胸腔镜辅助下肋骨骨折内固定术的临床应用  

Clinical application of internal fixation for rib fracture under assistance of VATS

作　　者：陈莹[1] 林万里[1] 冯才厚[1] 龚兰娟[1] 

机构地区：[1]高州市人民医院胸外科,广东高州525200

出　　处：《中国伤残医学》2016年第8期9-11,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：分析对比胸腔镜辅助下内固定与传统内固定术治疗多发肋骨骨折的疗效。方法：根据手术方法将44例多发肋骨骨折手术患者分为胸腔镜辅助下内固定组22例与传统内固定组22例。观察对比2组患者的各项手术指标及临床疗效。结果：胸腔镜辅助下内固定组手术中出血量、通气时间、留置ICU时间均低于传统内固定组（P〈0．05）；2组患者手术时间对比差异无统计学意义（P〉0．05）。胸腔镜辅助下内固定组优良率为90．91％，与传统内固定组81．82％相比差异无统计学意义（P〉0．05）。结论：胸腔镜辅助下内固定与传统内固定治疗多肋骨骨折的疗效相当，但前者不需切开肋间肌撑开肋骨进入胸腔，具有出血量少、创伤较小、恢复快等优势，适于临床应用与推广。Objective： To make an analysis and comparison of the curative effects of treating multiple rib fracture by the internal fixation under the assistance of thoracoscope and the traditional internal fixation. Methods： According to the methods, 44 patients with multiple rib fracture were divided into a group of traditional internal fixation of 22 cases and a group of internal fixation under thoracoscope of 22cases. Observation and comparison were conducted on the various operational indexes and clinical curative effects of the two groups. Results： In thesurgical operations on the group of internal fixation under the assistance of thoracoscope, the bleeding amount, duration of ventilation, and the time of staying at ICU are all lower than those of the group of traditional internal fixation （P 〈 0.05） ; the difference of the surgical time between the two groups is of no statistical meaning （P 〉 0.05）. The good rate of the group of internal fixation under thoracoscope is 90.91%, which leads to no statistical meaning when compared with the 81.82% of the group of traditional internal fixation （ P 〉 0. 05 ）. Conclusion： The internal fixation under the assistance of thoracoscope roughly equals the traditional internal fixation in terms of treating multiple rib fracture, with the former having the advantages of fewer bleeding, less trauma and faster recovery rate because it does not require cutting through the intercostal muscles and opening the ribs to get into the chest. Therefore, it should be suitable for clinical application and promotion.

关 键 词：胸腔镜辅助下内固定 传统内固定 多发肋骨骨折 

分 类 号：R683.1[医药卫生—骨科学]