自体血管间置,彻底止血冲洗后放置引流,关闭切口。含股总静脉､股深静脉和股浅静脉修复。不含血管探查术､自体血管取材术。","引流装置,冲洗液","人工血管,补片,特殊缝线,止血材料","每根血管","每增加1根血管加收不超过80%",2000,1600,1400,"甲类","血管淋巴","停用"]
[1319,"HM383302","腘静脉修复术","消毒铺巾,损伤局部切口,显露游离受损血管,静脉肝素抗凝,阻断血管,缝合､补片成形､对端吻合或人工血管自体血管间置,彻底止血冲洗后放置引流,关闭切口。","引流装置,冲洗液","人工血管,补片,特殊缝线,止血材料","每根血管","",1350,1080,945,"甲类","血管淋巴","停用"]
[1320,"HMX83301","髂静脉修复术","消毒铺巾,损伤局部切口或开腹,显露游离受损血管,静脉肝素抗凝,阻断血管,缝合､补片成形､对端吻合或人工血管自体血管间置,彻底止血冲洗后放置引流,关闭切口。不含血管探查术､自体血管取材术。","引流装置","补片,人工血管,特殊缝线,止血材料","每根血管","",2200,1760,1540,"乙类","血管淋巴","停用"]
[1321,"HMW59301","生殖静脉结扎术","全麻,腹正中切口开腹,打开后腹膜,显露控制生殖静脉。结扎生殖静脉,关腹。","引流装置","特殊缝线,止血材料","次","",1500,1200,1050,"乙类","血管淋巴","停用"]
[1322,"HM973304","血管球瘤切除术","消毒,铺单,气囊止血带止血,切开皮肤,显露并切除肿瘤。","引流装置","特殊缝线,止血材料","次","",800,640,560,"甲类","血管淋巴","停用"]
[1323,"HML86304","布加综合征肠-颈人工血管转流术","消毒铺巾,分别行颈部切口和正中开腹。显露肠系膜上静脉和颈内静脉,在腹部和颈部切口间建立胸骨后隧道,用人工血管与肠系膜上静脉吻合后,通过隧道,人工血管与颈内静脉吻合,止血放置引流后分别关闭颈､腹部切口。","引流装置","人工血管,特殊缝线,止血材料,吻合器","次","",3000,2400,2100,"乙类","血管淋巴","停用"]
[1324,"HML86303","布加综合征肠-房人工血管转流术","消毒铺巾,开胸,开腹,显露肠系膜上静脉和右心房,在胸腹之间建立胸骨后隧道,用人工血管与肠系膜上静脉吻合后,通过隧道,人工血管与右心房吻合,放置胸闭引流和腹腔引流,分别关闭胸腹部切口。","引流装置","人工血管,带针胸骨钢丝,特殊缝线,止血材料,吻合器","次","",3000,2400,2100,"乙类","血管淋巴","停用"]
[1325,"HML86302","布加综合征腔-肠-房人工血管转流术","消毒铺巾,分别开胸,开腹,显露下腔静脉､肠系膜上静脉和右心房,在胸腹之间建立胸骨后隧道,用人工血管与肠系膜上静脉､下腔静脉依次吻合后,通过隧道,人工血管与右心房吻合,放置胸闭引流和腹腔引流,分别关闭胸腹部切口。","引流装置","人工血管,带针胸骨钢丝,特殊缝线,止血材料,吻合器","次","",3000,2400,2100,"乙类","血管淋巴","停用"]
[1326,"HML86301","布加综合征腔-房人工血管转流术","消毒铺巾,分别开胸,开腹,显露下腔静脉和右心房,在胸腹之间建立胸骨后隧道,用人工血管与下腔静脉吻合后,通过隧道,人工血管与右心房吻合,放置胸闭引流和腹腔引流后,分别关闭胸腹部切口。","引流装置","人工血管,带针胸骨钢丝,特殊缝线,止血材料,吻合器","次","",3000,2400,2100,"乙类","血管淋巴","停用"]
[1327,"HME86303","锁骨下静脉-下腔静脉人工血管转流术","消毒铺巾,颈部胸锁乳突肌前缘切口或颈前锁骨上横切口,显露游离颈内静脉或锁骨下静脉。开腹,显露游离肾下下腔静脉,开通皮下隧道,静脉肝素抗凝,行人工血管与锁骨下静脉和下腔静脉端侧吻合,止血冲洗放置引流后关闭切口。","引流装置","人工血管,特殊缝线,止血材料,吻合器","次","",2500,2000,1750,"乙类","血管淋巴","停用"]
[1328,"HML83301","布加综合征根治术","患者取侧卧位,消毒铺巾,右侧第7肋间胸腹联合切口,切开心包和膈肌,显露游离下腔静脉和肝裸区,降温停循环,阻断切开并切除肝后段下腔静脉病变,保证肝静脉通畅,补片修补或人工血管置换,复温后,彻底止血,放置引流后关闭胸腹切口。必要时送病理。不含体外循环､病理学检查。","引流装置","特殊缝线,止血材料","次","",3000,2400,2100,"乙类","血管淋巴","停用"]
[1329,"HML89301","布加综合征肝静脉流出道成形术","患者取侧卧位,消毒铺巾,右侧第7肋间胸腹联合切口,切开心包和膈肌,显露游离下腔静脉和肝裸区,球囊阻断下腔静脉远端,切开肝后段下腔静脉病变,切除部分肝组织,直至肝静脉血液流出,补片修补或人工血管置换,彻底止血,放置引流后关闭胸腹切口。必要时送切取组织病理。","引流装置","球囊扩张导管,特殊缝线,止血材料","次","",3000,2400,2100,"乙类","血管淋巴","停用"]
[1330,"HML73302","布加综合征膈膜切除术","患者取侧卧位,消毒铺巾,右侧第7肋间胸腹联合切口,切开心包和膈肌,显露游离下腔静脉,阻断下腔静脉两端,切开并切除下腔静脉隔膜,缝合静脉,彻底止血,放置引流后关闭胸腹切口。","引流装置","特殊缝线,止血材料","次","",2700,2160,1890,"甲类","血管淋巴","停用"]
[1331,"HML50301","布加综合征经右房破膜术","患者取侧卧位,消毒铺巾,右侧第4肋间切口,切开心包,显露并切开右心房,手指通过右房进入下腔静脉,手指或破膜器械穿破隔膜,缝合右房切口及心包,止血放置引流后关闭切口。","引流装置","特殊缝线,止血材料","次","",2800,2240,1960,"甲类","血管淋巴","停用"]
[1332,"HML83202","布加综合征经股静脉右房联合破膜+球囊成形术","患者取侧卧位于杂交手术室,消毒铺巾,右侧第4肋间切口,切开心包,显露并切开右心房,同时经股静脉穿刺,进入球囊扩张导管,手指通过右房进入下腔静脉,与导管会师联合破膜,充盈球囊对隔膜进行扩张,缝合右房切口及心包,彻底止血放置引流后关胸。撤除股静脉导管后弹力绷带加压包扎。","穿刺针,引流装置,注射器","导管,导丝,血管鞘组,破膜导管,球囊扩张导管,特殊缝线,止血材料","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[1333,"HML83203","布加综合征经股静脉右房联合破膜+支架成形术","患者取侧卧位于杂交手术室,消毒铺巾,右侧第4肋间切口,切开心包,显露并切开右心房,同时经股静脉穿刺,进入球囊扩张导管,手指通过右房进入下腔静脉,与导管会师联合破膜,充盈球囊对隔膜进行扩张并放置支架,缝合右房切口及心包,彻底止血放置引流后关胸,撤除股静脉导管后弹力绷带加压包扎。不含影像学引导(DSA引导)。","穿刺针,引流装置","导管,导丝,血管鞘组,破膜导管,球囊扩张导管,支架,特殊缝线,止血材料","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[1334,"HMB83301","上腔静脉取栓+补片成形术","消毒铺巾,正中开胸,游离上腔静脉,静脉肝素抗凝,阻断静脉,直视下切开取尽血栓,行病变部位补片缝合成形,彻底止血､冲洗后放置引流,关闭切口。","引流装置","取栓导管,修补材料,带针胸骨钢丝,特殊缝线,止血材料","次","",2600,2080,1820,"乙类","血管淋巴","停用"]
[1335,"HML65302","下腔静脉取栓+补片成形术","消毒铺巾,正中开腹,游离下腔静脉,静脉肝素抗凝,阻断静脉,直视下切开取尽血栓,行病变部位补片缝合成形,彻底止血､冲洗后放置引流,关闭切口。","引流装置","取栓导管,修补材料,特殊缝线,止血材料","次","",2500,2000,1750,"乙类","血管淋巴","停用"]
[1336,"HM286306","股静脉-大隐静脉原位转流术","麻醉成功后,仰卧,腹股沟和大腿上段纵切口,解剖显露股浅静脉和大隐静脉主干,肝素化后阻断目标血管,于拟吻合处切断股浅静脉和大隐静脉主干,无张力端端吻合股浅静脉远端和大隐静脉近段,开放阻断,静脉充盈通畅无漏血后逐层关闭切口。","引流装置,冲洗液","补片,特殊缝线,止血材料,吻合器","次","",1800,1440,1260,"乙类","血管淋巴","停用"]
[1337,"HM286307","股静脉-腋静脉自体大隐静脉转流术","消毒铺巾,锁骨下横切口,显露游离腋静脉。腹股沟切口,显露游离股静脉,开通皮下隧道,静脉肝素抗凝,行移植静脉与腋静脉和股静脉端侧吻合,彻底止血､冲洗后放置引流,关闭切口。不含自体大隐静脉取材术。","引流装置,冲洗液","特殊缝线,止血材料,吻合器","次","",1800,1440,1260,"乙类","血管淋巴","停用"]
[1338,"HL686305","股-腓动脉血管旁路术","消毒铺巾,取腹股沟内侧切口(或大腿内侧切口或膝上内侧切口),显露游离股动脉。小腿内侧切口或腓骨外侧切口并切除部分腓骨,显露并游离腓动脉,打通皮下及肌间隧道,静脉肝素抗凝,阻断动脉近远端,行移植段血管或人工血管与股动脉和腓动脉端侧吻合,彻底止血､冲洗并放置引流,关闭切口。","引流装置,冲洗液","人工血管,特殊缝线,止血材料,吻合器","次","",2400,1920,1680,"乙类","血管淋巴","停用"]
[1339,"HLF86303","颈总动脉-锁骨下动脉旁路移植术","全麻,锁骨上横行切口避免损伤膈神经,于斜角肌后外显露锁骨下动脉,牵开胸锁乳突肌胸骨头,显露颈动脉,阻断前全身肝素化,移植血管与两动脉先后行端-侧吻合,留置引流。","引流装置","人工血管,特殊缝线,止血材料","次","",2840,2270,1990,"乙类","血管淋巴","停用"]
[1340,"HLF86304","颈总动脉-腋动脉旁路移植术","全麻,锁骨下横行切口显露腋动脉,牵开胸锁乳突肌胸骨头,显露颈动脉。阻断前全身肝素化,移植血管与两动脉先后行端-侧吻合,留置引流。","引流装置","人工血管,特殊缝线,止血材料","次","",2840,2270,1990,"乙类","血管淋巴","停用"]
[1341,"HLF86305","右颈总动脉-左颈总动脉旁路术","全麻,双侧颈部纵切口或颈部横切口,游离双侧颈总动脉,全身肝素化,取人工血管或大隐静脉经皮下或食道后与双侧颈总动脉端侧吻合,放置引流,关闭切口。","引流装置","人工血管,特殊缝线","次","",3000,2400,2100,"乙类","血管淋巴","停用"]
[1342,"HLG86301","左锁骨下动脉-左颈内动脉旁路术","全麻,左锁骨上窝横切口及胸锁乳突肌前缘纵切口,游离左颈内(总)动脉及左锁骨下动脉,全身肝素化,取人工血管或大隐静脉经皮下或食道后于双侧颈总动脉端侧吻合,放置引流,关闭切口。","引流装置","人工血管,特殊缝线","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1343,"HLH86302","椎动脉-锁骨下动脉旁路术","颈部､锁骨上切口显露锥动脉,用自体静脉将锥动脉与锁骨下动脉连接吻合。不含自体静脉取材术。","引流装置","人工血管,特殊缝线","次","",2500,2000,1750,"乙类","血管淋巴","停用"]
[1344,"HLH86301","椎动脉-颈总动脉端侧吻合术","颈部切口入路,显露锁骨下､颈总､锥动脉,切断锥动脉,与颈总动脉端侧吻合。","引流装置","特殊缝线","次","",2500,2000,1750,"乙类","血管淋巴","停用"]
[1345,"HL686310","股-胫前/后动脉血管旁路术","消毒铺巾,取腹股沟､膝下内侧切口(或大腿内侧切口或膝上内侧),显露游离股动脉。胫前外侧切口(或小腿内侧切口),显露并游离胫前动脉(或胫后动脉)。经小腿骨间膜或皮下打通隧道,静脉肝素抗凝,阻断吻合处动脉近远端,行移植段血管或人工血管与股动脉和胫前动脉(或胫后动脉)端侧吻合,彻底止血､冲洗并放置引流,关闭切口。","引流装置,冲洗液","人工血管,特殊缝线,止血材料,吻合器","次","",2400,1920,1680,"乙类","血管淋巴","停用"]
[1346,"HL786301","腘-胫前/后动脉血管旁路术","消毒铺巾,取膝上(或下)内侧切口,显露游离腘动脉。胫前外侧切口显露并游离胫前动脉,经小腿骨间膜打通隧道,静脉肝素抗凝,阻断拟吻合处动脉近远端,行移植段血管或人工血管与腘动脉和胫前动脉端侧吻合,彻底止血､冲洗并放置引流,关闭切口。","引流装置,冲洗液","人工血管,特殊缝线,止血材料,吻合器","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1347,"HL789301","腘动脉-胫前动脉自体大隐静脉原位移植术","消毒铺巾,取膝下内侧切口,显露游离腘动脉,胫前外侧切口显露并游离胫前动脉,游离大隐静脉股动脉端和小腿部分的大隐静脉,结扎大隐静脉属支,切断大隐静脉近端与腘动脉吻合,切断踝部大隐静脉,用瓣膜刀切除瓣膜,远端大隐静脉经小腿骨间膜或皮下隧道与胫前动脉吻合,彻底止血､冲洗并放置引流,关闭切口。","引流装置,冲洗液","特殊缝线,止血材料,吻合器","次","",2400,1920,1680,"乙类","血管淋巴","停用"]
[1348,"HL789302","腘动脉-胫后动脉自体大隐静脉原位移植术","消毒铺巾,取膝上(或下)内侧切口,显露游离腘动脉,小腿内侧切口,显露并游离胫后动脉。解剖游离大隐静脉近远端,行大隐静脉瓣膜去功能化,静脉肝素抗凝,阻断阻断处动脉近远端,行移植段血管与腘动脉和胫后动脉端侧吻合,彻底止血､冲洗并放置引流,关闭切口。","引流装置,冲洗液","特殊缝线,止血材料,吻合器","次","",2400,1920,1680,"乙类","血管淋巴","停用"]
[1349,"HL789303","腘动脉-腓动脉自体大隐静脉原位移植术","消毒铺巾,取膝上(或下)内侧切口,显露游离腘动脉,小腿内侧切口或腓骨外侧切口并切除部分腓骨,显露并游离腓动脉,解剖游离大隐静脉近远端,瓣膜去功能化后,静脉肝素抗凝,阻断动脉近远端,行移植段血管与腘动脉和腓动脉端侧吻合,彻底止血､冲洗并放置引流,关闭切口。","引流装置,冲洗液","特殊缝线,止血材料,吻合器","次","",2400,1920,1680,"乙类","血管淋巴","停用"]
[1350,"HL386303","腋动脉-腋动脉旁路移植术","全麻,锁骨下横行切口避免损伤膈神经,于斜角肌后外显露腋动脉,阻断前全身肝素化,移植血管与两动脉先后行端-侧吻合,留置引流。","引流装置,冲洗液","人工血管,特殊缝线,止血材料,吻合器","次","",2600,2080,1820,"乙类","血管淋巴","停用"]
[1351,"HL686301","股股动脉耻骨上自体大隐静脉旁路术","消毒铺巾,切取足够长大隐静脉,取双腹股沟切口,显露游离双侧股动脉,经耻骨上皮下打通隧道,静脉肝素抗凝,阻断吻合处动脉近远端,行人工血管与两侧股动脉吻合,彻底止血､冲洗并放置引流,关闭切口。不含大隐静脉取材术。","引流装置,冲洗液","人工血管,特殊缝线,止血材料,吻合器","次","",2400,1920,1680,"乙类","血管淋巴","停用"]
[1352,"HL686302","股-股动脉耻骨上人工血管旁路术","消毒铺巾,双腹股沟切口,游离股动脉,做耻骨上皮下人工隧道,静脉肝素抗凝,阻断股动脉血流,股动脉切开,人工血管和双侧股动脉吻合,排气后结扎缝线,恢复血流,创口置引流管,关闭伤口。含一侧股总动脉(或股浅动脉或股深动脉)到对侧股总动脉(或股浅动脉或股深动脉)的旁路术。","引流装置","人工血管,特殊缝线,止血材料,吻合器","次","以1支血管为基价,每增加1支加收不超过80%",2400,1920,1680,"乙类","血管淋巴","停用"]
[1353,"HL686303","同侧股-股动脉人工血管旁路术","消毒铺巾,一侧腹股沟和/或大腿切口,游离待吻合股动脉段,(做皮下人工隧道),静脉肝素抗凝,阻断股动脉血流,股动脉切开,人工血管和两端股动脉段吻合,排气后结扎缝线,恢复血流,创口置引流管,关闭伤口。含同侧股总､股深､股浅之间的旁路术。","引流装置","人工血管,特殊缝线,止血材料,吻合器","次","",2400,1920,1680,"乙类","血管淋巴","停用"]
[1354,"HL686304","股动脉-腓动脉自体大隐静脉原位移植术","消毒铺巾,取腹股沟内侧切口(或大腿内侧切口或膝上内侧切口),显露游离股动脉,小腿内侧切口或腓骨外侧切口并切除部分腓骨,显露并游离腓动脉,解剖游离大隐静脉近远端,瓣膜去功能化后,静脉肝素抗凝,阻断动脉近远端,行移植段血管与股动脉和腓动脉端侧吻合,彻底止血､冲洗并放置引流,关闭切口。","引流装置,冲洗液","特殊缝线,止血材料","次","",2600,2080,1820,"乙类","血管淋巴","停用"]
[1355,"HL686306","股-膝上腘动脉血管旁路术","消毒铺巾,做腹股沟和膝上大腿内侧切口,显露并游离股动脉和腘动脉,静脉肝素抗凝,阻断动脉,行移植段自体血管或人工血管与股､腘动脉端侧吻合,开放阻断,止血,放置引流,关闭切口。","引流装置","人工血管,特殊缝线,止血材料,吻合器","次","",2400,1920,1680,"乙类","血管淋巴","停用"]
[1356,"HL686308","股-膝上腘动脉自体大隐静脉原位移植术","消毒铺巾,做腹股沟和膝内侧切口,显露并游离股动脉和腘动脉,解剖游离近远端拟吻合处大隐静脉,瓣膜去功能化,静脉肝素抗凝,阻断动脉,行相应大隐静脉与股､腘动脉端侧吻合,开放阻断,止血,放置引流,关闭切口。","引流装置","特殊缝线,止血材料,吻合器","次","",2400,1920,1680,"乙类","血管淋巴","停用"]
[1357,"HL686309","股-膝下腘动脉自体大隐静脉原位移植术","消毒铺巾,做腹股沟和膝内侧切口,显露并游离股动脉和腘动脉,解剖游离近远端拟吻合处大隐静脉,瓣膜去功能化,静脉肝素抗凝,阻断动脉,行相应大隐静脉与股､腘动脉端侧吻合,开放阻断,止血,放置引流,关闭切口。","引流装置","特殊缝线,止血材料,吻合器","次","",2400,1920,1680,"乙类","血管淋巴","停用"]
[1358,"HL689301","股-胫前/后动脉自体大隐静脉原位移植术","消毒铺巾,取腹股沟(或大腿内侧切口或膝上内侧)切口,显露游离股动脉。小腿内侧切口,显露并游离胫前/后动脉。解剖游离大隐静脉近远端,行大隐静脉瓣膜去功能化,静脉肝素抗凝,阻断阻断处动脉近远端,行移植段血管与股动脉和胫前/后动脉端侧吻合,彻底止血､冲洗并放置引流,关闭切口。","引流装置,冲洗液","特殊缝线,止血材料,吻合器","次","",2400,1920,1680,"乙类","血管淋巴","停用"]
[1359,"HL686307","股-膝下腘动脉血管旁路术","消毒铺巾,做腹股沟和膝下小腿内侧切口,显露并游离股动脉和腘动脉,静脉肝素抗凝,阻断动脉,行移植段自体血管或人工血管与股､腘动脉端侧吻合,开放阻断,止血,放置引流,关闭切口。","引流装置","人工血管,特殊缝线,止血材料,吻合器","次","",2400,1920,1680,"乙类","血管淋巴","停用"]
[1360,"HL786302","腘-腓动脉血管旁路术","消毒铺巾,取膝上(或下)内侧切口,显露游离腘动脉,小腿内侧切口或腓骨外侧切口并切除部分腓骨,显露并游离腓动脉,打通皮下及肌间隧道,静脉肝素抗凝,阻断动脉近远端,行移植段血管或人工血管与腘动脉和腓动脉端侧吻合,彻底止血､冲洗并放置引流,关闭切口。","引流装置","人工血管,特殊缝线,止血材料,吻合器","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1361,"HLC86304","升主动脉-腹主动脉旁路术","开胸,开腹,以人工血管建立旁路,关胸,关腹。","引流装置","人工血管,钢丝,血液回收装置,补片,特殊缝线,止血材料","次","",3200,2560,2240,"乙类","血管淋巴","停用"]
[1362,"HLC86302","升主动脉-颈内(总)动脉旁路术","全麻,正中开胸及胸锁乳突肌前缘纵切口,游离升主动脉及颈内(总)动脉,全身肝素化,取人工血管两端分别于升主动脉和颈动脉吻合,放置引流,关闭切口。","引流装置","人工血管,带针胸骨钢丝,特殊缝线","次","",3280,2620,2295,"乙类","血管淋巴","停用"]
[1363,"HLC86303","升主动脉-颈内动脉及锁骨下动脉旁路术","全麻,正中开胸及胸锁乳突肌前缘纵切口及锁骨上横切口,游离升主动脉及颈内(总)动脉,锁骨下动脉,全身肝素化,取人工血管两端分别于升主动脉和颈动脉,锁骨下动脉吻合,放置引流,关闭切口。","引流装置","人工血管,带针胸骨钢丝,特殊缝线","次","",4000,3200,2800,"乙类","血管淋巴","停用"]
[1364,"HLC86307","升主动脉双锁骨下动脉Y型人工血管旁路术","消毒铺巾,双锁骨上窝横切口,必要时切断锁骨,游离双锁骨下动脉(含双腋下动脉),证实双锁骨下动脉通畅。正中开胸,切开心包,游离升主动脉,静脉肝素抗凝,阻断并切开升主动脉,打通皮下隧道,Y型人工血管吻合升主动脉和双侧锁骨下动脉。放植心包､纵隔引流管,缝合心包,关胸。固定切开的锁骨､双锁骨上窝切口放植引流管,关闭切口。必要时切断锁骨,应用颅脑血管超声(TCD)监测。","引流装置","人工血管,带针胸骨钢丝,特殊缝线,止血材料","次","",3300,2640,2310,"乙类","血管淋巴","停用"]
[1365,"HLC86305","升主动脉-双腋动脉Y型人工血管-单侧颈动脉自体血管旁路术","消毒铺巾,双锁骨下外侧横切口,游离双腋动脉,证实双腋动脉通畅。正中开胸,切开心包,游离升主动脉,静脉肝素抗凝,阻断并切开升主动脉,打通皮下隧道,Y型人工血管吻合升主动脉和双侧腋动脉。探查颈动脉,证实通畅。开通皮下隧道,用自体血管行一侧腋动脉和颈动脉吻合。放植心包､纵隔引流管,缝合心包,关胸。双腋和颈部创口放植引流管,关闭切口。必要时颅脑血管超声(TCD)监测。不含自体血管取材术､颈动脉探查术。","引流装置","人工血管,带针胸骨钢丝,特殊缝线,止血材料","单侧","",3300,2640,2310,"乙类","血管淋巴","停用"]
[1366,"HLC86306","升主动脉-双腋动脉Y型人工血管旁路术","消毒铺巾,双锁骨下外侧横切口,游离双腋动脉,证实双腋动脉通畅。正中开胸,切开心包,游离升主动脉,静脉肝素抗凝,阻断并切开升主动脉,打通皮下隧道,Y型人工血管吻合升主动脉和双侧腋动脉。放植心包､纵隔引流管,缝合心包,关胸。双腋切口放植引流管,关闭切口。必要时颅脑血管超声(TCD)监测。","引流装置","人工血管,带针胸骨钢丝,特殊缝线,止血材料","次","",3300,2640,2310,"乙类","血管淋巴","停用"]
[1367,"HLC86308","升主动脉-胸主动脉旁路移植术","正中开胸或侧开胸,必要时建立体外循环,以人工血管建立旁路,关胸。","引流装置","人工血管,钢丝,血液回收装置,补片,特殊缝线,止血材料","次","",3600,2880,2520,"乙类","血管淋巴","停用"]
[1368,"HL086304","髂股动脉闭塞髂动脉-股动脉人工血管旁路术","连续硬膜外麻醉或全身麻醉,腹正中绕脐切口或患侧腹膜外切口,股三角区纵切口,全身肝素化,控制并阻断腹主动脉及患侧髂股动脉,打后腹膜隧道连接腹部与股部切口,以人工血管分别与髂动脉及患侧股动脉吻合,关闭切口。不含髂内动脉重建。","测压管,引流装置","人工血管,特殊缝线,止血材料,吻合器","次","",2900,2320,2030,"乙类","血管淋巴","停用"]
[1369,"HL386301","腋-双股动脉人工血管旁路术","消毒铺巾,患侧锁骨下外横切口,显露游离腋动脉。双腹股沟纵切口,显露分离双侧股动脉。建立皮下隧道,静脉肝素抗凝,人工血管分别与腋动脉和双侧股动脉吻合,开放阻断,彻底止血冲洗后放置引流,关闭切口。","引流装置,冲洗液","人工血管,特殊缝线,止血材料,吻合器","次","",1600,1280,1120,"乙类","血管淋巴","停用"]
[1370,"HL386302","腋-单股动脉人工血管旁路术","消毒铺巾,患侧锁骨下外横切口,显露游离腋动脉。腹股沟纵切口,显露分离股动脉。建立皮下隧道,静脉肝素抗凝,人工血管分别与腋动脉和股动脉吻合,开放阻断,彻底止血冲洗后放置引流,关闭切口。","引流装置","人工血管,特殊缝线,止血材料","次","",1400,1120,980,"乙类","血管淋巴","停用"]
[1371,"HMB86301","上腔静脉综合征Y型人工血管转流术","消毒铺巾,正中开胸,游离双侧无名静脉及上腔静脉近端,静脉肝素抗凝,阻断并切开双侧无名静脉和上腔静脉,行人工血管与双侧无名静脉和上腔静脉吻合,彻底止血后放置引流,关胸。不含病理学检查。","引流装置","人工血管,带针胸骨钢丝,特殊缝线,止血材料,吻合器","次","",2200,1760,1540,"乙类","血管淋巴","停用"]
[1372,"HMB86305","上腔静脉-股静脉人工血管转流术","消毒铺巾,正中开胸,游离阻断上腔静脉,腹股沟纵切口,游离显露股静脉,皮下建立人工血管隧道,静脉肝素抗凝,分别行人工血管与上腔静脉和股静脉吻合,止血冲洗放置引流后关闭切口。","引流装置","人工血管,带针胸骨钢丝,特殊缝线,止血材料,吻合器","次","",2800,2240,1960,"乙类","血管淋巴","停用"]
[1373,"HMB86303","上腔静脉-髂静脉人工血管转流术","消毒铺巾,正中开胸,游离阻断上腔静脉。下腹部麦氏点斜切口,钝性分离腹膜外游离显露髂静脉,皮下建立人工血管隧道,静脉肝素抗凝,分别行人工血管与上腔静脉和髂静脉吻合,止血冲洗放置引流后关闭切口。","引流装置","人工血管,带针胸骨钢丝,特殊缝线,止血材料,吻合器","次","",2200,1760,1540,"乙类","血管淋巴","停用"]
[1374,"HMX86302","双髂静脉-下腔静脉人工血管转流术","消毒铺巾,开腹,分别游离下腔静脉和双侧髂静脉,静脉肝素抗凝,阻断静脉,分别行人工血管与双侧髂静脉和下腔静脉端侧吻合,彻底止血､冲洗后放置引流,关闭切口。","引流装置","人工血管,特殊缝线,止血材料,吻合器","次","",2200,1760,1540,"乙类","血管淋巴","停用"]
[1375,"HMP86302","肠系膜上静脉下腔静脉H型分流术","逐层进腹,探查,经网膜门静脉测压,显露游离肠系膜上静脉,显露并游离下腔静脉,将人造血管与两静脉侧侧吻合,创面止血､经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","测压管,引流装置,冲洗液","人工血管,血管夹,特殊缝线,吻合器","次","",2400,1920,1680,"甲类","血管淋巴","停用"]
[1376,"HM286302","股-股静脉耻骨上血管转流术","消毒铺巾,双腹股沟切口,游离股静脉,做耻骨上皮下人工隧道,静脉肝素抗凝,阻断股静脉血流,股静脉切开,自体移植血管或人工血管和双侧股静脉吻合,排气后结扎缝线,恢复血流,彻底止血冲洗后放置引流,关闭切口。不含临时性动静脉瘘成形术。","引流装置,冲洗液","人工血管,特殊缝线,止血材料,吻合器","次","",2000,1600,1400,"乙类","血管淋巴","停用"]
[1377,"HM286301","股-股静脉自体大隐静脉耻骨上转流术","消毒铺巾,双腹股沟切口,游离股静脉和健侧大隐静脉,做耻骨上皮下人工隧道,静脉肝素抗凝,阻断并切开股静脉,自体大隐静脉通过皮下隧道和患侧股静脉吻合,排气后结扎缝线,恢复血流,彻底止血冲洗后放置引流,关闭切口。不含临时性动静脉瘘成形术。","引流装置,冲洗液","特殊缝线,止血材料,吻合器","次","",2000,1600,1400,"甲类","血管淋巴","停用"]
[1378,"HM886301","腹水静脉转流术","含腹腔—颈内静脉转流术､腹腔—颈外静脉转流术､腹腔—股(大隐)静脉转流术､腹腔锁骨下静脉转流术。腹部切口,解剖至腹横筋膜,荷包缝合,置入转流管腹腔段,作转流管放置穴位,向转流静脉方向作皮下隧道,引出转流管静脉段,切开转流静脉段皮肤,解剖游离转流静脉段,由转流静脉段向腔静脉方向置入转流管静脉段。","引流装置","转流管,特殊缝线","次","",2000,1600,1400,"乙类","血管淋巴","停用"]
[1379,"HM286303","股静脉-下腔静脉人工血管转流术","消毒铺巾,开腹,游离下腔静脉。腹股沟纵切口,游离显露股静脉,建立皮下隧道,静脉肝素抗凝,阻断静脉,分别行人工血管与股静脉和下腔静脉端侧吻合,彻底止血､冲洗后放置引流,关闭切口。","引流装置,冲洗液","人工血管,特殊缝线,止血材料,吻合器","次","",1900,1520,1330,"乙类","血管淋巴","停用"]
[1380,"HM286304","双股静脉-下腔静脉人工血管转流术","消毒铺巾,开腹,游离下腔静脉。双侧腹股沟纵切口,游离显露双股静脉。建立皮下隧道,静脉肝素抗凝,阻断静脉,分别行人工血管与双侧股静脉和下腔静脉端侧吻合,彻底止血､冲洗后放置引流,关闭切口。","引流装置,冲洗液","人工血管,特殊缝线,止血材料,吻合器","次","",2000,1600,1400,"乙类","血管淋巴","停用"]
[1381,"HMH86302","腋-股静脉自体大隐静脉转流术","消毒铺巾,胸外侧锁骨下区横切口,劈开胸大肌,切断胸小肌,游离腋静脉。踝部切口,向上游离大隐静脉直至腹股沟区,腹股沟纵切口,游离显露大隐静脉根部,皮下建立人工血管隧道,静脉肝素抗凝,行大隐静脉远端与腋静脉吻合,止血冲洗放置引流后关闭切口。不含大隐静脉取材术。","引流装置","特殊缝线,止血材料,吻合器","次","",2500,2000,1750,"乙类","血管淋巴","停用"]
[1382,"HM286305","股静脉-腋静脉人工血管转流术","消毒铺巾,锁骨下横切口,显露游离腋静脉。腹股沟切口,显露游离股静脉,开通皮下隧道,静脉肝素抗凝,行人工血管与腋静脉和股静脉端侧吻合,彻底止血､冲洗后放置引流,关闭切口。","引流装置,冲洗液","人工血管,特殊缝线,止血材料,吻合器","次","",2000,1600,1400,"乙类","血管淋巴","停用"]
[1383,"HMB86304","上腔静脉-下腔静脉人工血管转流术","消毒铺巾,正中开胸,游离阻塞上腔静脉,开腹,游离显露肾下下腔静脉,建立胸骨后人工血管隧道,静脉肝素抗凝,分别行人工血管与无名(上腔)静脉和下腔静脉吻合,止血冲洗放置引流后关闭切口。","引流装置","人工血管,带针胸骨钢丝,特殊缝线,止血材料,吻合器","次","",2200,1760,1540,"乙类","血管淋巴","停用"]
[1384,"HMC86301","无名静脉-股静脉人工血管转流术","消毒铺巾,正中开胸,游离阻断无名静脉。腹股沟纵切口,游离显露股静脉,皮下建立人工血管隧道,静脉肝素抗凝,分别行人工血管与无名静脉和股静脉吻合,止血冲洗放置引流后关闭切口。","引流装置,冲洗液","人工血管,带针胸骨钢丝,特殊缝线,止血材料,吻合器","次","",2200,1760,1540,"乙类","血管淋巴","停用"]
[1385,"HMC86302","无名静脉-髂静脉人工血管转流术","消毒铺巾,正中开胸,游离阻塞无名静脉。下腹部麦氏点斜切口,钝性分离腹膜外游离显露髂静脉,皮下建立人工血管隧道,静脉肝素抗凝,分别行人工血管与无名静脉和髂静脉吻合,止血冲洗放置引流后关闭切口。","引流装置,冲洗液","人工血管,带针胸骨钢丝,特殊缝线,止血材料,吻合器","次","",2200,1760,1540,"乙类","血管淋巴","停用"]
[1386,"HMC86303","无名静脉-下腔静脉人工血管转流术","消毒铺巾,正中开胸,游离阻塞无名静脉。开腹,游离显露肾下下腔静脉,建立胸骨后人工血管隧道,静脉肝素抗凝,分别行人工血管与无名(上腔)静脉和下腔静脉吻合,止血冲洗放置引流后关闭切口。","引流装置,冲洗液","人工血管,带针胸骨钢丝,特殊缝线,止血材料,吻合器","次","",2200,1760,1540,"乙类","血管淋巴","停用"]
[1387,"HMD86301","颈内静脉-股静脉人工血管转流术","消毒铺巾,颈部胸锁乳突肌前缘切口或颈前锁骨上横切口,显露游离颈内静脉或锁骨下静脉。腹股沟纵切口,显露游离股静脉,开通皮下隧道,静脉肝素抗凝,行人工血管与颈内静脉和股静脉端侧吻合,彻底止血后分别放置引流,关闭切口。","引流装置","人工血管,特殊缝线,止血材料,吻合器","次","",2500,2000,1750,"乙类","血管淋巴","停用"]
[1388,"HMD86303","颈内静脉-髂静脉人工血管转流术","消毒铺巾,胸锁乳突肌前缘切口,显露游离颈内静脉,下腹部麦氏点斜切口,钝性分离腹膜外游离显露髂静脉,皮下建立人工血管隧道,静脉肝素抗凝,分别行人工血管与颈内静脉和髂静脉吻合,止血冲洗放置引流后关闭切口。","引流装置","人工血管,特殊缝线,止血材料,吻合器","次","",2500,2000,1750,"乙类","血管淋巴","停用"]
[1389,"HMD86302","颈内静脉-下腔静脉人工血管转流术","消毒铺巾,颈部胸锁乳突肌前缘切口或颈前锁骨上横切口,显露游离颈内静脉或锁骨下静脉,开腹,显露游离肾下下腔静脉,开通皮下隧道,静脉肝素抗凝,行人工血管与颈内静脉和下腔静脉端侧吻合,止血冲洗放置引流后关闭切口。","引流装置","人工血管,特殊缝线,止血材料,吻合器","次","",2500,2000,1750,"乙类","血管淋巴","停用"]
[1390,"HME86302","锁骨下静脉-股静脉人工血管转流术","消毒铺巾,颈部胸锁乳突肌前缘切口或颈前锁骨上横切口,显露游离颈内静脉或锁骨下静脉。腹股沟纵切口,显露游离股静脉,开通皮下隧道,静脉肝素抗凝,行人工血管与锁骨下静脉和股静脉端侧吻合,彻底止血后分别放置引流,关闭切口。","引流装置","人工血管,特殊缝线,止血材料,吻合器","次","",2500,2000,1750,"乙类","血管淋巴","停用"]
[1391,"HMH86301","腋-股静脉人工血管转流术","消毒铺巾,胸外侧锁骨下区横切口,劈开胸大肌,切断胸小肌,游离腋静脉。腹股沟纵切口,游离显露股静脉,皮下建立人工血管隧道,静脉肝素抗凝,分别行人工血管与腋静脉和股静脉吻合,止血冲洗放置引流后关闭切口。","引流装置","人工血管,特殊缝线,止血材料,吻合器","次","",2500,2000,1750,"乙类","血管淋巴","停用"]
[1392,"HME86301","锁骨下静脉-髂静脉人工血管转流术","消毒铺巾,颈前锁骨上横切口,显露游离颈内静脉或锁骨下静脉。下腹部麦氏点斜切口,钝性分离腹膜外游离显露髂静脉,皮下建立人工血管隧道,静脉肝素抗凝,分别行人工血管与锁骨下静脉和髂静脉吻合,止血冲洗放置引流后关闭切口。","引流装置","人工血管,特殊缝线,止血材料,吻合器","次","",2500,2000,1750,"乙类","血管淋巴","停用"]
[1393,"HMR86301","脾肾静脉转流术","消毒铺巾,开腹,游离脾静脉和肾静脉,静脉肝素抗凝,阻断脾肾静脉,行近侧(或远侧)脾静脉与肾静脉端侧吻合,止血冲洗放置引流后关闭切口。不含脾切除术。","测压管,引流装置,冲洗液","特殊缝线,止血材料","次","",2800,2240,1960,"甲类","血管淋巴","停用"]
[1394,"HMX86301","髂静脉-下腔静脉人工血管转流术","消毒铺巾,开腹,分别游离下腔静脉和髂静脉,静脉肝素抗凝,阻断静脉,分别行人工血管与髂静脉和下腔静脉端侧吻合,彻底止血､冲洗后放置引流,关闭切口。","引流装置","人工血管,特殊缝线,止血材料,吻合器","次","",2000,1600,1400,"乙类","血管淋巴","停用"]
[1395,"HMS59301","经胸食管下端曲张静脉缝扎术","指Crile手术。逐层开胸,探查､游离食管下段,切开食管,缝合结扎黏膜下曲张静脉,缝合食管,创面止血,置胸腔引流管,清点器具､纱布无误,冲洗胸腔,逐层关胸。不含食管下段横断吻合术､胃底曲张静脉缝扎术。","测压管,引流装置,冲洗液","血管夹,特殊缝线","次","",2000,1600,1400,"乙类","血管淋巴","停用"]
[1396,"HMT59301","胃底曲张静脉缝扎术(Boere⁃ma手术)","逐层进腹,探查,游离胃大弯,切开胃壁浆肌层,缝扎胃底曲张静脉,缝合胃壁切口,切断结扎胃冠状静脉的食管支,创面止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹,含胃冠状静脉结扎术。不含肝活检术。","测压管,引流装置,冲洗液","血管夹,特殊缝线","次","",2000,1600,1400,"甲类","血管淋巴","停用"]
