摘要
[目的]探讨单孔胸腔镜小切口和传统切开复位内固定治疗肋骨骨折的康复情况。[方法]回顾性分析在2019年1月到2019年11月在我院接受治疗的70例多发肋骨骨折患者作为研究对象,按治疗方法的不同分为观察组和对照组,观察组38例,对照组32例。观察组采取单孔胸腔镜小切口辅助内固定治疗,对照组采取传统切开复位内固定。并比较2组患者的手术效果、手术时间、切口长度、术中出血量、术后自主下床活动时间、术后胸腔闭式引流管留置时间、住院时间。[结果]观察组的总有效率97.32%,高于对照组的83.71%,差异上无统计学意义(P>0.05);观察组的切口长度、手术时间比对照组短,观察组术中出血量和术后引流量比对照组少,观察组的胸腔闭式引流时间、疼痛缓解时间、术后自主下床活动时间、住院时间比对照组低,差异上均具有统计学意义(P<0.05)。[结论]在治疗多发肋骨骨折方面单孔胸腔镜辅助小切口复位内固定比传统切开复位内固定手术创伤小,术后患者下床活动早,减轻了患者痛苦,提高了患者生活质量。
[Objective]To investigate the recovery of rib fractures treated by single-hole thoracoscopic with small incision and traditional open reduction and internal fixation.[Methods]A retrospective analysis was performed on 70 patients with multiple rib fractures who were treated in our hospital from January 2019 to November 2019. The patients were divided into observation group and control group according to the different treatment methods, 38 cases in the observation group and 32 cases in the control group. The observation group was treated with single-hole thoracoscopic mini-incision assisted internal fixation, while the control group was treated with traditional open reduction and internal fixation. The operative effect, operation time, incision length, intraoperative blood loss, postoperative voluntary out-bed movement time, postoperative indwelling time of closed thoracic drainage tube and hospital stay were compared between the two groups. [Results]The total effective rate of the observation group was 97.32% higher than that of the control group(83.71%). The incision length and operation time of the observation group were shorter than that of the control group, the intraoperative blood loss and postoperative drainage volume of the observation group were less than that of the control group, and the time of closed thoracic drainage, pain relief, postoperative voluntary out-of-bed movement time and hospital stay of the observation group were lower than that of the control group, with statistically significant differences(P<0.05). [Conclusion]In the treatment of multiple rib fractures, single-hole thoracoscopic assisted small incision reduction and internal fixation has less trauma than traditional open reduction and internal fixation, and the postoperative patients get out of bed earlier, reducing the pain of patients and greatly improving the quality of life of patients.
作者
李明
于群
刘影倩
李庆新
LI Ming;YU Qun;LIU Yingqian;LI Qingxin(The Fifth Peoples Hospital of Zhuhai City,Zhuhai Guangdong,519055,China;Department of Thoracic Surgery of 940 Hospital of the Joint Logistics Support Force of the CPLA,Lanzhou 730000,China)
出处
《河南大学学报（医学版）》
CAS
2020年第1期17-19,共3页
Journal of Henan University:Medical Science
关键词
单孔胸腔镜
多发肋骨骨折
术后疼痛NRS评分
术后自主下床活动时间
术后引流管留置时间
single-port thoracoscope
multiple rib fractures
postoperative pain NRS score
postoperative independent activity time of getting out of bed
postoperative catheter indwelling time
