ObjectiveTo explore the model of sharing appointments between medical inspection resources in medical alliance hospitals in the medical profession, in order to improve the utilization efficiency of medical inspection resources and patient satisfaction, and to promote the effective implementation of intelligent services in medical alliance hospitals. MethodsBy analyzing the medical process of medical inspection appointments, and organizing the inspection appointment resources of each hospital according to the actual business characteristics of each hospital of the medical alliance by the unified medical inspection appointment platform. Through the unified big data platform, the business collaboration between the medical alliance hospitals and the sharing and scheduling of medical inspection resources among the hospitals of the medical alliance are realized. ResultsThe construction and use of the medical alliance unified inspection platform has realized the sharing and utilization of inspection resources between hospitals in the medical alliance, which is convenient for patients to choose their own inspection resources across hospitals when making an appointment for inspection, and further improves patient satisfaction. ConclusionThe unified medical appointment platform unifies the management of the medical alliance's appointment examination resources, which can not only effectively improve the utilization efficiency of medical inspection appointment resources, but also expand the effective scope of patients' choice of medical inspection appointments, and at the same time improve patient satisfaction and promote the construction of hospital intelligent services.
目的 探讨腹腔镜下乙状结肠癌根治术保留盆腔自主神经的可行性及对术后泌尿、生殖功能的影响。 方法 选取2007年8月－2009年7月60例行腹腔镜下乙状结肠癌根治术患者，手术按标准腹腔镜下乙状结肠癌前切除手术方式操作。术后采用问卷调查方式对患者术后泌尿功能、男性勃起功能、女性性功能进行效果评价。生殖泌尿功能评估包含国际前列腺增生评分（IPSS）、国际勃起功能评分量表（IIEF）、女性性功能评估量表（FSFI）。 结果 58例患者成功保留自主神经，56例接受术后泌尿、生殖功能测定，置放尿管时间为1～7 d，平均3 d，拔除尿管后排尿功能良好（IPSS 0～7分）57例（95.0%），一般（IPSS 8～14分）2例（3.3%），差（IPSS 15～35分）1例（1.7%），术前、术后IPSS评分差异无统计学意义（P=0.075）。30例男性患者术后，射精良好27例（90.0%），一般2例（6.7%），差1例（3.3%）；但是勃起功能测定良好（IIEF 60～75分）28例（93.4%），一般（IIEF 44～59分）1例（3.3%），差（IIEF 5～43分）1例（3.3%），术前、术后IIEF差异无统计学意义。26例女性患者术后性功能评分，良好（FSFI 76～95分） 23例（88.5%），一般（FSFI 58～75分） 2例（7.7%），差（FSFI 4～57分）1例（3.8%）。盆腔神经保留成功的患者术前、术后差异无统计学意义（P=0.122）。 结论 多数腹腔镜下乙状结肠癌根治术患者能有效保留盆腔自主神经，且术后能保留泌尿、生殖功能。