To explore the difference of hospitalization expenses of patients with esophageal Laparoscopic repair of esophageal hiatal hernia combined with fundoplication before and after the reform of medical policy, and to analyze the change of hospitalization expenses structure, so as to provide the basis for the corresponding countermeasures and suggestions.

The data of patients undergoing esophageal Laparoscopic repair of esophageal hiatal hernia combined with fundoplication in hospital from May 10, 2016 to March 31, 2019 were retrospectively analyzed. The discharged time was divided into groups based on October 1, 2017. The former was 51 cases (Group A) and the latter was 55 cases (Group B). The differences of project costs between the two groups were analyzed and compared.

The general medical service fee, nursing fee, non-surgical treatment fee, operation treatment fee and anesthesia fee of patients with esophageal hiatal hernia after medical reform were higher than those before medical reform, and the difference was statistically significant (P＜0.05). The cost of Western medicine, imaging diagnosis fee, examination material fee and operation material fee were lower than those before medical reform (P＜0.05). There was statistical significance (P＜0.05).

Based on the medical reform policy, the structure of medical expenditure before and after the medical reform can be effectively changed to make the cost allocation of surgical inpatients more reasonable.