[1397,"HMT83501","经腹腔镜胃底曲张静脉缝扎术","腹壁多处戳孔,造气腹,插入观察镜,插入操作内镜,插入辅助器械,探查,游离胃大弯,切开胃壁浆肌层,缝扎胃底曲张静脉,缝合胃壁切口,切断结扎胃冠状静脉的食管支,创面止血,置管引出固定,缝合切口。","引流装置","腔镜材料","次","",2200,1760,1540,"乙类","血管淋巴","停用"]
[1398,"HLK83307","腹主动脉消化道瘘修复术","连续硬膜外麻醉或全身麻醉,常规入腹,全身肝素化,控制并阻断腹主动脉､肠系膜下动脉及肠管,直接缝合或应用自体静脉､人工材料修复动脉瘘口,切除受累消化道管腔并行自身对端吻合,关腹。不含消化道管腔切除或修补､自体血管材料取材。","测压管,引流装置","支架,修补材料,特殊缝线,止血材料","次","",2500,2000,1750,"乙类","血管淋巴","停用"]
[1399,"HL083302","髂动脉消化道瘘修复术","连续硬膜外麻醉或全身麻醉,常规入腹,全身肝素化,控制并阻断髂动脉､肠系膜下动脉及肠管,直接缝合或应用自体静脉､人工材料修复动脉瘘口,切除受累消化道管腔并行自身对端吻合,关腹。不含消化道管腔切除或修补､自体血管材料取材。","测压管,引流装置","支架,特殊缝线,止血材料,吻合器","次","",2500,2000,1750,"乙类","血管淋巴","停用"]
[1400,"HL083303","髂动脉膀胱瘘修复术","连续硬膜外麻醉或全身麻醉,常规入腹,全身肝素化,控制并阻断髂动脉､肠系膜下动脉及肠管,直接缝合或应用自体静脉､人工材料修复动脉瘘口,切除受累消化道管腔并行自身对端吻合,关腹。不含消化道管腔切除或修补､自体血管材料取材。","测压管,引流装置","支架,特殊缝线,止血材料,吻合器","次","",2500,2000,1750,"乙类","血管淋巴","停用"]
[1401,"HM283501","经血管镜股静脉瓣修复术","消毒铺巾,局麻下穿刺股静脉,进入血管镜,找到瓣膜进行缝合修复,彻底止血冲洗后放置引流,关闭切口。","引流装置,冲洗液,注射器","特殊缝线,止血材料","次","",2300,1840,1610,"乙类","血管淋巴","停用"]
[1402,"HM283302","股静脉瓣膜切开修补术","消毒铺巾,股静脉(或腘静脉)切口,显露游离出股静脉(或腘静脉),寻找病变瓣膜,静脉肝素后,阻断并切开病变处,在腔内缩缝瓣膜。然后缝合静脉,彻底止血冲洗后放置引流,关闭切口。","引流装置,冲洗液","特殊缝线,止血材料","次","",2000,1600,1400,"甲类","血管淋巴","停用"]
[1403,"HM383501","经血管镜腘静脉瓣修复术","消毒铺巾,局麻下穿刺股静脉,进入血管镜,找到瓣膜进行缝合修复,彻底止血冲洗后放置引流,关闭切口。","引流装置,冲洗液,注射器","特殊缝线,止血材料","次","",1400,1120,980,"乙类","血管淋巴","停用"]
[1404,"HM383303","腘静脉瓣膜切开修补术","消毒铺巾,股静脉(或腘静脉)切口,显露游离出股静脉(或腘静脉),寻找病变瓣膜,静脉肝素后,阻断并切开病变处,在腔内缩缝瓣膜,然后缝合静脉,彻底止血冲洗后放置引流,关闭切口。","引流装置,冲洗液","特殊缝线,止血材料","次","",1400,1120,980,"乙类","血管淋巴","停用"]
[1405,"HM262301","股静脉带戒术","消毒铺巾,股静脉切口,显露游离出股总､股深及股浅静脉,寻找病变瓣膜,用人工材料或自体血管修剪后环包于病变瓣膜,缩缝至适宜管径,彻底止血冲洗后放置引流,关闭切口。不含瓣膜修补术､自体血管取材术。","引流装置","修补材料,特殊缝线,止血材料","次","",1300,1040,910,"乙类","血管淋巴","停用"]
[1406,"HM362301","腘静脉带戒术","消毒铺巾,腘静脉切口,显露游离出腘静脉,寻找病变瓣膜,用人工材料或自体血管修剪后环包于病变瓣膜,缩缝至适宜管径,彻底止血冲洗后放置引流,关闭切口。不含瓣膜修补术､自体血管取材术。","引流装置,冲洗液","修补材料,特殊缝线,止血材料","次","",1350,1080,945,"乙类","血管淋巴","停用"]
[1407,"HLT65301","肠系膜上动脉取栓术","全麻,腹正中切口开腹,肠系膜根部显露控制肠系膜上动脉,全身肝素化,阻断肠系膜上动脉,剖开肠系膜上动脉,球囊取栓导管取出动脉内血栓,缝合动脉切口,必要时动脉造影,关腹。不含动脉造影。","测压管,引流装置","取栓导管,特殊缝线,止血材料","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1408,"HLA65301","肺动脉切开取栓术","正中切口开胸,切开心包,建立体外循环,切开肺动脉,摘除血栓,关闭切口,止血,留置引流管,关胸。","引流装置","带针胸骨钢丝,特殊缝线,止血材料","次","",3000,2400,2100,"乙类","血管淋巴","停用"]
[1409,"HLW65301","肾动脉切开取栓术","全麻,胸腹联合切口或腹直肌旁切口､腹膜后途径,或腹正中切口,打开后腹膜。显露控制肾动脉､肾静脉和腹主动脉,酌情控制下腔静脉。肾脏表面覆盖冰屑降温,全身肝素化,阻断肾动脉,切开动脉,取栓导管取栓完全,冲洗管腔,缝合肾动脉切口。必要时补片扩大成形,关腹。肾动脉阻断过程中酌情经肾动脉灌注肾保护液､阻断肾静脉并引流保护液。","引流装置","人工血管,灌注导管,补片,特殊缝线,止血材料","次","",2300,1840,1610,"乙类","血管淋巴","停用"]
[1410,"HL965301","人工血管切开取栓术","消毒铺巾,切开皮肤,游离人工血管,静脉肝素抗凝,阻断并切开人工血管,取栓导管取栓,冲洗､缝合动脉,彻底止血后放置引流,关闭切口。","引流装置,冲洗液","取栓导管,特殊缝线,止血材料","每个切口","以1个切口为基价,每增加1个加收不超过70%",2100,1680,1470,"甲类","血管淋巴","停用"]
[1411,"HLK65202","腹主动脉髂动脉内血栓切除术","局麻､连续硬膜外麻醉或全身麻醉,腹正中绕脐切口或患侧腹膜外切口,股三角区纵切口,全身肝素化,控制并阻断腹主动脉及患侧髂､股动脉,于腹主､髂､股动脉病变处切开,血栓切除,并以取栓导管向病变近远心端取栓,关闭切口。不含髂内动脉重建､肠系膜下动脉重建。","测压管,注射器","补片,特殊缝线,止血材料","次","",2500,2000,1750,"乙类","血管淋巴","停用"]
[1412,"HM865301","肢体静脉切开取栓术","消毒铺巾,切开皮肤,游离静脉,静脉肝素抗凝,阻断并切开静脉,挤压肢体远端或取栓导管取栓,冲洗､缝合静脉,彻底止血后放置引流,关闭切口。","引流装置","取栓导管,特殊缝线,止血材料","每切口","",1400,1120,980,"甲类","血管淋巴","停用"]
[1413,"HML65301","下腔静脉切开取栓术","游离阻断肝上和肝下下腔静脉,行下腔静脉切开取栓。含下腔静脉癌栓､血栓或其它栓子取出。不含需经胸进行的下腔静脉切开取栓术､自体或人工血管移植术。","引流装置","取栓导管,血管夹,特殊缝线,止血材料","次","",1800,1440,1260,"甲类","血管淋巴","停用"]
[1414,"HMN65301","门静脉切开取栓术","逐层进腹,探查,游离肝脏及肝门,游离门静脉及分支,切开门静脉取栓,缝合门静脉,创面止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置","栓塞材料,支架,血管夹,特殊缝线","次","",1900,1520,1330,"甲类","血管淋巴","停用"]
[1415,"HLP59201","经皮穿刺肝总动脉瘤栓塞术","局麻,经股动脉途径穿刺,置管,腹主动脉造影,肝总动脉选择性造影､瘤体和动脉直径测量,弹簧圈置入动脉瘤内,必要时明胶海绵等栓塞物栓塞,再次行动脉造影评价疗效和观察有无并发症出现。不含DSA引导。","穿刺针,注射器","导管,导丝,血管鞘组,导引导管,弹簧圈,栓塞材料","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1416,"HMN59301","门静脉栓塞术","逐层进腹,探查,游离肝脏及肝门,游离门静脉及分支并行门静脉栓塞,创面止血,经腹壁另戳孔置管引出固定,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置","血管夹,栓塞材料,特殊缝线,止血材料","次","",1500,1200,1050,"乙类","血管淋巴","停用"]
[1417,"HMT59201","经皮肝穿刺胃底静脉曲张栓塞术","消毒麻醉,经皮经肝穿刺门静脉肝内分支,引入导管进入门静脉造影并测压,栓塞胃底曲张静脉,拔管压迫止血或栓塞穿刺道,冲洗胶片。人工报告。不含监护。","穿刺针,注射器","导管,导丝,血管鞘组,栓塞材料","次","",1800,1440,1260,"乙类","血管淋巴","停用"]
[1418,"HMT59202","经颈内静脉穿刺肝胃底静脉曲张栓塞术","消毒麻醉,颈内穿刺,肝静脉插管造影测压,穿刺门静脉肝内分支,引入导管进入门静脉造影并测压,栓塞胃底曲张静脉,造影测压评价效果,拔管压迫止血,冲洗胶片。人工报告。不含监护。","穿刺针,注射器","导管,导丝,血管鞘组,栓塞材料","次","",1800,1440,1260,"乙类","血管淋巴","停用"]
[1419,"HL665201","股动脉内膜剥脱术","连续硬膜外麻醉或全身麻醉,腹正中绕脐切口或患侧腹膜外切口,股三角区纵切口,全身肝素化,控制并阻断腹主动脉及患侧髂股动脉,行病变处内膜剥脱,关闭切口。不含髂内动脉重建。","测压管,引流装置","补片,特殊缝线,止血材料","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1420,"HLK65201","腹主动脉内膜剥脱术","连续硬膜外麻醉或全身麻醉,腹正中绕脐切口或患侧腹膜外切口,全身肝素化,控制并阻断腹主动脉及髂股动脉,行病变处内膜剥脱,关闭切口。","测压管","补片,特殊缝线,止血材料","次","",2000,1600,1400,"乙类","血管淋巴","停用"]
[1421,"HLA65302","肺动脉内膜剥脱术","正中切口开胸,切开心包,建立体外循环,切开肺动脉,行内膜剥脱,关闭切口,止血,留置引流管,关胸。","引流装置","带针胸骨钢丝,特殊缝线,止血材料","次","",3000,2400,2100,"乙类","血管淋巴","停用"]
[1422,"HLW65302","肾动脉内膜剥脱术","全麻,胸腹联合切口或腹直肌旁切口､腹膜后途径,或腹正中切口,打开后腹膜,显露控制肾脏､肾动脉､肾静脉和腹主动脉,肾脏表面覆盖冰屑降温,全身肝素化,阻断肾动脉,必要时阻断腹主动脉,剥除增生的内膜,冲洗管腔,缝合动脉切口。根据需要行自体静脉或人工材料补片扩大成形,肾动脉阻断过程中经肾动脉灌注肾保护液､阻断肾静脉并引流保护液,关腹。不含自体静脉取材。","引流装置","补片,灌注导管,特殊缝线,止血材料","次","",2100,1680,1470,"乙类","血管淋巴","停用"]
[1423,"HL065202","髂动脉内膜剥脱术","连续硬膜外麻醉或全身麻醉,腹正中绕脐切口或患侧腹膜外切口,全身肝素化,控制并阻断腹主动脉及患侧髂股动脉,行病变处内膜剥脱,关闭切口。不含髂内动脉重建。","测压管,引流装置","补片,特殊缝线,止血材料","次","",2200,1760,1540,"乙类","血管淋巴","停用"]
[1424,"HLF83302","颈动脉瘤缩缝术","经单侧颈部切口入路,分离显露控制瘤体两端,缩缝瘤体。","引流装置","特殊缝线","次","",2500,2000,1750,"乙类","血管淋巴","停用"]
[1425,"HM189301","下肢深组静脉动脉化重建术","消毒铺巾,下肢局部切口,游离动脉和相应位置的膝上(或下)深静脉,行人工血管动脉-深静脉吻合,吻合口近端深静脉缩窄,彻底止血冲洗后放置引流,关闭切口。","引流装置","人工血管,特殊缝线,止血材料,吻合器","次","",1000,800,700,"乙类","血管淋巴","停用"]
[1426,"HM983301","临时性动静脉瘘成形术","常用于静脉转流的辅助性手术中。为保证增加静脉回流的流量和流速,应用自体原位小动静脉做桥,预置结扎线,术后视具体情况结扎关闭瘘管。","引流装置","取栓导管,特殊缝线,止血材料","次","此项为辅加操作项目",1400,1120,980,"甲类","血管淋巴","停用"]
[1427,"HM983302","自体动静脉内瘘成形术","消毒铺巾,局部切口,游离动脉和浅静脉,打通皮下隧道,行动脉和静脉分别吻合,彻底止血冲洗后,关闭切口。主要用于肾衰病人血液透析用。","引流装置,冲洗液","特殊缝线,止血材料","次","",1400,1120,980,"甲类","血管淋巴","停用"]
[1428,"HM986301","人工动静脉内瘘血管转流术","消毒铺巾,局部切口,游离动脉和浅静脉,打通皮下隧道,行人工血管与动脉和静脉分别吻合,彻底止血冲洗后,关闭切口。主要用于肾衰病人血液透析用。","冲洗液","人工血管,特殊缝线,止血材料","次","",1500,1200,1050,"甲类","血管淋巴","停用"]
[1429,"HM959302","人工动静脉瘘切除重造术","消毒铺巾,局部切口,游离动静脉瘘,结扎瘘口,彻底止血冲洗后放置引流,关闭切口。主要用于肾衰病人血液透析用。","引流装置,冲洗液","人工血管,特殊缝线,止血材料","次","",1600,1280,1120,"乙类","血管淋巴","停用"]
[1430,"HM973305","先天性动静脉瘘切除术","消毒铺巾,局部切口,显露分离动静脉瘘,结扎或缝合瘘口,切除动静脉异常交通支,开放阻断证实修补成功后彻底止血冲洗后放置引流,关闭切口。","引流装置","补片,特殊缝线,止血材料","次","",1700,1360,1190,"甲类","血管淋巴","停用"]
[1431,"HL383302","前臂动脉创伤性动静脉瘘修补术","消毒铺巾,创伤局部切口,游离动静脉瘘两端血管,静脉肝素抗凝,阻断动静脉,缝合结扎切断瘘口。必要时行人工血管或自体血管修复动静脉,彻底止血冲洗后放置引流,关闭切口。含桡动脉和尺动脉动静脉瘘修补。不含自体血管取材术。","引流装置,冲洗液","人工血管,补片,特殊缝线,止血材料","次","以1支血管为基价,每增加1支加收不超过80%",2400,1920,1680,"乙类","血管淋巴","停用"]
[1432,"HM959301","临时动静脉瘘二期结扎术","麻醉成功后,沿原切口切开并显露动静脉瘘,在拟结扎瘘口处套绕丝线,双重结扎。关闭切口。","","","次","",1400,1120,980,"甲类","血管淋巴","停用"]
[1433,"HLF83303","颈动脉创伤性动静脉瘘修补术","消毒铺巾,创伤或胸锁乳突肌前缘切口,游离动静脉瘘两端血管,静脉肝素抗凝,阻断动静脉,缝合结扎切断瘘口。必要时行人工血管或自体血管修复动静脉,可考虑放置临时性转流和TCD术中监测,彻底止血冲洗后放置引流,关闭切口。不含自体血管取材术､放置临时性转流､TCD术中监测。","引流装置","人工血管,补片,特殊缝线,止血材料","次","",2300,1840,1610,"乙类","血管淋巴","停用"]
[1434,"HLG83302","锁骨下动脉创伤性动静脉瘘修补术","消毒铺巾,腹股沟切口显露股动脉,穿刺股动脉,留置导鞘,导丝引导下覆膜支架到达创伤部位,定位释放支架,球囊扩张使之贴附。造影显示封闭完全后撤除导丝,拔出鞘管,缝合动脉穿刺处。创口逐层缝合,必要时补片修补。","穿刺针","导管,导丝,血管鞘组,球囊扩张导管,支架,封堵器,特殊缝线","次","以1个支架为基价,每增加1个加收不超过50%",2400,1920,1680,"乙类","血管淋巴","停用"]
[1435,"HL083203","经皮穿刺髂动脉创伤性动静脉瘘修补术","消毒铺巾,腹股沟切口显露股动脉,穿刺股动脉,留置导鞘,导丝引导下覆膜支架到达创伤部位,定位释放支架,球囊扩张使之贴附,造影显示封闭完全后撤除导丝,拔出鞘管,缝合动脉穿刺处,创口逐层缝合,必要时补片修补。","穿刺针","导管,导丝,血管鞘组,球囊扩张导管,支架,封堵器,特殊缝线","次","以1个支架为基价,每增加1个加收不超过50%",2800,2240,1960,"乙类","血管淋巴","停用"]
[1436,"HL083204","髂动脉创伤性动静脉瘘修补术","消毒铺巾,创伤局部或下腹大麦氏切口,游离动静脉瘘两端血管,静脉肝素抗凝,阻断动静脉,缝合结扎切断瘘口。必要时行人工血管或自体血管修复动静脉,彻底止血冲洗后放置引流,关闭切口。不含自体血管取材术。","引流装置","人工血管,补片,特殊缝线,止血材料","次","",2300,1840,1610,"乙类","血管淋巴","停用"]
[1437,"HL383306","肱动脉创伤性动静脉瘘修补术","消毒铺巾,腹股沟切口显露股动脉,或腋切口显露同侧腋动脉,穿刺动脉,留置导鞘,导丝引导下覆膜支架到达创伤部位,定位释放支架,球囊扩张使之贴附。造影显示封闭完全后撤除导丝,拔出鞘管,缝合动脉穿刺处。创口逐层缝合,必要时补片修补。","穿刺针","导管,导丝,血管鞘组,球囊扩张导管,支架,封堵器,特殊缝线","次","以1个支架为基价,每增加1个加收不超过50%",2400,1920,1680,"乙类","血管淋巴","停用"]
[1438,"HL383304","腋动脉创伤性动静脉瘘修补术","消毒铺巾,创伤局部切口或锁骨下缘,游离动静脉瘘两端血管,静脉肝素抗凝,阻断动静脉,缝合结扎切断瘘口。必要时行人工血管或自体血管修复动静脉,彻底止血冲洗后放置引流,关闭切口。不含自体血管取材术。","引流装置,冲洗液","人工血管,补片,特殊缝线,止血材料","次","",2400,1920,1680,"乙类","血管淋巴","停用"]
[1439,"HL583302","小腿动脉创伤性动静脉瘘修补术","消毒铺巾,创伤局部切口,游离动静脉瘘两端血管,静脉肝素抗凝,阻断动静脉,缝合结扎切断瘘口。必要时行人工血管或自体血管修复动静脉,彻底止血冲洗后放置引流,关闭切口。含胫前动脉､胫后动脉和腓动脉动静脉瘘修补术。不含自体血管取材术。","引流装置","人工血管,补片,特殊缝线,止血材料","次","以1支血管为基价,每增加1支加收不超过80%;2个及以上瘘口加收不超过80%",2400,1920,1680,"乙类","血管淋巴","停用"]
[1440,"HL683302","股动脉创伤性动静脉瘘修补术","消毒铺巾,创伤局部或腹股沟切口,游离动静脉瘘两端血管,静脉肝素抗凝,阻断动静脉,缝合结扎切断瘘口。必要时行人工血管或自体血管修复动静脉,彻底止血冲洗后放置引流,关闭切口。不含自体血管取材术。","引流装置,冲洗液","人工血管,补片,特殊缝线,止血材料","次","以1支血管为基价,每增加1支加收不超过80%",2400,1920,1680,"乙类","血管淋巴","停用"]
[1441,"HL783302","腘动脉创伤性动静脉瘘修补术","消毒铺巾,创伤局部切口,游离动静脉瘘两端血管,静脉肝素抗凝,阻断动静脉,缝合结扎切断瘘口。必要时行人工血管或自体血管修复动静脉,彻底止血冲洗后放置引流,关闭切口。不含自体血管取材术。","引流装置,冲洗液","人工血管,补片,特殊缝线,止血材料","次","2个及以上瘘口加收不超过80%",2100,1680,1470,"乙类","血管淋巴","停用"]
[1442,"HLJ83303","胸主动脉上腔静脉瘘修复术","连续硬膜外麻醉或全身麻醉,常规开胸,全身肝素化,控制并阻断胸主动脉､上腔静脉,剖开胸主动脉､上腔静脉,直接缝合或应用自体静脉､人工材料关闭瘘口,缝合动脉或静脉壁,关胸。不含自体血管材料取材。","测压管","修补材料,特殊缝线,止血材料","次","",2500,2000,1750,"乙类","血管淋巴","停用"]
[1443,"HLJ83302","胸主动脉创伤性动静脉瘘修补术","消毒铺巾,腹股沟切口显露股动脉,穿刺股动脉,留置导鞘,导丝引导下覆膜支架到达创伤部位,定位释放支架,球囊扩张使之贴附,造影显示封闭完全后撤除导丝,拔出鞘管,缝合动脉穿刺处,创口逐层缝合,必要时补片修补。","穿刺针","导管,导丝,血管鞘组,球囊扩张导管,支架,封堵器,特殊缝线","次","以1个支架为基价,每增加1个加收不超过50%",2400,1920,1680,"乙类","血管淋巴","停用"]
[1444,"HLK83306","腹主动脉创伤性动静脉瘘修补术","消毒铺巾,腹股沟切口显露股动脉,穿刺股动脉,留置导鞘,导丝引导下覆膜支架到达创伤部位,定位释放支架,球囊扩张使之贴附。造影显示封闭完全后撤除导丝,拔出鞘管,缝合动脉穿刺处。创口逐层缝合,必要时补片修补。","穿刺针","导管,导丝,血管鞘组,球囊扩张导管,支架,封堵器,特殊缝线","次","以1个支架为基价,每增加1个加收不超过50%",2400,1920,1680,"乙类","血管淋巴","停用"]
[1445,"HM573301","大隐静脉高位结扎+剥脱术","消毒铺巾,腹股沟斜切口,分离并结扎大隐静脉根部属支,根部结扎切断主干,踝内侧切口,切断结扎大隐静脉,上剥脱器剥除主干,小切口剥除小腿曲张静脉团,皮内缝合切口,绷带加压包扎。","剥脱器","特殊缝线","单侧","",3000,2550,2168,"甲类","血管淋巴","停用"]
[1446,"HM159601","腔镜下下肢静脉交通支结扎术","消毒铺巾,下肢小切口,在下肢深筋膜间隙插入腔镜,注气,游离交通支,钛夹结扎切断,绷带加压包扎。","","腔镜材料","次","",1500,1200,1050,"乙类","血管淋巴","停用"]
[1447,"HMG65301","上肢浅静脉曲张剥脱术","患者俯卧于手术台,消毒铺巾,肘窝(或腋窝)切口,显露游离曲张静脉主干,结扎根部各属支,远端切断静脉,剥脱器剥除主干,小切口分别剥除曲张小静脉团,皮内缝合切口,绷带加压包扎。","","特殊缝线","单侧","",1300,1040,910,"甲类","血管淋巴","停用"]
[1448,"HM473302","下肢曲张浅静脉团局部切除术","消毒铺巾,切开皮肤､皮下,游离出浅静脉团,结扎两端后切除。皮内缝合切口,绷带加压包扎。","","特殊缝线","单侧","",2000,1600,1400,"甲类","血管淋巴","停用"]
[1449,"HM673301","小隐静脉高位结扎+剥脱术","患者俯卧于手术台,消毒铺巾,腘窝切口,显露游离小隐静脉,结扎根部各属支,外踝处显露切断小隐静脉,剥脱器剥除主干,小切口分别剥除曲张小静脉团,皮内缝合切口,绷带加压包扎。","","特殊缝线","单侧","",1400,1120,980,"甲类","血管淋巴","停用"]
[1450,"HM560301","大隐静脉取材术","消毒铺巾,沿大隐静脉走行切口,显露游离大隐静脉主干,切断､结扎各分支,切取适当长度的大隐静脉,两残端结扎,检查切取段大隐静脉有无破裂口或漏血,必要时结扎､缝扎遗漏分支和破裂口,肝素冲洗液(或罂粟碱)浸泡,分层缝合皮下及皮肤切口。","","特殊缝线,止血材料","次","",650,520,450,"乙类","血管淋巴","停用"]
[1451,"HMG60301","头静脉取材术","消毒铺巾,沿头静脉走行切口,显露游离头静脉主干,切断､结扎各分支,切取适当长度的头静脉,两残端结扎,检查切取段头静脉有无破裂口或漏血,必要时结扎､缝扎遗漏分支和破裂口,肝素冲洗液浸泡,分层缝合皮下及皮肤切口。","","特殊缝线","次","",1000,800,700,"乙类","血管淋巴","停用"]
[1452,"HL360301","桡动脉取材术","消毒铺巾,沿桡动脉走行切口,显露游离桡动脉主干,切断､结扎各分支,切取适当长度的桡动脉,两残端结扎。检查切取段桡动脉有无破裂口或漏血,必要时结扎､缝扎遗漏分支和破裂口,肝素冲洗液浸泡,分层缝合皮下及皮肤切口。","","特殊缝线","次","",1200,960,840,"乙类","血管淋巴","停用"]
[1453,"HM989301","大网膜游离移植术","消毒铺巾,腹部正中切口,游离､修剪并切断大网膜,移植于肢体缺血部位,与缺血部位的近端血管吻合,彻底止血冲洗后放置引流,关闭切口。","引流装置,冲洗液","特殊缝线,止血材料","次","",1000,800,700,"乙类","血管淋巴","停用"]
[1454,"HM383301","腘静脉肌襻成形术","麻醉成功后,俯卧,腘窝部S形切口,解剖显露腘动､静脉,肝素化后阻断目标血管,选择半腱肌或股薄肌远侧并适当切断,U形套绕腘静脉,达到满意度后对位缝合固定,逐层关闭切口。不含测压。","引流装置,冲洗液","特殊缝线,止血材料","次","",1350,1080,945,"乙类","血管淋巴","停用"]
[1455,"HL757301","腘窝陷迫综合征腘动脉松解术","全麻,俯卧或侧卧,后侧入路,游离腘动脉,切除压迫的异位肌肉或束带,关闭切口。","引流装置","特殊缝线","次","",1300,1040,910,"乙类","血管淋巴","停用"]
[1456,"HMB64301","上腔静脉切开滤器取出术","消毒铺巾,开胸,游离显露上腔静脉,肝素抗凝,探查并阻断近心端无血栓段上腔静脉,切开静脉取出血栓及滤器,冲洗,缝合静脉,放置引流后关胸。必要时送病理。不含病理学检查。","引流装置","取栓导管,特殊缝线,止血材料","次","",2300,1840,1610,"乙类","血管淋巴","停用"]
[1457,"HML64301","下腔静脉切开滤器取出术","消毒铺巾,开腹,游离显露肾下下腔静脉,肝素抗凝,探查并阻断近心端无血栓段下腔静脉,切开静脉取出血栓及滤器,冲洗,缝合静脉,放置引流后关腹。必要时送病理。不含病理学检查。","引流装置","取栓导管,特殊缝线,止血材料","次","",1600,1280,1120,"乙类","血管淋巴","停用"]
[1458,"HM548201","大隐静脉硬化剂注射治疗","术前准备,局部皮肤消毒,彩色多普勒超声引导下选择穿刺点。利用2支注射器及三通制备泡沫硬化剂,彩超引导下,用注射器将泡沫硬化剂注入大隐静脉,图文报告。不含超声引导。","注射器","","每根血管","",120,95,85,"甲类","血管淋巴","停用"]
[1459,"HM448201","下肢曲张浅静脉硬化剂治疗","消毒铺巾,将硬化剂注射到曲张静脉周围或血管腔内,使曲张静脉闭塞,绷带加压包扎。","注射器","","单侧","",200,160,140,"甲类","血管淋巴","停用"]
[1460,"HL648201","股动脉假性动脉瘤凝血酶注入封闭术","消毒铺巾,在超声引导下穿刺至假性动脉瘤瘤腔内,注射凝血酶直至超声不能探及彩色血流信号。不含超声引导。","","","次","",300,240,210,"乙类","血管淋巴","停用"]
[1461,"HNJ73304","腹膜后淋巴管瘤切除术(小)","指瘤体位于后腹膜一侧,直径小于5厘米。病人平卧位,消毒铺巾,腹正中切口,切开皮肤､皮下脂肪､腹白线､腹膜,推开肠管,切开后腹膜显露肿物,必要时游离单侧输尿管､精索(卵巢)血管予以保护,切除肿物,显微镜下确切结扎淋巴管断端､止血,确认无淋巴漏,腹膜后留置引流管,缝合后腹膜,留置腹腔引流管,缝合腹膜､腹白线､皮下脂肪､皮肤,切口无菌敷料覆盖。","引流装置","特殊缝线,止血材料","次","",2000,1600,1400,"甲类","血管淋巴","停用"]
[1462,"HNJ73305","腹膜后淋巴管瘤切除术(中)","指瘤体位于后腹膜一侧,直径大于5厘米。病人平卧位,消毒铺巾,腹正中切口,切开皮肤､皮下脂肪､腹白线､腹膜,推开肠管,切开后腹膜显露肿物,游离单侧输尿管､精索(卵巢)血管予以保护,切除肿物,显微镜下确切结扎淋巴管断端､止血,确认无淋巴漏,腹膜后留置引流管,缝合后腹膜,留置腹腔引流管,缝合腹膜､腹白线､皮下脂肪､皮肤,切口无菌敷料覆盖。","引流装置","特殊缝线,止血材料","次","",2100,1680,1470,"甲类","血管淋巴","停用"]
[1463,"HNJ73306","腹膜后淋巴管瘤切除术(大)","指瘤体包绕腹主动脉､下腔静脉。病人平卧位,消毒铺巾,腹正中切口,切开皮肤､皮下脂肪､腹白线､腹膜,推开肠管,切开后腹膜显露肿物,游离双侧输尿管､精索(卵巢)血管予以保护,游离瘤体段腹主动脉､下腔静脉予以保护,切除肿物,含腹主动脉､下腔静脉后方瘤体,显微镜下确切结扎淋巴管断端､止血,确认无淋巴漏,腹膜后留置引流管,缝合后腹膜,留置腹腔引流管,缝合腹膜､腹白线､皮下脂肪､皮肤,切口无菌敷料覆盖。","引流装置","特殊缝线,止血材料","次","",2200,1760,1540,"甲类","血管淋巴","停用"]
[1464,"HNR59302","胸导管结扎术","胸后外侧或前外侧切口,消毒铺巾,贴膜,电刀开胸,探查,游离胸导管并结扎,或大块组织缝扎,胸腔闭式引流,关胸。","引流装置","特殊缝线,止血材料","次","",1700,1360,1190,"甲类","血管淋巴","停用"]
[1465,"HNR59501","经胸腔镜胸导管结扎术","经胸外侧径路,消毒铺巾,贴膜,单肺通气,建立气胸,胸腔镜探查胸腔,游离胸导管并结扎,或大块组织缝扎,用电刀或超声刀止血,置放胸腔闭式引流,关胸。","引流装置","腔镜材料","次","",1900,1520,1330,"乙类","血管淋巴","停用"]
[1466,"HNK86304","显微镜下会阴浅淋巴管静脉分支吻合术","用于治疗会阴部淋巴水肿。患者取平卧位,腹股沟区消毒铺巾,于腹股沟韧带下方大隐静脉走行区做斜切口并向上延伸跨过腹股沟韧带,在手术显微镜下寻大隐静脉会阴侧分支静脉以及来自会阴区淋巴管,将匹配静脉及淋巴管分别剪断,静脉远心端结扎,以肝素冲洗液冲洗静脉近心端后,游标卡尺测量静脉及淋巴管管径。以无损伤缝线将淋巴管远心端与静脉近心端行端端套入式吻合并间断缝合关闭静脉吻合口,如静脉与淋巴管管径匹配可行端端吻合,观察无渗血及渗液后,间断缝合皮肤切口,敷料覆盖伤口,弹力绷带加压包扎。","引流装置","特殊缝线,吻合器","每根血管","",1600,1280,1120,"乙类","血管淋巴","停用"]
[1467,"HNN86301","显微镜下前臂浅淋巴管静脉吻合术","用于治疗上肢淋巴水肿。患者取平卧位,患肢外展90°并平置于床上,患侧上肢消毒铺巾,于肘横纹下前臂外侧(或内侧)浅静脉走行区切开皮肤,在手术显微镜下寻前臂外侧(或内侧)浅静脉及周围浅淋巴管,将静脉及淋巴管分别剪断,静脉远心端结扎,以肝素冲洗液冲洗静脉近心端后,游标卡尺测量静脉及淋巴管管径。以无损伤缝线将淋巴管远心端与静脉近心端行端端套入式吻合并间断缝合关闭静脉吻合口,如静脉与淋巴管管径匹配可行端端吻合,观察无渗血及渗液后,间断缝合皮肤切口,敷料覆盖伤口,弹力绷带加压包扎。","引流装置","特殊缝线,吻合器","每根血管","",1200,960,840,"乙类","血管淋巴","停用"]
[1468,"HNN86302","显微镜下前臂内侧浅淋巴管静脉吻合术","用于治疗上肢淋巴水肿。患者取平卧位,患肢外展90°并平置于床上,患侧上肢消毒铺巾,于肘横纹下前臂内侧浅静脉走行区切开皮肤,在手术显微镜下寻前臂内侧浅静脉及周围浅淋巴管,将静脉及淋巴管分别剪断,静脉远心端结扎,以肝素冲洗液冲洗静脉近心端后,游标卡尺测量静脉及淋巴管管径。以无损伤缝线将淋巴管远心端与静脉近心端行端端套入式吻合并间断缝合关闭静脉吻合口,如静脉与淋巴管管径匹配可行端端吻合,观察无渗血及渗液后,间断缝合皮肤切口,敷料覆盖伤口,弹力绷带加压包扎。","引流装置","特殊缝线,吻合器","每根血管","",1200,960,840,"乙类","血管淋巴","停用"]
[1469,"HNN86303","显微镜下尺动脉旁深淋巴管静脉吻合术","用于治疗上肢淋巴水肿。患者取平卧位,患肢外展90°并平置于床上,患侧上肢消毒铺巾,于腕横纹上尺侧切开皮肤,在手术显微镜下分离皮下组织,剪开关节支持带,分离出尺动静脉,于血管周围寻尺动脉旁深淋巴管,将尺静脉分支静脉及尺动脉旁深淋巴管分别剪断,静脉远心端结扎,以肝素冲洗液冲洗静脉近心端后,游标卡尺测量静脉及淋巴管管径。以无损伤缝线将淋巴管远心端与静脉近心端行端端套入式吻合并间断缝合关闭静脉吻合口,如静脉与淋巴管管径匹配可行端端吻合,观察无渗血及渗液后,间断缝合皮肤切口,敷料覆盖伤口,弹力绷带加压包扎。","引流装置","特殊缝线,吻合器","每根血管","",1200,960,840,"乙类","血管淋巴","停用"]
[1470,"HNN86307","显微镜下头静脉伴行淋巴管静脉吻合术","用于治疗上肢淋巴水肿。患者取平卧位,患肢外展消毒铺巾,于三角肌前源下方,头静脉走形在手术显微镜下寻足背部浅静脉及周围浅淋巴管,将静脉及淋巴管分别剪断,静脉远心端结扎,以肝素冲洗液冲洗静脉近心端后,游标卡尺测量静脉及淋巴管管径。以无损伤缝线将淋巴管远心端与静脉近心端行端端套入式吻合并间断缝合关闭静脉吻合口,如静脉与淋巴管管径匹配可行端端吻合,观察无渗血及渗液后,间断缝合皮肤切口,敷料覆盖伤口,弹力绷带加压包扎。","引流装置","特殊缝线,吻合器","每根血管","",1200,960,840,"乙类","血管淋巴","停用"]
[1471,"HNN86304","显微镜下桡动脉旁深淋巴管静脉吻合术","用于治疗手部淋巴水肿。患者取平卧位,患肢外展90°并平置于床上,患侧上肢消毒铺巾,于腕横纹上桡侧切开皮肤,在手术显微镜下分离皮下组织,剪开关节支持带,分离出桡动静脉,于血管周围寻桡动脉旁深淋巴管,将桡静脉分支静脉及桡动脉旁深淋巴管分别剪断,静脉远心端结扎,以肝素冲洗液冲洗静脉近心端后,游标卡尺测量静脉及淋巴管管径。以无损伤缝线将淋巴管远心端与静脉近心端行端端套入式吻合并间断缝合关闭静脉吻合口,如静脉与淋巴管管径匹配可行端端吻合,观察无渗血及渗液后,间断缝合皮肤切口,敷料覆盖伤口,弹力绷带加压包扎。","引流装置","特殊缝线,吻合器","每根血管","",1200,960,840,"乙类","血管淋巴","停用"]
[1472,"HNN86306","显微镜下手背浅淋巴管静脉吻合术","用于治疗手部淋巴水肿。患者取平卧位,患肢外展90°,于患侧手背部浅静脉走行区切开皮肤,在手术显微镜下寻手背浅静脉及周围浅淋巴管,将静脉及淋巴管分别剪断,静脉远心端结扎,以肝素冲洗液冲洗静脉近心端后,游标卡尺测量静脉及淋巴管管径。以无损伤缝线将淋巴管远心端与静脉近心端行端端套入式吻合并间断缝合关闭静脉吻合口,如静脉与淋巴管管径匹配可行端端吻合,观察无渗血及渗液后,间断缝合皮肤切口,敷料覆盖伤口,弹力绷带加压包扎。","引流装置","特殊缝线,吻合器","每根血管","",1200,960,840,"乙类","血管淋巴","停用"]
[1473,"HNP86305","显微镜下内踝深淋巴管-胫后静脉分支吻合术","用于治疗足部淋巴水肿。患者取平卧位,患肢屈曲外展使内踝部平置于床上,患足及小腿消毒铺巾,于足内踝下弧形切开皮肤,在手术显微镜下分离皮下组织,剪开关节支持带,分离出胫后动静脉,于血管周围寻内踝深淋巴管,将胫后静脉分支静脉及内踝深淋巴管分别剪断,静脉远心端结扎,以肝素冲洗液冲洗静脉近心端后,游标卡尺测量静脉及淋巴管管径。以无损伤缝线将淋巴管远心端与静脉近心端行端端套入式吻合并间断缝合关闭静脉吻合口,如静脉与淋巴管管径匹配可行端端吻合,观察无渗血及渗液后,间断缝合皮肤切口,敷料覆盖伤口,弹力绷带加压包扎。","引流装置","特殊缝线,吻合器","每根血管","",1200,960,840,"乙类","血管淋巴","停用"]
[1474,"HNP86302","显微镜下大腿中部浅淋巴管大隐静脉分支吻合术","用于治疗下肢淋巴水肿。患者取平卧位,患肢消毒铺巾,于患肢大腿中部大隐静脉走行区切开皮肤,在手术显微镜下寻大隐静脉分支静脉以及周围浅淋巴管,将匹配静脉及淋巴管分别剪断,静脉远心端结扎,以肝素冲洗液冲洗静脉近心端后,游标卡尺测量静脉及淋巴管管径。以无损伤缝线将淋巴管远心端与静脉近心端行端端套入式吻合并间断缝合关闭静脉吻合口,如静脉与淋巴管管径匹配可行端端吻合,观察无渗血及渗液后,间断缝合皮肤切口,敷料覆盖伤口,弹力绷带加压包扎。","引流装置","特殊缝线,吻合器","每根血管","",1200,960,840,"乙类","血管淋巴","停用"]
[1475,"HNP86304","显微镜下小腿浅淋巴管静脉吻合术","用于治疗下肢淋巴水肿。患者取平卧位,患肢消毒铺巾,于膝下外侧浅静脉或内侧大隐静脉走行区切开皮肤,在手术显微镜下寻小腿外侧浅静脉或大隐静脉其分支静脉､周围浅淋巴管,将静脉及淋巴管分别剪断,静脉远心端结扎,以肝素冲洗液冲洗静脉近心端后,游标卡尺测量静脉及淋巴管管径。以无损伤缝线将淋巴管远心端与静脉近心端行端端套入式吻合并间断缝合关闭静脉吻合口,如静脉与淋巴管管径匹配可行端端吻合,观察无渗血及渗液后,间断缝合皮肤切口,敷料覆盖伤口,弹力绷带加压包扎。","引流装置","特殊缝线,吻合器","每根血管","",1200,960,840,"乙类","血管淋巴","停用"]
