肋骨骨折切开复位内固定术临床疗效分析  

Clinical effect analysis of open reduction and internal fixation for rib fracture

作　　者：尚允利 黄健[2] SHANG Yun-li;HUANG Jian(The People's Hospital of Zongyang County,Tongling 246799,Anhui;The First Affiliated Hospital of USTC,Hefei 230001,Anhui)

机构地区：[1]枞阳县人民医院胸外科,安徽铜陵246799 [2]中国科学技术大学附属第一医院胸外科,安徽合肥230001

出　　处：《安徽医专学报》2025年第1期38-40,44,共4页Journal of Anhui Medical College

摘　　要：目的:探讨肋骨骨折切开复位内固定术的临床疗效,以期为临床患者的诊疗提供更多新思路。方法:回顾性分析医院收治的160例肋骨骨折患者作为研究对象,依据患者不同的干预方法分为观察组与对照组,各80例患者。对照组患者行保守治疗,观察组患者采取切开复位内固定治疗,记录两组患者的临床疗效、下床活动时间、镇痛剂应用次数、住院时间、疼痛程度、血清白蛋白水平和并发症情况。结果:观察组患者临床治疗优良率高于对照组(P<0.05)。观察组患者下床活动时间、镇痛剂应用次数和住院时间均低于对照组(P<0.05)。治疗前,两组患者VAS评分差异无统计学意义(P>0.05);治疗后1 d、3 d、7 d,观察组患者VAS评分均低于对照组(P<0.05)。术后1周,观察组患者血清白蛋白水平高于对照组(P<0.05)。观察组患者并发症发生率低于对照组(P<0.05)。结论:肋骨骨折采用切开复位内固定手术相较传统保守治疗疗效显著,能够更快地促进患者康复,降低患者疼痛程度和并发症发生率。Objective:This study aimed to comprehensively analyze the clinical efficacy of open reduction and internal fixation for rib fractures,with the intention of offering novel perspectives and strategies for the management of clinical patients.Methods:A retrospective analysis was conducted on 160 cases of rib fractures treated at People's Hospital.These patients were categorized into an observation group and a control group based on distinct intervention methods,with 80 cases in each group.The control group was subjected to conservative treatment,while the observation group underwent open reduction and internal fixation.The clinical effectiveness,time to ambulation,frequency of analgesic use,length of hospital stay,pain intensity,serum albumin level,and occurrence of complications were meticulously recorded and compared between the two groups.Results:The clinical excellent rate in the observation group reached,significantly surpassing that of the control group(P<0.05).The time to ambulation,frequency of analgesic use,and length of hospital stay in the observation group were all markedly reduced compared to the control group(P<0.05).There was no statistically significant difference in VAS scores between the two groups prior to treatment(P>0.05).However,at 1 day,3 days,and 7 days after treatment,the VAS score of the observation group was notably lower than that of the control group(P<0.05).One week after the operation,the serum albumin level in the observation group was higher than that in the control group(P<0.05).The incidence of complications in the observation group,considerably lower than the in the control group(P<0.05).Conclusion:Compared with traditional conservative treatment,open reduction and internal fixation for rib fractures demonstrates enhanced effectiveness.It not only expedites patient recovery but also mitigates pain levels and diminishes the occurrence of adverse complications,thus providing a more optimal treatment option for patients with rib fractures.

关 键 词：肋骨骨折 传统保守治疗 切开复位内固定术 临床疗效 

分 类 号：R687.3[医药卫生—骨科学]