胸腔镜下辅行手术与传统手术治疗多发性肋骨骨折的不同疗效对比

Comparison of different therapeutic effects between video-assisted thoracoscopic surgery and traditional surgery for multiple rib fractures

摘要:

分析多发性肋骨骨折患者实施胸腔镜下辅行手术和传统手术的效果。方法 选取2014年1月-2017年12月该院102例多发性肋骨骨折患者，平分两组后实施不同疗法：51例对照组给予传统手术，51例观察组给予胸腔镜下辅行手术，统计临床结果。结果 观察组患者术中出血量、术后引流量均明显多于对照组（P <0.05）；观察组患者手术时间明显长于对照组，两组比较差异具有统计学意义（P <0.05）；观察组患者的疼痛时间、下床活动时间和住院时间等指标明显少于传统手术患者，差异有统计学意义（P <0.05）；观察组患者术后并发症发生率明显低于对照组，差异有统计学意义（P <0.05）。结论 临床给予多发性肋骨骨折患者胸腔镜下辅行手术作用显著，可预防并发症，减少医疗费用，值得借鉴。

Abstract:

Abstract: Objective To analyze the effect of video-assisted thoracoscopic surgery and traditional surgery for multiple rib fractures. Methods 102 cases of patients with multiple rib fractures from January 2014 - December 2017 was selected and divided into two groups after different therapy: 51cases in control group were treated with traditional surgery, 51cases in study group were treated with thoracoscopic assisted surgery, the clinical results was compared and analyzed. Results The observation group of intraoperative bleeding, postoperative drainage were significantly higher than the control group (P < 0.05); the operation time of observation group was significantly longer than the control group, with significant differences between the two groups (P < 0.05); the study group of pain time (8.39 ± 2.24) d, ambulation time (5.76 ± 2.43) d and the hospitalization time (10.53 ± 3.51) d was significantly shorter than the control group, the difference between the two groups was statistically significant (P < 0.05), study group complication rate was 3.92% and the control group complication rate was 17.64% with significant difference (P < 0.05). Conclusion The clinical effect of video-assisted thoracoscopic surgery in patients with multiple rib fractures is significant, can prevent complications, reduce medical costs, it is worth learning.