经听诊三角微创切口在后肋及部分侧肋骨骨折切开复位内固定术中的临床价值  

Clinical value of open reduction and internal fixation of posterior and partial lateral rib fractures through auscultation triangulation minimally invasive incision

作　　者：殷世杰 代建川 王瑞 YIN Shijie;DAI Jianchuan;WANG Rui(Department of Thoracic and Vascular Surgery,People's Hospital of Zhuang and Miao Autonomous Prefecture,Wenshan,Yunnan,663099,China)

机构地区：[1]文山壮族苗族自治州人民医院胸外/心脏大血管外科,云南文山663099

出　　处：《当代医学》2023年第25期118-121,共4页Contemporary Medicine

摘　　要：目的探讨经听诊三角微创切口在后肋及部分侧肋骨骨折切开复位内固定术中的临床价值。方法选取2017年6月至2021年3月文山壮族苗族自治州人民医院收治的68例后肋骨骨折患者作为研究对象,随机分为观察组与对照组,每组34例。对照组以其他切口进行治疗,观察组以听诊三角微创切口进行治疗。比较两组不同时间点疼痛程度、患侧上肢功能、手术相关指标及术后并发症发生情况。结果术后1周及术后6个月,两组视觉模拟量表(VAS)评分比较差异无统计学意义;术后6个月,两组VAS评分均低于术后1周,差异有统计学意义(P<0.05)。术后1周,观察组前屈、外旋角度均大于对照组,差异有统计学意义(P<0.05);术后6个月,两组前屈、外旋角度均大于术后1周,且观察组大于对照组,差异有统计学意义(P<0.05)。两组手术时间、住院时间比较差异无统计学意义;观察组术中出血量少于对照组,切口长度、开胸时间、关胸时间均短于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为8.82%,低于对照组的29.41%,差异有统计学意义(P<0.05)。结论后肋及部分侧肋骨骨折切开复位内固定术中经听诊三角微创切口的运用可促进患者患侧上肢功能恢复,缩短手术时间与治疗时间、住院时间,减少出血量,切口长度较短且美观,操作简便,值得临床推广应用。Objective To investigate the clinical value of open reduction and internal fixation of posterior and partial lateral rib fractures through auscultation triangulation minimally invasive incision.Methods A total of 68 patients with posterior rib fracture admitted to the People's Hospital of Wenshan Zhuang and Miao Autonomous Prefecture from June 2017 to March 2021 were selected as the study subjects,and they were randomly di-vided into the observation group and the control group,with 34 cases in each group.The control group was treated with other incisions,and the obser-vation group was treated with auscultation triangle minimally invasive incision.The severity of pain,the function of the affected upper limb at differ-ent time periods,operative indicators and postoperative complications were compared between the two groups.Results 1 week and 6 months after surgery,there was no significant difference in visual analog scale(VAS)scores between the two groups;6 months after surgery,the VAS scores of the two groups were lower than those of the 1 week after surgery,and the differences were statistically significant(P<0.05).1 week after operation,the angle of flexion and rotation in the observation group was higher than that in the control group,the differences were statistically significant(P<0.05);at 6 months after surgery,the anteroflexion and external rotation angles of both groups were greater than those of 1 week after surgery,and the observation group was greater than the control group,the differences were statistically significant(P<0.05).There was no significant difference in surgery time and hospital stay between the two groups,the intraoperative blood loss in the observation group was less than that in the control group,and the incision length,thoracotomy time and thoracotomy time were shorter than those in the control group,the differences were statistically signifi-cant(P<0.05).The total incidence of complications in the observation group was 8.82%,which was lower than 29.41%in the control group,and the diffe

关 键 词：后肋骨骨折切开复位内固定术 听诊三角 微创 

分 类 号：R687.3[医药卫生—骨科学]