骨科核心手術(shù)操作技術(shù)清單（2021年版）

骨科核心手術(shù)操作技術(shù)清單（2021年版）序號(hào)技術(shù)名稱手術(shù)操作名稱（國(guó)家臨床版3.0）手術(shù)操作分類編碼（國(guó)家臨床版3.0）1反式全肩關(guān)節(jié)置換術(shù)反向全肩關(guān)節(jié)置換術(shù)81.88002關(guān)節(jié)鏡下肩袖修補(bǔ)術(shù)肩關(guān)節(jié)鏡下肩袖修補(bǔ)術(shù)81.8300x0083關(guān)節(jié)鏡下髖臼盂唇修補(bǔ)術(shù)髖關(guān)節(jié)鏡下盂唇修補(bǔ)術(shù)81.4000x0054關(guān)節(jié)鏡下肩峰成形術(shù)肩關(guān)節(jié)成形術(shù)+關(guān)節(jié)鏡肩關(guān)節(jié)檢查81.8300x001+80.21005關(guān)節(jié)鏡下肱二頭肌長(zhǎng)頭肌腱固定術(shù)肩關(guān)節(jié)鏡下肱二頭肌肌腱長(zhǎng)頭固定術(shù)83.8800x0146關(guān)節(jié)鏡下盂唇修補(bǔ)術(shù)肩關(guān)節(jié)鏡下盂唇固定術(shù)81.2300x0047關(guān)節(jié)鏡下喙鎖韌帶重建術(shù)肩關(guān)節(jié)囊修復(fù)重建術(shù)81.8300x0038關(guān)節(jié)鏡下肘關(guān)節(jié)松解術(shù)關(guān)節(jié)鏡肘關(guān)節(jié)松解術(shù)80.42029關(guān)節(jié)鏡肘關(guān)節(jié)韌帶修補(bǔ)術(shù)肘關(guān)節(jié)鏡下韌帶重建術(shù)81.9300x00910關(guān)節(jié)鏡下前交叉韌帶重建術(shù)關(guān)節(jié)鏡膝關(guān)節(jié)前交叉韌帶重建術(shù)81.450411關(guān)節(jié)鏡下后交叉韌帶重建術(shù)關(guān)節(jié)鏡膝關(guān)節(jié)后交叉韌帶重建術(shù)81.450512關(guān)節(jié)鏡下半月板修補(bǔ)術(shù)膝關(guān)節(jié)鏡下半月板縫合術(shù)81.4700x01313關(guān)節(jié)鏡下踝關(guān)節(jié)韌帶修補(bǔ)術(shù)踝關(guān)節(jié)鏡下韌帶修補(bǔ)術(shù)81.9400x00614關(guān)節(jié)鏡下髂腰肌松解術(shù)髖關(guān)節(jié)鏡下髂腰肌松解術(shù)83.1900x02315關(guān)節(jié)鏡下髕股內(nèi)側(cè)支持帶重建術(shù)膝關(guān)節(jié)鏡下膝關(guān)節(jié)內(nèi)側(cè)髕股韌帶重建術(shù)81.9600x02216關(guān)節(jié)鏡下骨軟骨移植術(shù)膝關(guān)節(jié)鏡下自體骨軟骨移植術(shù)81.4700x01917關(guān)節(jié)鏡下骨折復(fù)位固定術(shù)膝關(guān)節(jié)鏡下脛骨髁間棘骨折固定術(shù)78.5700x01218機(jī)器人輔助骨科手術(shù)機(jī)器人援助操作17.410019經(jīng)皮機(jī)器人援助操作17.430020截骨術(shù)肱骨截骨術(shù)77.2200x00121尺骨截骨術(shù)77.2300x00122橈骨截骨術(shù)77.2300x00223股骨截骨術(shù)77.2500x00124腓骨截骨術(shù)77.2700x00125骨折外架固定術(shù)橈骨外固定術(shù)78.130126脛骨外固定術(shù)78.170127盆骨外固定術(shù)78.190128腓骨XX術(shù)腓骨XX術(shù)78.370229跖骨XX術(shù)跖骨XX術(shù)78.3800x00230內(nèi)固定取出術(shù)鎖骨內(nèi)固定裝置取出術(shù)78.610331肩鎖關(guān)節(jié)內(nèi)固定物取出術(shù)78.6100x00432肱骨內(nèi)固定裝置取出術(shù)78.620133橈骨內(nèi)固定裝置取出術(shù)78.630134股骨內(nèi)固定裝置取出術(shù)78.650135髕骨內(nèi)固定裝置取出術(shù)78.660136腓骨內(nèi)固定裝置取出術(shù)78.670337脛骨內(nèi)固定裝置取出術(shù)78.670138跖骨內(nèi)固定裝置取出術(shù)78.680339跗骨內(nèi)固定裝置取出術(shù)78.680140楔骨內(nèi)固定物取出術(shù)78.6800x00541跟骨內(nèi)固定物取出術(shù)78.6800x00642骨盆內(nèi)固定裝置取出術(shù)78.690143踝關(guān)節(jié)內(nèi)固定裝置取出術(shù)78.670544髖關(guān)節(jié)內(nèi)固定物取出術(shù)78.6900x00845趾骨內(nèi)固定裝置取出術(shù)78.690546肱骨骨折閉合復(fù)位髓內(nèi)針內(nèi)固定術(shù)肱骨骨折閉合復(fù)位髓內(nèi)針內(nèi)固定術(shù)79.1100x00447肱骨骨折切開復(fù)位鋼板內(nèi)固定術(shù)肱骨骨折切開復(fù)位鋼板內(nèi)固定術(shù)79.3100x00548尺骨骨折切開復(fù)位鋼板內(nèi)固定術(shù)尺骨骨折切開復(fù)位鋼板內(nèi)固定術(shù)79.3200x00149橈骨骨折切開復(fù)位鋼板內(nèi)固定術(shù)橈骨骨折切開復(fù)位鋼板內(nèi)固定術(shù)79.3200x01150股骨骨折切開復(fù)位鋼板內(nèi)固定術(shù)股骨骨折切開復(fù)位鋼板內(nèi)固定術(shù)79.3500x01651踝關(guān)節(jié)骨折切開復(fù)位鋼板內(nèi)固定術(shù)踝關(guān)節(jié)骨折切開復(fù)位鋼板內(nèi)固定術(shù)79.3600x00952踝關(guān)節(jié)骨折切開復(fù)位螺釘內(nèi)固定術(shù)踝關(guān)節(jié)骨折切開復(fù)位螺釘內(nèi)固定術(shù)79.3600x01053脛骨骨折切開復(fù)位鋼板內(nèi)固定術(shù)脛骨骨折切開復(fù)位鋼板內(nèi)固定術(shù)79.3600x01354腓骨骨折切開復(fù)位鋼板內(nèi)固定術(shù)腓骨骨折切開復(fù)位鋼板內(nèi)固定術(shù)79.3600x01755跟骨骨折切開復(fù)位鋼板內(nèi)固定術(shù)跟骨骨折切開復(fù)位鋼板內(nèi)固定術(shù)79.3700x01356髕骨骨折切開復(fù)位張力帶鋼絲內(nèi)固定術(shù)髕骨骨折切開復(fù)位張力帶鋼絲內(nèi)固定術(shù)79.3900x00157距骨骨折切開復(fù)位螺釘內(nèi)固定術(shù)距骨骨折切開復(fù)位螺釘內(nèi)固定術(shù)79.3700x02558骨盆骨折切開復(fù)位鋼板內(nèi)固定術(shù)骨盆骨折切開復(fù)位鋼板內(nèi)固定術(shù)79.3900x04359鎖骨骨折切開復(fù)位鋼板內(nèi)固定術(shù)鎖骨骨折切開復(fù)位鋼板內(nèi)固定術(shù)79.3900x05160跗跖關(guān)節(jié)脫位切開復(fù)位術(shù)跖跗關(guān)節(jié)脫位切開復(fù)位術(shù)79.880361肘關(guān)節(jié)松解術(shù)肘關(guān)節(jié)松解術(shù)80.420162人工股骨頭置換術(shù)人工股骨頭置換術(shù)81.520163人工雙動(dòng)股骨頭置換術(shù)人工雙動(dòng)股骨頭置換術(shù)81.5200x00464肘關(guān)節(jié)置換術(shù)肘關(guān)節(jié)全部置換81.840065人工橈骨頭置換術(shù)人工橈骨頭置換術(shù)81.8400x00266皮膚和皮下壞死組織切除清創(chuàng)術(shù)皮膚和皮下壞死組織切除清創(chuàng)術(shù)86.2200x01167半肩置換術(shù)肩關(guān)節(jié)部分置換81.810068人工肱骨頭置換術(shù)81.810169頸人工椎間盤假體置換術(shù)頸人工椎間盤假體置換術(shù)84.660170椎體骨折球囊擴(kuò)張成形術(shù)胸椎骨折球囊擴(kuò)張成形術(shù)81.6600x00371腰椎骨折球囊擴(kuò)張成形術(shù)81.6600x00272經(jīng)皮穿刺脊柱后凸成形術(shù)81.6600x00173后入路腰