二.筋骨脊椎間板脫位症手術－腰椎Discotomy - lumbar spine脊椎間板脫位症手術－頸椎Discotomy - cervical spine脊椎間板脫位症手術－胸椎Discotomy - thoracic骨盤半切斷術Hemipelvectomy斷指再接顯微手術Replantation - fingers斷肢再接顯微手術Replantation - arm, leg, metatarsal or foot全股關節置換手術Total hip replacement全膝關節置換手術Total knee replacement十字韌帶重建手術Reconstruction of cruciate ligament人工全髖關節再置換Revision total hip replacement人工全膝關節再置換Revision total knee replacement前胸椎融合併內固定Anterior spinal fusion (T-spine)-with spinal instrumentation前胸腰椎融合併內固定Anterior spinal fusion (TL-spine) with spinal instrumentation前腰椎融合併內固定Anterior spinal fusion (L-spine) with spinal instrumentation後側脊椎融合併內固定Posterior spinal fusion with spinal instrumentation游離骨骼肌肉移植術Free vascularized bone graft, free muscle graft拇指重建手術Pollicization脊椎骨折開放性復位術Open reduction for fracture of spine股關節固定術Arthrodesis of hip joint股關節截斷術Disarticulation of hip上肢廣泛性肩關節截斷術Forequater amputation大腿切斷手術Thigh amputation
三.呼吸器前額竇骨成形術Osteoplastic approach for frontal sinus surgery前額竇開窗術Trephination of frontal sinus氣管膺復重建Laryngotracheal reconstruction喉膺復重建Larynx reconstruction全喉切除手術Laryngectomy喉部份切除手術Hemilaryngectomy喉咽切除手術Laryngopharyngectomy肺合併臟器切除Combined resection of lung cancer肺袖式切除Sleeve resection門脈減壓術Surgery of portal hypertension氣管支氣管傷再造術Resconstruction of tracheo-bronchial tree聲帶切除手術 Vocal cord resection肺膜剝脫術Decortication of pleura肺全切除手術Pneumonectomy, total肺葉切除及胸廓成形術或支氣管成形術Lobecomy & thoracoplasty or bronchoplasty全肺切除及胸廓成形術或支氣管成形術Pneumonectomy with concomitent thoracoplasty or bronchoplasty
四.循環器探查性開心術Exploratory cardiotomy心房中膈缺陷修補術Repare atrial septal defect, secundum主動脈瓣膜整型術及繞道手術Valvuloplasty, aortic valve瓣膜成形術Valvular or/and annuloplasty主動脈瓣或二尖瓣或三尖瓣置換術Single valve replacement兩個瓣膜置換Double valves replacement三個瓣膜置換Triple valves replacement心室動脈瘤之修補Repair ventricular aneurysm心內膜墊缺陷修補術Repair endocardial cushion defect冠狀動脈繞道手術Coronary artery bypass grafting心室中膈缺陷修補術Repair ventricular septal defect四合群症修補及繞道手術Repair tetralogy of Fallot二尖瓣擴張術Closed mitral or open mitral commissurotomy主動脈轉位症手術Transposition of great arteries心房－肺動脈迴路成形術Fontan operation動脈內膜切除術Arteriao endarterectomy with or without bypass graft肺動脈栓塞切除術Embolectomy arterial, pulmonary artery頸（肢體）動靜廔管之切除移植及直接修補，右繞道手術Excision & graft bypass or direct repair A-V fistula neck or extremity胸（腹）部動靜廔管之切除移植及直接修補，右繞道手術Excision & graft bypass or direct repair A-V fistula chest or abdomen肺動脈結紮Pulmonary artery banding主動脈－肺動脈開窗之修補手術Repair aorto-pulmonary window主動脈狹窄之修補Repair coarctation aorta存開性動脈導管手術Surgical obliteration for PDA
