摘要
目的总结多发肋骨骨折在胸腔镜下切开复位内固定的临床经验。方法回顾性总结本科2009年4月～2012年12月89例多发肋骨骨折患者在胸腔镜下切开复位内固定的治疗情况及效果。结果 89例均取得满意治疗效果。全部患者术后疼痛明显减轻,咳嗽、咳痰有力,呼吸功能明显改善。未发生死亡病例,也无切口感染、肺部感染及取出内固定者。住院最短12d,最长23d,平均住院14d。出院后均有随访复查,在2～3个月X线片或CT肋骨三维重建提示均为骨折线模糊或消失,也无骨不愈合现象,也无肋间神经痛。结论胸腔镜下切开复位内固定术,联合术后持续静脉镇痛,具有微创、探查彻底、并发症少、术后恢复快等优点,可作为治疗多发肋骨骨折的首选方法。
Objective To summarize the clinical experience of multiple fractured ribs treated under thoracoscopy open reduction and internal fixed. Methods The clinical effect on eighty-nine multiple fractured ribs treated under thora- coscopy open reduction and internal fixed from April 2009 to December 2012 were retrospectively summed up. Re- sults The multiple fractured ribs treated under thoracoscopy open reduction and internal fixed can obtain satisfactory therapeutic effect, all patients significantly reduce postoperative pain, patients powerfully cough and sputum, patients＂ respiratory function obviously improved. There were no the occurrence of death cases, no incision infection, no pul- monary infection and removed the inside fixed. The shortest hospital stays was 12 days, the longest was 23 days, the hospital stays were 14 days in hospital on average. All patients had follow-up review after discharge, the X-ray or CT frame 3 d reconstruction showed that tips were for fracture line fuzzy or disappear, no bone nonunion phenomenon and the intercostal neuralgia in 2 - 3 months. Conclusion Under thoracoscopy open reduction and internal fixed combined the continuous intravenous analgesia are minimally invasive, thoroughly probed, fewer complications, and fast postoper- ative recovery. It can be used as the first choice of treatment of multiple fractured ribs method.
出处
《中国当代医药》
2013年第10期189-190,共2页
China Modern Medicine
关键词
肋骨骨折
切开复位
内固定
重点固定
持续静脉镇痛
听三角
Rib fracture
Open reduction
Internat fixation
Focus fixation
Continuous intravenous postoperativeanalgesia
Auditory triangle