骶翻修術(shù)腰骶椎椎體間再融合術(shù)，后入路81.380274腰椎椎體間再融合術(shù)，后入路81.380175經(jīng)椎間孔入路腰椎體融合術(shù)經(jīng)椎間孔入路腰椎體融合術(shù)81.0800x01876腰骶椎融合術(shù)后外側(cè)入路腰骶椎融合術(shù)81.0800x01777后外側(cè)入路腰椎融合術(shù)81.0800x01678腰椎椎體間融合術(shù)，后入路81.080179腰骶椎椎體間融合術(shù)，后入路81.080280前外側(cè)入路腰骶椎融合術(shù)81.0600x00681前外側(cè)入路腰椎融合術(shù)81.0600x00582腰骶椎椎體間融合術(shù)，前入路81.060283腰椎椎體間融合術(shù)，前入路81.060184胸腰椎融合術(shù)后外側(cè)入路胸腰椎融合術(shù)81.0500x00685后外側(cè)入路胸椎融合術(shù)81.0500x00586胸椎融合術(shù)，后入路81.050187胸腰椎融合術(shù)，后入路81.050288前外側(cè)入路胸腰椎融合術(shù)81.0400x00589頸椎融合術(shù)后入路頸椎融合術(shù)81.0300x00190后外側(cè)入路頸椎融合術(shù)81.0300x00291前外側(cè)入路頸椎融合術(shù)81.0200x00292前入路頸椎融合術(shù)81.0200x00193寰-樞椎融合術(shù)寰-樞椎融合術(shù)，后入路81.010294后入路枕-頸椎融合術(shù)枕-頸融合術(shù)，后入路81.010595黃韌帶部分切除術(shù)黃韌帶部分切除術(shù)80.9900x00196腰椎間盤切除術(shù)前外側(cè)入路腰椎間盤切除術(shù)80.5100x03997腰椎間盤髓核切除伴椎板切除術(shù)80.5100x03898腰椎間盤切除伴半椎板切除術(shù)80.5100x03699腰椎間盤切除伴椎板切除術(shù)80.5100x035100后入路腰椎間盤切除術(shù)80.5100x013101鏡下腰椎間盤切除術(shù)椎間盤鏡下后入路腰椎間盤切除術(shù)80.5100x033102椎間盤鏡下后入路頸椎間盤切除術(shù)80.5100x026103腰椎間盤髓核切除術(shù)腰椎髓核切除術(shù)80.5109104前入路頸椎間盤切除術(shù)前入路頸椎間盤切除術(shù)80.5100x008105椎骨內(nèi)固定物取出術(shù)椎骨內(nèi)固定物取出術(shù)78.6900x010106椎弓根釘內(nèi)固定術(shù)椎弓根釘內(nèi)固定術(shù)78.5900x022107頸椎人工骨植骨術(shù)頸椎人工骨植骨術(shù)78.0900x015108椎體部分切除術(shù)椎體部分切除術(shù)77.8900x013109椎體截骨術(shù)椎骨截骨術(shù)77.2900x004110椎管探查術(shù)椎管探查術(shù)03.0901111椎管減壓術(shù)椎管成形術(shù)03.0900x009112椎管減壓術(shù)03.0900x010113胸椎椎板切除減壓術(shù)03.0900x007114腰椎椎板切除減壓術(shù)03.0900x006115頸椎前路椎管減壓術(shù)03.0900x005116頸椎后路雙開門椎管減壓術(shù)03.0900x004117脊柱截骨術(shù)（包括PSO椎弓根短縮截骨術(shù)/Smith-peterson截骨術(shù)，VCR脊椎切除術(shù)等）椎骨截骨術(shù)/棘突切除術(shù)/脊椎后弓切除術(shù)/椎體部分切除術(shù)77.2900x004/77.8906/77.8900x008/77.8900x013118踝關(guān)節(jié)融合術(shù)踝融合術(shù)81.1100119距下關(guān)節(jié)融合術(shù)距下關(guān)節(jié)融合術(shù)81.1300x003120踝關(guān)節(jié)鏡下病損切除術(shù)關(guān)節(jié)鏡踝關(guān)節(jié)病損切除術(shù)80.8702121跟腱XX術(shù)跟腱XX術(shù)83.8500x003122跟骨截骨術(shù)跟骨截骨術(shù)77.2800x006123跖骨截骨術(shù)跖骨截骨術(shù)77.2800x002124距骨病損切除術(shù)距骨病損切除術(shù)77.6800x001125跟腱修補(bǔ)術(shù)跟腱修補(bǔ)術(shù)83.8800x001126足三關(guān)節(jié)融合術(shù)足三關(guān)節(jié)融合術(shù)81.1200x001127跖趾關(guān)節(jié)融合術(shù)跖趾融合術(shù)81.1600128跗跖關(guān)節(jié)融合術(shù)跗跖融合術(shù)81.1500129跖骨骨折切開復(fù)位鋼板內(nèi)固定術(shù)跖骨骨折切開復(fù)位鋼板內(nèi)固定術(shù)79.3700x019130跟腱縫合術(shù)跟腱縫合術(shù)83.6402131跖骨病損切除術(shù)跖骨病損切除術(shù)77.6802132踝關(guān)節(jié)韌帶修補(bǔ)術(shù)踝關(guān)節(jié)韌帶修補(bǔ)術(shù)81.9400x001133長(zhǎng)骨腫瘤切除、重建骨病損切除術(shù)，內(nèi)固定術(shù)，骨植骨術(shù)77.6，78.5，78.0134軟組織腫瘤切除軟組織病損切除術(shù)82.2/83.3135骨盆腫瘤切除、重建骨盆病損切除術(shù)，骨盆**內(nèi)固定術(shù)77.6901&78.5900x027/78.5900x028/78.5900x029/78.5900x030136脊柱腫瘤切除椎骨病損切除術(shù)77.6904137骶骨腫瘤切除骶椎病損切除術(shù)77.6900x056138骨腫瘤活檢骨活檢術(shù)77.4139半骨盆截肢半側(cè)骨盆截?cái)嘈g(shù)84.1901140肩胛帶截肢肩胛帶離斷術(shù)84.0900x001141人工假體置換置換術(shù)81.5/81.7100x002/81.7300x001/81.80/81.81/81.84/81.88142異體骨移植同種異體骨植骨術(shù)78.0000x003143滅活再植骨植骨術(shù)78.0144帶血管蒂腓骨移植帶血管蒂腓骨移植術(shù)78.0700x005145帶蒂皮瓣或皮瓣移植帶蒂皮瓣或皮瓣移植86.7146骨腫瘤射頻/微波消融骨病損切除術(shù)77.6147計(jì)算機(jī)導(dǎo)航輔助骨腫瘤切除骨病損切除術(shù)&顯像導(dǎo)航計(jì)算機(jī)輔助外科77.6&00.3500x001148腹股溝淋巴結(jié)清掃腹股溝淋巴結(jié)清掃術(shù)40.5400x001149全膝關(guān)節(jié)表面置換術(shù)全部膝關(guān)節(jié)置換81.5400150全髖關(guān)節(jié)置換術(shù)全髖關(guān)節(jié)置換81.5100151膝關(guān)節(jié)單髁表面置換術(shù)膝關(guān)節(jié)單髁表面置換術(shù)81.5400x004152脛骨截骨術(shù)脛骨截骨術(shù)77.2700x003153髖關(guān)節(jié)假體翻修術(shù)全髖關(guān)節(jié)假體翻修術(shù)00.7000x001154拇外翻矯形術(shù)（足母）囊腫切除術(shù)伴軟組織矯正術(shù)和關(guān)節(jié)固定術(shù)77.5200155（足母）囊腫切除術(shù)伴軟組織矯正術(shù)和第一跖骨切開術(shù)77.5100156全膝關(guān)節(jié)假體翻修術(shù)全膝關(guān)節(jié)假體翻修術(shù)00.8000x001157股骨頭壞死髓心減壓術(shù)股骨鉆孔減壓術(shù)77.1500x006158脛距骨融合術(shù)脛距關(guān)節(jié)融合術(shù)81.1101159膝關(guān)節(jié)髕股表面置換術(shù)膝關(guān)節(jié)髕股表面置換術(shù)81.5400x005160臀肌筋膜攣縮松解術(shù)臀筋膜攣縮松解術(shù)83.9103161臀筋膜切斷術(shù)83.1403162膝關(guān)節(jié)雙間室置換術(shù)膝關(guān)節(jié)雙間室置換術(shù)81.5400x007163趾骨截骨術(shù)趾骨截骨術(shù)77.2900x005164股骨XX術(shù)股骨XX術(shù)78.3500x001165脛后肌前移術(shù)脛后肌前移術(shù)83.7900x002166跖筋膜切斷術(shù)跖筋膜切斷術(shù)83.1400x006167