【摘要】 目的 比較腹腔鏡膽囊切除術（LC）與開腹膽囊切除術（OC）的費用，并進行衛生經濟學評價。 方法 對2009年5-7月行膽囊擇期手術的124例患者，隨機分為LC組72例、OC組52例。比較兩組的手術住院情況、直接和間接醫療成本、總成本。 結果 LC組的直接醫療成本、間接醫療成本、總成本分別為（4891±231）元、（338±76）元、（5229±387）元，均低于OC組的（5505±389）元、（540±82）元、（5945±412）元，兩組間各項成本比較有統計學意義（Plt;0.001）。 結論 LC能縮短手術時間、住院時間，降低醫療費用，加快床位周轉，提高衛生資源的利用效率。【Abstract】 Objective To compare the cost of the laparoscopic cholecystectomy (LC) versus open cholecystectomy (OC) and make the health economic evaluation. Methods From May to July 2009, 124 patients who underwent selective cholecystectomy were divided into LC group (72 cases), and OC group (52 cases). The hospitalizations, direct and indirect medical costs and the total costs were analyzed and evaluated. Results The direct, indirect health care costs and the total costs of the LC group were (4891±231), (338±76),(5229±387) yuan; and were lower than those of the OC group [(5505±389), (540±82), (5945±412) yuan]. The cost comparison between the two groups were significant different (Plt;0.001). Conclusion LC could shorten the operative time, hospitalization time, lower the medical cost, speed up the bed turnover and increase the efficiency in the use of health resource.
Driven by advances in intelligent technology, artificial intelligence (AI) is emerging as the cornerstone of neurosurgical education. By providing personalized learning experiences and enhancing learning outcomes, AI has enriched the avenues and depth of knowledge acquisition for medical students. The integration of AI not only helps medical students master the basic theories and practical skills of neurosurgery more thoroughly, but also lays a solid foundation for them to provide high-quality and efficient medical services in the future. At the same time, the ability of educators to use intelligent technologies further enhances the interactivity and effectiveness of teaching. In order to further ensure the application of AI in neurosurgery teaching, this article explores the strategic integration of AI in neurosurgical education, emphasizing its critical importance in ensuring that teaching methods evolve with the times.