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通过临床实例分析探讨相同的疾病诊断瘢痕子宫,在不同的病例中有不同的疾病编码。剖宫产术后瘢痕子宫,再次妊娠经阴道分娩编码于O75.7;剖宫产术后瘢痕子宫,再次妊娠在规律宫缩,宫口已开时,行剖宫产分娩应编码于O65.5;剖宫产术后瘢痕子宫,再次妊娠未进入产程进行二次剖宫产分娩,编码于O34.201;剖宫产术后瘢痕子宫,作为次要诊断的术后遗留下的疾病,编码于N85.8。编码人员对瘢痕子宫疾病分类时,必须根据了解既往史、发病情况、治疗过程及按照国际疾病分类原则给予编码,才能准确无误。
To investigate the same disease through clinical case analysis to diagnose scarring uterus, there are different disease codes in different cases. Cesarean scar hypertrophic uterus, vaginal delivery of the second pregnancy was coded in O75.7; cesarean scar hypertrophic uterus, pregnancy again in the regular contractions, the cervix has been opened, the line cesarean delivery should be coded in O65. 5; cesarean scar surgery after uterine pregnancy, pregnancy did not enter the second cesarean delivery, encoding O34.201; cesarean scar after surgery, as a secondary diagnosis of postoperative residual disease, coding At N85.8. Coding personnel classification of scarring of the uterus, must be based on an understanding of past history, incidence, treatment and in accordance with the principles of international classification of diseases to give coding, can be accurate.