跖趾關(guān)節(jié)置換術(shù)跖趾關(guān)節(jié)置換術(shù)81.5700x001168鉸鏈?zhǔn)饺斯はリP(guān)節(jié)置換術(shù)鉸鏈?zhǔn)饺斯はリP(guān)節(jié)置換術(shù)81.5400x008169膝關(guān)節(jié)游離體取出術(shù)膝關(guān)節(jié)游離體取出術(shù)80.1601170趾關(guān)節(jié)脫位切開復(fù)位術(shù)趾關(guān)節(jié)脫位切開復(fù)位術(shù)79.8801171脛骨結(jié)節(jié)內(nèi)下移位術(shù)[改良Hauser手術(shù)]脛骨結(jié)節(jié)內(nèi)下移位術(shù)[改良Hauser手術(shù)]79.8600x002172成人髖關(guān)節(jié)脫位切開復(fù)位術(shù)（>14歲）髖脫位開放性復(fù)位術(shù)79.8500173成人髖關(guān)節(jié)脫位閉合復(fù)位術(shù)（>14歲）髖脫位閉合性復(fù)位術(shù)79.7500174脛骨XX術(shù)脛骨XX術(shù)78.3701175股骨外固定架固定術(shù)股骨外固定術(shù)78.1501176跗骨截骨術(shù)跗骨截骨術(shù)77.2800x001177髖臼假體翻修術(shù)髖關(guān)節(jié)髖臼假體翻修術(shù)00.7100x001178胸鎖乳突肌切斷術(shù)胸鎖乳突肌切斷術(shù)83.1903179胸鎖乳突肌部分切斷術(shù)83.1900x020180斜頸腱性條索切斷術(shù)83.1900x018181骨盆截骨術(shù)骨盆截骨術(shù)77.2900x001182髕骨穩(wěn)定術(shù)髕骨穩(wěn)定術(shù)81.4400183兒童髖關(guān)節(jié)脫位閉合復(fù)位術(shù)（≤14歲）髖脫位閉合性復(fù)位術(shù)79.7500184髖臼周圍截骨術(shù)髖臼周圍截骨術(shù)77.8900x005185畸形足松解術(shù)畸形足松解術(shù)83.8400186兒童髖關(guān)節(jié)脫位切開復(fù)位術(shù)（≤14歲）髖脫位開放性復(fù)位術(shù)79.8500187兒童骨內(nèi)外固定物取出術(shù)（≤14歲）尺骨內(nèi)固定裝置去除術(shù)78.6303188股骨鋼板內(nèi)固定術(shù)78.5500x005189脛骨外固定裝置去除術(shù)78.6702190跗骨外固定裝置去除術(shù)78.6802191尺骨外固定裝置去除術(shù)78.6304192病損切除術(shù)尺骨病損切除術(shù)77.6302193肱骨病損切除術(shù)77.6201194踝關(guān)節(jié)病損切除術(shù)80.8701195趾骨病損切除術(shù)77.6903196兒童骨折復(fù)位固定術(shù)（≤14歲）股骨骨折閉合復(fù)位螺釘內(nèi)固定術(shù)79.1500x008197肱骨骨折切開復(fù)位鋼針內(nèi)固定術(shù)79.3100x004198脛骨骨折閉合復(fù)位髓內(nèi)針內(nèi)固定術(shù)79.1600x004199脛骨骨折閉合復(fù)位螺釘內(nèi)固定術(shù)79.1600x006200橈骨骨折閉合復(fù)位髓內(nèi)針內(nèi)固定術(shù)79.1200x008201脛骨骨折切開復(fù)位鋼針內(nèi)固定術(shù)79.3600x016202尺骨骨折切開復(fù)位鋼針內(nèi)固定術(shù)79.3200x010203肱骨骨折切開復(fù)位空心釘內(nèi)固定術(shù)79.3100x008204脛骨骨折閉合性復(fù)位術(shù)79.0601205跗骨外固定術(shù)78.1801206脛骨骨折切開復(fù)位螺釘內(nèi)固定術(shù)79.3600x014207肱骨骨折切開復(fù)位螺釘內(nèi)固定術(shù)79.3100x006208股骨骨折切開復(fù)位螺釘內(nèi)固定術(shù)79.3500x017209股骨骨折閉合復(fù)位髓內(nèi)針內(nèi)固定術(shù)79.1500x006210手部軟組織病損切除術(shù)手部軟組織病損切除術(shù)82.2900x001211手部腱鞘病損切除術(shù)手腱鞘病損