胸腔镜辅助小切口手术与传统开胸手术治疗多发性肋骨骨折合并肺撕裂伤的效果比较  

Comparison of the Effects of Thoracoscopic-Assisted Small Incision Surgery and Traditional Thoracotomy in the Treatment of Multiple Rib Fractures Complicated with Lung Laceration

作　　者：潘帅 PAN Shuai(Liaoyang Central Hospital,Liaoning Liaoyang 111000)

机构地区：[1]辽阳市中心医院,辽宁辽阳111000

出　　处：《中国医疗器械信息》2023年第18期82-84,共3页China Medical Device Information

摘　　要：目的:探讨胸腔镜辅助小切口手术与传统开胸手术治疗多发性肋骨骨折合并肺撕裂伤的效果。方法:选取2019年12月~2020年10月在本院行手术治疗的83例多发性肋骨骨折合并肺撕裂伤患者,随机分为开胸组(41例)和辅助小切口组(42例)。开胸组行传统开胸手术治疗,辅助小切口组行胸腔镜辅助小切口手术,对比两组患者术中及术后情况,对比两组治疗效果及并发症情况。结果:辅助小切口组术中出血量、手术时间、术后ICU住院时间、术后下床活动时间和术后住院总时间均显著低于开胸组,差异有统计学意义(P<0.05);辅助小切口组术后24h、48h和72hVAS评分显著低于开胸组,差异有统计学意义(P<0.05);辅助小切口组术后并发症显著低于开胸组(P<0.05)。结论:胸腔镜辅助小切口手术有效降低了手术创伤性,减少了出血量,有效防控了并发症风险,且术后疼痛程度较轻,并缩短了患者康复进程,临床应用价值较高。Objective:To investigate the effect of thoracoscopic assisted small incision surgery and traditional thoracotomy in the treatment of multiple rib fractures complicated with lung laceration.Methods:A total of 83 patients with multiple rib fracture complicated with lung laceration who underwent surgical treatment in our hospital from December 2019 to October 2020 were randomly divided into thoracotomy group(41 cases)and auxiliary small incision group(42 cases).The thoracotomy group was treated with traditional thoracotomy surgery,and the assisted small incision group was treated with thoracoscopic assisted small incision surgery.The intraoperative and postoperative conditions of patients in the two groups were compared,as well as the treatment effect and complications of the two groups.Results:The amount of intraoperative blood loss,operative time,postoperative ICU hospitalization time,postoperative activity time and total postoperative hospitalization time in the assisted small incision group were significantly lower than those in the thoracotomy group,and the difference was statistically significant(P<0.05);VAS scores at 24h,48h and 72h in the auxiliary small incision group were significantly lower than those in the thoracotomy group,and the difference was statistically significant(P<0.05);The postoperative complications in the auxiliary small incision group were significantly lower than those in the thoracotomy group(P<0.05).Conclusion:VATS assisted small incision surgery can effectively reduce the surgical trauma,reduce the amount of blood loss,effectively prevent and control the risk of complications,and the degree of postoperative pain is less,and shorten the rehabilitation process of patients,which has high clinical application value.

关 键 词：胸腔镜辅助小切口手术 开胸手术 多发性肋骨骨折 肺撕裂伤 

分 类 号：R683.1[医药卫生—骨科学]