This means that all tumor patients who participate in medical insurance for employees in provinces and cities in our province, medical insurance for urban and rural residents, and medical insurance in different places will be hospitalized with cyberknife in Zhengzhou Yihe Hospital, which will realize medical insurance reimbursement and truly reduce the economic burden of patients!
It is reported that in order to further improve the treatment effect of tumor patients, Zhengzhou Yihe Hospital introduced the fourth generation of high-precision medical equipment for tumor radiotherapy with the approval of the National Health Planning Commission at the end of 20 13, and put it into use at the beginning of 20 15. Compared with other radiotherapy equipment, cyberknife has wider indications, higher accuracy, shorter course of treatment, better curative effect, improved local tumor control rate from 60% to 90%, and less adverse reactions.
In recent years, under the leadership of Zhang Yiping, the director and chief physician of radiotherapy interventional department of Zhengzhou Yihe Hospital, more than 2,000 cases have been treated with cyberknife continuously. There are no technical accidents and serious complications, and the curative effect is remarkable and the patients are satisfied, which brings new hope to the majority of tumor patients in Central China!
Now, this paper introduces the reimbursement of cyberknife "insurance" to the majority of patients.
1. What are the charging standards and reimbursement standards for cyberknife treatment?
A: Cyberknife treatment is reimbursed according to the medical insurance category B, with a charge of 8,800 yuan for three times or less and 34 100 yuan for more than three times. Patients pay 20% of the expenses first, and the rest are reimbursed according to the proportion of medical insurance reimbursement. You can reimburse up to two parts at a time, such as brain metastasis from lung cancer. According to the patient's condition, he can be hospitalized for many times and reimbursed for many times (the specific number of treatments depends on the condition).
Second, is there a separate charge for each process and operation of cyberknife treatment?
A: Cyberknife treatment is an overall charge and an overall reimbursement, and every process and operation are included. The original cyberknife ct positioning and planning fee charged separately is no longer charged separately.
Three, all kinds of insured cancer patients, how to achieve reimbursement?
Answer: Workers' medical insurance in Henan Province, workers' medical insurance in Zhengzhou City (excluding suburban counties) and medical insurance for urban and rural residents are registered with medical insurance cards and directly go through admission procedures. Medical insurance for employees in different places in Henan Province and medical insurance for urban and rural residents shall go through normal referral procedures according to medical insurance regulations. After being admitted to the hospital for cyberknife treatment, they can all be reimbursed!
4. Whether it can be reimbursed when discharged from hospital, and whether it is submitted together with other treatment items (including hospitalization, medication, examination, etc.). )?
A: Patients treated with cyberknife will be settled immediately when they leave the hospital, and they will be charged together with other treatment items and reimbursed in proportion.
5. Can 10 patients who were admitted to the hospital before October 20th be reimbursed when they leave the hospital?
Answer: According to the doctor's advice, patients admitted to the hospital before10/0/0 need to pay for cyberknife treatment before the 20th, and cyberknife treatment after the 20th can be included in the medical insurance reimbursement.
6. What are the advantages of cyberknife therapy? Is it safe? Can you do it safely?
A: Compared with other radiotherapy equipment, cyberknife treatment has wider indications, higher accuracy, shorter course of treatment, better curative effect, improved local tumor control rate from 60% to 90%, and fewer adverse reactions. In recent years, our hospital has used cyberknife to treat more than 2000 cases of tumor patients continuously, without technical accidents and serious complications, which has brought good news to the majority of tumor patients!
Besides Zhengzhou Yihe Hospital, where is the cyberknife in our province?
A: At the end of 20 13, with the approval of the National Health Planning Commission, our hospital invested heavily in the introduction of the fourth generation cyberknife, which was put into use at the beginning of 20 15. At present, there is no second medical institution in our province with the fourth generation and above cyberknives.
Eight, Zhengzhou Yihe Hospital, what kind of hospital is it?
A: Zhengzhou Yihe Hospital is a non-profit tertiary general hospital integrating medical treatment, teaching, scientific research, prevention, nutrition, hygiene and health management, which is directly managed by Henan Provincial Health and Health Commission. The Party Committee is affiliated to the Working Committee of Henan Province and the hospital directly under Henan University.
Brief introduction of cyberknife
Cyberknife, also known as cyberknife, network knife, computer knife and stereotactic radiosurgery platform, was developed by Professor John Alder of Stanford University in 1996. It is a new type of image-guided whole-body stereotactic radiosurgery equipment.
Cyberknife perfectly combines computer stereotactic, tumor real-time tracking technology and linear accelerator radiotherapy, selects the best angle from more than 1900 beam directions, and carries out omni-directional irradiation treatment on tumors, which can realize simultaneous treatment of multiple tumors.
During the treatment, the doctor will give the patient 1 to 5 times irradiation according to the patient's physical condition and tumor size, which can kill the tumor tissue. It is a form of whole body radiotherapy that combines the advantages of "no trauma, no pain, no bleeding, no anesthesia and short recovery period".
Indications of cyberknife treatment
1. Tumor
1 Nervous system tumors-astrocytoma, meningioma, pituitary tumor, germ cell tumor, medulloblastoma, hemangioblastoma, neuroblastoma, acoustic neuroma, trigeminal schwannoma, craniopharyngioma, and brain metastatic carcinoma.
2 head and neck tumors-nasopharyngeal carcinoma, paranasal sinus malignant tumor, laryngeal cancer, oral cancer, oropharyngeal cancer's cancer and hypopharyngeal cancer.
3 chest tumors-primary lung cancer, metastatic lung cancer, mediastinal lymph node metastasis and malignant tumor.
Abdominal tumors-primary liver cancer, metastatic liver cancer, cholangiocarcinoma, pancreatic cancer, renal cancer, renal pelvis cancer, nephroblastoma, abdominal and retroperitoneal lymph node metastasis.
5 pelvic tumors-prostate cancer, bladder cancer, cervical cancer, endometrial cancer, ovarian cancer.
Lymphatic system tumors-Hodgkin lymphoma and non-Hodgkin lymphoma
Bone and joint tumors-osteosarcoma, Ewing sarcoma, synovial sarcoma and bone metastatic carcinoma.
Soft tissue tumors-liposarcoma, fibrosarcoma, leiomyosarcoma, rhabdomyosarcoma and angiosarcoma.
2. Vascular malformation
1 nervous system-cerebral arteriovenous fistula, cavernous hemangioma, spinal hemangioma
Others-pulmonary arteriovenous fistula, limb soft tissue vascular fistula.
3. Cancer pain
Cyberknife treatment process
1. Expert consultation: according to tumor site, pathological type, TNM staging, KPS score, etc. Make a treatment plan.
2. Gold label implantation: targeting certain organs (such as liver, kidney, pancreas, prostate, etc.). ) tumors should be implanted with gold markers in advance as tracking targets.
3. Posture fixation: The patient chooses a comfortable posture, the head and neck are generally fixed with a mask, and the body is fixed with a vacuum pad.
4. Accurate positioning: Under the guidance of 3D digital laser locator, digital images of patients are obtained by using imaging equipment such as CT, MRI, PET and 3D angiography.
5. Precise design: doctors outline the target area, physicists plan and design, and oncologists evaluate the authorized treatment plan.
6. Accurate radiotherapy: Under the guidance of images, X-ray beams can track tumors in real time and destroy tumors with high precision.
Comparison of Cyberknife with Traditional Surgery and Radiotherapy
Compared with conventional radiotherapy cyberknife treatment
Irradiation times are 3-5 times 1-5 times.
The treatment time was 5-7 weeks 1-5 days.
Single dose 1.8-2Gy20-80Gy
Excellent dose distribution
The accuracy of treatment is several millimeters and sub-millimeters.
Treatment orientation are as follows
There is no real-time tracking for treatment tracking.
Poor organizational security is superior.
Skin reaction is more important than light.
Length of recovery period
Vascular reactions are heavy and light.
Compared with the traditional surgical cyberknife treatment
Trauma or not.
Treatment time
Do you need anesthesia?
Is there any bleeding
Do you need tissue resection?
Bacterial infection may or may not be.
Outpatient treatment is not allowed. Yes
Length of recovery period
Any pain?
Do you need to take care of it?
Will life affect you?
Radiotherapy interventional department, with interventional therapy as the guide, new radiotherapy technologies (cyberknife therapy and three-dimensional intensity modulated radiotherapy) as the leading factor, combined with modern chemotherapy, targeted therapy and biological immunotherapy as the concept of tumor comprehensive treatment, organically combined radiotherapy technology with tumor vascular intervention (arterial infusion chemotherapy embolization), non-vascular intervention (radiofrequency ablation, stent implantation, puncture, drug injection, etc.), intravenous chemotherapy, molecular targeting.
There are 29 medical, technical and nursing professionals in the department, including 3 chief and deputy chief physicians and 4 masters. It has the international advanced fourth-generation cyberknife radiosurgery platform, Valian 6-65438+ 100mV two-photon linear accelerator, GE 16 row large aperture CT simulator, ordinary X-ray simulator and precise treatment verification system, which is suitable for general radiotherapy, three-dimensional intensity modulated radiotherapy and image-guided stereotactic (cyberknife) precise radiotherapy of tumors.
Zhang Yiping, Director of Radiotherapy Interventional Department, Master of Medicine, Chief Physician and Master's Supervisor. He is a member of Henan Anti-cancer Association, a professional member of tumor interventional diagnosis and treatment, a professional member of minimally invasive treatment of tumors, and the deputy director of radiotherapy Committee of Zhengzhou Anti-cancer Association.
I worked in 1983. I studied in An Medical University, Henan Cancer Hospital and Asia-Pacific Cyberknife Training Center, and studied for a master's degree in Guiyang Medical College. With a solid medical foundation and rich clinical experience, he edited and participated in the publication of 3 monographs, and won the military scientific and technological achievements progress award 1 item, the second prize of Henan medical and health scientific and technological achievements 1 item, and the national utility model patent 1 item.
Specialty: comprehensive diagnosis and treatment of tumor, stereotactic radiotherapy (cyberknife) and tumor interventional therapy.