[1476,"HNP86306","显微镜下足背浅淋巴管静脉吻合术","用于治疗足部淋巴水肿。患者取平卧位,患肢屈曲使足平置于床上,患足及小腿消毒铺巾,于足背部浅静脉走行区切开皮肤,在手术显微镜下寻足背部浅静脉及周围浅淋巴管,将静脉及淋巴管分别剪断,静脉远心端结扎,以肝素冲洗液冲洗静脉近心端后,游标卡尺测量静脉及淋巴管管径。以无损伤缝线将淋巴管远心端与静脉近心端行端端套入式吻合并间断缝合关闭静脉吻合口,如静脉与淋巴管管径匹配可行端端吻合,观察无渗血及渗液后,间断缝合皮肤切口,敷料覆盖伤口,弹力绷带加压包扎。","引流装置","特殊缝线,吻合器","每根血管","",1200,960,840,"乙类","血管淋巴","停用"]
[1477,"HNR86301","显微镜下胸导管颈内静脉端端吻合术","平卧位,全麻后消毒铺巾,左颈部切口,切开皮肤､颈阔肌､皮下脂肪､切断胸锁乳突肌,显微镜下剪开颈动脉鞘,游离颈内静脉并牵开,于颈血管后方游离胸导管,根据胸导管及血管直径,确认需与颈内静脉吻合后,无创游离颈内静脉,胸导管近心端､颈内静脉远心端结扎,无创阻断颈内静脉,肝素冲洗液冲洗管腔,胸导管远心端与颈内静脉近心端端端吻合,显微镜下止血,结扎小淋巴漏口,确认无出血及淋巴漏,逐层缝合,皮肤皮内缝合,无菌敷料覆盖切口。","引流装置","特殊缝线,止血材料,吻合器","每根血管","",1900,1520,1330,"乙类","血管淋巴","停用"]
[1478,"HNR86303","显微镜下胸导管颈外静脉吻合术","平卧位,全麻后消毒铺巾,左颈部切口,切开皮肤､颈阔肌､皮下脂肪､切断胸锁乳突肌,显微镜下剪开颈动脉鞘,游离颈内静脉并牵开,于颈血管后方游离胸导管,根据胸导管及血管直径,确认需与颈外静脉吻合后延长切口,无创游离颈外静脉,胸导管近心端､颈外静脉远心端结扎,肝素冲洗液冲洗管腔,胸导管远心端与颈外静脉近心端端端吻合,显微镜下止血,结扎小淋巴漏口,确认无出血及淋巴漏,逐层缝合,皮肤皮内缝合,无菌敷料覆盖切口。","引流装置","特殊缝线,止血材料,吻合器","每根血管","",1900,1520,1330,"乙类","血管淋巴","停用"]
[1479,"HNJ86301","显微镜下腹腔淋巴管静脉吻合术","开腹探查手术中,手术显微镜下以显微器械游离腹腔含乳糜淋巴管,游离口径匹配临近小血管,结扎淋巴管近心端及小血管远心端,肝素冲洗液冲洗静脉近心端管腔,未发现明显血液返流,以显微缝合线吻合淋巴管及小血管近心端。","引流装置","特殊缝线","每根血管","",1800,1440,1260,"乙类","血管淋巴","停用"]
[1480,"HNJ86303","显微镜下腹膜后淋巴管静脉吻合术","在开腹探查手术中,打开后腹膜,手术显微镜下以显微器械游离腹膜后含乳糜淋巴管,游离口径匹配临近小血管,结扎淋巴管近心端及小血管远心端,肝素冲洗液冲洗静脉近心端管腔,未发现明显血液返流,以显微缝合线吻合淋巴管及小血管近心端。","引流装置","特殊缝线","每根血管","",1800,1440,1260,"乙类","血管淋巴","停用"]
[1481,"HNK86301","显微镜下腹股沟浅淋巴管静脉吻合术","用于治疗下肢淋巴水肿。患者取平卧位,患肢侧腹股沟区消毒铺巾,于腹股沟韧带下方浅静脉走行区切开皮肤,在手术显微镜下寻腹股沟浅静脉及周围浅淋巴管,将静脉及淋巴管分别剪断,静脉远心端结扎,以肝素冲洗液冲洗静脉近心端后,游标卡尺测量静脉及淋巴管管径。以无损伤缝线将淋巴管远心端与静脉近心端行端端套入式吻合并间断缝合关闭静脉吻合口,如静脉与淋巴管管径匹配可行端端吻合,观察无渗血及渗液后,间断缝合皮肤切口,敷料覆盖伤口,弹力绷带加压包扎。","引流装置","特殊缝线,吻合器","每根血管","",1700,1360,1190,"乙类","血管淋巴","停用"]
[1482,"HNK86302","显微镜下腹股沟下淋巴结输入淋巴管大隐静脉分支吻合术","用于治疗下肢淋巴水肿。患者取平卧位,患肢侧腹股沟区消毒铺巾,于腹股沟韧带下方大隐静脉走行区切开皮肤,在手术显微镜下寻大隐静脉分支静脉以及腹股沟浅淋巴结输入淋巴管,将匹配静脉及淋巴管分别剪断,静脉远心端结扎,以肝素冲洗液冲洗静脉近心端后,游标卡尺测量静脉及淋巴管管径。以无损伤缝线将淋巴管远心端与静脉近心端行端端套入式吻合并间断缝合关闭静脉吻合口,如静脉与淋巴管管径匹配可行端端吻合,观察无渗血及渗液后,间断缝合皮肤切口,敷料覆盖伤口,弹力绷带加压包扎。","引流装置","特殊缝线,吻合器","每根血管","",1700,1360,1190,"乙类","血管淋巴","停用"]
[1483,"HNK86303","显微镜下髂外深淋巴管静脉吻合术","患者取平卧位,患肢侧腹股沟区消毒铺巾,于腹股沟韧带上切开皮肤,逐层切开暴露髂外动静脉,在手术显微镜下于髂外动静脉周围寻找扩张淋巴管,以无损伤缝线将其远､近端与腹壁下静脉分支行端端套入或端端吻合,观察无渗血及渗液后,逐层间断缝合,敷料覆盖伤口。","引流装置","特殊缝线,吻合器","每根血管","",1700,1360,1190,"乙类","血管淋巴","停用"]
[1484,"HNP86301","显微镜下股深淋巴管静脉吻合术","用于治疗下肢淋巴水肿。患者取平卧位,患肢腹股沟区消毒铺巾,于腹股沟韧带下方切开皮肤,在手术显微镜下分离皮下组织以免损伤浅淋巴管,剪开深筋膜,分离出股动､静脉,于血管周围寻股深淋巴管,将股静脉分支静脉及股深淋巴管分别剪断,静脉远心端结扎,以肝素冲洗液冲洗静脉近心端后,游标卡尺测量静脉及淋巴管管径。以无损伤缝线将淋巴管远心端与静脉近心端行端端套入式吻合并间断缝合关闭静脉吻合口,如静脉与淋巴管管径匹配可行端端吻合,观察无渗血及渗液后,间断缝合皮肤切口,敷料覆盖伤口,弹力绷带加压包扎。","引流装置","特殊缝线,吻合器","每根血管","",1200,960,840,"乙类","血管淋巴","停用"]
[1485,"HNP86303","淋巴结大隐静脉吻合术","用于治疗下肢淋巴水肿。患者取平卧位,患肢侧腹股沟区消毒铺巾,于腹股沟韧带下方大隐静脉走行区切开皮肤,在手术显微镜下寻找大隐静脉分支静脉以及腹股沟浅淋巴结,切断淋巴结,近心端结扎,以无损伤显微缝线将匹配静脉近心端与淋巴结远心端行端端吻合,观察无渗血及渗液后,间断缝合皮肤切口,敷料覆盖伤口,弹力绷带加压包扎。","引流装置","特殊缝线,吻合器","每根血管","",1400,1120,980,"乙类","血管淋巴","停用"]
[1486,"HNN86305","显微镜下上臂深淋巴管静脉吻合术","用于治疗上肢淋巴水肿。患者取平卧位,患肢外展90°并平置于床上,患侧上肢消毒铺巾,沿肱二､三头肌肌间沟切开皮肤,在手术显微镜下分离皮下组织,剪开深筋膜,分离出肱动､静脉及正中神经,予以保护,于血管､神经周围寻上臂深淋巴管,将肱静脉分支静脉及上臂深淋巴管分别剪断,静脉远心端结扎,以肝素冲洗液冲洗静脉近心端后,游标卡尺测量静脉及淋巴管管径。以无损伤缝线将淋巴管远心端与静脉近心端行端端套入式吻合并间断缝合关闭静脉吻合口,如静脉与淋巴管管径匹配可行端端吻合,观察无渗血及渗液后,间断缝合皮肤切口,敷料覆盖伤口,弹力绷带加压包扎。","引流装置","特殊缝线,吻合器","每根血管","",1200,960,840,"乙类","血管淋巴","停用"]
[1487,"KHS27401","咬合创伤的正畸治疗","指由错合引起的咬合创伤,拔牙或非拔牙矫治,使用固定矫治器治疗。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约25-30次复诊需要治疗24个月左右)","","印模材料,矫治器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1488,"KHS27402","复杂咬合创伤的正畸治疗","指由错合引起的咬合创伤,伴有开合､偏合､锁合､埋藏牙导萌等矫治,使用固定矫治器治疗。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约35-40次复诊需要治疗36个月左右)","","印模材料,矫治器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1489,"KHS27409","乳牙期安氏Ⅰ类错合正畸治疗","指乳牙期Ⅰ类错合矫治。使用缺隙保持器､活动矫治器矫治。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约20-25次复诊需要治疗12个月左右)","","印模材料,矫治器,粘接剂","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1490,"KHS27418","乳牙期安氏Ⅱ类错合正畸治疗","指乳牙期上颌前突的矫治。使用活动矫治器､功能矫治器治疗。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约20-25次复诊需要治疗12个月左右)","基底材料","印模材料,矫治器,下颌前移器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1491,"KHS27434","乳牙期安氏Ⅲ类错合正畸治疗","指乳牙期前牙反合及不良习惯的改正,使用活动矫治器矫治。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约20-25次复诊需要治疗12个月左右)","","印模材料,矫治器,下颌前移器,粘接剂","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1492,"KHS26407","无托槽隐形矫治器复诊处置","指无托槽隐形矫治器的复诊检查与处理。含常规检查及矫治器调整,更换､增加矫治器各种附件。","","印模材料,矫治器,粘接剂","次","",30,25,20,"丙类","口腔类","停用"]
[1493,"KHS26405","功能矫治器复诊处置","指功能矫治器的复诊检查与处理。含常规检查及矫治器调整(卡环､弹簧加力)与更换､增加矫治器附件等操作。不含矫治器修理。","","印模材料,矫治器,粘接剂","次","",30,25,20,"丙类","口腔类","停用"]
[1494,"KHS26404","活动矫治器复诊处置","指活动矫治器的复诊检查与处理。含常规检查及矫治器调整(卡环､弹簧加力)与更换､增加矫治器附件。不含矫治器修理。","","印模材料,矫治器,粘接剂","次","",25,20,18,"丙类","口腔类","停用"]
[1495,"KHS26403","固定矫治器复诊处置","指固定矫治器的复诊检查与处理。含常规检查及矫治器调整､加力,更换弓丝与矫治器附件操作。","","印模材料,矫治器,粘接剂","次","",40,32,28,"丙类","口腔类","停用"]
[1496,"KHS26406","舌侧固定矫治器复诊处置","指舌侧固定矫治器的复诊检查与处理。含常规检查及矫治器调整,增加､更换弓丝与矫治器附件。","","印模材料,矫治器,粘接剂","次","",30,25,20,"丙类","口腔类","停用"]
[1497,"KHZ26701","牵张器加力调整","专用器械对牵张器加力与力量方向调整。","","","日","",50,40,35,"丙类","口腔类","停用"]
[1498,"KHM64402","拆除口内牙齿固定装置","拆除各种正畸托槽､舌侧钮､颊面管等特殊矫治器与成品附件﹙腭杠､舌弓､扩弓器､口外弓､头帽､颈带､颏兜､前牵器等﹚及牙周固定夹板。含矫治器拆除､牙面清洁､普通抛光等。","砂片,抛光膏","","每牙","",15,12,10,"丙类","口腔类","停用"]
[1499,"KHT31404","邻面去釉","指牙齿邻面去釉(片切)。含牙齿邻面片切､牙面形态修整､磨光､抛光。","砂片,抛光膏","","每牙","",20,16,14,"丙类","口腔类","停用"]
[1500,"HHZ24705","复杂唇弓器制备","指多曲唇弓､四圈式扩弓器的弯制､焊接及口内安装。","带环","唇弓,功能丝,扩弓器","个","此项为辅加操作项目",75,60,53,"丙类","口腔类","停用"]
[1501,"HHZ24703","带环制备","指形态异常牙齿带环制作。含带环制作,托槽､颊面管､舌侧鞘等附件的焊接等操作。不含带环粘接。","颊面管,舌侧鞘","托槽","个","此项为辅加操作项目",30,25,20,"丙类","口腔类","停用"]
[1502,"KHS27403","正颌外科手术前后的正畸治疗","指严重骨性Ⅱ类/Ⅲ类错合､骨性开合､深覆合､面部偏斜等畸形的正颌外科术前与术后正畸治疗,使用固定矫治器矫治。含错合畸形诊断分析､矫治方案设计､矫治器安装､治疗期间每次复诊检查､矫治器调整､加力等处置。(约25-30次复诊需要治疗24个月左右)","","印模材料,矫治器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1503,"KHN27402","复杂唇腭裂序列正畸治疗","指有牙槽突裂与腭裂,前后牙反合､伴严重颌骨与面部畸形的矫治,含替牙期或恒牙早期正畸治疗､使用固定矫治器､上颌扩弓､前方牵引､配合上颌骨牵张或正颌手术矫治。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约35-40次复诊需要治疗36个月左右)","","印模材料,矫治器","每疗程","",3000,2400,2100,"丙类","口腔类","停用"]
[1504,"KHS27410","乳牙期复杂安氏Ⅰ类错合正畸治疗","指乳牙期前牙或后牙开合､深覆合､偏颌矫治,使用活动矫治器､功能矫治器或颌骨矫形治疗。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约30-35次复诊需要治疗18个月左右)","","印模材料,矫治器,粘接剂","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1505,"KHS27419","乳牙期复杂安氏Ⅱ类错合正畸治疗","指乳牙期伴有上颌前突或下颌后缩､深覆合､深覆盖畸形矫治。使用活动矫治器或活动功能矫治器矫治。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约30-35次复诊需要治疗18个月左右)","","印模材料,矫治器,下颌前移器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1506,"KHS27435","乳牙期复杂安氏Ⅲ类错合正畸治疗","指乳乳牙期前牙反合或牙全牙列反合,使用活动或半固定矫治器､上颌前方牵引､颏兜等矫治。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约30-35次复诊需要治疗18个月左右)","","印模材料,矫治器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1507,"KHA27402","乳牙期颜面不对称畸形正畸治疗","指乳牙期颜面不对称伴偏合､反合畸形,使用活动矫治器矫治,含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约30-35次复诊需要治疗18个月左右)","","印模材料,矫治器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1508,"KHS27448","牙周病伴错合畸形活动矫治器正畸治疗","指轻中度牙周病伴前牙轻度唇倾､关闭小间隙､个别牙错位的简单正畸治疗,使用活动矫治器矫治。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约30-35次复诊需要治疗18个月左右)","","印模材料,矫治器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1509,"KHW27401","牙周病伴错合畸形正畸治疗","指轻中度牙周病伴拥挤､深覆合､深覆盖､反合矫治,使用固定矫治器矫治。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约25-30次复诊需要治疗24个月左右)","","印模材料,矫治器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1510,"KHS27412","替牙期安氏Ⅰ类错合固定矫治器正畸治疗","指替牙期轻度牙列拥挤､个别牙反合､间隙等矫治。使用固定矫治器矫治。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约20-25次复诊需要治疗18个月左右)","","印模材料,矫治器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1511,"KHJ27402","复杂颞下颌关节病的正畸辅助治疗","指伴有颞下颌关节弹响､疼痛､关节盘移位等表现,伴复杂牙列拥挤､深覆合､反合､偏合､锁合等畸形的正畸治疗,使用固定矫治器矫治,含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约35-40次复诊需要治疗36个月左右)","","印模材料,矫治器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1512,"KHS27413","替牙期复杂安氏Ⅰ类错合固定矫治器正畸治疗","指替牙期前牙或后牙开合､深覆合的矫治。使用固定矫治器治疗。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约25-30次复诊需要治疗24个月左右)","","印模材料,矫治器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1513,"KHS27411","替牙期安氏Ⅰ类错合活动矫治器正畸治疗","指替牙期轻度牙列拥挤､个别牙反合､间隙等矫治。含替牙障碍､不良习惯的矫治,使用活动矫治器矫治。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约30-35次复诊需要治疗18个月左右)","","印模材料,矫治器,粘接剂","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1514,"KHS27420","替牙期安氏Ⅱ类错合活动矫治器正畸治疗","指替牙期轻度上颌前突､深覆合､深覆盖,及口腔不良习惯矫治。使用活动矫治器或活动功能矫治器矫治。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约30-35次复诊需要治疗18个月左右)","","印模材料,矫治器,下颌前移器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1515,"KHS27422","替牙期安氏Ⅱ类错合固定矫治器正畸治疗","指替牙期轻度上颌前突､深覆合､深覆盖,及口腔不良习惯矫治。使用固定矫治器或固定功能矫治器矫治。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约20-25次复诊需要治疗18个月左右)","","印模材料,矫治器,下颌前移器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1516,"KHS27424","替牙期骨性Ⅱ类错合正畸治疗","指替牙期轻度骨性上颌前突､深覆合､深覆盖矫治。使用固定矫治器或固定功能矫治器矫治。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约25-30次复诊需要治疗24个月左右)","","印模材料,矫治器,下颌前移器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1517,"KHS27421","替牙期复杂安氏Ⅱ类错合活动矫治器正畸治疗","指替牙期中重度上颌前突､深覆合､深覆盖,伴有开合､偏合等畸形,使用活动矫治器或活动功能矫治器矫治,含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约35-40次复诊需要治疗24个月左右)","","印模材料,矫治器,下颌前移器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1518,"KHS27423","替牙期复杂安氏Ⅱ类错合固定矫治器正畸治疗","指替牙期中重度上颌前突､深覆合､深覆盖,伴有开合､偏合等畸形,使用固定矫治器或固定功能矫治器矫治,含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约25-30次复诊需要治疗24个月左右)","","印模材料,矫治器,下颌前移器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1519,"KHS27425","替牙期复杂骨性Ⅱ类错合正畸治疗","指替牙期中重度骨性上颌前突､深覆合､深覆盖或伴有开合､偏合､牙齿埋藏导萌等复杂病例矫治,使用固定矫治器或固定功能矫治器矫治,含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约35-40次复诊需要治疗36个月左右)","","印模材料,矫治器,下颌前移器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1520,"KHS27436","替牙期安氏Ⅲ类错合活动矫治器正畸治疗","指替牙期前牙反合,使用活动矫治器矫治。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约30-35次复诊需要治疗18个月左右)","","印模材料,矫治器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1521,"KHS27438","替牙期安氏Ⅲ类错合固定矫治器正畸治疗","指替牙期前牙反合,使用固定矫治器矫治。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约20-25次复诊需要治疗18个月左右)","","印模材料,矫治器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1522,"KHS27440","替牙期安氏Ⅲ类错合功能矫治器正畸治疗","指替牙期安氏Ⅲ类错合,轻度下颌前突,使用功能矫治器矫治。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约20-25次复诊需要治疗18个月左右)","基底材料","印模材料","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1523,"KHA27403","替牙期颜面不对称畸形的正畸治疗","指替牙期颜面不对称伴偏合､反合畸形,使用活动与固定矫治器矫治,含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约25-30次复诊需要治疗24个月左右)","","印模材料,矫治器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1524,"KHS27437","替牙期复杂安氏Ⅲ类错合活动矫治器正畸治疗","指替牙期前牙反合或全牙列反合,使用活动矫治器矫治,上颌扩弓､前方牵引或颏兜牵引矫治。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约35-40次复诊需要治疗24个月左右)","","印模材料,矫治器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1525,"KHS27439","替牙期复杂安氏Ⅲ类错合固定矫治器正畸治疗","指替牙期前牙反合或全牙列反合,使用固定矫治器矫治,上颌扩弓､前方牵引或颏兜牵引矫治,含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约25-30次复诊需要治疗24个月左右)","","印模材料,矫治器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1526,"KHS27441","替牙期复杂安氏Ⅲ类错合功能矫治器正畸治疗","指替牙期安氏Ⅲ类错合,下颌前突,反合､伴开合､偏合等疑难病例,使用功能矫治器矫治。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约25-30次复诊需要治疗24个月左右)","基底材料","印模材料,矫治器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1527,"KHS27414","恒牙期安氏Ⅰ类错合固定矫治器正畸治疗","指恒牙期牙列拥挤病例,使用拔牙或扩弓､推磨牙远移矫治。使用固定矫治器矫治。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约25-30次复诊需要治疗24个月左右)","","印模材料,矫治器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1528,"KHS27416","成人安氏Ⅰ类错合固定矫治器正畸治疗","指成人拥挤拔牙病例､或扩弓､推磨牙远移病例,使用固定矫治器矫治,含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约25-30次复诊需要治疗24个月左右)","","印模材料,矫治器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1529,"KHS27426","恒牙期安氏Ⅱ类错合功能矫治器正畸治疗","指恒牙期轻中度安氏Ⅱ类错合,深覆合与深覆盖矫治。使用肌激动器､肌功能调节器､双阻板功能矫治器,固定功能矫治器等矫治。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约20-25次复诊需要治疗18个月左右)","基底材料","印模材料,矫治器,下颌前移器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1530,"KHS27428","恒牙期安氏Ⅱ类错合固定矫治器正畸治疗","指恒牙期轻中度安氏Ⅱ类错合､深覆合与深覆盖矫治,非拔牙或简单拔牙矫治,使用固定矫治器矫治。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约25-30次复诊需要治疗24个月左右)","","印模材料,矫治器,下颌前移器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1531,"KHS27430","成人安氏Ⅱ类错合固定矫治器正畸治疗","指成人轻中度安氏Ⅱ类错合､深覆合与深覆盖,非拔牙或简单拔牙矫治,使用固定矫治器矫治。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约25-30次复诊需要治疗24个月左右)","","印模材料,矫治器,下颌前移器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1532,"KHS27432","恒牙期骨性Ⅱ类错合固定矫治器正畸治疗","指恒牙期轻度骨性Ⅱ类错合､深覆合与深覆盖矫治,非拔牙或简单拔牙矫治,使用固定矫治器矫治。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约25-30次复诊需要治疗24个月左右)","","印模材料,矫治器,下颌前移器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1533,"KHS27429","恒牙期复杂安氏Ⅱ类错合固定矫治器正畸治疗","指恒牙期中重度安氏Ⅱ类错合,深覆合､深覆盖,伴前牙开合､偏合､埋藏牙导萌矫治､磨牙拔除病例等,使用固定矫治器矫治,含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约35-40次复诊需要治疗36个月左右)","","印模材料,矫治器,下颌前移器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1534,"KHS27431","成人复杂安氏Ⅱ类错合固定矫治器正畸治疗","指成人中重度安氏Ⅱ类错合,深覆合､深覆盖,伴前牙开合､偏合､埋藏牙导萌矫治､磨牙拔除病例等,使用固定矫治器矫治,含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约35-40次复诊需要治疗36个月左右)","","印模材料,矫治器,下颌前移器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1535,"KHS27433","恒牙期复杂骨性Ⅱ类错合固定矫治器正畸治疗","指恒牙期中重度骨性Ⅱ类错合､深覆合､深覆盖,伴前牙开合､偏合､埋藏牙导萌矫治､磨牙拔除病例等,使用固定矫治器矫治。含错合畸形诊断分析､矫治方案设计,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约35-40次复诊需要治疗36个月左右)","","印模材料,矫治器,下颌前移器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1536,"KHN27401","唇腭裂序列正畸治疗","指有牙槽突裂与腭裂,前牙或前后牙反合､伴轻度颌骨畸形和面部畸形的正畸治疗。含替牙期或恒牙早期正畸治疗,使用固定矫治器､上颌扩弓､前方牵引矫治。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约25-30次复诊需要治疗24个月左右)","","印模材料,矫治器","每疗程","",2500,2000,1750,"丙类","口腔类","停用"]
[1537,"KHJ27401","颞下颌关节病的正畸辅助治疗","指伴有颞下颌关节弹响､疼痛､关节盘移位等表现,伴牙列拥挤､深覆合､反合､锁合畸形的正畸辅助治疗,使用固定矫治器矫治。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约25-30次复诊需要治疗24个月左右)","","印模材料,矫治器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1538,"KHS27442","恒牙期安氏Ⅲ类错合固定矫治器正畸治疗","指前牙反合,伴拥挤不拔牙病例和简单拔牙病例,使用固定矫治器矫治。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约25-30次复诊需要治疗24个月左右)","","印模材料,矫治器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1539,"KHS27444","成人安氏Ⅲ类错合固定矫治器正畸治疗","包指成人前牙反合,伴拥挤不拔牙病例和简单拔牙病例,使用固定矫治器矫治。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约25-30次复诊需要治疗24个月左右)","","印模材料,矫治器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1540,"KHS27446","恒牙期骨性Ⅲ类错合固定矫治器正畸治疗","指恒牙期轻度骨性下颌前突､上颌后缩､前牙反合,拔牙或非拔牙､上颌扩弓､前方牵引､固定矫治器矫治。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约25-30次复诊需要治疗24个月左右)","","印模材料,矫治器","每疗程",null,"市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1541,"KHS27443","恒牙期复杂安氏Ⅲ类错合固定矫治器正畸治疗","指前牙或前后牙反合､下颌前突,伴开合､偏合､磨牙拔除矫治､埋藏牙导萌等,使用固定矫治器矫治。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约35-40次复诊需要治疗36个月左右)","","印模材料,矫治器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1542,"KHS27445","成人复杂安氏Ⅲ类错合固定矫治器正畸治疗","指成人前牙或前后牙反合､下颌前突,伴开合､偏合､磨牙拔除矫治､埋藏牙导萌等,使用固定矫治器矫治。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约35-40次复诊需要治疗36个月左右)","","印模材料,矫治器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1543,"KHS27447","恒牙期复杂骨性Ⅲ类错合固定矫治器正畸治疗","指恒牙期中度骨性上颌后缩､下颌前突,伴前牙或前后牙反合､开合､偏合､埋藏牙导萌及磨牙拔除矫治等,使用固定矫治器､上颌扩弓､前方牵引､骨牵张矫治,含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约35-40次复诊需要治疗36个月左右)","","印模材料,矫治器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1544,"KHS27415","恒牙期复杂安氏Ⅰ类错合固定矫治器正畸治疗","指恒牙期牙列拥挤拔牙间隙调整病例､颌骨前突或伴有开合､深覆合､偏颌等疑难病例､阻生齿开窗导萌等矫治。使用固定矫治器矫治。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约35-40次复诊需要治疗36个月左右)","","印模材料,矫治器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1545,"KHS27417","成人复杂安氏Ⅰ类错合固定矫治器正畸治疗","指成人拥挤拔牙间隙调整病例､伴有颌骨前突､开合､深覆合､偏合等疑难病例､阻生齿开窗导萌等矫治。使用固定矫治器矫治。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约35-40次复诊需要治疗36个月左右)","","印模材料,矫治器,下颌前移器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1546,"KHA27404","恒牙期颜面不对称畸形的正畸治疗","指恒牙期颜面不对称伴反合､偏合畸形的正畸治疗,使用固定矫治器矫治。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约35-40次复诊需要治疗36个月左右)","","印模材料,矫治器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1547,"KHS27427","恒牙期复杂安氏Ⅱ类错合功能矫治器正畸治疗","指恒牙期中重度安氏Ⅱ类错合,深覆合与深覆盖､伴有开合､偏合的矫治。使用肌激动器､肌功能调节器､双阻板功能矫治器､固定功能矫治器等矫治,含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约25-30次复诊需要治疗24个月左右)","基底材料","印模材料,矫治器,下颌前移器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1548,"KHA27401","复杂颅颌面畸形的辅助正畸治疗","指各种复杂颅颌面发育综合征伴牙弓狭窄､深覆合､深覆盖､反合､开合､偏合畸形的正畸治疗,使用固定矫治器､扩弓､上颌前牵､配合颌骨牵张或正颌手术矫治。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约35-40次复诊需要治疗36个月左右)","","印模材料,矫治器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1549,"KHW27402","重度牙周病伴错合畸形正畸治疗","指中重度牙周病,或牙周病伴开合､严重深覆合､反合､锁合､偏合等,使用固定矫治器矫治。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约35-40次复诊需要治疗36个月左右)","","印模材料,矫治器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1550,"HHN24701","新生儿唇腭裂术前修复矫治器制备","单侧指单侧唇或腭裂。新生儿唇腭裂修复矫治器设计､技工室制作､试戴､复诊､添加鼻撑。需5次治疗完成一个疗程。不含制取印模､模型､各类可摘局部义齿。","","","单侧","此项为辅加操作项目",300,240,210,"丙类","口腔类","停用"]
