摘要
目的 探讨单操作孔胸腔镜辅助下肋骨爪内固定手术治疗多发性肋骨骨折的临床效果.方法 回顾性分析2011年7月～2013年4月我科收治的115例多发性肋骨骨折患者的临床资料,45例患者在全身麻醉、单操作孔胸腔镜辅助下行肋骨骨折复位、爪形接骨板内固定手术治疗;70例行传统胸膜外（无胸腔镜支持）切开复位内固定术.结果 本组患者术后胸廓外观正常,反常呼吸消失,复查胸部X线片显示两肺膨胀良好,骨折对位满意,所有患者均痊愈出院.单操作孔组平均住院时间 11d,传统手术组19d;单操作孔组平均手术切口长约1.2cm/爪.传统手术组2.0 cm/爪,随访时间5～15个月,两组患者均恢复良好.结论 单操作孔胸腔镜下行肋骨爪内固定手术治疗多发性肋骨骨折较传统手术方法创伤更小、疗效更佳,临床应用前景广阔.
Objective To explore the treatment of multiple rib factures assisted by single operating-hole thoracic. Meth- ods Retrospective analysis of the 115 cases from July 2011 to April 2013. 45 cases were trearted by single-operating-hole thorac- ic,70 by traditional surgery. Results All cases received normal appearance of thoracic, paradoxical respiration disappeared, re- view of chest X-ray showed good expansion of both lungs, fracture alignment satisfaction. All cases cured in 11 d （ single operat- ing-hole thoracic groupi, 19d（ traditional surgery group）. The length of surgical incision was 1.2 em per instrucment（ single oper- ating-hole thoracic group） ,2 cm in traditional group, followed up 5 months to 15 months, all cases restored well. Conclusion Compare to traditional surgery, the surgery by single operating-hole thoracic could be more minimally invasive, better efficacy, broad application prospects.
出处
《四川医学》
CAS
2013年第9期1291-1292,共2页
Sichuan Medical Journal
基金
四川省科技厅课题(编号:2011FZ0143)
关键词
肋骨骨折
单操作孔胸腔镜
内固定手术
rib fracture
single operating-hole thoracic
internal fixation
