摘要
目的探讨重症胸外伤患者在行胸腔镜手术探查同期行肋骨骨折内固定术的有效性和临床意义。方法选取我院2008年—2017年收治的68例具有胸腔镜手术探查指征的重症胸外伤患者,其中36例同期行肋骨骨折内固定术,32例单纯行胸腔镜探查术。比较2组患者的VAS评分、镇痛药物用量、卧床时间、住院天数等。结果 2组患者术后VAS评分、镇痛药物用量、卧床时间、住院天数等有统计学差异。结论胸腔镜手术探查同期行肋骨骨折内固术治疗重症胸外伤可降低术后并发症的发生,加速患者的康复,值得推广。
Objective To investigate the clinical significance and effectiveness of thoracic endoscopic surgery for patients with severe thoracic trauma. Methods 68 cases of severe thoracic trauma with thoracoscopic operation,of which 36 cases underwent internal fixation of rib fracture and 32 cases were performed by thoracoscope. The VAS score,analgesic dosage,bed time and hospitalization days were compared between the two groups. Results There were significant differences in VAS score,analgesic dosage,bed time and hospitalization days after operation in the two groups. Conclusion The treatment of severe thoracic trauma by thoracoscopic surgery and internal fixation of rib fracture may reduce postoperative complications and accelerate the recovery of patients,which is worth popularizing.
作者
魏玮
曾奇峰
余显畅
眭康
WEI Wei;ZENG Qifeng;YU Xianehang;SUI Kang(Department of Thoraco＆Cardiac Surgery,Zhuhai People＇s Hospital,Zhuhai 519000,China)
出处
《广州医药》
2018年第3期48-50,共3页
Guangzhou Medical Journal
关键词
肋骨骨折
重症胸外伤
内固定
胸腔镜
Rib fracture
Severe chest trauma
Internal fixation
Thoracoscopy