[1551,"HHZ24702","口腔功能模型制备","选取成品一次性塑料托盘或可消毒不锈钢托盘，调整患者体位，调拌机或手工调拌普通印模料，制取口腔内初印模，肌功能修整，口内取出印模，印模范围、清晰度及印模-托盘结合情况检查，必要时重新制取印模，调拌模型石膏，震荡灌模机灌制口腔石膏模型，模型修整机修整模型。去除初模型缺牙区石膏，利用义齿铸造支架制作局部个别托盘，用普通印模料制取口颌主动功能运动下的功能性印模，口内取出印模，印模范围、清晰度及印模-托盘结合情况检查，必要时重新制取印模，调拌模型石膏，震荡灌模机初模型上灌制缺牙区功能性石膏模型，模型修整机修整模型。","石膏，人造石，托盘","印模材料","单颌","此项为辅加操作项目",65,52,45,"丙类","口腔类","停用"]
[1552,"KHR24401","腭裂腭护板制作","在研究模型上设计,制作护板并试戴､修整。","","腭护板","个","此项为辅加操作项目",80,65,55,"丙类","口腔类","停用"]
[1553,"HHZ24711","面部模型制备","调整患者体位,面部保护处理,真空调拌机或手工调拌普通印模料,放置加强材料,制取面部印模,取下印模,印模范围､清晰度及印模-托盘结合情况检查,必要时重新制取印模,调拌模型石膏,震荡灌模机灌制面部石膏模型,模型修整。","石膏,人造石","印模材料","个","此项为辅加操作项目",80,65,55,"丙类","口腔类","停用"]
[1554,"KHS27404","睡眠呼吸暂停综合征的正畸辅助治疗","指阻塞性睡眠呼吸暂停综合征(OSAS)的正畸治疗,使用活动或固定矫治器矫治,含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力等处置。(约25-30次复诊需要治疗24个月左右)","","印模材料,矫治器","每疗程","",1000,800,700,"乙类","口腔类","停用"]
[1555,"KHS27408","局部矫治器正畸治疗","指个别牙伸长､倾斜､局部小间隙关闭､局部间隙开辟､微小牙齿移动等矫治。使用局部矫治器矫治(矫治器局限于3-4个牙单位以内)。含错合畸形诊断分析､矫治方案设计､矫治器安装,以及治疗期间每次复诊检查､矫治器调整､加力､矫治器损坏的修理等处置。(约15-20次复诊需要治疗12个月左右)","","印模材料,矫治器","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1556,"KHS27405","活动正畸保持器治疗(制戴活动矫正器)","指戴用常规和改良Hawley式保持器保持,含保持期间每次复诊检查､保持器调整。不含保持器损坏的修理､印模､模型制备。(需要复诊6-8次)","基托材料,推簧,拉簧,印膜材料","保持器,功能丝,","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1557,"KHS25404","制戴固定式缺隙保持器","指用于乳牙早失,使继承恒牙正常萌出替换使用的固定式缺隙保持器。含试冠或带环､缺隙保持器制作､焊接､磷酸锌水门汀粘固等操作。不含印模､模型制备。","","印模材料,附着体,粘接剂","件","",120,95,85,"丙类","口腔类","停用"]
[1558,"KHS25405","制戴活动式缺隙保持器","指乳牙早失后牙列间隙的维持。含预备基牙,选择义齿,保持器设计,制作,试戴,调合。不含印模､模型制备。","基托材料,石膏模型材料,托盘","印模材料","副","以1个牙位为基价,每增加1个加收不超过20%",100,80,70,"丙类","口腔类","停用"]
[1559,"KHS27406","压膜式正畸保持器治疗","指戴用常规压膜式正畸保持器保持,含保持期间每次复诊检查､保持器调整。不含保持器损坏的修理､印模､模型制备。(平均需要复诊6-8次)","石膏模型材料","印模材料,保持器,膜片","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1560,"KHS27407","固定式正畸保持器治疗","指戴用固定式正畸保持器保持,含保持期间每次复诊检查､保持器调整。不含保持器损坏的修理､印模､模型制备。(平均需要复诊6-8次)","","功能丝,粘接剂","每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1561,"FHS04301","诊断性排牙试验","指用于进行矫治方案设计需要的模型排牙试验。含面弓转移､上合架､石膏模型牙齿切割､排牙等操作。不含印模与石膏模型制备。","","","次","不得在口腔种植中收取",80,65,55,"丙类","口腔类","停用"]
[1562,"KHS18704","错合畸形诊断设计","指错合畸形的诊断与矫治方案设计。含手工牙模型测量与二维X线头影测量描图､定点､测量与分析､错合畸形诊断与矫治方案设计。不含模型制备､排牙试验､X线摄影。","","","次","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1563,"KHS18705","错合畸形二维诊断设计","指错合畸形的计算机诊断与矫治方案设计。含牙模型测量与计算机二维X线头影测量描图､定点､测量与分析､错合畸形计算机二维诊断与矫治方案设计。不含模型制备､X线摄影。","","","次","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1564,"KHS18706","错合畸形三维诊断设计","指错合畸形的三维诊断与矫治方案设计。含模型三维扫描与测量､颅颌面外形与结构的三维形态扫描､测量与分析､进行错合畸形的三维诊断与矫治设计。不含模型制备､X线摄影。","","","次","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1565,"FHA02701","常规面部与口内照相","指面部与口内数码照相。进行面部定位,使用口内专业相机拍摄。含面部正位､侧位､45°斜侧位､顶颏位､颏顶位､口内正位､左右侧位､上下咬合面相。","","","体位","不得在口腔种植中收取",8,6,6,"丙类","口腔类","停用"]
[1566,"HHZ24701","口腔常规模型制备","选取成品一次性塑料托盘或可消毒不锈钢托盘,调整患者体位,调拌机或手工调拌普通印模料,制取口腔内印模,肌功能修整,口内取出印模,印模范围､清晰度及印模-托盘结合情况检查,必要时重新制取印模,调拌模型石膏,震荡灌模机灌制口腔石膏模型,模型修整机修整模型。","石膏,人造石,托盘","印模材料","单颌","此项为辅加操作项目",55,45,40,"丙类","口腔类","停用"]
[1567,"HHZ24712","正畸记存模型制备","指用于观察记录牙齿与咬合关系的口腔牙合模型制备。含印模制取､石膏模型灌制与模型修整､使用普通藻酸盐印模材､普通超硬石膏灌制模型。","石膏模型材料","","单颌","此项为辅加操作项目",50,40,35,"丙类","口腔类","停用"]
[1568,"KHV70401","前牙根折根牵引术","指对冠根折或根折的外伤牙齿,采用正畸牵引的方法将断面牵引至龈上的治疗。局麻下切除覆盖牙龈,设计,制作粘接或制戴牵引装置,牵引,加力,定期复诊。不含根管治疗､牙冠修复。","皮圈,注射器","托槽,粘接剂","每牙","",280,230,205,"乙类","口腔类","停用"]
[1569,"FHU01401","牙髓电活力检查","使用牙髓电活力测试仪数字式检查牙髓活力指数。","","","每牙","",5,5,5,"甲类","口腔类","停用"]
[1570,"KHS39401","橡皮障隔湿治疗","用专用的橡皮障套装,打孔,橡皮障夹,就位,面弓固定,楔线辅助固定。利用橡皮布的弹性,打孔后套在牙颈部作为屏障,使接受治疗的牙冠与口腔隔开的一种隔湿方法。","橡皮障布,楔线","","次","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1571,"KHU45401","开髓引流术","局麻,开髓,药物安抚,引流。","注射器,车针,引流装置,吸唾管","","每牙",null,50,40,35,"甲类","口腔类","停用"]
[1572,"KHU65401","牙髓摘除术","局麻下去龋,备洞,开髓,揭髓顶,拔髓,荡洗根管。","注射器,车针,根管润滑剂,吸唾管","拔髓针","根管",null,60,48,42,"甲类","口腔类","停用"]
[1573,"KHU72401","牙髓失活术","局麻,开髓,放置失活剂,氧化锌丁香油水门汀封药。","注射器,车针,暂补材料,失活剂,吸唾管","","每牙","",50,40,35,"甲类","口腔类","停用"]
[1574,"KHU72402","干髓术","去封药,揭髓顶,切冠髓,放置干髓剂,垫基底,银汞充填等。","车针,基底材料,干髓剂,吸唾管,砂石","粘接剂","每牙","",30,25,20,"甲类","口腔类","停用"]
[1575,"KHV18401","简单根管预备","指直或轻度弯曲的粗大根管。局麻下开髓,髓腔预备,髓腔修整,暴露根管口､不锈钢K锉以逐步后退法预备根管至根尖孔､双氧水生理冲洗液交替冲洗,无菌纸尖吸干,氢氧化钙等药物或采用微波､激光进行根管内持续消毒,氧化锌丁香油水门汀暂封,7天为一疗程。不含根管长度测定､X线检查。","注射器,暂补材料,润滑剂,纸尖,","","根管","超过一疗程的,每增加一疗程加收不超过20%",50,40,35,"甲类","口腔类","停用"]
[1576,"KHV02401","根管长度测量","使用根管长度测量仪,将与之相连的诊断丝插入根管,数字式确定工作长度,电子､人工检查。","诊断丝","","根管","",10,8,7,"甲类","口腔类","停用"]
[1577,"KHV18402","复杂根管预备","指术前检查和X线判断有额外根管、根管狭窄、中重度弯曲、根管阻塞、钙化以及有侧枝根管、副根管、C形根管及根管间交通枝，或者感染严重、经久不愈的根管。局麻下开髓，髓腔修整，暴露根管口，＃15初尖锉探查根管，测定根管工作长度，在根管润滑剂下用不锈钢K锉、H锉、C锉、G钻、P钻、各种旋转镍钛器械、髓针等二十余种器械辅以微型马达等机用根管设备采用逐步深入法清理预备根管系统，15%-17%乙二胺四乙酸、0.5%-5.25%次氯酸钠等冲洗液与生理冲洗液交替冲洗根管，无菌纸尖吸干，氢氧化钙等药物或采用微波、激光进行根管内","注射器，暂补材料，润滑剂，纸尖",null,"根管","超过一疗程的，每增加一疗程加收不超过20%",70,55,50,"甲类","口腔类","停用"]
[1578,"KHV18404","激光根管预备","采用激光治疗仪辅助进行复杂根管预备，消毒根管。",null,"","根管","",50,40,35,"乙类","口腔类","停用"]
[1579,"KHV65401","钙化桥打通术","局麻下去除充填料,髓腔预备,髓腔修整,暴露根管口,用G钻或长柄球钻去除牙本质桥,修整根管壁,双氧水生理冲洗液交替冲洗,无菌纸尖吸干,氢氧化钙等药物根管内持续消毒,氧化锌丁香油水门汀暂封。","注射器,车针,暂补材料,纸尖,吸唾管","","根管","",100,80,70,"乙类","口腔类","停用"]
[1580,"KHV18403","超声根管预备","采用超声根管治疗仪辅助进行复杂根管预备，含根管荡洗、根管清理成形。",null,null,"根管","",50,40,35,"甲类","口腔类","停用"]
[1581,"KHV62401","根管冷牙胶侧压充填术","去除暂封料,清理髓腔和根管,无菌纸尖吸干,试尖,常规根管糊剂导入,主尖就位,冷牙胶侧方加压充填。","车针,牙胶尖,润滑剂,封闭剂,糊剂,纸尖,吸唾管","","根管","中重度弯曲根管､C型根管､根管间交通枝等特殊根管加收不超过20%",30,25,20,"甲类","口腔类","停用"]
[1582,"KHV62402","根管热塑牙胶垂直加压充填术","去除暂封料,清理髓腔和根管,无菌纸尖吸干,试尖,常规根管糊剂导入,放置主牙胶尖,采用专用的热塑牙胶充填仪垂直加压充填。","牙胶,车针,纸尖,封闭剂,润滑剂,糊剂,吸唾管,牙胶尖","","根管","中重度弯曲根管､C型根管､根管间交通枝等特殊根管加收不超过20%",40,32,28,"甲类","口腔类","停用"]
[1583,"KHV62403","根管常温牙胶注射式加压充填术","去除暂封料,清理髓腔和根管,无菌纸尖吸干,试尖,放置主牙胶尖,采用专用的常温牙胶注射仪垂直加压充填,主尖就位。","牙胶,车针,纸尖,润滑剂,封闭剂,糊剂,吸唾管,牙胶尖","","根管","中重度弯曲根管､C型根管､根管间交通枝等特殊根管加收不超过20%",40,32,28,"乙类","口腔类","停用"]
[1584,"KHV39401","根管再治疗","针对根管治疗后疾病进行的治疗。用药物､器械以及专用的超声治疗仪取根管内充物(干髓剂､充填材料､牙胶､糊剂等)。","注射器,氯仿,润滑剂","拔髓针","根管","",60,48,42,"甲类","口腔类","停用"]
[1585,"KHV39402","显微根管治疗","在根管显微镜下寻找根管口，复杂根管的辅助治疗，根尖屏障制备，钙化根管的输通，根管内分离器械的取出等。","车针","","根管","",260,205,180,"乙类","口腔类","停用"]
[1586,"KHV64401","根管内分离器械取出术","根管内分离器械的定位,建立旁路,超声振荡取出分离器械。","车针,润滑剂","拔髓针","根管","",80,65,55,"甲类","口腔类","停用"]
[1587,"HHV83304","根尖诱导成形术","指年轻恒牙牙髓坏死需利用药物诱导根尖继续发育的治疗。开髓,髓腔预备,髓腔修整,暴露根管口,使用拔髓针和不锈钢扩大针去除坏死牙髓,预备根管,双氧水生理冲洗液冲洗,无菌纸尖吸干,抗生素药物等药物行根管内持续消毒,氢氧化钙药物持续诱导,氧化锌丁香油水门汀暂封,每1周､1月､3月､6月复诊。","注射器,车针,纸尖,吸唾管","","根管","",85,68,60,"乙类","口腔类","停用"]
[1588,"KHU83401","髓腔穿孔充填修补术","龋损,牙内吸收以及根管治疗中的一些操作可能引起髓腔和根管各部位的穿孔。暴露穿孔部位,去除病变组织,并将修补材料放入穿孔处,充填,磨光。","车针,吸唾管","修复材料","每牙","",30,25,20,"甲类","口腔类","停用"]
[1589,"HHV83302","显微镜下根管外科手术","显微镜下,采用专用的显微根管外科器械进行根管外修复及根尖手术。","车针,吸唾管","","根管","",200,160,140,"乙类","口腔类","停用"]
[1590,"KHV83401","根管壁穿孔修补术","病变组织较深,无法直接修补,采用外科手术方法暴露穿孔部位进行修复。消毒､麻醉,切开牙龈,翻起龈瓣,暴露穿孔部位,去除病变组织,并将修补材料放入穿孔处,充填､磨光,缝合。","注射器,车针,吸唾管","特殊缝线","根管","",110,90,80,"甲类","口腔类","停用"]
[1591,"HHV62302","超声根尖倒充填术","用专用的超声仪器和工作尖进行根尖倒预备,充填,刻形,磨光。","注射器,车针,染色剂,吸唾管","充填材料,牙周塞治剂,特殊缝线","根管","",220,180,160,"甲类","口腔类","停用"]
[1592,"HHV62301","根尖倒充填术","以微动力系统行根尖倒预备,充填,刻形,磨光。","注射器,车针,吸唾管","充填材料,特殊缝线","根管","",190,150,130,"甲类","口腔类","停用"]
[1593,"HHV73304","根尖搔刮术","消毒,麻醉,根据牙位局部情况,设计切口,翻瓣,暴露根尖区病变,根尖区搔刮,冲洗,缝合。","注射器,车针,染色剂,吸唾管","特殊缝线","根管","",100,80,70,"甲类","口腔类","停用"]
[1594,"HHV73303","根尖切除术","消毒,麻醉,根据牙位局部情况,设计切口,翻瓣,暴露根尖区病变,根尖区搔刮,以微动力系统行根尖切除,根管倒充填,冲洗,缝合。","注射器,车针,吸唾管","特殊缝线","每牙","",200,160,140,"甲类","口腔类","停用"]
[1595,"KHU62401","直接盖髓术","适用于意外穿髓､穿髓孔直径不超过0.5毫米者,年轻恒牙的急性牙髓炎,或无明显自发痛的患牙,在除腐质穿髓时,其穿髓孔小,牙髓组织鲜红而敏感者。局麻下除去腐质,冲洗窝洞,隔湿,在近髓处或已暴露的牙髓创面上敷盖髓剂,垫基底,银汞充填,刻形,磨光。","注射器,车针,基底材料,盖髓材料,吸唾管","粘接剂","每牙","",60,50,45,"甲类","口腔类","停用"]
[1596,"KHU58401","活髓切断术","判断牙髓状况,局麻,去龋,开髓备洞,洞型设计,高速球型钻磨除冠髓,生理冲洗液反复冲洗,止血,置盖髓剂,氧化锌丁香油水门汀暂封。","注射器,车针,基底材料,盖髓材料,纸尖,吸唾管","充填材料","每牙","",80,65,55,"甲类","口腔类","停用"]
[1597,"KHU62402","间接盖髓术","深龋近髓。去净龋坏组织,预备窝洞,清洁窝洞。隔湿并干燥窝洞,调制盖髓剂,涂敷盖髓剂于近髓区,垫基底,银汞充填,刻形,磨光。","注射器,车针,基底材料,盖髓材料,成型材料,吸唾管","粘接剂","每牙","",50,40,35,"甲类","口腔类","停用"]
[1598,"KHS62402","牙体缺损直接粘接修复术","局麻,洞型设计,牙体预备,牙髓保护,垫基底,比色,酸蚀,粘接,分层分色充填,调合,磨光。","车针,磨光条,基底材料,成型材料,酸蚀剂,打磨膏,牙髓保护材料,吸唾管,咬合纸","粘接剂,充填材料","洞","双面洞加收不超过50%;三面洞加收不超100%",80,65,55,"乙类","口腔类","停用"]
[1599,"KHS62401","牙体缺损充填术","牙龋缺损情况只涉及一个牙面,局麻,去龋,备洞,垫底,洞型设计,银汞充填､刻形､磨光。","注射器,车针,基底材料,成型材料,窝洞处理剂,吸唾管,咬合纸","充填材料","洞","",80,65,55,"甲类","口腔类","停用"]
[1600,"KHU24702","非金属类充填体抛光术","各种非金属类充填体的修整,抛光。","车针,磨光条,抛光膏,砂石","","每牙","",15,12,10,"丙类","口腔类","停用"]
[1601,"FHS01402","纸蜡咬合图像分析检查","将专用纸蜡膜片置于上下牙列咬合面之间,嘱正中紧咬或前伸或侧方咬合,通过纸蜡咬合图像分析仪来测定全牙列咬合接触点分布。","纸蜡","","次","不得在口腔种植中收取",10,8,7,"丙类","口腔类","停用"]
[1602,"KHU24701","金属类充填体抛光术","各种金属类充填体的修整,抛光。","车针,抛光膏,砂石","","每牙","",15,12,10,"丙类","口腔类","停用"]
[1603,"KHM39401","辅助性调合治疗","在修复､正畸､充填等治疗后,用咬合纸在口内进行咬合检查,发现咬合高点以及不均匀接触处,用车针､砂石等进行咬合形态调整。","车针,砂石,咬合纸","","每牙","不得在口腔种植中收取",6,5,4,"丙类","口腔类","停用"]
[1604,"KHS62403","微创修复术","指MI技术。检查患牙龋坏情况,使用微创器械去龋,充填。","","充填材料","每牙","",80,65,55,"乙类","口腔类","停用"]
[1605,"KHS26706","光固化树脂贴面修复术","指普通光固化树脂口内贴面直接修复。牙体预备,排龈,选色,采用光固化设备,酸蚀,清洁,粘接面处理,普通光固化树脂牙齿表面分层固化,修形,抛光完成。","车针,砂石,抛光带,橡皮轮,布轮","粘接剂","每牙","",80,65,55,"丙类","口腔类","停用"]
[1606,"KHS59401","窝沟封闭术","封闭窝沟,预防牙齿龋坏的治疗。用慢机毛刷蘸取清洁膏清洁牙面及窝沟,清洁剂和冲洗机交替冲洗,吹干,酸蚀,冲洗,干燥隔湿,窝沟内注入封闭剂,光固化,调合,抛光。","车针,酸蚀剂,基底材料,封闭剂,咬合纸,吸唾管","粘接剂,充填材料","每牙","",35,28,25,"丙类","口腔类","停用"]
[1607,"KHT48401","氟防龋治疗","用慢机毛刷蘸取清洁膏清洁牙面及窝沟､吹干隔湿､棉棒蘸取氟制剂反复涂牙齿各面。","","","每牙","",3,3,3,"丙类","口腔类","停用"]
[1608,"KHU48401","药物脱敏治疗","确定患牙过敏区域,用氟化物､银锶制剂､酚制剂等药物多次涂抹,进行脱敏治疗。","脱敏剂","","每牙","",20,16,14,"甲类","口腔类","停用"]
[1609,"KHU48402","牙列套脱敏治疗","多部位多牙位过敏的检查､标记､设计,取模,灌注石膏模型,用成型机在石膏模型上制作常规塑料膜套,临床调整,一个疗程的脱敏药物。不含临床取模和石膏模型制备。","脱敏剂","膜片","单颌／每疗程","",50,40,35,"甲类","口腔类","停用"]
[1610,"KHU39401","激光脱敏治疗","确定患牙过敏区域,采用专用的激光脱敏治疗设备,用激光光纤头辅以专用材料地毯式脉冲式数字式照射,进行脱敏治疗。","脱敏剂","","每牙","",10,8,7,"乙类","口腔类","停用"]
[1611,"KHT48402","牙齿内漂白术","牙齿髓腔清理,髓室内放置双氧水漂白药物,氧化锌丁香油水门汀暂时封闭,复诊,反复上述操作,完成一个疗程。","吸唾管","充填材料,漂白剂","每牙／每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1612,"FHS01701","测色仪测色","指用测色仪测定牙齿不同部位的颜色。","","","每牙","不得在口腔种植中收取",2,2,2,"丙类","口腔类","停用"]
[1613,"KHT31402","牙齿脱色术","牙齿浅表色斑的磨除,抛光。","车针,砂石","","每牙","",30,25,20,"丙类","口腔类","停用"]
[1614,"KHT31403","牙齿冷光漂白术","指用冷光漂白设备及漂白药物对氟斑牙､四环素牙､变色牙等进行一个疗程冷光漂白。含牙龈保护､药物涂布､分次分区光照､氧化剂光泽处理。","牙龈保护剂,氧化剂","漂白剂","次","一次为全口治疗","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1615,"KHT48403","牙列套漂白术","氟斑牙､四环素牙､变色牙等牙色检查､调磨,模型设计,用成型机在石膏模型上制作常规塑料膜套,临床调整。不含临床取模。","","膜片,漂白剂","单颌／每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1616,"KHS26401","乳磨牙金属预成冠修复","用于乳磨牙大面积缺损的修复。牙体预备,选择,修整,试戴预成冠,粘固,调合。","车针,砂石,橡皮轮,咬合纸,排龈膏,排龈带,排龈线","预成冠","每牙","",65,52,45,"丙类","口腔类","停用"]
[1617,"HHS65301","乳牙拔除术","局麻下对乳牙前后牙残冠､残根､不松动乳牙的拔除,伤口处理。","注射器,一次性口腔治疗盘","","每牙","",20,16,14,"甲类","口腔类","停用"]
[1618,"HHS65302","恒前牙拔除术","麻醉下对该区段已萌出的牙及多生牙拔除,伤口处理。","注射器","","每牙","",25,20,18,"甲类","口腔类","停用"]
[1619,"HHS65303","恒前磨牙拔除术","麻醉下对该区段已萌出的牙及多生牙拔除,伤口处理。","注射器","","每牙","",25,20,18,"甲类","口腔类","停用"]
[1620,"HHS65304","恒磨牙拔除术","麻醉下对该区段已萌出的牙及多生牙拔除,伤口处理。","注射器","","每牙","",30,25,20,"甲类","口腔类","停用"]
[1621,"HHS65307","微创复杂牙拔除术","指用微创器械和技术拔除各种复杂牙。麻醉,使用外科专用切割钻切割､拔除,止血,伤口处理。","注射器,车针,一次性口腔治疗盘","特殊缝线","每牙","",90,70,60,"甲类","口腔类","停用"]
[1622,"HHS65306","骨融合牙拔除术","指因解剖变异､死髓牙牙槽骨致密性改变导致牙骨融合､与上颌窦关系密切､增龄性变化所致的复杂牙拔除。麻醉下,使用外科专用切割钻去骨,分根,拔除,止血。","车针","特殊缝线","每牙","",75,60,53,"甲类","口腔类","停用"]
[1623,"HHS65305","半牙拔除术","指因修复需要而拔除一个牙根的牙齿。麻醉,使用外科专用切割钻切割牙齿,分根,拔除牙根,止血,伤口处理。","注射器,一次性口腔治疗盘","特殊缝线","每牙","",50,40,35,"甲类","口腔类","停用"]
[1624,"HHS65308","弓外牙拔除术","指位于正常牙弓之外､低位､倾斜､扭转的恒牙的拔除。核对牙位,麻醉,使用外科专用切割钻切割､拔除,止血,伤口处理。","注射器,车针,一次性口腔治疗盘","特殊缝线","每牙","",90,70,60,"甲类","口腔类","停用"]
[1625,"HHS65309","萌出阻生牙拔除术","指已萌出黏膜的近中､远中､颊舌向阻生牙。麻醉,解除阻力,分根,拔除,止血及伤口处理。","注射器,一次性口腔治疗盘","特殊缝线","每牙",null,100,80,70,"甲类","口腔类","停用"]
[1626,"HHS65310","未完全萌出阻生牙拔除术","指被牙龈覆盖的各类垂直阻生牙齿的拔除。麻醉,使用外科专用切割钻切开黏骨膜,翻瓣,去骨解除阻力,牙齿拔除,止血,伤口处理及缝合。","注射器,车针,一次性口腔治疗盘","特殊缝线","每牙",null,100,80,70,"甲类","口腔类","停用"]
[1627,"HHS65311","骨性埋藏阻生牙拔除术","指完全埋藏颌骨内的各类阻生牙及多生牙的拔除。麻醉下切开牙龈,翻开黏骨膜瓣,使用专用切割钻去除埋藏牙表面的骨质,解除阻力,去冠分根,拔除阻生牙,清理牙槽窝,止血,伤口缝合。不含拔牙窝内植骨术。","注射器,车针","特殊缝线","每牙",null,200,160,140,"甲类","口腔类","停用"]
[1628,"HHS50301","软组织内阻生恒牙开窗助萌术","麻醉下,切开牙龈,止血,显露牙冠,安放托槽及橡皮牵引圈,缝合伤口。","橡皮圈,注射器","托槽,特殊缝线","每牙","",50,40,35,"甲类","口腔类","停用"]
[1629,"HHS73301","骨阻生恒牙开窗助萌术","麻醉下切开分离,翻瓣,去骨,暴露埋藏于颌骨内牙齿,安装托槽及橡皮牵引圈牵引,缝合伤口。","橡皮圈,注射器","托槽,特殊缝线","每牙","",70,55,50,"甲类","口腔类","停用"]
[1630,"HHW73301","拔牙创面搔刮术","局麻下对拔牙创面愈合不良的创面,重新搔刮处理及缝合。","注射器","充填材料,特殊缝线","每牙","",20,16,14,"甲类","口腔类","停用"]
[1631,"HHE73303","牙槽骨烧伤清创术","牙髓治疗药物所致烧伤的处理,含去除坏死组织和死骨､上药。","引流装置","止血材料,特殊缝线","次","",50,40,35,"甲类","口腔类","停用"]
[1632,"HHW83301","阻生智齿龈瓣修整术","局麻下切除阻生牙周围龈瓣及龈袋,牙龈修整,缝合伤口。","注射器","特殊缝线","每牙","",110,88,77,"乙类","口腔类","停用"]
[1633,"HHS89302","牙移植术","指自体牙移植和异体牙移植,麻醉,准备受植区牙槽窝,植入供体牙,牙塑形及消毒,植入牙的牙弓夹板固定,调合防止合创伤,伤口处理。不含异位牙拔除。","注射器,牙弓夹板","特殊缝线","每牙","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1634,"HHS89301","牙再植术","指脱落于体外一定时间的牙齿重新植入与固定。麻醉,牙槽嵴复位及牙槽窝处理,牙齿无菌处理,植入,牙弓夹板结扎固定或树脂粘接固定,调合防止咬合创伤,伤口处理及缝合。","注射器,牙弓夹板","特殊缝线","每牙","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1635,"HHM73301","口腔黏膜小肿物切除术","指5-10毫米范围的黏膜病变。切开肿物表面黏膜或切除肿物表面黏膜,完整摘除肿物后,间断缝合创面伤口。","引流装置","特殊缝线,止血材料","次","",200,160,140,"甲类","口腔类","停用"]
[1636,"HHW73304","龈瘤切除术","牙龈局部增生性肿物切除､必要时给予牙周塞治。不含牙龈翻瓣术､骨修整。","注射器","牙周塞治剂","次","",200,160,140,"甲类","口腔类","停用"]
[1637,"HHM73302","口内黏膜下粘液囊肿切除术","颊部､舌腹､唇部粘液囊肿局部切除,缝合伤口。","引流装置","特殊缝线,止血材料","次","",200,160,140,"甲类","口腔类","停用"]
[1638,"HHN83302","唇颊沟加深术","消毒､麻醉,拟整形区局部黏膜半层切开､向前庭沟底推移､固定。取皮(黏膜),植皮(黏膜)､皮(黏膜)片加压固定,供皮(黏膜)区创面处理。","注射器,引流装置","补片,特殊缝线,止血材料","次","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1639,"HHN83301","唇系带成形术","牵开唇,在唇系带最薄弱处切开,应用Z成形术或V-Y成形术进行矫正,延长唇系带。修整缝合。","引流装置","特殊缝线,止血材料","次","",370,300,260,"丙类","口腔类","停用"]
[1640,"HHP83302","颊系带成形术","牵开颊部组织,在颊系带最薄弱处横行切开,纵行缝合,延长颊系带。修整缝合。","引流装置","特殊缝线,止血材料","单侧","",420,340,290,"丙类","口腔类","停用"]
[1641,"HHQ83401","舌系带成形术","舌腹舌系带最薄弱处切开,纵行缝合,或应用Z成形术或V-Y成形术进行矫正,延长舌系带。","引流装置","止血材料,特殊缝线","次","",370,300,260,"乙类","口腔类","停用"]
[1642,"HHG73401","口内入路下颌骨囊肿摘除术","口内牙龈切开,或前庭沟切开,骨膜下翻瓣,咬骨钳或电钻磨头开窗,刮治囊腔,病源牙根尖截除,下牙槽神经血管束探查,摘除囊肿,骨腔处理,缝合伤口。加压包扎。不含拔牙术。","引流装置","止血材料,特殊缝线","次","",900,720,630,"甲类","口腔类","停用"]
[1643,"HHV73302","根尖囊肿摘除术","局麻下切开黏骨膜,翻瓣,显露囊肿并摘除,病灶刮治,必要时化学药品烧灼囊腔壁,冲洗,止血,缝合。局部加压包扎。不含根管治疗及植骨。","注射器,车针,染色剂,吸唾管","屏障膜,特殊缝线","次","",300,240,210,"甲类","口腔类","停用"]
[1644,"HHE65301","颌骨牙源性病灶刮治术","麻醉,口外或口内切开显露,病灶探查,刮治,化学品烧灼,创面处理及缝合伤口。不含液氮冷冻治疗。","注射器,结扎丝,引流装置","特殊缝线","部位","",500,400,350,"甲类","口腔类","停用"]
[1645,"HHE65302","颌骨骨髓炎病灶刮治术","麻醉,瘘道肉芽组织彻底刮治及坏死骨质清除,创面抗生素冲洗,伤口关闭。不含截骨术。","注射器,结扎丝,引流装置","特殊缝线","部位","",500,400,350,"甲类","口腔类","停用"]
[1646,"HHG73301","口外入路下颌骨囊肿摘除术","下颌下切口,切开皮肤､皮下组织和颈阔肌,结扎切断颌外动脉及面前静脉,保护面神经下颌缘支,切开下颌骨下缘骨膜,骨膜下翻瓣,咬骨钳或电钻磨头开窗,刮治囊腔,病源牙根尖截除,下牙槽神经或颏神经血管束探查,摘除囊肿,骨腔处理,缝合伤口。加压包扎。不含病理性骨折的骨折内固定术､颌间固定术､拔牙术。","引流装置","止血材料,特殊缝线","次","",900,720,630,"甲类","口腔类","停用"]
[1647,"HHG73302","下颌骨边缘性骨髓炎刮治术","麻醉,切开黏骨膜,显露病变区,刮除病变组织,创面处理及缝合。不含液氮冷冻治疗。","注射器,引流装置","止血材料,特殊缝线","部位","",600,480,420,"甲类","口腔类","停用"]
[1648,"HHV73301","截根术","消毒,麻醉,根据患牙局部情况,设计切口(沟内切口,内斜切口或垂直切口等),切开牙龈,翻起龈瓣,暴露牙周病变,软组织清创,硬组织清创(根面,骨面及根分叉区刮治),截断病根,拔除断根,牙根及牙冠外形和断面修整,备洞,倒充填,设计缝合方式,缝合。不含牙周塞治､牙龈翻瓣术､骨成形术。","注射器,车针,吸唾管","屏障膜,牙周塞治剂,特殊缝线","每牙","",200,160,140,"甲类","口腔类","停用"]
[1649,"HHE71304","颌骨骨折颌间牵引钉颌间固定术","骨折手法复位,微型骨钻打孔,拧入颌间牵引钉,弹性或钢丝颌间固定。需使用微动力系统。","结扎丝","内固定材料","次","",340,270,230,"甲类","口腔类","停用"]
[1650,"HHE64302","颌间牵引钉拆除术","用专用工具旋出上､下颌牵引钉,拆除颌间固定。","","","次","",65,52,45,"甲类","口腔类","停用"]
[1651,"HHE73302","颌骨隆突切除术","消毒铺巾,设计口内黏膜切口,剥离显露,用凿子和磨球等将颌骨隆突等增生骨质去除成型。","引流装置","内固定材料,特殊缝线,止血材料","次","",420,340,290,"丙类","口腔类","停用"]
[1652,"HHE83306","牙周骨成形术","根据需要对由于牙周炎导致的牙槽骨外形异常进行修整。在牙周翻瓣的基础上,以骨凿,牙钻,骨锉等工具进行牙槽骨修整,成形,使其恢复正常生理外形,以利于牙周组织再生修复。此手术非独立手术常为翻瓣术､牙周植骨术等的一部分。","车针,引流装置","","每牙","此项为辅加操作项目",200,160,140,"乙类","口腔类","停用"]
[1653,"HHE83304","牙槽骨修整术","麻醉,切开牙龈,翻瓣,显露去骨区,修整修平,伤口处理。","注射器,引流装置","特殊缝线,止血材料","每牙","",100,80,70,"乙类","口腔类","停用"]
[1654,"HHS71302","后牙纵折固定术","设计,局麻下复位,牙体预备,结扎外固定,调合。","注射器,车针,结扎丝,砂石,吸唾管","","每牙","",80,65,55,"甲类","口腔类","停用"]
[1655,"HHS71301","牙外伤结扎固定术","麻醉下牙槽骨及牙齿复位､常规牙弓夹板结扎固定及调合,伤口处理及缝合。含牙根折､挫伤､松动及嵌入牙的复位固定,常规固定2-4周。","结扎丝,牙弓夹板,酸蚀剂,注射器","托槽,粘接剂,特殊缝线","每牙","",50,40,35,"甲类","口腔类","停用"]
[1656,"HHE71303","颌骨骨折牙间钢丝结扎固定术","骨折手法复位,牙间钢丝栓结,颌间固定。","结扎丝","","次","",340,270,230,"甲类","口腔类","停用"]
[1657,"HHE71302","颌骨骨折颌间结扎固定术","骨折手法复位,上､下颌牙列安置并结扎牙弓夹板,橡皮圈颌间牵引固定,恢复咬合关系。","牙弓夹板,结扎丝","","次","",340,270,230,"甲类","口腔类","停用"]