六.消化器舌骨上區清除術Suprahyoid dissection口腔底部整體切除術Commando operation腮腺切除術（全葉）Parotidectomy, total lobectomy食道切除再造術Esophagectomy & reconstruction食道再造術Reconstruction of esophagus食道靜脈瘤曲張結紮，脾臟切除併近心端胃血管去除Devascularization procedure胃全部切除術Gastrectomy, total胃賁門及食道切除再造術Proximal gastrectomy & esophagectomy & reconstruction胃亞全切除Subtotal gastrectomy胃隔間術Gastric partition結腸全切除術Colectomy, total根治性直腸切除術Radical protectomy大腸全切除術Colectomy小腸全切除術Total resection of small intestino脾臟全切除術 Total resection of spleen肝門靜脈分流術Portocavo shunt (H-graft)脾、腎靜脈分流術Spleno-renal shunt右肝葉切除術Total right lobectomy左肝葉切除術Total left lobectomy擴大右肝葉切除術Extended right lobectomy擴大左肝葉切除術Extended left lobectomy腹腔鏡膽囊切除術Laparoscopic cholecystectomy胰臟全切除術Total pancreatectomy十二指腸全切除術 Total duodenectomy
七.尿道、性器經皮腎結石取石術Percutaneous nephrostolithotomy (PCNSL)腹部會陰尿道懸吊術Abdominal perineal urethral suspension (APUS)膀胱全部切除術Total cystectomy以腸管取代全部或部份輸尿管（雙側）Replacement ureter of all or part of ureter by bowel segment (bilateral)前列腺根治術（含精囊摘除術）Radical biopsy (including vesiarlectomy)根治女陰道切除術（合併淋巴清掃）Radical vulvgectomy陰道式子宮根治術Hsterectomy vaginal radical子宮全摘除術 Total Hysterectomy骨盤腔臟器摘除術Pelvic exenteration
九.神經外科腦微血管減壓術Microvascular decompression椎弓切除術Laminectomy for decompression顳下減壓術Subtemporal decompression顱骨切除術Craniectomy脊髓切斷術Myelotomy後根切斷術Posterior rhizotomy椎間盤切除術Diskectomy胸交感神經切除術Dorsal sympathectomy神經移植Nerve graft顏面舌下神經吻合術Facial hypoglossal nerve anastomosis硬腦膜外血腫清除術Removal of subdural hematoma腦內血腫清除術Removal of intracerebral hematoma脊椎融合術Spinal fusion腦膜或脊髓膜突出修補術Repair of meningocele or enccphalocele水腫症腦室心房分流手術V-A shunt腦葉切除術Brain lobectomy頸動脈內膜切除法Carotid endarterectomy顱內外血管吻合術EC-IC by-pass開顱術摘除血管病變Crainotomy for vascular lesions脊椎腔內靜動脈畸型切除術Excision of intraspinal AVM立體定位術Stereotaxic procedure臂叢神經修補Brachial plexus repair
十.聽器鼓室成形術Tympanoplasty聽小骨重建術Ossiculoplasty耳性顱內合併症手術Intracranial operation otologocally聽神經腫瘍切除術Translabyrinthine acoustic neuroma excision顳骨錐部切除術Petrouectomy(apicectomy, petrous)乳突鑿開手術 Mastoidectomy內耳全摘除手術 Total resection of inner ear側頭骨腫瘍摘除手術 Resection of skull tumor迷路摘出手術Labyrinthectomy
十一.視器半層角膜移植術Panatrating keratoplasty鞏膜切除併植入或扣壓Resection, scleral, with graft or buckling眼坦部玻璃體切除術（複雜）Pars plana vitrectomy (vitrector)-complicated晶體切除術合併玻璃體切除術Lensectomy & vitrectomy (vitrector)移位晶體切除術合併玻璃體切除術Removal of dislocated lens combined vitrectomy (vitrector)
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Q:請問有大大能告知他特定手術的全部項目有那些嗎?
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請問有大大能告知他特定手術的全部項目有那些嗎?
