全胸腔镜手术与传统胸腔镜辅助手术对多发性肋骨骨折合并血(液)气胸的临床疗效对比研究  

Comparison of clinical efficacy between total thoracoscopic surgery and traditional thoracoscopic assisted surgery for multiple rib fractures complicated with blood(fluid)pneumothorax

作　　者：丁雪松 彭华利[1] 张帆[1] Ding Xuesong;Peng Huali;Zhang Fan(Department of Cardiothoracic Surgery,the People's Hospital of Leshan City,Sichuan Province,Sichuan Leshan 614000)

机构地区：[1]四川省乐山市人民医院胸心外科,四川乐山614000

出　　处：《中国社区医师》2020年第30期27-28,共2页Chinese Community Doctors

摘　　要：目的:比较全胸腔镜手术与传统胸腔镜辅助手术对多发肋骨骨折合并血(液)气胸的临床疗效。方法:2019年8月-2020年5月收治多发肋骨骨折合并血(液)气胸患者51例,分为两组。对照组采用胸腔镜辅助手术;观察组采用全胸腔镜手术。比较两组临床手术指标及临床疗效。结果:观察组ICU住院时间、术后住院时间、术后视觉模拟评分、术后止痛药物应用率、术后胸腔引流管保留时间均低于对照组,差异有统计学意义(P<0.05);观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。结论:全胸腔镜手术治疗多发肋骨骨折合并血(液)气胸更有优势。Objective:To compare the clinical efficacy of total thoracoscopic surgery and traditional thoracoscopic assisted surgery in the treatment of multiple rib fractures complicated with blood(fluid)pneumothorax.Methods:From August 2019 to May 2020,51 patients with multiple rib fractures complicated with blood(fluid)pneumothorax were selected,they were divided into the two groups.The control group was treated with video-assisted thoracoscopic surgery.The observation group was treated with total thoracoscopic surgery.We compared clinical surgical indexes and clinical efficacy between the two groups.Results:The length of ICU stay,postoperative length of stay,postoperative VAS score,postoperative analgesic drug utilization and postoperative drainage tube placement time in the observation group were all lower than those in the control group,the differences were statistically significant(P<0.05).The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Total thoracoscopic surgery is more minimally invasive in the treatment of multiple rib fractures combined with blood(liquid)patients with pneumothorax.

关 键 词：胸腔镜手术 肋骨骨折 血(液)气胸 

分 类 号：R655[医药卫生—外科学] R687.3[医药卫生—临床医学]