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探讨女性泌尿生殖系统损伤疾病和手术编码的分类及查找方法。女性泌尿生殖系统损伤发生部位多为阴道、子宫、外阴、会阴、膀胱、尿道,临床上这些部位的裂伤又分为暴力性裂伤和手术操作后的并发症两大类。暴力性裂伤又可分为产褥期伤、陈旧性产伤和外伤,损伤性质不同,疾病和手术编码亦不同。影响女性泌尿生殖系统损伤编码的因素包括疾病部位、损伤的原因。临床医师容易忽略损伤的原因,编码员如果再疏忽就容易导致编码错误。了解疾病分类的编码规则,认真阅读病案,区分损伤性质,损伤时间及部位,是避免错误编码的根本。
To investigate the classification and search of female genitourinary system diseases and surgical coding. Female genitourinary tract injury occurred mostly vagina, uterus, vulva, perineum, bladder, urethra, clinically these parts of the laceration is divided into violent laceration and surgical complications after the operation of two categories. Violent lacerations can be divided into puerperium, obstetrics and gynecology trauma, injury of different nature, disease and surgical coding are also different. Factors affecting female genitourinary tract injury coding include the site of the disease, the cause of the injury. Clinicians easily overlook the cause of injury, if the coder negligence easily lead to coding errors. Understanding the coding rules for disease classification, carefully reading medical records, and distinguishing the nature of injury, the time and place of injury, is the fundamental way to avoid error coding.