摘要
目的探究胸腔镜下行经胸内固定术治疗多发性肋骨骨折的康复疗效。方法选取该院2018年7月—2020年2月收治的104例多发性肋骨骨折患者为研究对象,按照住院顺序分成对照组和观察组各52例,对照组给予常规治疗,观察组采取胸腔镜经胸内固定术治疗。对比两组患者的治疗效果。结果观察组患者的手术时间、住院时间、胸痛改善时间、引流管拔出时间及下床时间均短于对照组,组间差异有统计学意义(P<0.05)。观察组患者的治疗有效率为96.1%,高于对照组患者的69.2%,差异有统计学意义(P<0.05)。观察组患者的并发症发生率为5.7%,低于对照组患者的19.1%,差异有统计学意义(P<0.05)。结论胸腔镜下行经胸内固定术应用在多发性肋骨骨折患者中,可有效提升治疗效果,减少术后并发症,缩短患者的住院时间,减少经济负担,值得临床大力推广和采用。
Objective To explore the rehabilitation effect of thoracoscopic transthoracic internal fixation in the treatment of multiple rib fractures.Methods A total of 104 patients with multiple rib fractures admitted to the hospital from July 2018 to February 2020 were selected as the research objects.They were divided into a control group and an observation group according to the order of hospitalization,with 52 cases in each group.The control group was given conventional treatment,and the observation group was treated with thoracoscopic transthoracic fixation.The treatment effects of the two groups of patients were compared.Results The operation time,hospitalization time,chest pain improvement time,drainage tube removal time and bed time of the observation group were shorter than those of the control group,and the difference between the groups was statistically significant(P<0.05).The effective rate of treatment in the observation group was 96.1%,which was higher than 69.2%in the control group,and the difference was statistically significant(P<0.05).The complica tion rate of treatment in the observation group was 5.7%,which was lower than 19.1%in the control group,the difference was statistically significant(P<0.05).Conclusion The application of thoracoscopic transthoracic internal fixation in patients with multiple rib fractures can effectively improve the treatment effect,reduce postoperative complications,shorten the patient's hospital stay,and reduce the economic burden.It is worthy of clinical promotion and adoption.
作者
王文瑀
张浩
石月云
李贺楠
班晓静
富沛涛
WANG Wenyu;ZHANG Hao;SHI Yueyun;LI Henan;BAN Xiaojing;FU Peitao(Department of Thoracic Surgery,FAW General Hospital of Jilin Province,Changchun Jilin,130000,China;Department of General Surgery,FAW General Hospital of Jilin Province,Changchun Jilin,130000,China;Department of Neurology,FAW General Hospital of Jilin Province,Changchun Jilin,130000,China;Department of Otology,FAWGeneral Hospital of Jilin Province,Changchun Jilin,130000,China)
出处
《反射疗法与康复医学》
2020年第20期111-113,共3页
Reflexology And Rehabilitation Medicine
基金
吉林省卫生计生科技创新自筹经费项目(2018ZC027)。
关键词
胸腔镜
经胸内固定术
肋骨骨折
康复疗效
Thoracoscopy
Transthoracic fixation
Rib fracture
Rehabilitation effect
作者简介
第一作者:王文瑀(1978-),男,吉林长春人,硕士研究生,主治医师,研究方向:胸外伤的外科治疗。
