胸腔镜辅助治疗多发肋骨骨折的临床研究  

Clinical studies of multiple rib fractures assisted thoracoscopic treatment

作　　者：陈祖尧[1] 任守阳[1] 黄健[1] 邓建华[1] 

机构地区：[1]都江堰市医疗中心,四川都江堰611830

出　　处：《西部医学》2015年第8期1160-1162,共3页Medical Journal of West China

基　　金：四川省科技厅资助项目(2011FZ0143)

摘　　要：目的探讨胸腔镜辅助治疗多发肋骨骨折的临床应用价值。方法选取2012年3月至2013年3月收治的多发肋骨骨折患者168例,随机分为观察组和对照组,观察组83例采用胸腔镜辅助复位内固定术治疗;对照组85例采用传统开胸肋骨接骨板内固定术。比较两组并发症发生率、手术时间、机械通气时间,ICU监护时间以及胸引流管放置时间、术中出血量和切口利用率、疼痛度等疗效。结果观察组9例术后出现并发症,对照组20例出现并发症,两组术后并发症对比有统计学意义(P<0.05);观察组患者手术时间,机械通气时间、ICU监护时间以及胸引流管放置时间明显短于对照组,差异有统计学意义(P<0.05);术中出血量和切口利用率对照组高于观察组患者,观察组治疗有效率为96.4%,对照组治疗有效率为97.6%,两组对比无统计学意义(P>0.05)。观察组轻度疼痛者占71.08%,明显高于对照组25.88%(P<0.05)。结论采用胸腔镜辅助治疗多发肋骨骨折能取得满意的治疗效果,患者术后疼痛较轻,恢复较快,并发症较少,可在临床推广应用。Objective To observe and analyze assisted thoracoscopic treatment of clinical application and treatment of multiple rib fractures. Methods Patients with multiple rib fractures from March 2012 to March 2013 a total of 168 ca- ses were treated. The patients were randomly divided into observation group and control group. The observation group were treated with internal fixation assisted thoracoscopic treatment. The control group was treated with traditional thora- cotomy rib plate fixation. Results The patients had complications occurred in 9 patients in the control group 20 cases of patients with complications. The postoperative complications in the two groups were statistically significant differences. The operative time, duration of mechanical ventilation, ICU monitoring time and chest drainage tube placement time of observation group were significantly shorter than that of the control grou. Blood loss and incision utilization of observation group significantly higher than that of the control group. Effective rate of observation group and control group were 96.4% anal 97.6%. The mild pain patients in the observation group was significantly more than that in, the control group. Conclusion Assisted thoracoscopic treatment of multiple rib fractures can achieve a satisfactory surgical treat- ment, rapid postoperative recovery, less postoperative pain and less postoperative complications.

关 键 词：胸腔镜 辅助治疗 多发肋骨骨折 

分 类 号：R683.1[医药卫生—骨科学]