中文摘要：

目的：通过分析乳腺癌病例的住院费用,了解乳腺癌患者住院费用情况及主要影响因素,为合理控制医疗费用过快增长提出建议。方法：收集南通市两家医院2004～2009年的2 020份有效病历,采用描述性分析、单因素分析和通径分析。结果：影响乳腺癌患者住院费用的主要因素为住院天数、住院年份、是否手术、转归情况、年龄和费用负担形式,住院天数、转归情况、费用负担形式直接影响住院费用,其中住院天数是最主要因素;住院年份、是否手术、年龄既可直接影响住院费用,又可通过住院天数间接影响住院费用。结论：可通过合理缩短住院天数、完善医疗保险制度改革、健全社区卫生服务、加强医德医风教育等方式控制乳腺癌患者的住院费用。

英文摘要：

Objective：To study the hospitalization expense and its main influencing factors of the inpatients with breast cancer,and to provide the suggestions for controlling the unduly rapid increase of medical expense appropriately.Methods：The effective medical record of the 2 020 breast cancer inpatients in two hospitals in Nantong from 2004 to 2009 were collected,and statistic methods such as descriptive analysis,single statistical method,and pathway analysis were applied.Results：The major influencing factors included hospital stay,medical treatment year,whether or not surgery,medical results,the patients＇ ages and the expense payment forms.Hospital stay,medical results and the expense payment forms directly influenced hospitalization expense and hospital stay was the critical influencing factor.Medical treatment year,whether or not surgery and the patients＇ ages influenced the hospital stay as well as the hospitalization expense directly.Conclusion：In order to control the hospitalization expense of the breast cancer inpatients,the following ways can be practiced,such as reducing the hospital stay rationally,completing the innovation of the hospitalization insurance system,establishing the community health service system,and enhancing the education of medical ethics.