保守治疗与手术治疗多发性肋骨骨折的比较

A comparing study for Conservative treatment and surgical treatment of multiple rib fractures

目的:比较保守治疗与手术治疗多发性肋骨骨折的优劣。方法:收集40例保守治疗和36例手术治疗多发性肋骨骨折患者临床资料,分析两种治疗方法与有关临床评价参数的关系。结果:两组在住院天数、ICU监护时间、胸痛缓解情况、呼吸支持时间、出院时胸膜腔状况间差异均无统计学意义(P>0.05);手术组在骨折移位纠正率、胸腔闭式引流率及胸液总量方面均高于保守治疗组,但在胸腔穿刺率方面低于保守治疗组,差异有统计学意义(P<0.05)。结论:手术内固定治疗多发性肋骨骨折在纠正骨折移位方面优于非手术组,但手术组较非手术组在缩短胸痛时间方面疗效不明显。

Objective：Comparison of the advantages and disadvantages between conservative treatment and surgical treatment of multiple rib fractures.Methods：Analysis of the relationship of the two treatment methods with the relevant clinical evaluation parameters by collection of clinical data of 40 cases of conservative treatment and 36 cases of surgical treatment in patients with multiple rib fractures.Results：The time of hospitalization or ICU stay and chest pain relief,respiratory support and the pleural cavity status at discharge were not statistically different（P 0.05）.However,fracture displacement correction rate of rib fractures,the closed drainage rate of pleural cavity and the total amount of pleural cavity drainage fluid were higher than the conservative group,only the thoracenteses rate in surgery group was lower than conservative group,the difference was statistically significant（P0.05）.Conclusion：Surgical treatment group of multiple rib fractures was superior to conservative group in correcting fracture displacement,but the reduction of chest pain duration in surgical treatment group was not superior to that in conservative group.