A:
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歡迎點頭像加Line
只說實話、愛吃誠實豆沙包的保險78人/保險YOYO來了
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附表【特定手術項目表】（本表所列部分手術項目之中英文名稱係根據行政院衛生署於八十六、五、十五所公告之衛署健保字第八六０二四八八八號函）
一.皮膚
血管游離皮瓣顯微手術Microvascular free flap
二.筋骨脊椎間板脫位症手術－腰椎Discotomy - lumbar spine脊椎間板脫位症手術－頸椎Discotomy - cervical spine脊椎間板脫位症手術－胸椎Discotomy - thoracic骨盤半切斷術Hemipelvectomy斷指再接顯微手術Replantation - fingers斷肢再接顯微手術Replantation - arm, leg, metatarsal or foot全股關節置換手術Total hip replacement全膝關節置換手術Total knee replacement十字韌帶重建手術Reconstruction of cruciate ligament人工全髖關節再置換Revision total hip replacement人工全膝關節再置換Revision total knee replacement前胸椎融合併內固定Anterior spinal fusion (T-spine)-with spinal instrumentation前胸腰椎融合併內固定Anterior spinal fusion (TL-spine) with spinal instrumentation前腰椎融合併內固定Anterior spinal fusion (L-spine) with spinal instrumentation後側脊椎融合併內固定Posterior spinal fusion with spinal instrumentation游離骨骼肌肉移植術Free vascularized bone graft, free muscle graft拇指重建手術Pollicization脊椎骨折開放性復位術Open reduction for fracture of spine股關節固定術Arthrodesis of hip joint股關節截斷術Disarticulation of hip上肢廣泛性肩關節截斷術Forequater amputation大腿切斷手術Thigh amputation
三.呼吸器前額竇骨成形術Osteoplastic approach for frontal sinus surgery前額竇開窗術Trephination of frontal sinus氣管膺復重建Laryngotracheal reconstruction喉膺復重建Larynx reconstruction全喉切除手術Laryngectomy喉部份切除手術Hemilaryngectomy喉咽切除手術Laryngopharyngectomy肺合併臟器切除Combined resection of lung cancer肺袖式切除Sleeve resection門脈減壓術Surgery of portal hypertension氣管支氣管傷再造術Resconstruction of tracheo-bronchial tree聲帶切除手術 Vocal cord resection肺膜剝脫術Decortication of pleura肺全切除手術Pneumonectomy, total肺葉切除及胸廓成形術或支氣管成形術Lobecomy & thoracoplasty or bronchoplasty全肺切除及胸廓成形術或支氣管成形術Pneumonectomy with concomitent thoracoplasty or bronchoplasty
四.循環器探查性開心術Exploratory cardiotomy心房中膈缺陷修補術Repare atrial septal defect, secundum主動脈瓣膜整型術及繞道手術Valvuloplasty, aortic valve瓣膜成形術Valvular or/and annuloplasty主動脈瓣或二尖瓣或三尖瓣置換術Single valve replacement兩個瓣膜置換Double valves replacement三個瓣膜置換Triple valves replacement心室動脈瘤之修補Repair ventricular aneurysm心內膜墊缺陷修補術Repair endocardial cushion defect冠狀動脈繞道手術Coronary artery bypass grafting心室中膈缺陷修補術Repair ventricular septal defect四合群症修補及繞道手術Repair tetralogy of Fallot二尖瓣擴張術Closed mitral or open mitral commissurotomy主動脈轉位症手術Transposition of great arteries心房－肺動脈迴路成形術Fontan operation動脈內膜切除術Arteriao