[1658,"HHE71301","颌骨骨折单颌牙弓夹板结扎固定术","骨折手法复位,安置结扎牙弓夹板。","牙弓夹板,结扎丝,引流装置","","次","",340,270,230,"甲类","口腔类","停用"]
[1659,"HHE64301","颌间固定物拆除术","拆除上､下颌牙弓夹板橡皮圈及结扎钢丝,取下牙弓夹板,清洗牙列。","","","次","",65,52,45,"甲类","口腔类","停用"]
[1660,"HHE71306","牙槽突骨折结扎固定术","局麻下牙槽突复位､固定､调合,钢丝结扎固定或牙弓夹板牵引复位固定。","注射器,牙弓夹板,结扎丝,引流装置","","每牙",null,300,240,210,"甲类","口腔类","停用"]
[1661,"HHE83301","引导骨再生术","局部麻醉，彻底清除种植体周围骨缺损区或牙槽突骨缺损区表面的软组织，准备植骨床，局部取自体骨，将植骨材料(自体骨和/或骨代用品)植于缺损区，表面覆盖生物隔膜，必要时用膜固定钉加以固定，软组织瓣减张处理，伤口严密缝合。","注射器","屏障膜，人工骨，内固定材料，特殊缝线，止血材料","次","",1000,800,700,"丙类","口腔类","停用"]
[1662,"HHM45301","口内脓肿切开引流术","口内入路,局麻下行切开脓肿,引流脓腔,冲洗,放置引流条。必要时神经阻滞麻醉。","引流装置,吸唾管,注射器,冲洗液","","部位","",50,40,35,"甲类","口腔类","停用"]
[1663,"HHA45301","颌面部脓肿切开引流术","局麻下行颌面部单间隙脓肿切开,探查脓腔,引流脓液,冲洗,放置引流条。必要时神经阻滞麻醉。","引流装置,注射器,冲洗液","","部位","",60,48,42,"甲类","口腔类","停用"]
[1664,"HHM45302","口底颌下脓肿切开引流术","局麻下作自一侧下颌角下经颏下至对侧下颌角下的皮肤切口,分层切开,钝性广泛彻底分离口底各层组织,使感染各间隙彼此相通,探查脓腔,大量生理冲洗液､过氧化氢液冲洗､引流。必要时神经阻滞麻醉。","引流装置,注射器,冲洗液","特殊缝线,止血材料","部位","",300,240,210,"甲类","颌面.口腔","停用"]
[1665,"HHA45302","颌面部多间隙脓肿切开引流术","两个间隙以上脓肿的切开引流,按照脓肿部位不同采用不同的入路。局麻下可经颞部､颌下或口内切口,分层切开局部组织,止血钳在尽可能低位钝性进入脓腔,扩大引流通道,冲洗脓腔,放置引流条。术中要防止损伤颌面颈部重要血管､神经如颈动静脉系统､面神经,将所有脓腔扩通,必要时神经阻滞麻醉。","引流装置,注射器,冲洗液","","部位","",200,160,140,"甲类","颌面.口腔","停用"]
[1666,"HHS88301","下牙槽神经解剖移位术","局部浸润或阻滞麻醉,切开黏膜,翻瓣显露下颌管颊侧骨壁,使用专用切割钻及配套系列工作头,下颌管颊侧骨壁开窗,显露下牙槽神经,利用特殊剥离器将神经牵向颊侧。","","人工骨,屏障膜,特殊缝线","单侧","",900,720,630,"乙类","口腔类","停用"]
[1667,"HHF83301","口腔上颌窦瘘黏骨膜瓣转移修补术","指用黏骨膜瓣转移修复瘘口。局麻下创口创面的准备,黏骨膜瓣制备,转移至瘘口创面及缝合。不含口腔模型制备。","注射器,引流装置","止血材料,特殊缝线","单侧","",600,480,420,"甲类","口腔类","停用"]
[1668,"KHS26702","暂时塑料冠桥修复术","普通自凝塑料口内直接制作暂时冠､桥。不含修复体粘固。","","成品牙,修复材料","每牙","",100,90,80,"丙类","口腔类","停用"]
[1669,"KHS24701","粘结术","指嵌体､冠､桥､桩核等修复体用普通粘接剂粘结(消毒､隔湿､干燥､粘固､清理)。","","粘接剂","每牙","不得在口腔种植中收取",10,8,7,"丙类","口腔类","停用"]
[1670,"KHS24717","贵金属铸造加工工艺","指各种贵金属修复体的铸造加工。不含各类固定､可摘和全口义齿修复术。","","修复材料","每牙","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1671,"KHS26703","烤瓷冠桥嵌体修复术","指普通镍铬合金烤瓷冠､桥､嵌体修复。牙体预备(调整椅位和体位､选择合适手机头和车针､预备引导沟､切端和合面开辟间隙､邻面片切分离､颊舌邻面消除倒凹及预留空间､颈部肩台制备､轴面角修整､精修抛光)､蜡咬合记录､比色板目测选色,技工室制作可卸代型,涂布间隙涂料,制作基底支架蜡型,蜡型内包埋､外包埋,用烤炉烤圈,高频铸造机精密铸造,铸件切割,喷砂机清理,打磨机粗磨､细磨,模型上基底支架试合,调整修形,临床金属基底试戴,技工室基底支架清理,预氧化,遮色,分层堆瓷,高温烤瓷炉多次烧结,修形,上合架调合,上釉,临床口内戴牙,调整咬合,抛光完成。需2次治疗完成一个疗程。不含制取印模和模型､修复体个性调色､修复体粘固及特殊加工工艺。","车针,瓷粉,间隙涂料,包埋材料,砂石,模型蜡,排龈带,排龈线,片切砂片,橡皮轮,布轮,咬合纸","修复材料","每牙／每疗程","此项为辅加操作项目",150,120,105,"丙类","口腔类","停用"]
[1672,"KHS26701","金属冠桥嵌体修复术","指普通铸造镍铬合金冠､桥､嵌体修复。牙体预备(调整椅位和体位､选择合适手机头和车针､预备引导沟､切端和合面开辟间隙､邻面片切分离､颊舌邻面消除倒凹及预留空间､颈部肩台制备､轴面角修整､精修抛光),蜡咬合记录,技工室制作可卸代型,涂布间隙涂料,制作蜡型,蜡型内包埋､外包埋,用烤炉烤圈,高频铸造机精密铸造,铸件切割,喷砂机清理,打磨机粗磨､细磨,模型上试戴,调整修形,上合架调合抛光,临床口内戴牙,调整咬合,抛光完成。需2次治疗完成一个疗程。不含制取印模､模型､修复体粘固及特殊加工工艺。","车针,砂石,间隙涂料,包埋材料,模型蜡,片切砂片,橡皮轮,布轮,咬合纸,排龈膏,排龈带,排龈线","修复材料","每牙／每疗程","此项为辅加操作项目",130,110,100,"丙类","口腔类","停用"]
[1673,"KHS26707","瓷贴面修复术","牙体预备､排龈､选色,技工室加工制作瓷贴面,含铸瓷/烤瓷设备的使用,临床口内戴牙,调整咬合,试色,专用粘固剂粘固,抛光完成。需2次治疗完成一个疗程。不含制取印模､模型。","车针,包埋材料,砂石,抛光带,排龈带,排龈线,排龈膏","贴面材料","每牙／每疗程","",150,135,120,"丙类","口腔类","停用"]
[1674,"KHS26402","树脂冠桥嵌体贴面间接制作修复术","指冠､桥､嵌体､贴面的树脂间接制作,用光､热固化设备完成。含临床牙体预备(调整椅位和体位､选择合适手机头和车针､预备引导沟､切端和合面开辟间隙､邻面片切分离､颊舌邻面消除倒凹及预留空间､颈部肩台制备､轴面角修整､精修抛光)､排龈､蜡咬合记录,选色,技工室制作可卸代型､间接法制作树脂修复体,临床口内戴牙､调整咬合､抛光完成。需2次治疗完成一个疗程。不含制取印模､模型。","车针,砂石,咬合记录蜡,排龈带,排龈线","修复材料","每牙／每疗程","此项为辅加操作项目",80,65,55,"丙类","口腔类","停用"]
[1675,"KHS24713","镀金加工工艺","采用镀金仪对修复体表面进行镀金加工。不含各类固定､可摘和全口义齿修复术。","托盘","表面材料","平方厘米","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1676,"KHS24718","金沉积加工工艺","指各种修复体的金沉积加工制作。不含各类义齿修复术。","","修复材料","每牙","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1677,"KHS24708","调改义齿","检查,调改义齿外形和咬合,缓冲基托,调整卡环,抛光。不含义齿制作。","车针,砂石,压痛指示剂,咬合纸","","次","不得在口腔种植中收取","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1678,"KHS24706","激光焊接","采用激光焊接机将义齿金属部件焊接。","","","每焊缝","不得在口腔种植中收取","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1679,"KHS24715","铸瓷加工工艺","采用铸瓷机对铸瓷修复体进行铸造加工。不含各类固定义齿修复术。","","","每牙","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1680,"KHS18701","计算机辅助固定修复体设计","指全冠、固定桥、嵌体、贴面、桩核的计算机辅助设计。不含各类固定义齿修复术及特殊加工工艺。",null,"","次","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1681,"KHS24716","高强度复合陶瓷加工工艺","各类修复体的高强度氧化铝､氧化锆基底支架的加工制作。不含各类固定义齿修复术。","饰瓷材料","义齿支架","每牙","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1682,"KHS26704","金属桩核修复术","指普通铸造镍铬合金桩核修复。牙体预备(调整椅位和体位､选择合适手机头和车针､残冠修整､专用车针根管分级预备､根管口颈袖制备),蜡咬合记录技工室制作可卸代型,制作蜡型,蜡型内包埋､外包埋,用烤炉烤圈,高频铸造机精密铸造,铸件切割,喷砂机清理,打磨机粗磨､细磨,模型上试戴,调整修形,抛光,临床口内戴牙,调磨修整,抛光完成。需2次治疗完成一个疗程。不含制取印模､模型､修复体粘固及特殊加工工艺。","车针,间隙涂料,包埋材料,砂石,模型蜡,排龈带,排龈线,片切砂片,橡皮轮,布轮,咬合纸","修复材料","每牙／每疗程","此项为辅加操作项目",100,80,70,"丙类","口腔类","停用"]
[1683,"KHS26705","纤维桩核修复术","残根残冠基牙预备和清理,使用专用套装根管预备钻进行牙齿根管逐级预备,消毒,隔湿,纤维桩粘固,普通树脂核材料塑核,桩核外形打磨修整。","车针，纤维桩（桩钉）","桩钉,粘接剂","每牙／每疗程","",100,80,70,"丙类","口腔类","停用"]
[1684,"KHS24704","附着体设计与安装","附着体及其附属结构的临床针对性设计和技工室使用各种专业设备精密制作。需2次治疗完成一个疗程。不含固定､可摘､全口､种植等各类义齿修复术。","车针,模型蜡,砂石","附着体,粘接剂","个","不得在口腔种植中收取","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1685,"KHS24710","义齿增加铸造部件","指铸造法制作卡环､支托､加强网､合面等,用普通热凝塑料修理。需2次治疗完成一个疗程。不含口腔模型制备。","车针,卡环,支托,加强网.模型蜡,石膏,压痛指示剂,咬合纸","","个","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1686,"KHS25403","义齿组织面重衬","指口内直接法普通自凝塑料硬衬。含义齿组织面处理,自凝塑料调制和口内重衬,调磨修形,抛光。不含口腔模型制备､热凝塑料重衬。","车针,砂石,咬合纸,压痛指示剂","衬垫材料","每义齿","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1687,"KHS25702","塑料基托全口义齿","无牙颌颌位关系､牙槽嵴和黏膜等口腔状况检查,普通塑料全口义齿设计,测量垂直距离,口内确定正中合关系,精确记录和转移正中合关系至口外合架上,试排前牙,技工室模型排牙,在合架上调合,蜡型制作,临床试戴,装盒包埋,高温去蜡,热凝塑料调配及充填,温控热处理义齿加工,出盒,分级打磨和抛光,临床戴牙,调整就位,修改基托,调合,抛光,复诊调整,完成治疗。需6次治疗完成一个疗程。不含临床制取印模､模型。","车针,模型蜡,石膏,砂石,压痛指示剂,咬合纸","成品牙,基托","单颌／每疗程","此项为辅加操作项目",150,120,105,"丙类","口腔类","停用"]
[1688,"KHS25703","铸造基托全口义齿","无牙颌颌位关系､牙槽嵴和黏膜等口腔状况检查,普通铸造全口义齿设计,技工室在两次法制取的石膏模型基础上用硅橡胶翻制阴模,耐火模型材料灌制阳模,制作金属基托蜡型,蜡型内､外包埋,用烤炉烤圈,高频铸造机精密铸造,铸件切割,喷砂机清理,打磨机粗磨､细磨､抛光,临床口内试戴基托,测量垂直距离,口内确定正中合关系,精确记录和转移正中合关系至口外合架上,试排前牙,技工室模型排牙,在合架上调合,蜡型制作,临床试戴,装盒包埋,高温去蜡,热凝塑料调配及充填,温控热处理义齿加工,出盒,分级打磨和抛光,临床戴牙,调整就位,修改基托,调合,抛光,复诊调整,完成治疗。需6次治疗完成一个疗程。不含临床制取印模､模型。","车针,模型蜡,石膏,砂石,压痛指示剂,咬合纸","成品牙,基托,义齿支架","单颌／每疗程","此项为辅加操作项目",200,160,140,"丙类","口腔类","停用"]
[1689,"KHS18703","咬合重建设计","咬合重建义齿设计,暂基托和蜡合堤制作,垂直距离测量,合位关系的口内确定,合位关系由口内精确转移至口外合架上。","合堤蜡,石膏模型材料","基托","次","不得在口腔种植中收取","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1690,"KHS24711","塑料加高咬合面","指口内普通自凝塑料加高咬合面。含义齿咬合面处理,自凝塑料调制和口内加高咬合,调合,修形,抛光。不含口腔模型制备､热凝塑料加高。","车针,砂石,咬合纸,压痛指示剂","修复材料","每牙","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1691,"KHS25701","弹性假牙龈安装","指普通弹性假牙龈的临床设计､技工室制作及口内戴牙。需2次治疗完成一个疗程。","车针,弹性假牙龈材料,砂石,咬合纸,压痛指示剂,模型蜡,石膏","","每牙／每疗程","",30,25,20,"丙类","口腔类","停用"]
[1692,"KHS26708","塑料可摘局部义齿修复术","普通塑料可摘局部义齿的设计,临床基牙预备,相关牙齿的咬合调整,上下牙列咬合关系的蜡记录及转移至口外(牙合)架上,口内试排前牙,技工室模型修整和模型设计,采用精密铸造工艺制作支托､卡环,模型排牙,蜡型制作,装盒包埋,高温去蜡,热凝塑料调配及充填,温控热处理,出盒,分级打磨和抛光,临床戴牙,调整就位,修改基托,调合,抛光,试戴,复诊调整,完成治疗。需4次治疗完成一个疗程。含预成即可义齿。不含制取印模､模型。","车针,模型蜡,石膏,砂石,压痛指示剂,咬合纸","成品牙,基托","每牙／每疗程","",40,32,28,"丙类","口腔类","停用"]
[1693,"KHS24709","义齿增加弯制部件","指弯制卡环､支托､加强丝等,用普通自凝塑料口内直接修理。不含口腔模型制备､热凝塑料修理。","卡环,支托,加强丝","修复材料","个","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1694,"KHS18702","计算机辅助可摘义齿设计","指可摘和全口义齿计算机辅助设计。不含各类可摘义齿和全口义齿修复术及特殊加工工艺。",null,"","次","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1695,"KHS26709","铸造可摘局部义齿修复术","普通铸造钴铬合金支架可摘局部义齿的设计,临床基牙预备,相关牙齿的咬合调整,上下牙列咬合关系的蜡记录及转移至口外合架上,技工室模型修整,用模型观测仪进行模型设计,硅橡胶翻制阴模,耐火模型材料灌制阳模,制作金属支架蜡型,蜡型内包埋､外包埋,用烤炉烤圈,高频铸造机精密铸造,铸件切割,喷砂机清理,打磨机粗磨､细磨,模型上试戴,调整修形,调合抛光,临床口内试戴支架,调整咬合,检查合位关系,必要时重新口内记录和转移合位关系,口内试排前牙,技工室模型排牙,蜡型制作,装盒包埋,高温去蜡,热凝塑料调配及充填,温控热处理,出盒,分级打磨和抛光,临床戴牙,调整就位,修改基托,调合,抛光,试戴,复诊调整,完成治疗。需5次治疗完成一个疗程。不含制取印模､模型。","车针,模型蜡,石膏,砂石,压痛指示剂,咬合纸","成品牙,基托,义齿支架","每牙／每疗程","",170,150,135,"丙类","口腔类","停用"]
[1696,"KHF24401","上颌骨缺损阻塞器修复","上颌阻塞器部件的设计､技工室制作。需4次治疗完成一个疗程。含单颌前牙区､左侧后牙区､右侧后牙区区段。不含制取印模､模型､各类可摘局部义齿､修复术。","","","每区段／每疗程","","市场调节价","市场调节价","市场调节价","丙类","颌面.口腔","停用"]
[1697,"KHG24401","下颌骨带翼导板修复","常规带翼导板设计､制作。需2次治疗完成一个疗程。含单颌前牙区､左侧后牙区､右侧后牙区的区段。不含制取印模､模型､各类可摘局部义齿､修复术。","","","每区段／每疗程","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1698,"KHR24402","软腭缺损阻塞器修复","指单侧软腭､不超出中线。常规软腭阻塞器部件的设计,技工室制作。需2次治疗完成一个疗程。不含制取印模､模型､各类可摘局部义齿､修复术。","","","单侧","",200,160,140,"丙类","口腔类","停用"]
[1699,"KHR25401","软腭抬高器治疗","常规软腭抬高器设计､技工室制作､戴牙､复诊。需2次治疗完成一个疗程。不含制取印模､模型､各类可摘局部义齿､修复术。","","","个／疗程","",90,70,60,"丙类","口腔类","停用"]
[1700,"KHR39401","腭裂术后鼻音计反馈治疗","使用鼻音计进行鼻音检查,分析及报告,治疗。图文报告。","","","次","",50,40,35,"乙类","口腔类","停用"]
[1701,"KHS61701","颅颌面赝复种植固位","种植固位方式的设计､种植取模､固位体的制备､基台与固位体的临床转移和安装等。","车针,超硬石膏,吸唾管","印模材料,印模帽,替代体,种植基台,附着体,固位体,赝复体,粘接剂","种植体","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1702,"HHZ24707","正颌外科咬合导板制备","指正颌外科手术后维持咬合关系的定位与固定合板制作。含面弓转移合关系,模型上合架,咬合板设计,制作,试戴及修整。不含印模与石膏模型制备､计算机辅助制作。","","附着体","个","此项为辅加操作项目",100,80,70,"丙类","口腔类","停用"]
[1703,"FHS02701","咬合记录","普通蜡记录口内现有的咬合关系。","蜡,咬合纸","","次","不得在口腔种植中收取",20,16,14,"丙类","口腔类","停用"]
[1704,"KHJ32901","合板治疗","针对颞下颌关节紊乱病、磨牙症、重度磨耗等而进行的以自凝树脂为材料的下颌合板治疗，首次戴用酌情进行咬合衬垫与调磨。不含模型制备。",null,"膜片","单颌","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1705,"HHZ24706","合导板制备","指平导板､斜导板､咬合垫的制备。含面弓转移合关系,模型上合架,普通塑料平导板,斜导板,咬合垫的设计,制作,打磨,抛光及口内试戴与修整。不含印模与石膏模型制备。","","合导板,附着体","个","此项为辅加操作项目",100,80,70,"丙类","口腔类","停用"]
[1706,"KHZ64701","拆桩","指各种材料的桩核临床拆除。","车针,砂石","","每牙","",15,12,10,"丙类","口腔类","停用"]
[1707,"KHM64401","非铸造修复体拆除术","指拆除各类非铸造的不良修复体。","车针,砂石","","每牙","",18,15,13,"丙类","口腔类","停用"]
[1708,"KHS64701","拆冠桥","指锤造和铸造冠､桥及其它金属固定修复体。","车针,砂石","","每牙","不得在口腔种植中收取",10,8,7,"丙类","口腔类","停用"]
[1709,"KHS25401","加人造牙","普通自凝塑料和普通硬质树脂牙口内加人造牙,调合,修形,抛光。不含口腔模型制备､热凝塑料修理。","车针,砂石,压痛指示剂,咬合纸","成品牙,修复材料","每牙","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1710,"KHS25402","义齿基托修理","指基托折裂､缺损的口内普通自凝塑料修理。含口内复位,断面处理,自凝塑料调制和口内修复,调合,修形,抛光。不含口腔模型制备､热凝塑料修理。","车针,砂石,咬合纸,压痛指示剂","修复材料","每义齿","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1711,"KHS24707","烤瓷冠桥崩瓷修理","烤瓷修复体崩瓷面的打磨,清理,酸蚀,耦联,粘接处理,树脂修理,调合,抛光。","酸蚀剂","修复材料","每牙","不得在口腔种植中收取","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1712,"KHS24712","修复体个性调色","指修复体的个性化染色､修饰,使用高温烤瓷炉,分层塑形､逐级染色､多次烧结。","釉瓷颜料,瓷粉","","每牙","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1713,"FHM07402","全口牙病系统检查与治疗设计","口腔内科､外科疾病的初步检查,并给予初步诊断和进一步检查建议。不含牙周探诊及指数等专业检查。","","","次","",10,8,7,"甲类","口腔类","停用"]
[1714,"FHW01404","菌斑微生物检测","以牙菌斑显示剂处理全口牙面,按时间节点含漱清洗,进行菌斑指数判定。以位点为单位进行菌斑采集,涂片,染色,微生物检测,含刚果红负染法､暗视野显微镜法。","试剂","","次","",50,40,35,"甲类","口腔类","停用"]
[1715,"FHW01401","牙周探诊","用牙周专用刻度探针进行牙周袋､附着水平测量和判定:每牙检测6个位点,取平均值;全口所有检测牙同法测定,计算全口平均值;并记录于专用记录表内。","吸唾管","","次","",12,10,8,"甲类","口腔类","停用"]
[1716,"FHW01403","牙周电子探针检查","用牙周电子探针以恒定力量检查并记录全口每个牙齿(6个位点)的牙周袋､附着水平,并打印彩色报表。","吸唾管，探针","","次","",50,40,35,"甲类","口腔类","停用"]
[1717,"FHW01402","牙周指数检查","用牙周专用刻度探针､以小于25克力量沿每牙龈缘探查,并按时间节点进行判读和记录:各种牙龈指数､菌斑指数､口腔卫生指数､牙石指数等。","吸唾管,菌斑试剂","","项","",12,10,8,"甲类","口腔类","停用"]
[1718,"KHW48402","冠周局部治疗","生理冲洗液,双氧水交替反复冲洗盲袋,上碘合剂冠周炎药膜。","注射器","","每牙","",15,12,10,"甲类","口腔类","停用"]
[1719,"KHW48401","牙周局部冲洗上药","消毒,用3%双氧水或0.12%洗必泰生理冲洗液交替冲洗,清除牙周袋深部游离或堆积的污染物,患者反复含漱后牙周袋内上药液､药膜或药膏等缓释或控释药物。","注射器","","每牙","",10,8,7,"甲类","口腔类","停用"]
[1720,"KHW62401","牙龈保护剂塞治","用牙周塞治剂覆盖创面及牙间隙。","","牙周塞治剂","每牙",null,5,5,5,"甲类","口腔类","停用"]
[1721,"KHM46401","口腔局部止血","指各类拔牙后伤口血肿血块处理､创面清理､局部止血,不同原因的牙位出血,上止血药。","","","每牙","",10,8,7,"甲类","口腔类","停用"]
[1722,"HHM46301","口腔局部缝合止血","指拔牙后､口腔内小手术及非外伤性局部出血,创面血肿清理,缝合伤口,压迫止血，必要时上止血药。","吸唾管","特殊缝线,止血材料","每牙","",35,28,25,"甲类","口腔类","停用"]
[1723,"KHW65401","龈上洁治","消毒,用专用手工龈上洁治器或龈上超声工作尖彻底去除自然牙齿各面(颊侧､舌侧､近中､远中邻面)龈上牙石､色素､菌斑､软垢等洁治过程,龈沟冲洗､上药。","注射器","","每牙","",6,5,4,"丙类","口腔类","停用"]
[1724,"HHX65301","种植体周围洁治术","使用种植体专用洁治器,洁牙机配合彻底清除种植修复体以及基台周围的软垢､结石等,上药。","吸唾管","","种植体","",6,5,4,"丙类","口腔类","停用"]
[1725,"KHT31401","牙面光洁术","对每个牙面以橡皮轮抛光或喷砂抛光。","橡皮圈(轮),抛光膏,抛光粉,抛光砂","","每牙","",5,5,5,"丙类","口腔类","停用"]
[1726,"KHW65402","龈下刮治","口内消毒,用龈下超声工作尖或手持刮治器去除自然牙根各面龈下牙石､菌斑等的治疗过程,牙周袋冲洗上药。","注射器","","每牙","",10,8,7,"乙类","口腔类","停用"]
[1727,"HHV83301","根面平整术","消毒,局麻下用专用手工龈下刮治器去除残留的龈下菌斑､细小牙石､表层病变牙骨质及牙周袋内壁肉芽组织,平整根面,牙周袋冲洗､上药。","吸唾管,注射器","牙周塞治剂","每牙","",37,29,26,"甲类","口腔类","停用"]
[1728,"HHW72301","牙周激光治疗","牙龈及牙周袋的激光手术切除,根面激光平整。不含激光脱敏治疗。","吸唾管","牙周塞治剂","每牙","",40,32,28,"乙类","口腔类","停用"]
[1729,"HHS71303","恒牙外伤固定术","指恒牙外伤松动固定与脱落后再植入牙的固定。麻醉下,外伤牙齿复位,普通钢丝固定,调合处理。","带环,弓丝,颊面管,注射器","托槽,粘接剂","每牙","",90,70,60,"甲类","口腔类","停用"]
[1730,"KHW71401","牙周夹板固定","尼龙丝､钢丝结扎固定松动患牙。牙面清洁,预备,酸蚀,粘接,树脂塑形,固化。调整咬合,抛光。","车针,抛光膏,抛光粉,咬合纸,橡皮圈","修复材料,功能丝","每牙","",40,32,28,"甲类","口腔类","停用"]
[1731,"HHS64301","牙弓夹板拆除术","去除结扎丝,取下牙弓夹板,清洗牙列。","引流装置","","单颌","",35,28,25,"甲类","口腔类","停用"]
[1732,"HHW73305","牙周翻瓣术","消毒,麻醉,根据患牙局部情况,设计切口(沟内切口,内斜切口或垂直切口等),切开牙龈,翻起龈瓣,暴露牙周病变。软组织清创。硬组织清创(根面,骨面及根分叉区刮治)。冲洗。牙周骨修整成形。设计缝合方式,缝合,上牙周保护剂。不含牙周骨成形术､全厚瓣/半厚瓣的根向或冠向复位。","注射器,吸唾管","牙周塞治剂,特殊缝线","每牙","",150,120,105,"甲类","口腔类","停用"]
[1733,"HHX73301","种植体周围翻瓣刮治术","局部浸润或阻滞麻醉,种植体周围软组织翻瓣,显露炎症累及的种植体表面,彻底清除周围炎症组织,冲洗,缝合。","注射器","特殊缝线","种植体","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1734,"HHW73303","牙龈切除术","消毒,麻醉,设计牙龈切口,牙龈切除,牙龈成形,冲洗,止血,必要时给予上牙周塞治剂。","注射器,冲洗液","牙周塞治剂","每牙","",105,85,75,"甲类","口腔类","停用"]
[1735,"QHXZ0178","种植体周软组织移植费","通过局部软组织移植，改善治疗部位及周围软组织状况，达到治疗所需软组织条件。",null,"人工胶原瓣","牙位",null,800,680,578,"丙类","口腔类","停用"]
[1736,"HHW83302","牙龈成形术","消毒铺巾，设计切口，切开，将游离黏膜，牙龈创面制备、游离牙龈植入，植皮或人工皮成形。","引流装置","人工皮，特殊缝线","每牙","",715,570,500,"乙类","口腔类","停用"]
[1737,"HHM83301","修复前软组织成形术","局麻下切开黏骨膜,翻瓣,软､硬组织松解,修整成型,植皮或黏骨膜瓣转移修复,缝合。不含取皮术､口腔模型及腭护板制备。","注射器,引流装置","特殊缝线,止血材料","次","","市场调节价","市场调节价","市场调节价","丙类","口腔类","停用"]
[1738,"HHW89301","游离龈组织移植术","消毒､麻醉,根据患牙局部情况,设计切口(沟内切口､内斜切口或垂直切口等),切开牙龈,翻起龈瓣,暴露牙周病变,软组织清创,硬组织清创(根面､骨面及根分叉区刮治),根面机械处理､化学处理以及生物处理,冲洗,牙周骨修整成形,供区组织切口设计､取材(含全厚､半厚组织等)､游离组织的修整,游离组织植入､固定､设计缝合方式､缝合,供区创面处理。","注射器,引流装置","牙周塞治剂,特殊缝线","每牙","不得在口腔种植中收取",200,160,140,"乙类","口腔类","停用"]
[1739,"HHW73302","急性坏死性龈炎局部清创","局部清创,去除龈缘坏死组织,暴露创面。双氧水､生理冲洗液反复冲洗。去除局部大块牙石等刺激物。止血､上药。","注射器,冲洗液","","每牙","",32,26,22,"甲类","口腔类","停用"]
[1740,"HHW89302","牙周组织瓣转移术","消毒､麻醉,根据患牙局部情况,设计切口(沟内切口､内斜切口或垂直切口等),切开牙龈,翻起龈瓣,暴露牙周病变,软组织清创,硬组织清创(根面､骨面及根分叉区刮治),根面机械处理､化学处理或生物处理,冲洗,牙周骨修整成形,供区组织切口设计､取材(含全厚､半厚组织等)､翻瓣(侧向､冠向､根向)转位､组织修整,组织转移植入､固定,设计缝合方式､缝合,供区创面处理。","注射器,引流装置","牙周塞治剂,特殊缝线","每牙","不得在口腔种植中收取",410,330,290,"乙类","口腔类","停用"]
[1741,"HHW89303","引导性牙周组织再生术","在牙周翻瓣术的基础上,生物膜放入及固定､龈瓣的冠向复位及固定,设计缝合方式､缝合,上牙周塞治剂。不含翻瓣术､骨成形术､牙周植骨术､自体骨取骨术。","注射器","牙周塞治剂,屏障膜,特殊缝线","每牙","此项为辅加操作项目","市场调节价","市场调节价","市场调节价","乙类","口腔类","停用"]
[1742,"HHW58301","牙周纤维环状切断术","麻醉,正畸牙齿的牙周纤维环状切断。不含牙周塞治。","注射器","","每牙","",125,100,88,"甲类","口腔类","停用"]
[1743,"KHM39402","专科调合治疗","针对颞下颌关节紊乱病或牙周病而进行的多次逐量咬合磨改专科治疗。含咬合纸检查诊出的咬合印记分析。","车针,砂石,咬合纸","","次","",20,16,14,"丙类","口腔类","停用"]
[1744,"FHS02401","咬合力测量检查","指使用悬臂梁式压力传感器,进行单牙位咬合测力检查,将探头置于被测牙齿的咬合面,测定被测牙齿的咬合力大小。","","","次","不得在口腔种植中收取",15,12,11,"乙类","口腔类","停用"]
[1745,"FHS01403","T-咬合测定分析系统检查","将马蹄形专用压电薄膜置于上下牙列咬合面之间,嘱正中紧咬或前伸或侧方咬合,测定全牙列咬合接触点分布与咬合力。","","膜片","次","不得在口腔种植中收取",10,8,7,"乙类","口腔类","停用"]
[1746,"FHS01401","光合仪检查","将光合膜片置于上下牙列咬合面之间,嘱正中紧咬或前伸､侧方咬合来测定全牙列咬合接触点分布。","","膜片","次","不得在口腔种植中收取",30,25,20,"丙类","口腔类","停用"]
[1747,"FHG01701","下颌运动检查","嘱受检者做各个方向的下颌运动,从矢状面､冠状面和水平面三维方向分别描记出下颌运动的轨迹,或戴用专用的描计板于双侧面侧方以及颏前方,描计下颌运动时双侧髁突与切点在水平板和垂直板上的运动轨迹。","","","次","",30,25,20,"甲类","口腔类","停用"]
[1748,"FHG01702","下颌运动计算机辅助检查","戴用数字化下颌运动分析仪,嘱受检者做各个方向的下颌运动,记录下颌运动时双侧髁突与切点在矢状面､冠状面和水平面三维方向的运动轨迹并分析,计算髁道斜度､切道斜度。","","","次","",30,25,20,"甲类","口腔类","停用"]
[1749,"FHM01401","咀嚼效率检查-食物过筛法","在固定时间内咀嚼定量定质食物(花生米),漱口,将残渣烘干称重,计算残渣与总量之间的百分比,得到的数值即为咀嚼效率。","","","次","",10,8,7,"乙类","口腔类","停用"]
[1750,"FHL02401","唾液流量测定","静止无刺激状态下,测定30分钟自然分泌的全唾液流量。","","","次","",20,16,14,"甲类","口腔类","停用"]
[1751,"HHL65302","颌下腺导管探查取石术","指腮腺､颌下腺出现相应的导管功能障碍,探查其病因。切开､寻找探查导管,摘除结石,缝合导管,关闭伤口。","引流装置","特殊缝线,止血材料","次","",650,520,450,"甲类","颌面.口腔","停用"]
[1752,"HHL65301","腮腺导管结石取出术","指麻醉下口内或口外皮肤切开,探查导管,明确结石后导管结石取出,导管冲洗,缝合导管破损口及伤口。","引流装置,注射器","特殊缝线,止血材料","次","",420,340,290,"甲类","口腔类","停用"]
[1753,"HHL73301","涎腺瘘切除导管结扎术","含皮肤切开,翻瓣,解剖面神经,切除涎瘘,结扎导管,缝合皮肤,加压包扎伤口。","引流装置","特殊缝线,止血材料","次","",1000,800,700,"甲类","口腔类","停用"]
[1754,"KHL80401","涎腺导管扩大术","用器械探查导管口,用不同口径的针头扩张导管口,冲洗。","注射器","","次","",25,20,18,"甲类","口腔类","停用"]
[1755,"HHL86301","腮腺导管断裂吻合术","解剖保护面神经,导管探查分离解剖,端端吻合。","引流装置","特殊缝线,止血材料","次","",1100,880,770,"甲类","口腔类","停用"]
[1756,"HHL89301","腮腺导管缺损静脉移植修复术","解剖保护面神经,导管探查分离解剖,静脉与导管端端吻合。不含血管切取术。","引流装置","特殊缝线,止血材料","次","",1100,880,770,"乙类","口腔类","停用"]
[1757,"HHL74301","涎腺瘘切除导管重建术","含皮肤切开,解剖面神经,切除涎瘘,导管断端确认,导管改道或导管缺损静脉血管移植吻合再造,关闭伤口。不含静脉血管切取术。","引流装置","特殊缝线,止血材料","次","",1100,880,770,"甲类","颌面.口腔","停用"]
[1758,"HHM48301","口腔黏膜病局部注射药物治疗","根据病损性质,选择药物种类,常规消毒,将其注射于口腔黏膜病病损局部的特定深度和范围内。","注射器","","部位","",15,12,10,"甲类","口腔类","停用"]
[1759,"KHM48402","口腔黏膜病局部上药","黏膜病湿敷,局部上药。","注射器","","部位","",6,5,4,"甲类","口腔类","停用"]
[1760,"KHM32402","黏膜病离子导入治疗","离子导入治疗黏膜病。","","","部位","",18,15,13,"乙类","口腔类","停用"]
