全胸腔镜与胸腔镜辅助手术对胸外伤合并多发肋骨骨折患者术后恢复、疼痛和并发症的影响比较  

Comparison of the Effects of Total Thoracoscopic and Thoracoscopic Assisted Surgery on Postoperative Recovery,Pain and Complications in Patients with Thoracic Trauma Combined with Multiple Rib Fractures

作　　者：郭文炜 李林[1] 胡建华 刘苏萍 胡文平 黄斌 GUO Wenwei;LI Lin;HU Jianhua;LIU Suping;HU Wenping;HUANG Bin(Cardiothoracic Surgery Department,Ji’an Central People's Hospital,Ji’an 343000,China;不详)

机构地区：[1]吉安市中心人民医院心胸外科,江西吉安343000 [2]吉安市中心人民医院骨科,江西吉安343000 [3]吉安市中心人民医院康复科,江西吉安343000 [4]吉安市中心人民医院重症医学科,江西吉安343000

出　　处：《中国医学创新》2024年第10期101-104,共4页Medical Innovation of China

基　　金：吉安市指导性科技计划项目(20233-043352)。

摘　　要：目的:比较全胸腔镜与胸腔镜辅助手术对胸外伤合并多发肋骨骨折患者术后恢复、疼痛和并发症的影响。方法:采取回顾性分析法选取吉安市中心人民医院2021年2月—2023年2月收治的胸外伤合并多发肋骨骨折患者130例,根据手术方法不同将其分为两组,观察组53例采用全胸腔镜手术治疗,对照组77例采用胸腔镜辅助手术治疗。观察两组围手术期指标、疼痛视觉模拟评分法(VAS)和并发症发生情况。结果:两组手术时间比较,差异无统计学意义(P>0.05)。与对照组相比,观察组手术切口长度较短,术中出血量较少,术后引流管拔管时间和ICU监护时间均较短(P<0.05)。观察组术后3、5、7 d VAS评分均低于对照组(P<0.05)。观察组并发症总发生率(5.66%)低于对照组(18.18%),差异有统计学意义(P<0.05)。结论:在胸外伤合并多发肋骨骨折患者的手术治疗中,全胸腔镜手术患者的恢复、疼痛和并发症发生情况均优于胸腔镜辅助手术。Objective:To compare the effects of total thoracoscopic and thoracoscopic assisted surgery on postoperative recovery,pain and complications in patients with thoracic trauma combined with multiple rib fractures.Method:A total of 130 patients with thoracic trauma combined with multiple rib fracture admitted to Ji’an Central People's Hospital from February 2021 to February 2023 were selected by retrospective analysis,were divided into two groups according to different surgical methods,53 cases in the observation group were treated with total thoracoscopic surgery,and 77 cases in the control group were treated with thoracoscopic assisted surgery.Perioperative indexes,visual analogue scale(VAS)and incidence of complications were observed in the two groups.Result:There was no statistically significant difference in surgical time between the two groups(P>0.05).Compared with the control group,the length of surgical incision in the observation group was shorter,the amount of intraoperative blood loss was less,and the time of postoperative drainage tube extubation and ICU monitoring were shorter(P<0.05).The VAS scores of the observation group were lower than those of the control group at 3,5 and 7 d after surgery(P<0.05).The incidence of complications in the observation group(5.66%)was lower than that in the control group(18.18%),the difference was statistically significant(P<0.05).Conclusion:In the surgical treatment of patients with thoracic trauma combined with multiple rib fractures,the recovery,pain and incidence of complications of patients undergoing total thoracoscopic surgery are better than those undergoing thoracoscopic assisted surgery.

关 键 词：胸腔镜 多发肋骨骨折 胸外伤 手术 

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