胸腔镜与常规开放手术治疗连枷胸的围术期疗效探析  

Analysis of the Perioperative Curative Effect of Thoracoscopy and Conventional Open Surgery in the Treatment of Flail Chest

作　　者：李鹏 LI Peng(Department of Thoracic Surgery,Mudanjiang Forestry Central Hospital,Mudanjiang,Heilongjiang Province,157011 China)

机构地区：[1]黑龙江省牡丹江林业中心医院胸外科,黑龙江牡丹江157011

出　　处：《世界复合医学》2021年第3期104-106,共3页World Journal of Complex Medicine

摘　　要：目的探讨胸腔镜下接骨板治疗与常规开放手术对连枷胸患者的围术期治疗效果。方法选择该院2017年1月—2019年12月接收的64例连枷胸患者作为研究对象,按照数字表评分法将患者划为对照组和研究组,每组32例。对照组患者实施常规开放手术,研究组患者实施胸腔镜下接骨板治疗,观察分析两组患者的手术参数和并发症情况。结果研究组患者的并发症发生率为3.12%,优于对照组,差异有统计学意义(χ^(2)=5.143,P=0.023);研究组患者手术时间、术中出血量、切口长度、术后疼痛评分以及住院时间分别为(50.19±17.90)min、(49.49±9.19)mL、(11.17±0.17)cm、(2.21±0.29)分、(10.23±3.02)d,优于对照组,差异有统计学意义(t=9.918、22.130、19.203、16.252、10.083,P<0.05)。结论为连枷胸患者进行胸腔镜下接骨板治疗,可以降低患者并发症发生率,改善患者手术参数情况,值得临床大力推广。Objective To explore the perioperative therapeutic effect of thoracoscopic bone plate treatment and conventional open surgery on flail chest patients.Methods The 64 flail chest patients received by the hospital from January 2017 to December 2019 were selected as the research objects,and the patients were divided into the control group and the study group according to the numerical table scoring method,with 32 cases in each group.Patients in the control group underwent conventional open surgery,and patients in the study group underwent thoracoscopic bone plate treatment.The surgical parameters and complications of the two groups were observed and analyzed.Results The complication rate of the study group was 3.12%,which was better than that of the control group.The difference was statistically significant(χ^(2)=5.143,P=0.023);the study group had surgery time,intraoperative blood loss,incision length,postoperative pain score and hospitalization time was(50.19±17.90)min,(49.49±9.19)mL,(11.17±0.17)cm,(2.21±0.29)min,(10.23±3.02)d,which were better than the control group,and the difference was statistically significant(t=9.918,22.130,19.203,16.252,10.083,P<0.05).Conclusion Thoracoscopic bone plate treatment for flail chest patients can reduce the incidence of complications and improve the surgical parameters of patients.It is worthy of clinical promotion.

关 键 词：胸腔镜 开放手术 连枷胸 围术期 效果 

分 类 号：R4[医药卫生—临床医学]