[1761,"KHM48401","口腔黏膜雾化治疗","使用药物和雾化仪对口腔黏膜病进行局部治疗。","雾化器","","次","",20,16,14,"甲类","口腔类","停用"]
[1762,"QHXZ0182","医学3D模型打印（口腔）","将虚拟3D模型打印或切削制作成仅用于口腔疾病诊断、手术规划、治疗及导板设计的实体模型。",null,null,"件",null,{"v":446,"d":"446.00"},{"v":379,"d":"379.00"},{"v":322,"d":"322.00"},"丙类","辅助操作类","停用"]
[1763,"QHXZ0183","医学3D导板打印（口腔）","将虚拟3D模型打印或切削制作成用于治疗部位、确保植(置)入物精确到达和处理预定位置的实物模板或手术操作对治疗部位进行精确处理。",null,null,"件",null,{"v":1380,"d":"1380.00"},{"v":1173,"d":"1173.00"},{"v":997,"d":"997.00"},"丙类","辅助操作类","停用"]
[1764,"NABA0000","手术显微镜辅助操作","应用专用显微镜,显微手术器械,采用显微操作技术,进行精确病变显露,切除,止血等。相关消耗:消耗性氙灯光源､光导纤维､物镜､主镜､助手镜等。","","","次","",{"v":200,"d":"200.00"},{"v":160,"d":"160.00"},{"v":140,"d":"140.00"},"丙类","辅助操作类","停用"]
[1765,"HCZ43702","神经外科手术导航引导","术前贴标识,做核磁共振定位,通过传输数据确定手术切口,术中实时导航,确定肿瘤位置。不含术前核磁共振影像或计算机断层扫描。","","","半小时","弥散张量成像和功能磁共振成像(fMR)加收不超过50%",{"v":60,"d":"60.00"},{"v":48,"d":"48.00"},{"v":42,"d":"42.00"},"丙类","辅助操作类","停用"]
[1766,"QHXZ0040","三维医学影像诊疗及手术规划","使用专用计算机系统，对脑部、胸部、腹部器官三维可视化诊疗。腹部解剖关系的肝、胆、脾、胰外科手术三维可视化诊疗；消化系统的食管、胃肠肿瘤三维可视化诊疗；盆腔解剖关系的肾脏、膀胱、前列腺、子宫、附件复杂的肿瘤三维可视化诊疗；骨骼、乳腺、甲状腺、淋巴、支气管、神经等三维可视化诊疗；脑部、胸脯、部、腹部大血管病变三维可视化诊疗。快速三维治疗计划设计，计划确认及传输，提供相关部位的三维可视化诊疗图文报告，便于医生精准诊疗疾病。",null,null,"部位",null,{"v":1500,"d":"1500.00"},{"v":1200,"d":"1200.00"},{"v":1050,"d":"1050.00"},"乙类","辅助操作类","停用"]
[1767,"HX943701","骨科手术导航引导","应用计算机导航系统,通过术中或术前采集手术图像,术中图像注册,手术工具连接指示器,通过计算机系统采集现场数据计算显示手术工具与手术骨骼的位置关系,并显示在屏幕上,达到手术导航的目的。","","","次","此项为辅加操作项目",{"v":1000,"d":"1000.00"},{"v":800,"d":"800.00"},{"v":700,"d":"700.00"},"丙类","辅助操作类","停用"]
[1768,"NAFA0000","超声刀辅助操作","相关消耗:超声刀头､刀柄､连线等。","","超声刀头","次","",{"v":100,"d":"100.00"},{"v":80,"d":"80.00"},{"v":70,"d":"70.00"},"丙类","辅助操作类","停用"]
[1769,"NAGA0000","等离子刀辅助操作","相关消耗:刀头､刀柄､连线等。","","等离子刀头","次","",{"v":100,"d":"100.00"},{"v":80,"d":"80.00"},{"v":70,"d":"70.00"},"丙类","辅助操作类","停用"]
[1770,"NACA0000","激光辅助操作","相关消耗:激光刀头､特殊激光刀头､激光脉冲､激光光纤､激光探头。","","激光刀头,特殊激光刀头,激光探头,激光光纤,激光脉冲","次","",{"v":100,"d":"100.00"},{"v":80,"d":"80.00"},{"v":70,"d":"70.00"},"丙类","辅助操作类","停用"]
[1771,"NAEA0000","射频辅助操作","相关消耗:射频刀头､射频脉冲､射频纤维､射频探头､射频毁损电极､射频针。","","射频针,射频刀头,射频毁损电极,射频探头,射频脉冲,射频纤维，射频消融导管","次","",{"v":100,"d":"100.00"},{"v":80,"d":"80.00"},{"v":70,"d":"70.00"},"丙类","辅助操作类","停用"]
[1772,"NADA0000","微波辅助操作","相关消耗:各种微波探头､微波手术钳。","","微波探头,微波手术钳，微波消融针","次","",{"v":100,"d":"100.00"},{"v":80,"d":"80.00"},{"v":70,"d":"70.00"},"丙类","辅助操作类","停用"]
[1773,"NBAA0000","颅微动力系统","相关消耗:铣刀刀片､磨钻磨头。","","铣刀，无菌颅骨钻头,无菌磨钻头，无菌骨锯片，无菌钻针","次","",{"v":200,"d":"200.00"},{"v":160,"d":"160.00"},{"v":140,"d":"140.00"},"丙类","辅助操作类","停用"]
[1774,"NBBA0000","眼耳鼻喉微动力系统","相关消耗:电钻系统,各种磨头､球､电动切割器。","","无菌眼耳鼻喉刨刀头,无菌耳鼻喉钻头，无菌磨钻头，无菌骨锯片，无菌钻针，眼科用钻头，无菌铣刀","次","",{"v":100,"d":"100.00"},{"v":80,"d":"80.00"},{"v":70,"d":"70.00"},"丙类","辅助操作类","停用"]
[1775,"NBCA0000","骨微动力系统","相关消耗:微动力套件､旋切导管､旋切套装､旋切刀具､刀具","","无菌骨锯片，无菌关节刨刀，无菌关节钻头，无菌磨钻头，无菌铣刀，无菌微创脊柱变向磨钻头，无菌微创脊柱磨钻头，无菌微创脊柱钻头，无菌微创脊柱刨刀，无菌柳锯片，变向磨钻头，脊柱直钻头","次","",{"v":100,"d":"100.00"},{"v":80,"d":"80.00"},{"v":70,"d":"70.00"},"丙类","辅助操作类","停用"]
[1776,"NBDA0000","颌面微动力系统","相关消耗:各种直径钻头､磨头､来复锯､矢状锯､摆动锯､各种锯片､各种接口。","","无菌骨锯片，无菌磨钻头，摆动锯，无菌钻针，矢状锯","次","",{"v":100,"d":"100.00"},{"v":80,"d":"80.00"},{"v":70,"d":"70.00"},"丙类","辅助操作类","停用"]
[1777,"NBEA0000","齿科微动力系统","相关消耗:超声骨刀､切割钻头､镍钛根管挫､研磨钻头､去除根(或管)充填物的材料,套筒针取断针专用系统。","","切割钻头，镍钛根管挫，研磨钻头，去除根(或管)充填物的材料","次","",{"v":100,"d":"100.00"},{"v":80,"d":"80.00"},{"v":70,"d":"70.00"},"丙类","辅助操作类","停用"]
[1778,"EAZZZ001","临床操作X线透视引导","在普通X线透视或胃肠造影机下完成临床诊疗过程,必要时点片｡不含相关的临床诊疗技术｡","","","半小时","此项为辅加操作项目",{"v":20,"d":"20.00"},{"v":17,"d":"17.00"},{"v":15,"d":"15.00"},"甲类","辅助操作类","停用"]
[1779,"EAZZZ002","临床操作C/U/G形臂引导","在C(或U/G)形臂透视下完成临床诊疗过程，必要时点片。不含相关的临床诊疗技术。",null,null,"半小时","此项为辅加操作项目",{"v":40,"d":"40.00"},{"v":38,"d":"38.00"},{"v":34,"d":"34.00"},"甲类","辅助操作类","停用"]
[1780,"EAAZZ002","术中透视","指在手术室中,临床操作过程中的透视。","","","半小时","",{"v":40,"d":"40.00"},{"v":35,"d":"35.00"},{"v":30,"d":"30.00"},"甲类","辅助操作类","停用"]
[1781,"EAZZZ003","临床操作数字减影(DSA)引导","在数字减影(DSA)引导下完成临床诊疗过程,必要时点片｡不含相关的临床诊疗技术｡",null,null,"半小时","此项为辅加操作项目",{"v":100,"d":"100.00"},{"v":85,"d":"85.00"},{"v":75,"d":"75.00"},"乙类","辅助操作类","停用"]
[1782,"EBZZZ001","临床操作CT引导","在CT引导下完成临床诊疗过程｡不含临床诊疗操作｡","","","半小时","此项为辅加操作项目",{"v":110,"d":"110.00"},{"v":95,"d":"95.00"},{"v":85,"d":"85.00"},"乙类","辅助操作类","停用"]
[1783,"ECCZZ001","磁共振三维导航定位","去除身体金属物品,摆放适宜线圈,摆位,扫描,冲洗照片(胶片),图像后处理,医生完成诊断报告｡","胶片","","次","","","","","乙类","辅助操作类","停用"]
[1784,"ECCZZ002","磁共振增强三维导航定位","去除身体金属物品,摆放适宜线圈,摆位,扫描并在指定时刻注射对比剂,冲洗照片(胶片),图像后处理,医生完成诊断报告｡","胶片","","次","","","","","乙类","辅助操作类","停用"]
[1785,"ECZZZ004","临床操作磁共振引导","在磁共振引导下完成临床诊疗过程｡不含临床诊疗操作｡","","","半小时","",{"v":270,"d":"270.00"},{"v":240,"d":"240.00"},{"v":215,"d":"215.00"},"乙类","辅助操作类","停用"]
[1786,"EDZZZ001","临床操作B超引导","查看申请单要求,了解患者相应病史后,对临床所要求的部位进行术前､术中检查,确定穿刺点及路线,并进行定位､引导及监测,以及术后的疗效评价｡图文报告｡","","","半小时","此项为辅加操作项目",{"v":50,"d":"50.00"},{"v":40,"d":"40.00"},{"v":35,"d":"35.00"},"乙类","辅助操作类","停用"]
[1787,"EDZZZ002","临床操作彩色多普勒超声引导","查看申请单要求,了解患者相应病史后,采用彩色多普勒,对临床所要求的部位进行术前､术中检查,确定穿刺点及路线,并进行定位､引导及监测,术后疗效评价｡","","","半小时","此项为辅加操作项目",{"v":130,"d":"130.00"},{"v":105,"d":"105.00"},{"v":90,"d":"90.00"},"乙类","辅助操作类","停用"]
[1788,"QHXZ0152","人工智能辅助治疗技术","指临床机器人手术系统在胸外科、普外科、心外科、血管外科、泌尿外科、妇科、肿瘤科、骨科、神经外科等手术的临床应用；含机器人专用器械、臂罩等材料。",null,null,"次",null,"市场调节价","市场调节价","市场调节价","丙类","辅助操作类","停用"]
[1789,"ABBB0001","静脉采血","核对医嘱及患者信息,评估患者,取适当体位,选择穿刺部位,皮肤消毒(直径大于5厘米),用无菌采血针静脉穿刺并固定,将适量血缓慢流入采血管,拔针后按压穿刺部位,将血缓慢注入采血管,再次核对患者信息,协助患者采取舒适体位,处理用物,标本送检,做好健康教育及心理护理。","采血针","采血管","次","末梢血、足跟血按3元收取，激光末梢采血按5元收取",3,3,3,"甲类","一般治疗操作","停用"]
[1790,"ABBA0001","动脉采血","确定采血动脉穿刺点后,消毒,以连接无菌注射器的无菌针头垂直进针穿刺动脉,见鲜红色动脉血进入无菌注射器并达到检测需要的血量后,退出穿刺针,以无菌棉签压迫穿刺点止血,以胶塞封闭注射器针头以隔绝空气,将血样以冰袋或冰壶保存送检。","注射器","动脉采血器,采血管","次","",13,13,13,"甲类","一般治疗操作","停用"]
[1791,"ABAA0001","皮内注射","指皮内注射治疗或药物皮内注射试验。核对医嘱及患者信息,检查注射器及药物,用无菌注射器配制药物,取舒适体位,选择注射部位,皮肤消毒(直径大于5厘米),再次核对患者信息,将药物注入皮内组织,拔针后按压注射部位并第三次核对患者信息,处理用物,用药后观察用药反应,做好健康教育及心理护理,必要时记录。","注射器","","次",null,3,3,3,"甲类","一般治疗操作","停用"]
[1792,"ABAB0001","皮下注射","核对医嘱及患者信息,检查注射器及药物,用无菌注射器配制药物,取适当体位,选择并确定注射部位,皮肤消毒(直径大于5厘米),再次核对患者信息,将药物注入皮下组织,拔针后按压注射部位并第3次核对患者信息,协助患者恢复舒适体位,处理用物,用药后观察用药反应,做好健康教育及心理护理,必要时记录。","注射器","","次","",3,3,3,"甲类","一般治疗操作","停用"]
[1793,"ABAC0001","肌肉注射","核对医嘱及患者信息,检查注射器及药物,使用无菌注射器配制药物,取适当体位,选择并确定注射部位,皮肤消毒(直径大于5厘米),再次核对患者信息,将药物注入肌肉组织,拔针后按压注射部位并核对患者信息,协助患者恢复舒适体位,处理用物,用药后观察用药反应,做好健康教育及心理护理,必要时记录。","注射器","","次","",4,4,4,"甲类","一般治疗操作","停用"]
[1794,"ABAD0001","静脉注射","核对医嘱及患者信息,用无菌注射器配制药物,取适当体位,选择注射部位,皮肤消毒(直径大于5厘米),再次核对患者信息,将药物注入静脉(Tennon氏囊下),拔针后按压注射部位并第3次核对患者信息,协助患者恢复舒适体位,处理用物,用药后观察用药反应,做好健康教育及心理护理,必要时记录。","注射器","","次","",6,6,6,"甲类","一般治疗操作","停用"]
[1795,"ABCA0001","静脉输液","评估患者及穿刺部位等,核对医嘱及患者信息,用无菌注射器配制药物,连接无菌输液器或避光输液器,取适当体位使用无菌压脉带,选择穿刺部位,皮肤消毒(直径大于5厘米),排气,再次核对患者信息,进行穿刺,用无菌敷料进行固定,调节滴速并第3次核对患者信息,协助患者恢复舒适体位,处理用物,观察输液反应。健康教育及心理护理,记录。如需连续输注几组液体,要核对患者信息,注意药物之间的配伍禁忌,密切观察输液反应,协助患者舒适体位。","注射器,输液器，敷贴","留置针,专用输液器,无针密闭输液接头,预充式导管冲洗器,避光输液器,三通,肝素帽","次","患者住院期间由静脉药物配置中心配置的药物按每组4元收取，超过3组/日按3组收费；入壶静滴2元/次；普通静脉留置针护理收5元/日",12,12,12,"甲类","一般治疗操作","停用"]
[1796,"ABCB0001","输液泵辅助静脉输液","指使用输液泵或微量泵辅助静脉输液､注射。评估患者及穿刺静脉情况等,核对医嘱及患者信息,用无菌注射器配制药物,检查输液泵,用输液管连接输液泵装置,排尽空气,将无菌泵管置于输液泵上,开机并调节输液泵,取适当体位,选择注射部位,皮肤消毒(直径大于5厘米),再次核对患者信息,用无菌头皮针穿刺,无菌敷料固定,设定速度并第3次核对患者信息,协助患者恢复舒适体位,处理用物,用药后观察,做好健康教育及心理护理,必要时记录。","注射器,输液器","留置针,三通，输液泵管，避光注射器","小时","",2,2,2,"甲类","一般治疗操作","停用"]
[1797,"ABCG0001","外周静脉营养输注","将机体所需要的高营养混合液(指碳水化合物､氨基酸､脂肪乳､电解质､维生素､微量元素和水等全营养混合液),遵医嘱通过外周静脉匀速注入机体内,从而达到对机体进行营养代谢支持目的的高营养治疗,评估患者病情及静脉置管管路情况,在无菌操作原则下进行营养液配制,核对医嘱及患者信息,解释其目的取得配合,观察敷料,管路及静脉置管局部情况,无菌敷料,贴膜固定管路,再次核对患者信息,连接无菌输液器,用无菌注射器吸取生理冲洗液,检查管通畅并输注全胃肠外营养液,取适当体位,第三次核对患者信息,适时巡视并充分摇匀袋内液体或药物,同时做好患者病情观察,预防并发症,记录出入液量,封管,处理用物,做好健康教育及心理护理等工作。不含营养液配制。","注射器,输液器","营养袋","日","单通道不得与静脉输液同时收取，不含多通道静脉输液",40,34,29,"甲类","一般治疗操作","停用"]
[1798,"ABCH0001","输液泵辅助全胃肠外营养深静脉输注","指经深部静脉置管的高营养治疗。评估患者病情及静脉置管管路情况等,药物及营养液配制,核对医嘱及患者信息,解释其目的取得配合,检查输液泵,用无菌泵管连接输液装置,排尽空气,将无菌泵管置于输液泵上,开机并调节输液泵,观察敷料情况及置管局部情况,再次核对患者信息,用无菌注射器吸取生理冲洗液,检查管通畅并输注全胃肠外营养液,取适当体位,选择穿刺管腔并消毒,排气,连接管路,调节滴速,保持管路通畅,无菌敷料(或贴膜)固定,协助患者恢复舒适体位,第三次核对患者信息,30-60分钟巡视并充分摇匀袋内液体及药物,观察并记录,封管,处理用物,做好健康教育及心理护理。","注射器","输液泵管","小时",null,2,2,2,"甲类","一般治疗操作","停用"]
[1799,"ABCF0001","全胃肠外营养深静脉输注","指经深部静脉置管的高营养治疗。评估患者病情及静脉置管管路情况等,营养液配制,核对医嘱及患者信息,解释其目的取得配合,观察敷料情况及静脉置管局部情况,再次核对患者信息,连接无菌输液器,用无菌注射器吸取生理冲洗液,检查管通畅并输注全胃肠外营养液,取适当体位,选择穿刺静脉置管管腔并消毒,排气,连接管路,调节滴速,保持管路通畅,无菌敷料(或贴膜)固定,协助患者恢复舒适体位,第三次核对患者信息,30-60分钟巡视并充分摇匀袋内液体及药物,观察并记录,封管,处理用物,做好健康教育及心理护理。不含营养液配制。","注射器,输液器","营养袋","日",null,40,34,29,"甲类","一般治疗操作","停用"]
[1800,"ABCD0001","静脉输血","评估患者及穿刺部位等,血制品检查,核对医嘱及患者信息,严格查对制度,解释其目的取得配合,取适当体位,连接无菌输血器,选择穿刺部位,皮肤消毒(直径大于5厘米),排气,再次核对患者信息,用头皮针穿刺并固定,遵医嘱输液前输注生理冲洗液,用无菌注射器给予抗过敏药物,输入血制品,调节滴速,生理冲洗液冲管,并第3次核对患者信息,观察有无输血反应及血压变化,协助患者恢复舒适体位,输血毕血袋低温保存24小时,记录,做好健康教育及心理护理。","注射器,输血器","留置针","次","以1袋血液为基价,每增加1袋加收不超过40%",15,15,15,"甲类","一般治疗操作","停用"]
[1801,"HAQ32701","输血输液加温治疗","使用液体电加温装置的输血、输液加温。","加温袋",null,"次","以加热1袋为基价，每增加1袋加收不超过40%",14,11,9,"丙类","一般治疗操作","停用"]
[1802,"ABCE0001","加压快速输血","指用于经人工或加压设备快速补充血容量的患者。评估患者及穿刺部位等,血制品检查,将血制品置于加压装置,核对医嘱及患者信息,严格查对制度,解释其目的取得配合,取适当体位,连接无菌输血器,选择穿刺部位,皮肤消毒(直径大于5厘米),排气,再次核对信息,选择穿刺针,进行静脉穿刺,无菌敷料固定,调节滴速,遵医嘱用输血前输注生理冲洗液,无菌注射器给予抗过敏药物,快速输入血制品,守护患者观察有无输血反应及血压变化等,生理冲洗液冲管并第3次核对患者信息,协助患者采取舒适体位,血袋低温保存24小时,记录,做好健康教育及心理护理。","注射器,输血器","留置针","次","以1袋血液为基价,每增加1袋加收不超过40%",30,26,22,"甲类","一般治疗操作","停用"]
[1803,"HKA48101","心内注射","消毒铺巾,经皮穿刺向心内注射复苏药物。","注射器","","次","",90,70,60,"甲类","一般治疗操作","停用"]
[1804,"PBEA2002","肛周穴位药物注射封闭术","肛周消毒铺巾,用装有封闭用长针头的注射器将药物缓缓地注入特定穴位或需要注射的指定部位。","注射器,穿刺针","","次","同一部位两种以上疾病同时存在同时实施治疗,计费以第一种病全价,其它合并病按80%计价",60,48,42,"甲类","一般治疗操作","停用"]
[1805,"ABEA0001","清创(缝合)术(小)","指符合下列任一情况者:表浅切伤,裂伤,刺伤,伤口创面在30平方厘米以下，伤口长度在5厘米以下。消毒铺巾,清除血肿,冲洗,切口及表浅软组织缝合。","一次性使用清创缝合包,引流装置","特殊缝线","次","",55,50,44,"甲类","一般治疗操作","停用"]
[1806,"ABEA0002","清创(缝合)术(中)","指符合下列任一情况者:轻微污染伤口,软组织轻度损伤,皮肤轻度损伤或缺损,异物存在,伤口创面在30-50平方厘米以下，伤口长度在5-10厘米以下。消毒铺巾,伤口探查,扩大切口,清除坏死组织及异物,冲洗,缝合伤口。必要时置引流管引出并固定。","一次性使用清创缝合包,引流装置","特殊缝线","次","",95,85,75,"甲类","一般治疗操作","停用"]
[1807,"ABEA0003","清创(缝合)术(大)","指符合下列任一情况者:严重污染伤口,软组织严重损伤,皮肤严重损伤或缺损,特殊感染伤口,二期清创,多发异物伤口,血管､神经､肌肉､骨骼､关节严重损伤伤口,化学武器创口,伤口创面在50-100平方厘米以下，伤口长度在10-20厘米以下。消毒铺巾,伤口探查,扩大切口,切开深筋膜,清除坏死组织及异物,冲洗,新鲜伤口逐层缝合。必要时置引流管引出并固定,包扎伤口。不含神经､血管､肌腱吻合。","一次性使用清创缝合包,引流装置","特殊缝线","次","",170,150,135,"甲类","一般治疗操作","停用"]
[1808,"QHXZ0104","清创(缝合)术(特大)","指严重污染伤口，软组织严重损伤，皮肤严重损伤或缺损，特殊感染伤口，二期清创，多发异物伤口，血管、神经、肌肉、骨骼、关节严重损伤伤口，化学武器创口，伤口面积大于100平方厘米或伤口长度大于20厘米以上。消毒铺巾，伤口探查，扩大切口，切开深筋膜，清除坏死组织及异物，冲洗，新鲜伤口逐层缝合。必要时置引流管引出并固定，包扎伤口。不含神经、血管、肌腱吻合。",null,"护创材料，特殊缝线","次",null,220,180,160,"乙类","一般治疗操作","停用"]
[1809,"ABFA0001","换药(小)","指符合下列任一情况者:清洁伤口,缝合3针以内伤口拆线(含皮内连续缝合拆线)等。消毒铺巾,更换敷料､引流物,包扎固定。","换药包","","次","",24,20,17,"甲类","一般治疗操作","停用"]
[1810,"ABFA0002","换药(中)","指符合下列任一情况者:污染伤口,缝合3-10针伤口拆线,轻度烧伤伤口,单个褥疮,深静脉置管伤口,有引流管的伤口等。消毒铺巾,更换敷料､引流物,包扎固定。","换药包","","次","",30,26,22,"甲类","一般治疗操作","停用"]
[1811,"ABFA0003","换药(大)","指符合下列任一情况者:感染伤口,缝合11-30针伤口拆线,中度烧伤伤口,多个压疮,皮瓣移植物伤口,大棉垫1-2块,渗出50-100毫升伤口等。消毒铺巾,更换敷料,引流物,包扎固定。","换药包","","次","",50,43,36,"甲类","一般治疗操作","停用"]
[1812,"ABFA0004","换药(特大)","指符合下列任一情况者:特殊感染伤口,缝合30针以上伤口拆线,重度及特重度烧伤伤口,多个压疮感染,体表大于10%的皮瓣移植物及化学武器伤口,特殊部位伤口(会阴､切口裂开､内脏､软组织及皮下),纱布需50块以上者,大棉垫3块以上,渗出大于100毫升伤口等。消毒铺巾,更换敷料,引流物,包扎固定。","换药包","","次","",120,102,87,"甲类","一般治疗操作","停用"]
[1813,"KYR48701","烧伤换药","戴一次性无菌手套去除创面敷料,检查创面,清除坏死组织,脓性分泌物,有水疱者最低位剪开引流,清洗创面,最后应用敷料妥善包扎。","生理冲洗液,换药包","功能性敷料","１%体表面积","",50,43,36,"甲类","一般治疗操作","停用"]
[1814,"KYR48702","烧伤特殊部位换药","指头部､面部､颈部､双耳､会阴､手指､足趾部位的换药。戴一次性无菌手套去除创面敷料,检查创面,清除坏死组织,脓性分泌物,有水疱者最低位剪开引流,清洗创面,最后应用敷料妥善包扎。","生理冲洗液,换药包","功能性敷料","１%体表面积","",55,47,40,"甲类","一般治疗操作","停用"]
[1815,"HJM48101","胸腔穿刺术","消毒铺巾,局麻,肋间切口,经肋间胸腔穿刺,抽吸胸内气体､液体或胸腔内注药。不含超声引导。","穿刺针,注射器","","次","",380,300,260,"甲类","一般治疗操作","停用"]
[1816,"HJM45102","经皮气胸穿刺引流术","局部消毒铺巾,以穿刺针穿刺胸膜腔后,沿此通路置换气胸引流管。不含监护､X线引导。","穿刺针,引流装置","","次","",290,230,200,"甲类","一般治疗操作","停用"]
[1817,"HJM45301","经肋间胸腔闭式引流术","消毒铺巾,局麻,肋间切口,切开肋间肌肉及壁层胸膜,经肋间置入胸腔闭式引流管,并缝合固定,连接闭式引流装置。","引流装置,注射器","特殊缝线","次","",470,380,330,"甲类","一般治疗操作","停用"]
[1818,"HJM45302","经肋床胸腔闭式引流术","消毒铺巾,局麻或全麻,游离并切除部分肋骨,打开壁层胸膜,经肋床置入胸腔闭式引流管,连接闭式引流装置。","引流装置,注射器","","次","",470,380,330,"甲类","一般治疗操作","停用"]
[1819,"HKB45101","心包穿刺置管引流术","消毒铺巾,局部麻醉。穿刺入心包腔,依次送入导丝､扩张鞘管､引流导管。必要时穿刺处皮肤切开。根据需要行抽液､测压､注射药物。固定并留置引流导管,或拔除引流导管,穿刺处包扎。如留置心包引流管,则每天或根据情况多次进行心包引流､测压､抽液､注射药物。不含超声引导。","注射器,引流装置,心包穿刺针,测压管","导丝,扩张管,心包引流管","次","",480,380,330,"甲类","一般治疗操作","停用"]
[1820,"HKB48101","心包穿刺术","消毒铺巾,局部麻醉。穿刺入心包腔,抽液和/或注射药物。拔除穿刺针,穿刺处包扎。不含超声引导。","注射器,心包穿刺针","","次","",380,300,260,"甲类","一般治疗操作","停用"]
[1821,"QHXZ0009","腹腔穿刺术","局麻下，用注射器抽吸腹腔内液（血液、肠液）包括穿刺针和穿刺包，以此协助临床诊断。\n","注射器，穿刺针",null,"次",null,60,48,42,"甲类","一般治疗操作","停用"]
[1822,"HQT45102","经皮腹腔脓肿穿刺引流术","定位,消毒铺巾,局麻,穿刺,脓肿引流,置管引出固定。不含影像学引导。","穿刺针,引流装置,注射器","","次","经皮深部脓肿穿刺置管引流术按此项收费",340,270,230,"甲类","一般治疗操作","停用"]
[1823,"HQT45103","经皮腹腔积液穿刺引流术","局部消毒铺巾,以穿刺针穿刺腹膜腔后,沿此通路经导丝置换引流管。不含监护､影像学引导。","穿刺针,引流装置","导丝,导管,特殊缝线","次","",200,160,140,"甲类","一般治疗操作","停用"]
[1824,"FNA06101","骨髓穿刺术","消毒铺巾,局麻,使用骨穿针穿刺后用20毫升注射器抽取骨髓0.2毫升涂片,拔出骨穿针,盖无菌敷料。","骨髓穿刺针,注射器","","次","六岁及以下儿童加收不超过30%",160,130,110,"甲类","一般治疗操作","停用"]
[1825,"FVT06101","腰椎穿刺术","病人侧卧位,屈膝含胸,定位后局部皮肤消毒,铺巾,局麻,以腰穿针皮下刺入逐渐深入至有突破感后拔出针芯,有脑脊液流出后测压,做压颈实验,然后留取约3-5毫升化验,然后再测压,最后将针芯放置针内后拔除穿刺针,局部消毒包扎,嘱病人去枕平卧4-6小时。不含实验室检查､X线或CT引导。","穿刺针","","次","六岁及以下儿童加收不超过30%",160,130,110,"甲类","一般治疗操作","停用"]
[1826,"HXJ45101","膝关节穿刺术","消毒菌巾,局部麻醉,穿刺关节,抽取关节液,加压包扎。","穿刺针,注射器","防粘连材料","次",null,60,48,42,"甲类","一般治疗操作","停用"]
[1827,"HX748101","关节腔穿刺术","术前彩色多普勒超声检查，确定进针点、进针方向及深度，局部皮肤消毒、麻醉，穿刺引导套组，在超声实时引导下将穿刺针刺入关节腔内，拔出针芯，接塑料延长管和注射器，进行积液抽吸和或注入治疗药物，将穿刺针拔出，局部压迫止血5分钟，彩色多普勒超声再次观察关节腔积液残留情况或确认药物是否位于关节腔内。图文报告。不含超声引导、病理学检查、实验室检查。","穿刺针，注射器",null,"次","",140,110,100,"甲类","一般治疗操作","停用"]
[1828,"ABGB0001","胃管置管术","评估患者病情及合作程度等,核对医嘱及患者信息,解释其目的取得配合,适当检查床头,取适当体位,选择并清洁鼻腔,测量插入深度,用麻醉润滑剂润滑消毒胃管前端约10厘米,插入胃管,检查患者口腔情况,注入液体前听取气过水声,用注射器抽吸胃液,确认胃管位置,固定外管封口并作标记,协助患者采取舒适体位,处理用物,观察患者反应并记录,做好健康教育及心理护理。","注射器,胃管,引流装置","三腔胃管,鼻饲管","次","",25,20,18,"甲类","一般治疗操作","停用"]
[1829,"HPD62301","三腔两囊管安置术","体外确定三腔(或四腔)两囊管无漏气，并充分润滑，经鼻腔置入胃内，确定位置正确，注气压迫。",null,"三腔两囊管/四腔两囊管","次",null,500,425,{"v":361.25,"d":"361"},"甲类","一般治疗操作","停用"]
[1830,"HPL62301","经鼻空肠营养管置管术","鼻腔、口咽麻醉，润滑，在影像设备导引下，经导丝导引置入空肠营养管。不含监护、影像学引导。","空肠营养管","导管，导丝，球囊，鼻肠喂养管","次","",350,280,245,"乙类","一般治疗操作","停用"]
[1831,"HPL63301","经鼻空肠营养管调管术","鼻腔、口咽麻醉，润滑，在影像设备导引下，经导丝导引调节空肠营养管位置。不含监护、影像学引导。","空肠营养管","导丝，导管，球囊","次","",350,280,245,"乙类","一般治疗操作","停用"]
[1832,"HPL66401","经鼻空肠营养管置换术","鼻腔、口咽麻醉，润滑，在影像设备导引下，经导丝导引调节空肠营养管位置。不含监护、影像学引导。","空肠营养管","导丝，导管，球囊","次","",350,280,245,"乙类","一般治疗操作","停用"]
[1833,"HRZ62301","血液净化用中心静脉临时导管置管术","指颈内静脉､锁骨下静脉､股静脉等部位的用于血液净化的临时导管置管术。一般用导丝引导法,在严格消毒后用穿刺针穿刺上述中心静脉后,置入导丝,再将中心静脉临时导管(一般是双腔管)沿导丝插入中心静脉,最后固定缝合导管于皮肤,并分别在双腔内(动静脉端)封好抗凝剂备用。不含影像学引导。","","中心静脉导管,特殊缝线","次","",150,120,105,"乙类","一般治疗操作","停用"]
[1834,"HRZ62302","血液净化用中心静脉长期管置管术","指颈内静脉､锁骨下静脉､股静脉等部位的用于血液净化的长期导管置管术。操作过程类似于临时导管置管术,但需要在皮下作一隧道,将长期导管沿皮下隧道置入中心静脉,导管上有涤纶套可固定于皮下隧道,不易脱出,也不易并发感染,可长期使用。不含影像学引导。","","中心静脉导管","次","",200,160,140,"乙类","一般治疗操作","停用"]
[1835,"HME62201","经皮穿刺锁骨下静脉置管术","患者仰卧于手术台(或病床),局麻下穿刺锁骨下静脉,置入导丝,沿导丝置入血管扩张器,退出扩张器沿导丝置入长期透析管,退出导丝,回抽血液证实在静脉内,肝素冲洗液封管,缝合固定,透明贴外敷,照X线平片,明确导管管头位置。","长期透析管,注射器,导丝,血管扩张器","特殊缝线","次","",500,400,350,"甲类","一般治疗操作","停用"]
[1836,"ABCC0001","经烧伤创面静脉穿刺术","穿刺皮肤消毒，根据解剖位置，触摸确定血管位置，穿刺静脉放置并固定留置管。","注射器","留置针","次","",15,12,10,"甲类","一般治疗操作","停用"]
[1837,"HM862301","静脉切开置管术","消毒铺巾,切开局部皮肤及皮下,游离出拟切开的静脉,两端绕阻断带,阻断并斜行切开静脉部分管壁,置入导管,外与静脉一起结扎固定,远心侧静脉结扎,关闭切口。限于严重创伤､休克抢救及某些手术辅助措施。","导管","特殊缝线","次","",160,130,110,"甲类","一般治疗操作","停用"]
[1838,"FKA05206","有创血压监测动脉置管术","消毒铺巾,局部麻醉,穿刺深动脉,放置套管针,穿刺动脉,放置鞘管,连接测压套件,进行动脉内压力监测。","注射器,测压管","传感器","次","六岁及以下儿童加收不超过30%",240,190,170,"乙类","一般治疗操作","停用"]
[1839,"HL962202","外周动脉穿刺置管术","消毒，局麻，动脉穿刺置管，不含特殊定位方法。","穿刺针，注射器",null,"次","",130,105,90,"乙类","一般治疗操作","停用"]
[1840,"ABDB0001","新生儿脐血管置管术","选择合适的脐导管并测量所需插入长度,消毒术野皮肤,铺巾,切断脐带残端,暴露脐血管(动脉或静脉),插入导管至所需刻度,抽回血并推注输液,缝合固定,接输液器。不含监护。","注射器,输液器","特殊缝线,脐静脉导管","次","不得加收小儿费用",400,320,280,"乙类","一般治疗操作","停用"]
[1841,"HL964301","动脉置管拔除术","消毒,透视,拔管,穿刺点压迫包扎。","","","次","",100,80,70,"乙类","一般治疗操作","停用"]
[1842,"ABDA0001","经外周静脉置入中心静脉导管术","评估患者病情､合作程度及穿刺血管情况等,核对医嘱及患者信息,取适当体位,检查导管,测量导管插入长度,选择穿刺部位,皮肤消毒(直径10厘米),无菌注射器预冲导管,静脉穿刺,送导管至预计长度,撤导丝,抽回血并冲管,修剪长度安装连接器,连接肝素帽并正压封管,无菌敷料固定,处理用物,观察患者反应并记录,做好健康教育及心理护理。不含超声引导､X线检查。","注射器,肝素帽","中心静脉导管，中线静脉导管","次","拔管术按50元收取，不含超声引导费用",220,187,159,"甲类","一般治疗操作","停用"]
[1843,"HM864201","静脉导管拔除术","患者仰卧于手术台(或病床),局部消毒,拆除固定缝线,拔除静脉导管,管头做细菌培养,穿刺点压迫止血10分钟。","","","次","",200,160,140,"甲类","一般治疗操作","停用"]
[1844,"HMD62201","经皮穿刺颈内静脉置管术","患者仰卧于手术台或病床,局麻下穿刺锁骨下静脉或颈内静脉,置入导丝,沿导丝置入血管扩张器,退出扩张器沿导丝置入留置型静脉导管,退出导丝,回抽血液证实在静脉内,肝素冲洗液封管,缝合固定,透明贴外敷,照x线平片,明确导管管头位置。","注射器","中心静脉导管,特殊缝线","次","拔管术按50元收取，\n不含超声引导费用",220,187,159,"甲类","一般治疗操作","停用"]