endarterectomy with or without bypass graft肺動脈栓塞切除術Embolectomy arterial, pulmonary artery頸（肢體）動靜廔管之切除移植及直接修補，右繞道手術Excision & graft bypass or direct repair A-V fistula neck or extremity胸（腹）部動靜廔管之切除移植及直接修補，右繞道手術Excision & graft bypass or direct repair A-V fistula chest or abdomen肺動脈結紮Pulmonary artery banding主動脈－肺動脈開窗之修補手術Repair aorto-pulmonary window主動脈狹窄之修補Repair coarctation aorta存開性動脈導管手術Surgical obliteration for PDA
五.造血與淋巴系統後腹膜腔淋巴根除術Retroperitoneal lymphadenectomy髖鼠蹊部淋巴根除術（雙側）Ileo-inguinal lymphadenectomy-bilateral
六.消化器舌骨上區清除術Suprahyoid dissection口腔底部整體切除術Commando operation腮腺切除術（全葉）Parotidectomy, total lobectomy食道切除再造術Esophagectomy & reconstruction食道再造術Reconstruction of esophagus食道靜脈瘤曲張結紮，脾臟切除併近心端胃血管去除Devascularization procedure胃全部切除術Gastrectomy, total胃賁門及食道切除再造術Proximal gastrectomy & esophagectomy & reconstruction胃亞全切除Subtotal gastrectomy胃隔間術Gastric partition結腸全切除術Colectomy, total根治性直腸切除術Radical protectomy大腸全切除術Colectomy小腸全切除術Total resection of small intestino脾臟全切除術 Total resection of spleen肝門靜脈分流術Portocavo shunt (H-graft)脾、腎靜脈分流術Spleno-renal shunt右肝葉切除術Total right lobectomy左肝葉切除術Total left lobectomy擴大右肝葉切除術Extended right lobectomy擴大左肝葉切除術Extended left lobectomy腹腔鏡膽囊切除術Laparoscopic cholecystectomy胰臟全切除術Total pancreatectomy十二指腸全切除術 Total duodenectomy
七.尿道、性器經皮腎結石取石術Percutaneous nephrostolithotomy (PCNSL)腹部會陰尿道懸吊術Abdominal perineal urethral suspension (APUS)膀胱全部切除術Total cystectomy以腸管取代全部或部份輸尿管（雙側）Replacement ureter of all or part of ureter by bowel segment (bilateral)前列腺根治術（含精囊摘除術）Radical biopsy (including vesiarlectomy)根治女陰道切除術（合併淋巴清掃）Radical vulvgectomy陰道式子宮根治術Hsterectomy vaginal radical子宮全摘除術 Total Hysterectomy骨盤腔臟器摘除術Pelvic exenteration
八.內分泌器頸部淋巴腺刮除術（雙側）Neck lymph node dissection (bilateral)根治性甲狀腺切除術Radical thyroidectomy with unilateral neck lymphnode dissection
九.神經外科腦微血管減壓術Microvascular decompression椎弓切除術Laminectomy for decompression顳下減壓術Subtemporal decompression顱骨切除術Craniectomy脊髓切斷術Myelotomy後根切斷術Posterior rhizotomy椎間盤切除術Diskectomy胸交感神經切除術Dorsal sympathectomy神經移植Nerve graft顏面舌下神經吻合術Facial hypoglossal nerve anastomosis硬腦膜外血腫清除術Removal of subdural hematoma腦內血腫清除術Removal of intracerebral hematoma脊椎融合術Spinal fusion腦膜或脊髓膜突出修補術Repair of meningocele or enccphalocele水腫症腦室心房分流手術V-A shunt腦葉切除術Brain lobectomy頸動脈內膜切除法Carotid endarterectomy顱內外血管吻合術EC-IC by-pass開顱術摘除血管病變Crainotomy for vascular lesions脊椎腔內靜動脈畸型切除術Excision of intraspinal AVM立體定位術Stereotaxic procedure臂叢神經修補Brachial plexus repair
