摘要
目的研究胸腔镜手术治疗外伤所致多发肋骨骨折合并血气胸的疗效及预后。方法选择2016年1月至2017年6月本院接诊的86例多发肋骨骨折合并血气胸的患者进行研究。按照随机数表法将所有患者随机均分为研究组和对照组。研究组患者采用胸腔镜手术。对照组患者使用传统经胸内固定的方式进行固定。对手术的治疗效果进行比较与分析。对两组患者的手术基本情况进行比较与分析。对两组患者的术后并发症情况进行比较与分析。结果研究组患者手术的优良率(97.67%)明显高于对照组患者的手术的优良率(81.40%),两组比较有统计学意义(χ~2=6.0808,P=0.0137)。研究组患者的术中出血量、手术时间、引流管拔出时间、住院时间以及骨折愈合时间明显低于对照组患者的术中出血量、手术时间、引流管拔出时间、住院时间以及骨折愈合时间,数据差异有统计学意义(P<0.05)。研究组患者的并发症发生率(4.65%)明显低于对照组的术后并发症发生率(18.60%),两组比较有统计学意义(χ~2=4.0737,P=0.0436)。结论采用胸腔镜手术治疗外伤所致多发肋骨骨折合并血气胸,可显著提高治疗的效果,值得临床推广应用。
Objective To study the application effect of breast keep skin and instantly prosthesis modified radical reconstruction in breast cancer patients. Methods From January 2016 to June 2017 in our hospital 86 cases of hemopneumothorax multiple rib fracture patients were se-lected for study. According to the random number table method, all patients were randomly divided into study group and control group. The patients in the study group were treated with thoracoscopic surgery. The patients in the control group were fixed by traditional transthoracic fixation. The effect of surgical treatment was compared and analyzed. The basic conditions of the two groups of patients were compared and analyzed. The postoperative complications of the two groups were compared and analyzed. Results The excellent and good rate of operation in the study group（97.67%） was significantly higher than that in the control group（81.40%）, and the difference between the two groups was statistically significant（χ2=6.0808,P=0.0137）. The amount of bleeding, operation time, drainage tube pulled out of time, hospitalization time, healing timein the study groupweresignificant-ly lower than those in the control group, the difference was statistically significant（ P〈005）.The incidence of complications in the study group（4.65%）was significantly lower than that in the control group（18.60%）, and the difference between the two groups was statistically significant（χ2=4.0737,P=0.0436）. Conclusion Hemopneumothorax multiple rib fractures by thoracoscopic surgery for trauma, can significantly improve the therapeutic ef-fect, it is worthy of clinical application.
作者
王海勇
王彬
喻光懋
WANG Haiyong, WANG Bing, YU Guangmao(Shaoxing People＇s Hospital, Zhejiang 312000, Chin)
出处
《浙江创伤外科》
2018年第2期226-228,共3页
Zhejiang Journal of Traumatic Surgery
关键词
胸腔镜手术
多发肋骨骨折合
血气胸
疗效
预后
Thoracoscopic surgery
Multiple rib fractures
Hemopneumothorax
Curative effect
Prognosis