[1845,"HMD64201","经皮穿刺颈静脉透析管拔除术","消毒麻醉,必要时造影,分离导管入皮肤处软组织,必要时经股静脉置入临时滤器,拔除导管,冲洗胶片。人工报告。不含监护。","血滤器,注射器","特殊缝线","次","",200,160,140,"乙类","一般治疗操作","停用"]
[1846,"HM262201","经皮穿刺股静脉置管术","患者仰卧于手术台(或病床),局麻下穿刺股静脉,置入导丝,沿导丝置入血管扩张器,退出扩张器沿导丝置入留置型静脉导管,退出导丝,回抽血液证实在静脉内,肝素冲洗液封管,缝合固定,透明贴外敷。","注射器","中心静脉导管,特殊缝线,扩张器","次","拔管术按50元收取，不含超声引导费用",220,187,159,"乙类","一般治疗操作","停用"]
[1847,"HRZ64301","血液净化用中心静脉临时管拔除术","在严格消毒后,拆掉固定导管用的缝线,拔除导管,压迫原导管出口,观察确定无出血后包扎伤口。","","","次","",50,40,35,"乙类","一般治疗操作","停用"]
[1848,"ABZG0001","引流管更换","更换无菌引流袋或引流装置,固定,观察患者生命体征,预防并发症,处理用物,记录,做好健康教育及心理护理。","引流装置,引流袋","专用引流管","次","",15,12,10,"甲类","一般治疗操作","停用"]
[1849,"HJM45101","胸腔穿刺置管引流术","消毒､局部麻醉,用穿刺针进行穿刺,进入胸腔后置入导丝,用扩张管扩张后,置入深静脉导管或胸腔引流导管并留置,抽液､抽气。不含超声､X线引导。","穿刺针,引流装置,中心静脉导管,注射器","","次","胸腔引流管拔除术按此项收费",430,340,300,"甲类","一般治疗操作","停用"]
[1850,"HLP62301","肝动脉化疗泵置入术","逐层进腹,探查,游离肝门,肝动脉插管,置入结扎固定,经腹壁另戳孔引出,皮下包埋化疗泵,止血,清点器具､纱布无误,冲洗腹腔,逐层关腹。","引流装置,冲洗液","化疗泵,血管夹,特殊缝线,止血材料","次","",1100,880,770,"乙类","一般治疗操作","停用"]
[1851,"HL964302","动脉化疗泵取出术","皮肤切开,分离,取泵,缝合。","","特殊缝线","次","",260,205,180,"乙类","一般治疗操作","停用"]
[1852,"QHXZ0097","超声引导下植入式静脉输液港植入术","常规消毒颈、胸部手术区域，铺巾，局部浸润麻醉。取颈部动脉搏动偏外0.3cm处切口，长约1.0cm，切开皮肤，穿刺针带10ml注射器负压穿刺颈内静脉成功后，置入导丝，顺导丝置入引导管，超声定位，迅速延引导管送入输液导管，输液导管到位后慢慢拔除引导管，超声再次确认输液导管位于颈内静脉腔内，取锁骨下横向切口，长约3cm，切开皮肤，制作U型囊袋，将输液港体置入囊袋。使用分离棒顿性分离皮下组织，形成胸壁切口与颈部切口间隧道，利用分离棒将输液导管从颈部切口拉至胸壁切口，利用导管锁将输液导管远端固定于输液港体接口，无损伤针回抽血，通畅无阻力，10ml肝素盐水脉冲式冲洗封管；间断缝合颈部及胸部小切口，无菌敷料固定。含超声引导，不含术后X线检查。",null,"植入式输液港型中心静脉导管及套件，耐高压输液港型中心静脉导管及套件，特殊缝线","次","输液港取出术按100元收取，不含超声引导费用",700,null,null,"乙类","一般治疗操作","停用"]
[1853,"HDE62301","胰岛素泵安装术","安装胰岛素泵电池调节时间等各项设置，遵医嘱设定基础量(具体由医生精确计算而得)，所用一次性胰岛素泵耗材登记，取下腹部最佳输注部位，皮肤消毒待干燥后将针头插入皮下，透明贴膜固定并贴上穿刺时间，于别针固定。","胰岛素泵管",null,"次",null,200,170,{"v":144.5,"d":"145"},"乙类","一般治疗操作","停用"]
[1854,"HDE48102","胰岛素泵持续皮下注射胰岛素","根据血糖情况，遵医嘱调节基础量及定时定量输注餐前大剂量(具体由医生精确计算而得)，建立胰岛素泵观察表，随时观察输注部位皮肤针眼处有无异常，电量和药量是否充足，管路是否通畅，有无报警情况，携带是否安全，3-7天更换注射部位及耗材，输注部位出现红肿、出血、脱出情况立即更换，每班每天需要密切观察并记录1-2小时。","胰岛素泵管","一次性使用胰岛素泵注射组件（储药器）","小时",null,3,3,3,"甲类","一般治疗操作","停用"]
[1855,"ABJA0001","氧气吸入","评估患者缺氧情况,病情等,核对医嘱及患者信息,解释吸氧目的,湿化瓶备蒸馏水,根据需要选择吸氧管或面罩,将无菌鼻导管或面罩连接吸氧装置或氧气袋,检查导管通畅,取适当体位,检查鼻腔通畅,清洁湿润鼻腔,调节氧流量,固定吸氧装置,处理用物。定时观察患者病情及缺氧缓解程度并记录,做好氧气吸入的健康教育及心理护理。","吸氧管","面罩,吸氧装置","小时","",3,3,3,"乙类","一般治疗操作","停用"]
[1856,"ABJB0001","密闭式氧气吸入","评估患者缺氧情况,病情，意识，鼻腔状况等,核对医嘱及患者信息,解释吸氧的目的,安装流量表，安装湿化瓶,根据需要选择吸氧管或面罩,将鼻导管或面罩连接到氧气装置,检查导管通畅,取舒适体位,检查鼻腔通畅,清洁湿润鼻孔,调流量,固定吸氧装置,处理用物,定时观察患者病情及缺氧缓解程度并记录,做好氧气吸入的健康教育及心理护理。","鼻导管,连接管","面罩,吸氧装置","小时","",5,5,5,"乙类","一般治疗操作","停用"]
[1857,"QHXZ0168","加温加湿高流\n量氧气治疗","开启呼吸湿化治疗仪，检测机器压力，参数设置，启动设备，提供经过加温湿化,空氧混合，气流量≥20L/min;氧浓度21%-100%;加温加湿31-37℃,相对湿度100%的气体，经鼻塞导管或气管切开接头或面罩转接头吸入进行呼吸治疗。观察患者病情，做好健康教育及心理护理。吸气流量<20L/min,吸氧浓度<30%,可撤机，给予其他吸氧方式。含吸氧费用。",null,"接头、管路、导管","小时","不得与呼\n吸机辅助\n通气同时\n收费",8,8,8,"乙类","一般治疗操作","停用"]
[1858,"KJA21401","无创呼吸机辅助通气","消毒呼吸机及重复使用的管路和面罩,组装连接重复使用或一次性使用的呼吸机管路与面罩,开机检测呼吸机功能。向患者解释说明,为患者选择合适大小的面罩,协助患者佩戴面罩并连接呼吸机辅助通气,及时向湿化罐内添加无菌蒸馏水并更换湿化纸,密切监测患者病情变化,根据病情实时调节通气参数及模式。","蒸馏水","面罩,管路","小时","六岁及以下儿童加收不超过30%",8,8,8,"甲类","一般治疗操作","停用"]
[1859,"KJA21402","有创呼吸机辅助通气","消毒呼吸机及可重复使用的管路,组装连接重复使用或一次性使用的呼吸机管路及细菌过滤器并检测呼吸机功能。建立人工气道(气管插管或气管切开)成功后,连接呼吸机辅助通气,根据患者病情设置合理通气模式及参数,使用人工鼻进行气道湿化时无需应用加热湿化器,使用加热湿化器时需及时向湿化罐内添加无菌蒸馏水并更换湿化纸,当有分泌物污染管路时更换呼吸机管路或定期更换呼吸机管路,及时吸痰保持气道通畅。密切观察患者病情,根据病情实时调节通气参数及模式。不含气管插管或气管切开术。","蒸馏水或灭菌水,人工鼻,细菌过滤器","面罩,管路","小时","六岁及以下儿童加收不超过30%",10,10,10,"甲类","一般治疗操作","停用"]
[1860,"ACBJ0004","吸痰护理","评估患者病情､意识状态､呼吸道分泌物情况等,核对患者信息,做好解释取得配合,连接吸引器调整负压,取适当体位,戴无菌手套,检查连接好的无菌吸痰管通畅,将吸痰管插入气道,缓慢旋转提取进行抽吸,调整氧气流量,观察患者生命体征及痰液性质,协助患者采取舒适体位,评价吸痰效果,记录,完成健康教育及心理护理。","吸痰管","","次","",15,12,11,"甲类","一般治疗操作","停用"]
[1861,"ABZA0001","机械辅助排痰","评估患者病情,意识状态及呼吸系统情况等,核对患者信息,解释其重要性取得配合,检查排痰机功能状态,取适当体位,根据病情设置排痰机的强度频率及时间,用机械辅助排痰仪,按解剖部位依次震动不同部位,观察患者反应,生命体征变化等,协助患者排痰,评价患者排痰效果及痰液性质,用物处理,记录,做好健康教育和心理护理。","吸痰管","","次","",12,10,8,"甲类","一般治疗操作","停用"]
[1862,"KJA21904","超高压力高压氧治疗","病人在高压氧舱内,升高环境压力,应用吸氧管和面罩吸入高流量纯氧治疗,压力为2.5个ATA(含2.5)以上,舱内医护人员监护和指导。不含舱内心电､呼吸､血压血氧监护､雾化吸入。","吸氧管","面罩","次","",100,85,72,"乙类","一般治疗操作","停用"]
[1863,"KJA21906","单人舱治疗","使用单人高压氧舱加压吸氧治疗,含纯氧舱,压力1.0(不含1.0)-2.5个ATA(不含2.5)。","","","次","",80,65,55,"乙类","一般治疗操作","停用"]
[1864,"KJA21908","急救单独开舱治疗","使用多人氧舱为重症病人单独开舱治疗。医、护、技人员和氧舱使用消耗与多人氧舱开舱时一样。",null,"面罩","次",null,200,170,{"v":144.5,"d":"145"},"乙类","一般治疗操作","停用"]
[1865,"KJA21901","高压氧舱内常规治疗","病人在高压氧舱内升高环境压力,应用吸氧管和面罩吸入高流量纯氧治疗,压力为1.0以上-2.5个大气压。含头罩和安全防护措施。吸氧,使用加压空气､空气压缩机及储气罐､储水罐､冷干机,舱体及安全阀等。每次治疗后舱内消毒。","吸氧管","面罩","次","",150,128,108,"乙类","一般治疗操作","停用"]
[1866,"HAM62401","经口气管插管术","指在手术室外急诊抢救所进行的普通经口气管插管。静脉给药,清理口腔分泌物,咽喉表面麻醉,置入喉镜,暴露声门后插管,听诊判断气管导管的位置,固定气管导管,连接麻醉机或呼吸机行机械通气。","吸痰管,气管导管","","次","",120,102,87,"甲类","一般治疗操作","停用"]
[1867,"HAM62403","经鼻明视气管插管术","指在手术室或重症监护室内进行的经鼻明视气管插管。静脉给药,鼻腔和气管导管润滑,清理口腔分泌物,置入喉镜,明视下插管或插管钳引导插管,听诊判断气管导管的位置,固定气管导管,连接呼吸回路,麻醉机或呼吸机行机械通气。","吸痰管,气管导管","异型气管导管","次","",200,170,150,"甲类","一般治疗操作","停用"]
[1868,"HAM62404","困难气道盲探气管插管术","手术室内静脉给药,盲探下经鼻或经口气管插管,听诊判断气管导管的位置,固定气管导管,连接呼吸回路,麻醉机或呼吸机行机械通气。","吸痰管,气管导管","异型气管导管","次","",200,170,150,"甲类","一般治疗操作","停用"]
[1869,"HAM62602","硬纤维喉镜引导下气管插管术","手术室内在硬纤维喉镜引导下行气管插管术。静脉给药,清理口腔分泌物,咽喉表面麻醉,经口置入喉镜,暴露声门后插管,听诊判断气管导管的位置,固定气管导管,连接呼吸回路,麻醉机或呼吸机行机械通气。","吸痰管,气管导管","异型气管导管","次","",200,170,150,"甲类","一般治疗操作","停用"]
[1870,"HAM62405","新生儿气管插管术","吸引口咽分泌物,直接喉镜开放气道,将气管导管经声门插入气管,接复苏气囊加压通气,听诊双肺呼吸音,调整气管插管位置,固定气管导管,吸引气管导管内分泌物。不含监护。","吸痰管,气管导管","","次","",120,102,90,"甲类","一般治疗操作","停用"]
[1871,"HAM62101","环甲膜穿刺逆行气管插管术","手术室内静脉给药,消毒,环甲膜穿刺,经穿刺针往喉方向置入细导引丝或细导引管使之进入咽腔,顺导引管置入气管导管,听诊判断气管导管的位置,固定气管导管,连接呼吸回路,麻醉机或呼吸机行机械通气。","吸痰管,气管导管,穿刺针","异型气管导管","次","",300,255,225,"甲类","一般治疗操作","停用"]
[1872,"FKA02202","人工中心静脉压测定","评估患者病情及体位等,核对医嘱及患者信息,解释其目的取得配合,确认中心静脉置管位置,测量外置长度,连接测压系统,协助患者平卧位,正确固定压力传感器,冲洗管路,调零,测压并记录,协助患者采取舒适体位,做好健康教育及心理护理。","注射器,测压管","压力传感器","次","",20,16,14,"甲类","一般治疗操作","停用"]
[1873,"FKA02204","周围静脉压测定","穿刺肘静脉后,将肘静脉穿刺针连接测压管,根据静脉血上升到的刻度测定。","注射器,测压管","","次","",80,65,55,"甲类","一般治疗操作","停用"]
[1874,"FKA02203","检测仪中心静脉压测定","评估患者病情及体位等,核对医嘱及患者信息,解释其目的取得配合,确认中心静脉置管位置,测量外置长度,连接测压系统,协助患者平卧位,正确固定压力传感器,冲洗管路,调零,测压并记录,协助患者采取舒适体位,做好健康教育及心理护理。","注射器,测压管","压力传感器","次","",20,16,14,"甲类","一般治疗操作","停用"]
[1875,"FKA05205","动脉内压力监测","将动脉套管连接测压套件,实时监测血压变化。","测压管","传感器","小时","",10,8,7,"乙类","一般治疗操作","停用"]
[1876,"HAN05201","有创连续动脉血压监测","将动脉置管连接压力传感器和监测仪，调节零点，及时测定和记录血压。",null,"传感器","2小时","2小时后每增加1小时加收不超过50%",40,34,30,"乙类","一般治疗操作","停用"]
[1877,"ABGC0001","人工洗胃","评估患者病情,中毒程度及有无禁忌症等,准备洗胃液,核对医嘱及患者信息,解释其目的取得配合,取适当体位,防止误吸,选择并清洁鼻孔,测量插入深度,用麻醉润滑剂润滑胃管前端约10厘米,插入胃管,用注射器注气听气过水声抽吸胃液,确认胃管位置,固定并作标记,注射器吸尽胃内容物,注入洗胃液约200毫升后抽出,反复冲洗至洗净,拔胃管,漱口,清洁面部,处理用物,评价并记录,做好健康教育及心理护理。不含胃管置管术。","注射器,","","次","",300,255,217,"甲类","一般治疗操作","停用"]
[1878,"ABGC0002","电动洗胃","评估患者病情,中毒程度及有无禁忌症等,连接好洗胃机装置,准备洗胃液,核对医嘱及患者信息,解释其目的取得配合,取适当体位,选择并清洁鼻孔,测量插入深度,用麻醉润滑剂润滑胃管前端约10厘米,插入胃管,用注射器确认胃管位置,固定并作标记,将胃管与洗胃机连接,接通电源吸尽胃内容物,反复冲洗至洗净,拔胃管,处理用物,清洁洗胃机(包括进水和出水管路),评价并记录,做好健康教育及心理护理。不含胃管置管术。","注射器,胃管,引流装置","","次","",260,221,188,"甲类","一般治疗操作","停用"]
[1879,"ABGC0003","漏斗胃管洗胃","评估患者病情,中毒程度及有无禁忌症等,准备洗胃液,核对医嘱及患者信息,解释其目的取得配合,取适当体位,选择并清洁鼻孔,测量插入深度,用麻醉润滑剂润滑胃管前端约10厘米,插入胃管,用注射器确认胃管位置,固定并作标记,将漏斗低于胃的位置吸尽胃内容物,再将洗胃液约300-500毫升注入高过头30-50厘米的漏斗后吸出,反复冲洗至洗净,拔胃管,处理用物,评价并记录,做好健康教育及心理护理。","胃管","","次","",55,45,40,"甲类","一般治疗操作","停用"]
[1880,"ABGC0004","负压吸引器洗胃","评估患者病情,中毒程度及有无禁忌症等,准备洗胃液,核对医嘱及患者信息,解释其目的取得配合,取适当体位,选择并清洁鼻孔,测量插入深度,用麻醉润滑剂润滑胃管前端约10厘米,插入胃管,用注射器确认胃管位置,固定并作标记,开吸引器吸尽胃内容物后关闭,开输液管输入洗胃液约300-500毫升后关闭,反复冲洗至洗净,拔胃管,处理用物,评价并记录,做好健康教育及心理护理。不含胃管置管术。","胃管,连接管","","次","",280,238,202,"甲类","一般治疗操作","停用"]
[1881,"ABGC0005","新生儿洗胃","测量插入深度,放置胃管,腹部听诊确定位置,注入生理冲洗液洗胃,重复数次,直至胃液清亮。","胃管","","次","",60,50,40,"甲类","一般治疗操作","停用"]
[1882,"ABGD0001","肠内营养灌注","指经鼻胃管、鼻肠管、小肠造瘘、胃造瘘、食管造瘘等途径灌注药物或要素饮食、各种配方奶。核对医嘱及患者信息，解释操作目的取得配合。评估患者病情及管路情况。取适当体位，消毒管口，用灌注器注入少量温开水冲洗管路。将营养液灌入营养袋，连接至营养通路。采用重力或营养泵灌入营养液，或用灌注器推注药物或要素饮食。灌注结束后用温开水冲洗管路，妥善固定。观察患者反应，处理用物，洗手，记录，做好健康教育及心理护理。","注射器,输液泵管,胃管","营养泵管","次","",35,30,25,"乙类","一般治疗操作","停用"]
[1883,"ABGF0001","经口全消化道清洁洗肠","配置洗肠液，评估患者病情及合作程度等，核对医嘱及患者信息，解释其目的，协助患者饮用(1小时内饮完)，观察有无腹痛、呕吐、排便情况，必要时重复饮用口服洗肠液，记录，做好健康教育及心理护理。",null,null,"次","",20,16,14,null,"一般治疗操作","停用"]
[1884,"ABLA0001","擦浴降温","指酒精或温水擦浴。评估患者病情等,备酒精,核对患者信息,解释其目的取得配合,调节室温,屏风遮挡,头部放冰袋,足底用热水袋,按上-下及前-后的顺序擦拭全身,撤去冰袋和热水袋,协助患者穿衣并恢复舒适体位,30分钟后测量体温,观察并记录,做好健康教育及心理护理。","酒精","","次","",10,10,10,"甲类","一般治疗操作","停用"]
[1885,"ABLB0001","贴敷降温","指使用冰袋､冰囊或降温贴贴敷于皮肤表面进行降温。评估患者病情等,备好冰装入冰袋,核对患者信息,解释其目的取得配合,将冰袋放入布套内,置于患者所需部位,开始计时,保护易冻伤部位,冷敷后取下冰袋,观察有无冻伤,协助患者恢复舒适体位,30分钟后测量体温,处理用物,观察并记录,做好健康教育及心理护理。","降温贴,冰袋","","次","",7,7,7,"甲类","一般治疗操作","停用"]
[1886,"ABLC0001","冰帽降温","指冰帽及冰枕头部降温。评估患者病情等,备好冰装入冰帽,核对患者信息,解释其目的取得配合,将冰帽放入布套内,将冰帽置于患者头部,开始计时,保护耳部,随时观察患者神志,体温及冰帽使用安全性,取下冰帽,协助患者恢复舒适体位,处理用物,观察并记录,做好健康教育及心理护理。","","","2小时","每增加1小时加收20%",10,10,10,"甲类","一般治疗操作","停用"]
[1887,"ABLD0001","冰毯降温","评估患者病情等,核对患者信息,解释其目的取得配合,准备冰毯机,取适当体位,将冰毯置于患者合适部位,将温度传感器放于腋下,打开冰毯机,设置温度及循环流量,调节降温范围,监测降温效果及皮肤情况,观察患者反应及生命体征变化,处理用物,记录。","","","2小时","每增加1小时加收20%",10,10,10,"甲类","一般治疗操作","停用"]
[1888,"ACBE0001","新生儿治疗浴","评估新生儿情况､日龄,调节操作台温度及环境湿度,核对医嘱及患儿信息,检查患儿皮肤情况,用无菌注射器配制治疗浴液,按新生儿沐浴顺序进行治疗浴,治疗浴毕擦干皮肤,再次检查皮肤情况及效果,操作毕为患儿穿衣,处理用物,记录。","注射器","","次","",25,23,20,"丙类","一般治疗操作","停用"]
[1889,"ABHA0001","导尿","评估患者病情,膀胱充盈情况等,核对医嘱及患者信息,解释其目的取得配合,屏风遮挡,取适当体位,会阴擦洗,打开无菌导尿包,戴无菌手套,用麻醉润滑剂润滑导尿管,按顺序消毒,确定尿道口,插入尿管,观察尿液颜色､量及性质等,引流完毕拔出,擦净会阴,协助患者恢复舒适体位,处理用物,评价并记录,做好健康教育及心理护理。","注射器,导尿包,尿袋","专用导尿管","次","",35,28,25,"甲类","一般治疗操作","停用"]
[1890,"ABHA0003","导引法导尿术","常规消毒,铺无菌巾,应用前端有孔的金属导尿管插进膀胱,通过内腔放入一根细的导丝,拔出金属导尿管,通过导丝放入双腔气囊导尿管,置入后导尿管球囊注水固定。","注射器,导尿包,尿袋","导丝，专用导尿管","次","",100,85,72,"甲类","一般治疗操作","停用"]
[1891,"ABHB0001","膀胱冲洗","评估患者病情及自理程度等,核对医嘱及患者信息,解释其目的取得配合,准备冲洗药物及用物,屏风遮挡,取适当体位,戴无菌手套,将棉垫垫于尿管接头处,分开尿管与引流袋连接处,消毒尿管末端,用无菌膀胱冲洗器吸取冲洗液,从尿管末端注入膀胱后吸出,如此反复操作,冲洗毕夹闭尿管30分钟后排空膀胱,必要时更换无菌引流袋,观察冲洗过程中患者反应,冲洗情况及冲洗出的液体颜色､性质及量并记录,处理用物,做好健康指导及心理护理。","注射器,冲洗器","","次","",40,34,29,"甲类","一般治疗操作","停用"]
[1892,"ABHB0002","持续膀胱冲洗","评估患者病情,自理程度及有无禁忌症等,核对医嘱及患者信息,解释其目的取得配合,准备冲洗药物及用物,屏风遮挡,取适当体位,戴无菌手套,用冲洗液连接冲洗器并排气，连接冲洗入口,冲洗出口处接无菌引流袋(或引流瓶),遵守持续冲洗原则细管冲入粗管冲出,根据引流液颜色调节冲洗速度,观察患者生命体征,冲洗情况,引流液颜色､性质及量并记录,冲洗毕协助患者恢复舒适体位,处理用物,做好健康指导及心理护理。","注射器,冲洗器","","日","",90,77,65,"乙类","一般治疗操作","停用"]
[1893,"ABGE0001","一般灌肠","评估患者病情及腹胀程度等,核对医嘱及患者信息,解释其目的取得配合,排空膀胱,备好灌肠装置,配好灌肠液,屏风遮挡,取适当体位,合理暴露臀部,用麻醉润滑剂润滑肛管前端,并用温水促进肛门括约肌松弛,嘱病人深呼吸,插入肛管适宜深度,并固定,松开止血钳灌入所需灌肠液,夹闭肛管并拔出,嘱患者平卧规定时间后排便,协助患者恢复舒适体位,处理用物,观察患者反应并记录,做好健康教育及心理护理。","肛管,灌肠装置,肛门镜","","次","",35,28,25,"甲类","一般治疗操作","停用"]
[1894,"ABGE0002","保留灌肠治疗","评估患者病情及腹胀程度等,核对医嘱及患者信息,解释其目的取得配合,排空膀胱,备好灌肠装置,配好灌肠液,屏风遮挡,取适当体位,合理暴露臀部,用麻醉润滑剂润滑肛管约5-10厘米,插肛管约10-15厘米并固定,松开止血钳将灌肠液滴入最多200毫升,夹闭肛管并拔出,嘱患者平卧尽可能至少1小时后排便,处理用物,观察患者反应并记录,做好健康教育及心理护理。","肛管,灌肠装置,肛门镜","","次","",35,28,25,"甲类","一般治疗操作","停用"]
[1895,"ABGE0003","三通氧气灌肠治疗","评估,核对患者信息,做好解释取得配合,备好三通氧气灌肠装置,调节室温,屏风遮挡,摆体位,必要时给予解痉止痛或基础麻醉,合理暴露臀部,润滑肛管前端,插入肛管,注气约25-30毫升至肛管气囊,稍向下牵拉肛管以固定,调节安全阀旋钮,设定灌肠时最大耐压值,将气体注入结肠,观察氧气表上的压力值,X线透视下观察结肠内气体前进的情况至套叠复位,拔管,协助患者恢复舒适体位,处理用物,观察并记录,做好健康教育及心理护理。不含X线检查。","肛管,灌肠装置,肛门镜","","次","",35,28,25,"乙类","一般治疗操作","停用"]
[1896,"ABGE0004","清洁灌肠","评估患者病情及腹胀程度等,核对医嘱及患者信息,解释其目的取得配合,排空膀胱,备好灌肠装置,配好灌肠液,屏风遮挡,取适当体位,合理暴露臀部,用麻醉润滑剂润滑肛管约5-10厘米,缓慢插入,边进管边观察病人的疼痛反应,插肛管约10-15厘米并固定,松开止血钳灌肠500-1000毫升,夹闭肛管并拔出,患者排便后重复以上操作过程至大便为清水样便,处理用物,观察并记录,做好健康教育及心理护理。","肛管,灌肠装置,肛门镜","","次","",60,51,43,"甲类","一般治疗操作","停用"]
[1897,"ABGH0001","肛管排气","评估患者病情及腹胀情况,肛门及皮肤情况等,核对患者信息,解释其目的取得配合,调节室温,屏风遮挡,取适当体位,连接好肛管排气装置,戴手套,用麻醉润滑剂润滑无菌肛管前端,润滑肛门使肛门括约肌松弛,插肛管约15-18厘米(新生儿约5-7厘米)并固定,观察患者情况,连接灌肠袋观察液面水泡情况,保留约20分钟后拔肛管,协助患者恢复舒适体位,处理用物,评价并记录,做好健康教育及心理护理。","肛管,肛门镜","","次","",15,12,10,"甲类","一般治疗操作","停用"]
[1898,"ABGG0001","人工辅助通便","评估患者病情及腹胀程度等,核对医嘱及患者信息,解释其目的取得配合,屏风遮挡,取适当体位,合理暴露臀部,戴手套,用指润滑剂涂抹手指,手工协助排便或挤入开塞露或甘油灌肠剂或栓剂插入肛门,处理用物,观察并记录,做好健康教育及心理护理。","肛门镜","","次","",30,25,20,"丙类","一般治疗操作","停用"]
[1899,"HYR45301","创面密封负压引流术","将创面用无菌敷料覆盖创面,将引流管置入合适位置引出体外,创面密封膜封闭创面,连接负压吸引。","引流装置","负压护创材料","部位","",100,80,70,"甲类","一般治疗操作","停用"]
[1900,"FDE04901","胰岛素钳夹试验","受试者实验前禁食12小时,静卧于检查床,一侧小臂置于加温毯中,当加热毯温度达到动脉化要求后开始实验｡分别于受试者双侧前臂行静脉穿刺,利用三通管组成2条静脉通道｡一侧用于输注胰岛素及葡萄糖液,另一侧用于试验中采血,不采血时缓慢静滴生理冲洗液,采血前临时关闭输液器｡钳夹开始10分钟内以4mU(Kg·min)(具体由医生精确计算而得)速率输注人胰岛素溶液使血液胰岛素浓度迅速升高,随后110分钟内以2mU(Kg·min)(具体由医生精确计算而得)速率持续输注｡在此期间每5分钟测一次静脉血糖值,根据血糖值调整200毫摩尔/升葡萄糖液输注率,使受试者血糖值维持在5.0毫摩尔/升左右(具体由医生精确计算而得)｡每10分钟采静脉血测定血清胰岛素浓度,每30分钟测定血清C肽浓度,计算试验中每10分钟的平均葡萄糖输注率､机体总葡萄糖利用率和最大葡萄糖利用率｡医生分析试验结果｡不含实验室检验｡","注射器,输液器,留置针,肝素帽,真空采血针,真空采血管,延长管,三通","","次","","","","","乙类","一般治疗操作","停用"]
[1901,"FDE04203","静脉推注葡萄糖胰岛素释放实验","受试者前一天晚餐后禁食10-16小时,清晨空腹,一侧前臂置留置针,对侧前臂50%葡萄糖(剂量由医生精确计算而得),在2分钟内快速静推,从注射葡萄糖起开始记时,分别在时间为0､2､3､4､5､8､10分钟共7点从留置针取血测胰岛素｡医生分析试验结果｡不含实验室检验｡","注射器,留置针,肝素帽,真空采血针,真空采血管","","次","与葡萄糖耐量试验同时进行时,不得再收取葡萄糖耐量试验费用",60,48,42,"甲类","一般治疗操作","停用"]
[1902,"FDE04204","静脉推注葡萄糖胰岛素释放试验-延长法","多与糖耐量试验同时进行｡受试者前一天晚餐后禁食10-16小时,当日清晨空腹一侧静脉采血测定胰岛素,50%葡萄糖液(剂量由医生精确计算而得)静脉推注2-4分钟完成,以葡萄糖推注开始时为零点,分别于1､2､3､10､30､60､120､180分钟采血测定胰岛素(可根据需要时间增加至240分钟和300分钟)｡医生分析试验结果｡不含实验室检验｡","注射器,留置针,肝素帽,真空采血针,真空采血管","","次","与葡萄糖耐量试验同时进行时,不得再收取葡萄糖耐量试验费用",80,65,55,"甲类","一般治疗操作","停用"]
[1903,"FDE04205","静脉推注葡萄糖C肽释放实验","受试者前一天晚餐后禁食10-16小时,清晨空腹,一侧前臂置留置针,对侧前臂50%葡萄糖(剂量由医生精确计算而得),在2分钟内快速静推,从注射葡萄糖起开始记时,分别在时间为0､2､3､4､5､8､10分钟共7点从留置针取血测C肽｡医生分析试验结果｡不含实验室检验｡","注射器,留置针,肝素帽,真空采血针,真空采血管","","次","",30,25,20,"甲类","一般治疗操作","停用"]
[1904,"FDE04206","静脉推注葡萄糖C肽释放实验-延长法","多与糖耐量试验和胰岛素释放试验同时进行｡受试者前一天晚餐后禁食10-16小时,当日清晨空腹一侧静脉采血测定C肽,50%葡萄糖液(剂量由医生精确计算而得)静脉推注2-4分钟完成,以葡萄糖推注开始时为零点,分别于1､2､3､10､30､60､120､180分钟(可根据需要时间增加至240分钟和300分钟)采静脉血C肽｡医生分析试验结果｡不含实验室检验｡","注射器,留置针,肝素帽,真空采血针,真空采血管","","次","与葡萄糖耐量试验同时进行时,不得再收取葡萄糖耐量试验费用",30,25,20,"甲类","一般治疗操作","停用"]
[1905,"FDE04207","胰高糖素C肽刺激试验","受试者前一天晚餐后禁食10-16小时,当日清晨空腹,一侧前臂置留置针,对侧前臂静推胰高糖素(剂量由医生精确计算而得),从静推胰高血糖素起开始记时,分别在时间为0､2､3､4､5､8､10分钟共7点从留置针取血测血糖､胰岛素和C-肽｡医生分析试验结果｡不含实验室检验｡","注射器,留置针,肝素帽,真空采血针,真空采血管","","次","",50,40,35,"甲类","一般治疗操作","停用"]
[1906,"FDE04201","静脉推注葡萄糖耐量试验(IVGTT)","受试者前一天晚餐后禁食10-16小时,清晨空腹,一侧前臂置留置针,对侧前臂50%葡萄糖(剂量由医生精确计算而得),在2分钟内快速静推,从注射葡萄糖起开始记时,分别在时间为0､2､3､4､5､8､10分钟共7点从留置针取血测血糖｡医生分析试验结果｡不含实验室检验｡","注射器,留置针,肝素帽,真空采血针,真空采血管","","次","",40,32,28,"甲类","一般治疗操作","停用"]
[1907,"FDE04202","静脉推注葡萄糖耐量试验(IVGTT)-延长法","受试者前一天晚餐后禁食10-16小时,当日清晨空腹,一侧肘静脉固定,采血测定血糖后,50%葡萄糖液(剂量由医生精确计算而得)静脉推注2-4分钟完成,以葡萄糖推注开始时为零点,分别于1､2､3､10､30､60､120､180分钟采静脉血糖(可根据需要时间增加至240分钟和300分钟)｡医生分析试验结果｡不含实验室检验｡","注射器,留置针,肝素帽,真空采血针,真空采血管","","次","",40,32,28,"甲类","一般治疗操作","停用"]
[1908,"FDF04201","促肾上腺皮质激素(ACTH)兴奋试验-快速法","促肾上腺皮质激素(ACTH)(剂量由医生精确计算而得)静脉注射，注射前和注射后20、60分钟抽血测血皮质醇。医生分析试验结果。不含实验室检验。","注射器，真空采血管，肝素帽",null,"次","",50,40,35,"甲类","一般治疗操作","停用"]
[1909,"FDF04202","冲洗液输注试验","试验前尽可能停用ACEI、β受体拮抗剂、ARB、利尿剂、安体舒通等药物至少1周，试验开始于上午8点-9点半(空腹)，试验开始前受试者卧位休息1小时，0.9%冲洗液2000毫升静脉滴注，4小时内滴完。在试验开始时和4小时时抽血查肾素、血管紧张素-Ⅱ、醛固酮、皮质醇、血钾。医生分析试验结果。不含实验室检验。","注射器，真空采血管，肝素帽",null,"次","",25,20,18,"甲类","一般治疗操作","停用"]
[1910,"FDF04203","酚妥拉明试验","在病情允许情况下，试验前1周内受试者需停用各种降压药。试验48小时内不用镇静药及麻醉性镇痛药。试验日受试者应卧床休息。静脉滴注生理冲洗液以保持通路，每2-5分钟测血压1次，直至血压平稳，持续在22.7/14.7千帕(170/110毫米汞柱)以上者。静推酚妥拉明(剂量由医生确定)应历时1分钟，开始时每30秒测1次血压、心率，共3分钟，以后每分钟测血压、心率1次，至10分钟，以后每15分钟或20分钟时测血压、心率1次，或血压恢复至原来水平。试验开始前后各抽血1次测血儿茶酚胺，试验当日留24小时尿测定尿儿茶酚胺。试验应在病房进行，试验前后心电监护1-2小时，必要时静脉输液及抢救。医生分析试验结果。不含实验室检验。","注射器，输液器，真空采血管，肝素帽，电极，尿杯，尿管，尿桶",null,"次","",30,25,20,"甲类","一般治疗操作","停用"]
[1911,"FDF04204","可乐宁试验","安静平卧，静脉滴注生理冲洗液以保持通路，30分钟时抽血，口服可乐宁(剂量由医生判断)，服药后1、2、3小时分别抽血测血儿茶酚胺。试验当日留24小时尿测定尿儿茶酚胺。试验前后心电监护1-2小时。医生分析试验结果。不含实验室检验。","注射器，输液器，留置针，肝素帽，真空采血针，真空采血管，电极",null,"次","",50,40,35,"甲类","一般治疗操作","停用"]
[1912,"FDF04205","胰高糖素儿茶酚胺激发试验","试验前2-3天不用任何降低血压药、镇静剂及麻醉剂。空腹10小时以上，病人平卧休息至血压稳定，或在冷加压试验后血压恢复到原来基础水平时开始(具体由医生判断)。静脉滴注生理冲洗液以保持通路，迅速静脉注射胰高血糖素(剂量由医生判断)，注射前及注射注完后2-3分钟分别抽血1次测定血儿茶酚胺，注射后每分钟测血压、心率1次，连续10分钟。试验当日留24小时尿测定尿儿茶酚胺。试验应在病房进行，试验前后心电监护1-2小时，必要时静脉输液及抢救。不含实验室检验。","注射器，真空采血管，肝素帽，电极，尿杯，尿管，尿桶",null,"次","",50,40,35,"甲类","一般治疗操作","停用"]
[1913,"FDF04206","酪胺激发试验","试验前2-3天不用任何降压药、镇静剂及麻醉剂(具体情况由医生判断)。空腹10小时以上，病人平卧休息至血压稳定。静脉滴注生理冲洗液以保持通路，迅速静脉注射酪胺(剂量由医生判断)，注射前及注射注完后2-3分钟分别抽血1次测定血儿茶酚胺，注射后每分钟测血压、心率1次，连续10分钟。试验当日留24小时尿测定尿儿茶酚胺。试验应在病房进行，试验前后心电监护1-2小时，必要时静脉输液及抢救。医生分析试验结果。不含实验室检验。","注射器，真空采血管，肝素帽，电极，尿杯，尿管，尿桶",null,"次","",50,40,35,"甲类","一般治疗操作","停用"]
[1914,"FDF04401","地塞米松抑制试验","试验前一周内禁用促肾上腺皮质激素(ACTH)及其它肾上腺其它皮质激素类药物和避孕药、女性激素、中枢兴奋药、抑制药和抗癫痫药等。试验前1天收集24小时尿测24小时尿游离皮质醇或24小时尿17－羟皮质类固醇(17-OHCS)、17－酮皮质类固醇(17-KS)。试验日内服地塞米松(剂量由医生判断而得)，每6小时1次，连服2天。服药第2日留24小时尿测24小时尿游离皮质醇或24小时尿17－羟皮质类固醇(17-OHCS)、17－酮皮质类固醇(17-KS)。医生分析试验结果。不含实验室检验。","尿杯，尿桶，防腐剂","","次","",50,40,35,"甲类","一般治疗操作","停用"]
[1915,"FDF04402","过夜地塞米松抑制试验","试验前一周内禁用促肾上腺皮质激素(ACTH)及其它肾上腺其它皮质激素类药物和避孕药、女性激素、中枢兴奋药、抑制药和抗癫痫药等。试验日上午8时取血测血皮质醇或促肾上腺皮质激素(ACTH)、血睾酮(T)、17α-羟孕酮(17α-OHP)、硫酸去氢表雄酮(DHEAS)等激素水平(具体由医生判断)，午夜12时服地塞米松(剂量由医生判断而得)，次日上午8时取血测血皮质醇或促肾上腺皮质激素(ACTH)、血睾酮(T)、17α-羟孕酮(17α-OHP)、硫酸去氢表雄酮(DHEAS)等激素水平(具体由医生判断)。医生分析试验结果。不含实验室检验。","注射器，真空采血管，肝素帽，采血管",null,"次","",20,16,14,"甲类","一般治疗操作","停用"]
