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 探討腹腔鏡下乙狀結腸癌根治術保留盆腔自主神經的可行性及對術后泌尿、生殖功能的影響。 方法 選取2007年8月－2009年7月60例行腹腔鏡下乙狀結腸癌根治術患者，手術按標準腹腔鏡下乙狀結腸癌前切除手術方式操作。術后采用問卷調查方式對患者術后泌尿功能、男性勃起功能、女性性功能進行效果評價。生殖泌尿功能評估包含國際前列腺增生評分（IPSS）、國際勃起功能評分量表（IIEF）、女性性功能評估量表（FSFI）。 結果 58例患者成功保留自主神經，56例接受術后泌尿、生殖功能測定，置放尿管時間為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%），術前、術后IPSS評分差異無統計學意義（P=0.075）。30例男性患者術后，射精良好27例（90.0%），一般2例（6.7%），差1例（3.3%）；但是勃起功能測定良好（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%），術前、術后IIEF差異無統計學意義。26例女性患者術后性功能評分，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%）。盆腔神經保留成功的患者術前、術后差異無統計學意義（P=0.122）。 結論 多數腹腔鏡下乙狀結腸癌根治術患者能有效保留盆腔自主神經，且術后能保留泌尿、生殖功能。