十.聽器鼓室成形術Tympanoplasty聽小骨重建術Ossiculoplasty耳性顱內合併症手術Intracranial operation otologocally聽神經腫瘍切除術Translabyrinthine acoustic neuroma excision顳骨錐部切除術Petrouectomy(apicectomy, petrous)乳突鑿開手術 Mastoidectomy內耳全摘除手術 Total resection of inner ear側頭骨腫瘍摘除手術 Resection of skull tumor迷路摘出手術Labyrinthectomy
十一.視器半層角膜移植術Panatrating keratoplasty鞏膜切除併植入或扣壓Resection, scleral, with graft or buckling眼坦部玻璃體切除術（複雜）Pars plana vitrectomy (vitrector)-complicated晶體切除術合併玻璃體切除術Lensectomy & vitrectomy (vitrector)移位晶體切除術合併玻璃體切除術Removal of dislocated lens combined vitrectomy (vitrector)
十二.惡性腫瘤切除手術（所有部位）
十三.重大器官移植手術
心、肺、肝、胰、腎、骨髓移植
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我是在DCARD保險業版出沒的保險78人/保險YOYO。
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--
常見組合:
1.🙏+🌍
🙏
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缺點:門診手術低
🌍
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缺點:重大傷病無特定傷病
規劃重點保單
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⚾重大傷病第一年和慢性精神病、免疫系統不打折
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🏐病房費一天5000起跳
🎯 成人規劃六大保障
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💡意外險(死殘/意外實支/意外日額/骨折)
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💡癌症險(一次金癌症險優先；療程型/生存型/實支實付型 次之)
💡重大傷病險(分為重大傷病/重大疾病/特定傷病，重大傷病優先)
💡照護險
(主要為失能險/長照險/失智險，目前失能險滅絕，改以意外失能險和為優先，輔以一年期長照險和失智險，預算夠再考慮長照險)
🎯新生兒規劃重點:一個月保費2000初
新生兒保單常見組合:
1.🙏+🌍
🙏
優點:意外實支額度高、醫療實支雜費手術分開、門診手術額度高、特定門診處置
缺點:每年理賠上限、保費較高
2.🍉+🌍
🍉
優點:醫療實支雜費手術合併手術不打折、無年度理賠上限;有癌症一次金;有骨折險
缺點:門診手術低
🌍
優點:重大傷病慢性精神病不打折、相對其他家保費相對平準:住院+手術定額險手術定義較寬鬆
缺點:重大傷病無特定傷病
🚨醫療險
兒童免疫系統尚未健全，生病機會頗高，建議住院住單人房，可以避免受到其他病友干擾，除了實支實付的住院額度外，利用住院日額，拉高住院病房費已達單人房費用；手術險增加理賠金額。
目前的自費(達文西手術、自費鋼板、特殊材料、微創手術、高端骨材)項目越來越高，實支實付規劃以高雜費且保證續保為主。
♨️意外
小朋友意外頻傳，規劃多種意外險種避免後續的就醫負擔，
意外失能、意外扶助金、意外實支實付、意外日額、意外骨折，
尤其避免因嚴重燒燙傷需要長期治療植皮、除疤、壓力衣....成為為意外重點。
此外可以規劃小孩弄壞別人物品，需要理賠的白目險。
🚑癌症
癌症治療的方式非常多，不像以前癌症被視為絕症。
健保放化療副作用非常高，有許多高額、自費的化療、放療，能夠更精準的針對癌細胞，
光子治療:電腦刀、螺旋刀、諾力刀、銳速刀、弧形刀、亞瑟刀、真光刀
粒子治療:
質子治療、重粒子治療
標靶放射線；
硼中子捕獲治療、 肽受體-放射性核素治療 、攝護腺特異性膜抗原
此外，還有標靶藥物、免疫療法....等等。
挑選重點:一次金額度越高越好，療程型、生存型、實支實付型為輔助
🛎️重大傷病
重大險種主要分為重大疾病(七項)、特定傷病(30~40項，例如精選傷病)、重大傷病(300多項，健保署認定、標準明確、見卡就賠)
挑選重點:第一年不打折、慢性精神病不打折
🌀照護險
主要為失能險/長照險，目前失能險滅絕，改以意外失能險為優先、，輔以一年期長照險，失智險，有預算再來規劃長照險
｢歡迎GOOGLE搜尋、點擊頭像和點選連結討論喔 ^0^ ｣ 💯