[1916,"FDF04403","地塞米松抑制试验-5日法","试验前一周内禁用促肾上腺皮质激素(ACTH)及其它肾上腺其它皮质激素类药物和避孕药、女性激素、中枢兴奋药、抑制药和抗癫痫药等。口服地塞米松(剂量由医生判断而得)每6小时1次，连服5天，于服药前对照日和服药后第2、第6日上午8时抽血测定促肾上腺皮质激素(ACTH)、血睾酮(T)、17α—羟孕酮(17α—OHP)、硫酸去氢表雄酮(DHEAS)等激素水平(具体由医生判断)。不含实验室检验。","注射器，真空采血管，肝素帽，采血管",null,"次","",50,40,35,"甲类","一般治疗操作","停用"]
[1917,"FDF04404","口服地塞米松醛固酮抑制试验","试验期间每天口服地塞米松(剂量由医生判断而得)，每6小时1次，共3-4周，试验前及试验结束当天晨起8点空腹卧位抽血测血肾素活性、血管紧张素-Ⅱ、醛固酮、电解质。试验期间需监测血电解质、24小时尿电解质，每日测血压至少2次。医生分析试验结果。不含实验室检验。","注射器，真空采血管，肝素帽，尿杯，尿管，尿桶，防腐剂",null,"次","",20,16,14,"甲类","一般治疗操作","停用"]
[1918,"FDF04405","皮质醇节律加过夜地塞米松抑制试验","试验前一周内禁用促肾上腺皮质激素(ACTH)及其它肾上腺其它皮质激素类药物和避孕药、女性激素、中枢兴奋药、抑制药和抗癫痫药等。试验日上午8时、下午4时、午夜12时分别取血测血皮质醇，午夜12时服地塞米松(剂量由医生判断而得)，次日上午8时取血测血皮质醇。医生分析试验结果。不含实验室检验。","注射器，真空采血管，肝素帽",null,"次","",20,16,14,"甲类","一般治疗操作","停用"]
[1919,"FDF04406","氟氢可的松抑制试验","试验前尽可能停用ACEI、β受体拮抗剂、ARB、利尿剂、安体舒通等药物至少1周，每6小时口服氟氢可的松0.1毫克，连续4天，同时口服缓释氯化钾(每6小时服一次足够的剂量维持血钾接近4.0毫摩尔/升，每天抽血测量4次血钾)，补充缓释氯化钠(30毫摩尔每日3次同3餐一起)和饮食中提供足够的盐维持尿钠排泄至少3毫摩尔/千克体重(具体由医生精确计算而得)。第4天，空腹上午10点坐位抽血测醛固酮和PRA，7点和10点抽血查皮质醇。每日测血压至少2次。医生分析试验结果。不含实验室检验。","注射器，真空采血管，肝素帽",null,"次","",20,16,14,"甲类","一般治疗操作","停用"]
[1920,"FDF04407","水利尿试验","试验前1天晚饭后开始禁食水，试验日晨起床仍禁水，试验前将尿排空弃去。在20分钟内饮水1000毫升。饮水后每20分钟排尿1次，每次将膀胱排空，一共8次，每次测尿量。医生分析试验结果。","尿桶","","次","",40,32,28,"甲类","一般治疗操作","停用"]
[1921,"FDF04408","皮质素水试验","试验前1天晚饭后开始禁食水，试验日晨起床仍禁水，试验前将尿排空弃去。在20分钟内饮水1000毫升。饮水后每20分钟排尿1次，每次将膀胱排空，一共8次，每次测尿量。在饮水前4小时内服可的松(或泼尼松)(剂量由医生精确计算而得)。医生分析试验结果。","尿桶",null,"次","",40,32,28,"甲类","一般治疗操作","停用"]
[1922,"FDF04409","醛固酮肾素测定卧立位试验","试验前尽可能停用ACEI、β受体拮抗剂、ARB、利尿剂、安体舒通等药物至少1周，空腹卧位过夜，4点-8点卧床，8点抽血测血肾素活性、血管紧张素-Ⅱ、醛固酮、血钾、血钠，此后肌注速尿40毫克(具体由医生根据情况决定是否使用)，立位活动2小时，10点再次抽血测血肾素活性、血管紧张素-Ⅱ、醛固酮。试验前一天留24小时尿测定24小时尿钾、钠。必要时输液。医生分析试验结果。不含实验室检验。","注射器，真空采血管，肝素帽，尿杯，尿管，尿桶",null,"次","",20,16,14,"甲类","一般治疗操作","停用"]
[1923,"FDF04410","醛固酮肾素比值测定试验","试验前尽可能停用ACEI、β受体拮抗剂、ARB、利尿剂、安体舒通等药物至少1周，试验前受试者膳食盐摄入不受限制。清晨空腹，起床后至少直立(坐、站或者行走)2小时以上，取血前坐位休息5-15分钟，在室温下保持血样直至送到实验室先离心然后速冻血浆成分，测量血肾素活性、血管紧张素-Ⅱ、醛固酮。医生分析试验结果。不含实验室检验。","注射器，真空采血管，肝素帽",null,"次","",20,16,14,"甲类","一般治疗操作","停用"]
[1924,"FDF04411","口服钠负荷试验","试验前尽可能停用ACEI、β受体拮抗剂、ARB、利尿剂、安体舒通等药物至少1周，受试者钠摄入大于200毫摩尔连续3天，通过留24小时尿测定尿钠证明，补充足够的缓释氯化钾维持血钾在正常范围(具体由医生判断)，第3天早上到第4天早上收集24小时尿测量尿醛固酮。每日测血压至少2次。医生分析试验结果。不含实验室检验。","尿杯，尿桶",null,"次","",30,25,20,"甲类","一般治疗操作","停用"]
[1925,"FDF04412","低钠试验","固定低钠(小于20毫摩尔/天，相当于1.2g氯化钠)、正常钾(60毫摩尔/天)饮食7天。进固定低钠饮食前1天，留24小时尿，次日晨取血。固定代钠饮食的第3、5、7天分别留24小时尿测24小时尿钾、钠、氯，并于第4天和第7、6、8天晨空腹取血测血钾、钠、氯。每日测血压至少2次。医生分析试验结果。不含实验室检验、特殊饮食的配餐。","注射器，真空采血管，肝素帽，尿杯，尿管，尿桶",null,"次","",30,25,20,"甲类","一般治疗操作","停用"]
[1926,"FDF04413","高钠试验","试验前1天空腹抽血及留24小时尿。吃固定高钠饮食7天，每日钠量240毫摩尔/天以上或氯化钠14克/天，或普通饮食加氯化钠6克/天。于吃固定高钠饮食的第3天和第6天，分别留24小时尿测24小时尿钾、钠、氯，并于第4天和第7天上取血测血钾、钠、氯。每日测血压至少2次。医生分析试验结果。不含实验室检验、特殊饮食的配餐。","注射器，真空采血管，肝素帽，尿杯，尿管，尿桶",null,"次","",30,25,20,"甲类","一般治疗操作","停用"]
[1927,"FDF04414","赛庚啶试验","清晨空腹口服赛庚啶(剂量由医生判断)，服药前及服药后每30分钟抽血1次测血醛固酮，共2小时。医生分析试验结果。不含实验室检验。","注射器，留置针，肝素帽，真空采血针，真空采血管",null,"次","",40,32,28,"甲类","一般治疗操作","停用"]
[1928,"FDF04415","安体舒通试验","对照和试验时期，进固定量钾钠饮食，最好饮蒸馏水。对照期为3-7天，期间晨取血2次测血钾、钠，同步留24小时尿测24小时尿钾、钠2次以上。要求至少有2次血钾小于3-4毫摩尔/升，24小时尿钾大于30毫摩尔、再进行试验方有意义(具体情况由医生判断)。试验期为7-14天，口服螺内酯300毫克/天，期间晨空腹取血2次测血钾、钠，同步留24小时尿测24小时尿钾、钠。对照期和试验期每日测2次至少血压。医生分析试验结果。不含实验室检验、特殊饮食的配餐。","注射器，真空采血管，肝素帽，尿杯，尿管，尿桶，蒸馏水",null,"次","",35,28,25,"甲类","一般治疗操作","停用"]
[1929,"FDF04416","氨苯蝶啶试验","对照和试验时期，进固定钾钠饮食，最好饮蒸馏水。对照期为3-7天，期间晨取血2次测血钾、钠，同步留24小时尿测24小时尿钾、钠2次以上。试验期为7-14天，口服氨苯蝶啶(具体剂量由医生判断)，期间晨取血2次测血钾、钠，同步留24小时尿测24小时尿钾、钠。对照期和试验期每日至少测2次血压。医生分析试验结果。不含实验室检验、特殊饮食的配餐。","注射器，真空采血管，肝素帽，尿杯，尿管，尿桶，蒸馏水",null,"次","",40,32,28,"甲类","一般治疗操作","停用"]
[1930,"FDF04417","卡托普利试验","试验前尽可能停用ACEI、β受体拮抗剂、ARB、利尿剂、安体舒通等药物至少1周，空腹卧位过夜，4点-8点卧床，8点抽血测血肾素活性、血管紧张素-Ⅱ、醛固酮、血钾、血钠，后口服卡托普利(具体由医生判断)，继续平卧2小时至10点，再抽血测血肾素活性、血管紧张素-Ⅱ、醛固酮。试验前一天留24小时尿测定24小时尿钾、钠。医生分析试验结果。不含实验室检验。","注射器，真空采血管，肝素帽，尿杯，尿管，尿桶",null,"次","",40,32,28,"甲类","一般治疗操作","停用"]
[1931,"FDF04901","促肾上腺皮质激素(ACTH)兴奋试验-传统法","试验前1日留24小时尿测24小时尿游离皮质醇或24小时尿17—羟皮质类固醇(17—OHCS)、17—酮皮质类固醇(17—KS)，试验日可照常进食，上午8时起静滴促肾上腺皮质激素(ACTH)水剂(加入5%葡萄糖中)(剂量由医生精确计算而得)维持8小时，连续用3天。静脉滴注促肾上腺皮质激素(ACTH)期间每日留24小时尿测24小时尿游离皮质醇或24小时尿17—羟皮质类固醇(17—OHCS)、17—酮皮质类固醇(17—KS)。医生分析试验结果。不含实验室检验。","注射器，输液器，真空采血管，肝素帽，尿杯，尿管，尿桶，防腐剂",null,"次","",60,48,42,"甲类","一般治疗操作","停用"]
[1932,"FDF06201","双侧肾上腺静脉采血比较肾上腺激素水平","试验在介入室进行，试验前知情同意。试验当日患者空腹，取仰卧位，局部麻醉后，采用静脉血管造影技术，利用血管穿刺针进行股静脉穿刺，将血管鞘置入右侧股静脉中，随后将导管置入血管鞘中。通过导引钢丝引导导管自股静脉放置入右侧肾上腺静脉，推注1-2毫升非离子性的对比剂确定插管成功后，经过导管以及其侧孔同时抽取肾上腺静脉内血样以及和外周血样股静脉血样测定激素水平，抽取血样前需丢弃留存在导管中的4毫升血液。左侧重复操作。医生分析结果。医生分析测定结果。不含实验室检验。","注射器，穿刺针","导管，导丝，血管鞘组","次","",1200,960,840,"乙类","一般治疗操作","停用"]
[1933,"FDA04201","生长激素释放激素(GRH)兴奋试验","受试者禁食过夜，试验期间卧床，试验前1小时预先留置静脉通道，将生长激素释放激素(GRH)(剂量由医生精确计算而得)快速静推，分别于-30、0、15、30、60、90、120分钟在前臂采血，测激素水平。医生分析试验结果。不含实验室检验。","注射器，输液器，留置针，肝素帽，真空采血针，真空采血管",null,"次","",40,32,28,"甲类","一般治疗操作","停用"]
[1934,"FDA04202","促甲状腺激素释放激素(TRH)兴奋试验","受试者禁食过夜，试验期间卧床。促甲状腺激素释放激素(TRH)(剂量由医生精确计算而得)静推，分别于0、15、30、60、120分钟分别取血5次，测定激素水平。医生分析试验结果。不含实验室检验。","注射器，输液器，留置针，肝素帽，真空采血针，真空采血管",null,"次","",40,32,28,"甲类","一般治疗操作","停用"]
[1935,"FDA04203","促肾上腺皮质激素释放激素(CRF)兴奋试验","受试者禁食过夜，试验期间卧床，试验前1小时预先留置静脉通道，给予促肾上腺皮质激素释放激素(CRF)(剂量由医生精确计算而得)静推前15分钟和0分钟分别取静脉血。静推促肾上腺皮质激素释放激素(CRF)后的15、30、60、90、120、150和180分钟分别取静脉血测定激素水平。医生分析试验结果。不含实验室检验。","注射器，输液器，留置针，肝素帽，真空采血针，真空采血管",null,"次","",40,32,28,"甲类","一般治疗操作","停用"]
[1936,"FDA04204","促性腺激素释放激素(GnRH)兴奋试验","受试者禁食过夜，试验期间卧床，试验前1小时预先留置静脉通道，将促性腺激素释放激素(GnRH10肽)(剂量由医生精确计算而得)快速静推，分别于0、15、30、45、60、90、120分钟在前臂采血测定激素水平。医生分析试验结果。不含实验室检验。","注射器，输液器，留置针，肝素帽，真空采血针，真空采血管",null,"次","",40,32,28,"甲类","一般治疗操作","停用"]
[1937,"FDA04205","胰岛素低血糖兴奋试验","在安静环境下及医生严密监者测生命体征下进行，受试者禁食过夜，卧床休息。试验前1小时预先留置静脉通道，静注胰岛素(剂量由医生精确计算而得)，于0、30、60、90、120分钟分别采血测定血糖和激素水平，于低血糖出现时抽血测血糖和激素水平。必要时提前终止试验、抢救。医生分析试验结果。不含实验室检验。","注射器，输液器，留置针，肝素帽，真空采血针，真空采血管",null,"次","",50,40,35,"甲类","一般治疗操作","停用"]
[1938,"FDA04206","精氨酸兴奋试验","受试者禁食过夜，卧床休息，盐酸精氨酸(剂量由医生精确计算而得)溶于150-200毫升注射用水中，在30分钟内静滴完毕。分别于0、30、60、90、120分钟采血测定激素水平。医生分析试验结果。不含实验室检验。","注射器，输液器，留置针，肝素帽，真空采血针，真空采血管",null,"次","",40,32,28,"甲类","一般治疗操作","停用"]
[1939,"FDA04207","人绒毛膜促性腺激素(HCG)兴奋试验","试验日上午8-9时肌肉注射人绒毛膜促性腺激素(HCG)(剂量由医生判断)，分别于注射前15分钟，0分钟和注射后24、48、72小时在前臂采血测定睾酮。医生分析试验结果。不含实验室检验。","注射器，留置针，肝素帽，真空采血针，真空采血管",null,"次","",30,25,20,"甲类","一般治疗操作","停用"]
[1940,"FDA04208","甲氧氯普胺兴奋催乳素(PRL)动态试验","受试者禁食过夜，空腹甲氧氯普胺(剂量由医生精确计算而得)缓慢静脉推注。分别于给药前30及0分钟，给药后20、30、60、90、120和180分钟抽取血测定激素水平。医生分析试验结果。不含实验室检验。","注射器，留置针，肝素帽，真空采血针，真空采血管",null,"次","",40,32,28,"甲类","一般治疗操作","停用"]
[1941,"FDA04209","药物兴奋催乳素(PRL)动态试验","受试者禁食过夜，试验期间卧床，将促甲状腺激素释放激素(TRH)(剂量由医生精确计算而得)快速静脉推注，分别于-30、0、20、30、60、120和180分钟在前臂采血测定激素水平。医生分析试验结果。不含实验室检验。","注射器，留置针，肝素帽，真空采血针，真空采血管",null,"次","",40,32,28,"甲类","一般治疗操作","停用"]
[1942,"FDA04210","高渗冲洗液试验-静脉法","禁水8小时后饮水(剂量由医生精确计算而得)，20—30分钟排空膀胱后每15分钟留尿测尿量。静脉滴注氯化钠(具体浓度剂量由医生判断)45分钟，若滴注完毕尿量不减少注射垂体后叶素(剂量由医生精确计算而得)。继续每15分钟留尿测尿量、比重及尿渗透压共4次。试验前及试验期间每30分钟取血测血渗透压及激素水平。医生分析试验结果。不含实验室检验。","注射器，留置针，肝素帽，真空采血针，真空采血管，尿杯，尿管，尿桶",null,"次","",60,48,42,"甲类","一般治疗操作","停用"]
[1943,"FDA04401","高渗冲洗液试验-口服法","清晨空腹排尿测比重后饮15分钟内饮入氯化钠溶液(具体浓度剂量由医生判断)，每15分钟留尿测比重计算尿量共4次。医生分析试验结果。不含实验室检验。","尿杯，尿管，尿桶",null,"次","",50,40,35,"乙类","一般治疗操作","停用"]
[1944,"FDA04403","左旋多巴抑制催乳素(PRL)试验","受试者禁食过夜，清晨空腹口服左旋多巴(剂量由医生精确计算而得)，分别于-30、0、30、60、120、180分钟采血测定激素水平。医生分析试验结果。不含实验室检验。","注射器，留置针，肝素帽，真空采血针，真空采血管",null,"次","",55,45,40,"甲类","一般治疗操作","停用"]
[1945,"FDA04404","溴隐停抑制催乳素(PRL)试验","受试者禁食过夜，清晨空腹口服溴隐亭(剂量由医生精确计算而得)，分别于0、2、4、6、8小时采血测定激素水平。医生分析试验结果。不含实验室检验。","注射器，留置针，肝素帽，真空采血针，真空采血管",null,"次","",55,45,40,"甲类","一般治疗操作","停用"]
[1946,"FDA04405","葡萄糖抑制生长激素(GH)试验","受试者禁食过夜，清晨空腹口服葡萄糖(剂量由医生精确计算而得)，分别于0、30、60、90、120和180分钟采血测定血糖和激素水平。医生分析试验结果。不含实验室检验。","注射器，留置针，肝素帽，真空采血针，真空采血管",null,"次","",30,25,20,"甲类","一般治疗操作","停用"]
[1947,"FDA04902","禁水加压素试验","主动限水8-12小时后进行试验。试验前及开始禁水后每小时测体重、尿量、血压、心率、尿比重、血尿渗透压，直至尿渗透压稳定(由医生精确计算判断)，皮下注射垂体后叶素(剂量由医生精确计算而得)，继续观察2小时，每小时测体重、尿量、血压、心率、尿比重、血尿渗透压。试验前及注射垂体后叶素前时取血测激素水平。必要时提前终止试验。医生分析试验结果。不含实验室检验。","注射器，留置针，肝素帽，真空采血针，真空采血管，尿杯，尿管，尿桶",null,"次","",20,16,14,"甲类","一般治疗操作","停用"]
[1948,"FDA04903","去氨加压素(DDAVP)治疗试验","需时三天，受试者需住院，医生严密监测生命体征。每日两次测体重、记出入量、测定血钠、血和尿渗透压，第3日晨8时肌注去氨加压素(DDAVP)(剂量由医生判断)，医生分析试验结果。不含实验室检验。","注射器，输液器，留置针，肝素帽，真空采血针，真空采血管，尿杯，尿管，尿桶",null,"次","",50,40,35,"甲类","一般治疗操作","停用"]
[1949,"FDA04904","醋酸去氨加压素试验","需时三天，受试者需住院，医生严密监测生命体征。每日两次测体重、记出入量、测定血钠、血和尿渗透压。第3日晨8时口服醋酸去氨加压素(剂量由医生判断)，医生分析试验结果。不含实验室检验。","注射器，输液器，留置针，肝素帽，真空采血针，真空采血管，尿杯，尿管，尿桶",null,"次","",50,40,35,"甲类","一般治疗操作","停用"]
[1950,"FDC04201","五肽胃泌素激发试验","受试者禁食过夜，试验期间卧床。静脉推注五肽胃泌素(剂量由医生精确计算而得)，10秒内推完。于注射前及注射后3、5、10和15分钟内分别采血测定血清降钙素。医生分析试验结果。不含实验室检验。","注射器，输液器，留置针，肝素帽，真空采血针，真空采血管",null,"次","",70,55,50,"甲类","一般治疗操作","停用"]
[1951,"FDC04401","三碘甲状腺原氨酸(T3)抑制试验","受试者口服L-三碘甲腺原氨酸(L-T3)(剂量由医生精确计算而得)每天3次，连续6日，服药前后测定131I摄取率。医生分析试验结果。不含核医学检测。",null,null,"次","",70,55,50,"甲类","一般治疗操作","停用"]
[1952,"FDC04402","甲状腺素(T4)抑制试验","受试者口服L-甲状腺素(L-T4)(剂量由医生精确计算而得)，连续10日，服药前后测定99mTc摄取率。医生分析试验结果。不含核医学检测。",null,null,"次","",70,55,50,"甲类","一般治疗操作","停用"]
[1953,"FDD04201","快速钙滴注抑制试验","低钙低磷饮食5天，第5日后晚餐后开始禁食，第6日(对照日)晨7点饮蒸馏水250-500毫升，以后每小时饮水250毫升，直到试验完毕至。8点时排尿弃去以后每小时收集尿1次，共4次(即9、10、11、12时各1次)测尿钙磷、肌酐。第7日(试验日)9点时在10分钟内静滴钙剂钙(剂量由医生精确计算而得)溶于5%葡萄糖100毫升内，并留尿4次测尿钙磷、肌酐，方法与对照日相同。静滴钙剂应在病房或功能室进行，医生分析试验结果，不含实验室检验、特殊饮食的配餐。","注射器，输液器，真空采血管，肝素帽，蒸馏水，尿杯，尿管",null,"次",{"$nulls":4},"甲类","一般治疗操作","停用"]
[1954,"FDD04403","中性磷负荷试验","受试者空腹过夜，试验日晨禁食、水，试验前排空膀胱，将尿弃去，服磷1.5克，即相当于中性磷192毫升(中性磷由医生精确配制)，于2分钟内喝完，然后饮水15毫升，去除口腔内苦味。于服磷前、服磷后30、60、90、150、210分钟分别采血测磷(共6次)，服磷后210分钟(3.5小时)排空膀胱，收集尿标本，记录尿量，测尿磷。不含实验室检验。\n","注射器，留置针，肝素帽，真空采血针，真空采血管，尿杯，尿管，尿桶",null,"次",{"$nulls":4},"甲类","一般治疗操作","停用"]
[1955,"FDD04901","钙耐量试验","普通饮食，连续3天，收集第2日(即当天上午8时至次日8时)及第3日(时间同第2日)的尿液测定24小时尿钙磷，第3日早餐后1小时，静脉滴注钙剂，在冲洗液中加入(剂量由医生精确计算而得)，历时4小时，静脉滴注钙剂应在病房或功能室，分别于静滴前、静滴后2小时、静滴完、静滴后4小时和开始静滴后24小时采5次血测定血钙磷及相关激素，医生分析试验结果。不含实验室检验。","注射器，输液器，留置针，肝素帽，真空采血针，真空采血管，尿杯，尿管，尿桶",null,"次",{"$nulls":4},"甲类","一般治疗操作","停用"]
[1956,"FDD04902","低钙试验","低钙正常磷饮食6天，予上述特殊饮食后第1、3、6天分别空腹抽血测血钙、磷及相关激素同时留24小时尿测24小时尿钙磷。医生分析试验结果。不含实验室检验、特殊饮食的配餐。","注射器，真空采血管，肝素帽，尿杯，尿管，尿桶",null,"次",{"$nulls":4},"甲类","一般治疗操作","停用"]
[1957,"FDD04903","低磷试验","低磷饮食6天，若钙不足，可额外增加钙片(剂量由医生精确计算而得)，予上述特殊饮食后第1、3、6天分别空腹抽血测血钙、磷及激素相关，同时留24小时尿测24小时尿钙磷。医生分析试验结果。不含实验室检验、特殊饮食的配餐。","注射器，真空采血管，肝素帽，尿杯，尿管，尿桶",null,"次",{"$nulls":4},"甲类","一般治疗操作","停用"]
[1958,"FDD04401","磷廓清试验-2小时法","受试者禁食过夜，清晨空腹，8点排空膀胱，喝蒸馏水300毫升，2小时后取血测肌酐和磷及相关激素，同时留尿记录尿量，测肌酐和磷，医生分析试验结果。不含实验室检验。","注射器，真空采血管，肝素帽，蒸馏水，尿杯，尿管，尿桶",null,"次",{"$nulls":4},"甲类","一般治疗操作","停用"]
[1959,"FDD04402","磷廓清试验-3日法","服固定的低肌酐普通钙普通磷的饮食3—5天，喝蒸馏水，试验的最后一天取空腹血查肌酐、钙、磷及相关激素，并收集最后一天24小时尿，测尿中的肌酐、钙、磷含量，医生分析试验结果。不含实验室检验、特殊饮食的配餐。","注射器，真空采血管，肝素帽，蒸馏水，尿杯，尿管，尿桶",null,"次",{"$nulls":4},"甲类","一般治疗操作","停用"]
[1960,"FDE04410","馒头餐C肽释放试验","受试者前一天晚餐后禁食10-16小时,当日清晨空腹采血测定C肽,馒头100克(干面粉重)受试者5分钟内吃完,从第一口开始计算时间,分别于30､60､120､180分钟采血测定C肽(可根据需要时间增加至240分钟和300分钟)｡医生分析试验结果｡不含实验室检验｡","注射器,留置针,肝素帽,真空采血针,真空采血管","","次","与馒头餐耐量试验同时进行时,不得再收取馒头餐耐量试验费用",30,25,20,"甲类","一般治疗操作","停用"]
[1961,"FDA04406","24小时尿比重渗透压试验","于试验前一日和当日，受试者饮食如常，但每餐含水在500-600毫升间，除此之外，不再进水，清晨8时受试者排尿弃去后开始试验，自晨8点至晚8点，每2小时留尿一次，晚8点至次晨8点留取全部尿液一次，分别测定各次尿量和尿比重、尿渗透压，并每次采血测定血渗透压及测定体重、血压，由医生计算总尿量、白天尿量、夜间尿量、最大尿比重、最小尿比重、尿比重差，决定是否进行后续检查。不含实验室检验。","注射器，留置针，肝素帽，真空采血针，真空采血管，尿杯，尿管，尿桶",null,"次","",20,16,14,"甲类","一般治疗操作","停用"]
[1962,"FDA04901","禁水试验","主动限水8-12小时后开始试验。试验前及开始禁水后每小时测体重、尿量、血压、心率、尿比重、血及尿的渗透压，直至尿渗透压稳定(由医生精确计算判断)，试验前及结束时取血测激素水平。必要时提前终止试验。医生分析试验结果，决定是否进行后续检查。不含实验室检验。","注射器，留置针，肝素帽，真空采血针，真空采血管，尿杯，尿管，尿桶",null,"次","",80,65,55,"乙类","一般治疗操作","停用"]
[1963,"FDF04701","冷加压试验","在病情允许情况下，试验前1周内受试者需停用各种降压药。试验48小时内不用镇静药及麻醉性镇痛药。试验前病人卧床休息30分钟，每5分钟测右臂血压1次，待血压稳定后(具体由医生判断)才能做冷加压试验。将病人左手浸入4℃冰水中，浸至腕关节，1分钟后取出。自左手浸入冰水中开始，30秒、60秒、90秒、2分钟、3分钟、5分钟、10分钟、20分钟测右臂血压1次，或至血压恢复。试验当日留24小时尿测定尿儿茶酚胺。若试验前血压超过160/100毫米汞柱者是不宜行此试验。试验前后心电监护1-2小时，医生分析试验结果。","冰水，尿杯，尿桶","","次","",30,25,20,"甲类","一般治疗操作","停用"]
[1964,"FDA04402","水负荷试验","早餐后2小时排尿，测体重、血尿渗透压。饮水后(剂量由医生精确计算而得)每小时测定尿量、血尿渗透压共4小时，测定血激素水平3次，医生分析试验结果。不含实验室检验。","注射器，留置针，肝素帽，真空采血针，真空采血管，尿杯，尿管，尿桶",null,"次","",70,55,50,"甲类","一般治疗操作","停用"]
[1965,"FDE04403","馒头餐糖耐量试验","受试者前一天晚餐后禁食10-16小时,当日清晨空腹采血测定血糖,馒头100克(干面粉重)受试者5分钟内吃完,从第一口开始计算时间,分别于30､60､120､180分钟采血测定血糖(可根据需要时间增加至240分钟和300分钟)｡医生分析试验结果｡不含实验室检验｡","注射器,留置针,肝素帽,真空采血针,真空采血管","","次","",10,8,7,"甲类","一般治疗操作","停用"]
[1966,"FDE04401","口服葡萄糖耐量试验(OGTT)-3小时法","受试者前一天晚餐后禁食10-16小时,当日清晨空腹静脉采血测定血糖,75克葡萄糖溶液让受试者5分钟内口服完成,从服第一口糖水开始计算时间,分别于30､60､120､180分钟采血测定血糖｡医生分析试验结果｡不含实验室检验｡","注射器,留置针,肝素帽,真空采血针,真空采血管","","次","",45,36,32,"甲类","一般治疗操作","停用"]
[1967,"FDE04902","饥饿试验","受试者晚餐后禁食,次日晨8时测指尖血糖,继续禁食并且密切观察,每4小时或出现低血糖症状时测指尖血糖｡如果仍然不出现低血糖则在禁食后12､24､36､48小时各加做2小时运动,以促进发作,必要时延长至72小时,出现低血糖时同时采静脉血测定血糖和胰岛素(具体情况由医生判断)｡医生分析试验结果｡不含实验室检验｡","注射器,真空采血管,肝素帽,血糖试纸","","日","",40,32,28,"甲类","一般治疗操作","停用"]
[1968,"FDE04402","口服葡萄糖耐量试验(OGTT)-5小时法","受试者前一天晚餐后禁食10-16小时,当日清晨空腹静脉采血测定血糖,75克葡萄糖溶液让受试者5分钟内口服完成,从服第一口糖水开始计算时间,分别于30､60､120､180､240和300分钟采血测定血糖｡医生分析试验结果｡不含实验室检验｡","注射器,留置针,肝素帽,真空采血针,真空采血管","","次","",10,8,7,"甲类","一般治疗操作","停用"]
[1969,"FDE04408","3小时口服葡萄糖C肽释放试验","多与糖耐量试验和胰岛素释放试验同时进行｡受试者前一天晚餐后禁食10-16小时,当日清晨空腹静脉采血测定C肽,300毫升75克葡萄糖水溶解受试者者5分钟内口服完成,从服第一口糖水开始计算时间,分别于30､60､120､180分钟采血测定C肽｡医生分析试验结果｡不含实验室检验｡","注射器,留置针,肝素帽,真空采血针,真空采血管","","次","与葡萄糖耐量试验同时进行时,不得再收取葡萄糖耐量试验费用",20,16,14,"甲类","一般治疗操作","停用"]
[1970,"FDE04409","5小时口服葡萄糖C肽释放试验","多与糖耐量试验和胰岛素释放试验同时进行｡受试者前一天晚餐后禁食10-16小时,当日清晨空腹静脉采血C肽,300毫升75克葡萄糖水溶解受试者5分钟内口服完成,从服第一口糖水开始计算时间,分别于30分钟､60分钟､120分钟､180分钟采静脉血C肽(可根据需要时间增加至240分钟和300分钟)｡医生分析试验结果｡不含实验室检验｡","注射器,留置针,肝素帽,真空采血针,真空采血管","","次","与葡萄糖耐量试验同时进行时,不得再收取葡萄糖耐量试验费用",20,16,14,"甲类","一般治疗操作","停用"]
[1971,"FDE04405","口服葡萄糖胰岛素释放试验-3小时法","多与糖耐量试验同时进行｡受试者前一天晚餐后禁食10-16小时,当日清晨空腹采血测定胰岛素,300毫升75克葡萄糖水受试者5分钟内口服完成,从服第一口糖水开始计算时间,分别于30､60､120､180分钟静脉采血测定胰岛素｡医生分析试验结果｡不含实验室检验｡","注射器,留置针,肝素帽,真空采血针,真空采血管","","次","与葡萄糖耐量试验同时进行时,不得再收取葡萄糖耐量试验费用",20,16,14,"甲类","一般治疗操作","停用"]
[1972,"FDE04406","口服葡萄糖胰岛素释放试验-5小时法","多与糖耐量试验同时进行｡受试者前一天晚餐后禁食10-16小时,当日清晨空腹采血测定胰岛素,300毫升75克葡萄糖水受试者5分钟内口服完成,从服第一口糖水开始计算时间,分别于30､60､120､180､240､300分钟静脉采血测定胰岛素｡医生分析试验结果｡不含实验室检验｡","注射器,留置针,肝素帽,真空采血针,真空采血管","","次","与葡萄糖耐量试验同时进行时,不得再收取葡萄糖耐量试验费用",20,16,14,"甲类","一般治疗操作","停用"]
[1973,"FDE04407","口服葡萄糖胰岛功能相关激素释放试验","多与糖耐量试验同时进行｡受试者前一天晚餐后禁食10-16小时,当日清晨空腹采血测定胰岛功能相关激素(如胰高糖素､胰岛素原),300毫升75克葡萄糖水受试者5分钟内口服完成,从服第一口糖水开始计算时间,分别于30､60､120､180分钟采血测定胰岛相关功能激素(可根据需要时间增加至240分钟和300分钟)｡医生分析试验结果｡不含实验室检验｡","注射器,留置针,肝素帽,真空采血针,真空采血管","","次","与葡萄糖耐量试验同时进行时,不得再收取葡萄糖耐量试验费用",20,16,14,"甲类","一般治疗操作","停用"]
[1974,"FDE04404","馒头餐胰岛功能相关激素释放试验","多与糖耐量试验同时进行｡受试者前一天晚餐后禁食10-16小时,当日清晨空腹采血测定胰岛功能相关激素(如胰高糖素､胰岛素原),馒头100克(干面粉重)受试者者5分钟内吃完,从第一口开始计算时间,分别于30､60､120､180分钟采血测定胰岛功能相关激素(可根据需要时间增加至240分钟和300分钟)｡医生分析试验结果｡不含实验室检验｡","注射器,留置针,肝素帽,真空采血针,真空采血管","","次","与馒头餐耐量试验同时进行时,不得再收取馒头餐耐量试验费用",20,16,14,"甲类","一般治疗操作","停用"]
[1975,"QHXZ0037","电脑连续血糖动态监测","患者评估，皮肤清洁消毒，安装探头/传感器，固定，启动，检查工作状态，告知患者注意事项，持续监测72小时，每24小时测定不少于288个血糖值。","透明敷贴、葡萄糖探头",null,"次",null,550,550,550,"乙类","一般治疗操作","停用"]
[1976,"AZBA0001","一般尸体料理","尊重死者民族及信仰,评估尸体清洁情况､有无伤口及家属合作程度等,备齐用物,屏风遮挡,撤去一切治疗,拔除各种管道,摆平卧位,头下垫枕头,清洁面部并梳理头发,帮死者合上双眼和嘴,有假牙者为其安装,脱衣,用止血钳夹纱布或棉球填入口腔､鼻腔､耳道､肛门及阴道,按顺序清洁全身,更换尸衣服,核对尸体鉴别卡,通知太平间,与家属清点遗物,护送尸体出病房,床单位终末消毒,整理病历。","","","次","",70,55,50,"丙类","一般治疗操作","停用"]
[1977,"AZBA0002","特殊传染病尸体料理","尊重死者民族及信仰,评估尸体清洁情况､有无伤口及家属合作程度等,严格按照传染病管理办法进行尸体处理,备齐用物,屏风遮挡,撤去一切治疗,拔除各种管道,摆平卧位,头下垫枕头,清洁面部并梳理头发,帮死者合上双眼和嘴,有假牙者为其安装,脱衣,用止血钳夹纱布或棉球填入口腔､鼻腔､耳道､肛门及阴道,按顺序清洁全身,更换尸衣服,核对尸体鉴别卡,通知太平间,与家属清点遗物,护送尸体出病房,严格按照传染病管理办法进行床单位终末消毒,整理病历。","","","次","",100,80,70,"丙类","一般治疗操作","停用"]
[1978,"AZBD0001","离体残肢处理","评估患者心理状况等,确认放弃离体残肢并签字,防渗漏,必要时进行消毒处理,装入医用处理装置并标注标签,通知太平间,太平间工作人员签字后取走残肢,按有关规定处理,做好心理疏导。","","","次","",35,30,28,"丙类","一般治疗操作","停用"]
[1979,"AZBB0001","死婴料理","核对死婴身份,备齐用物,屏风遮挡,撤去一切治疗,拔除各种管道,摆平卧位,清洁全身皮肤,用止血钳夹纱布或棉球填入口腔､鼻腔､耳道､肛门及阴道,安慰家属,通知太平间,护送尸体出病房,床单位终末消毒,整理病历。","","","次","",40,32,28,"丙类","一般治疗操作","停用"]

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["HNG73301","颈淋巴结清扫术","颈部双叉切口,于颈阔肌浅面游离皮瓣,结扎切断颈外静脉,切断胸骨舌骨肌､胸骨甲状肌､胸锁乳突肌和颈内静脉,切开颈动脉鞘,由下向上清除淋巴结和脂肪组织,切断甲状腺中(上)静脉､面总静脉,保护喉上､喉返神经､舌下神经､膈神经,再由下颌舌骨肌浅面自上而下清除颏下区淋巴结和脂肪,最后清扫颌下区的淋巴结,保护面动脉､面神经､舌下神经,止血,置管引出固定,缝合切口。","引流装置,冲洗液","血管夹,特殊缝线,止血材料","次","其他未列部位淋巴结清扫术同此收费",1300,1040,910,"甲类","耳鼻喉立项指南中“淋巴结清扫费（颈部）”"]
["HHB89304","口腔颌面部软组织缺损游离皮瓣移植修复术","指舌､颊､腭､口底软组织缺损的修复。含受床准备,血管准备,血管化皮瓣的转移就位,皮瓣血管准备,吻合血管,缺损修复成形,洞穿缺损植皮。不含带血管游离皮瓣切取。","引流装置","止血材料,特殊缝线","次","",2000,1600,1400,"甲类","体被系统中“游离皮瓣移植费”"]
["HYA81301","乳房缩小整形术","可采用环乳晕切口、倒T形切口、垂直切口，保留乳晕的同时，切除部分乳腺脂肪组织及多余皮肤，将乳房重新塑形。不含单纯乳房上提固定术、吸脂乳房缩小术。","引流装置","皮肤扩张器，特殊缝线，止血材料","单侧","","市场调节价","市场调节价","市场调节价","丙类","美容立项指南“巨乳缩小费”"]
["EACBH002","经皮穿刺桡动脉插管全脑血管造影术","消毒铺巾，局部麻醉，经桡动脉穿刺，置血管鞘，导管分别插入颈动脉或椎动脉，经导管注入对比剂，造影成功后分析诊断造影结果。压迫止血。不含三维影像。","胶片，注射器，高压注射器，穿刺针，造影手术包","造影导管，导丝，血管鞘组","次",null,2500,2125,1875,"乙类","神经系统“脑血管造影费”"]
["EACBH001","经皮穿刺插管脑血管造影术","消毒铺巾，局部麻醉，经颈动脉穿刺，置血管鞘，导管插入颈动脉，经导管注入对比剂，造影成功后分析诊断造影结果。不含三维影像。","胶片，注射器，高压注射器，穿刺针，造影手术包","造影导管，导丝，血管鞘组","次",null,2100,1785,1575,"乙类","神经系统“脑血管造影费”"]