肋骨骨折切开复位固定治疗重症胸外伤的效果

Effect of rib Fracture Open Reduction and Internal Fixation for Severe Chest Trauma

目的观察切开复位内固定治疗重症胸外伤患者肋骨骨折的疗效。方法选取44例重症胸外伤患者,分为甲乙两组,各22例。乙组采用保守治疗,甲组采用肋骨骨折切开复位内固定治疗,对比患者的疼痛评分、住院时间、术后肺部感染情况。结果乙组的VAS评分与住院时间显著高于甲组(P<0.05),两组肺部感染发生率比较差异无统计学意义(P>0.05)。结论在重症胸外伤患者中,肋骨骨折切开复位内固定的疗效确切,可明显缓疼痛,缩短住院时间。

Objective To investigate the effect of rib fracture open reduction and internal fixation for severe chest trauma. Methods Forty-four patients with severe thoracic trauma were divided into two groups,A and B,22 cases in each group. The group B were given conservative treatment,the group A were given rib fracture open reduction and internal fixation. The pain score of the patient,the hospitalization time,and postoperative pulmonary infection were compared between groups. Results The VAS score and the hospitalization time in group B were higher than group A(P<0.05),however,the incidence of pulmonary infection was not statistically different(P>0.05). Conclusion In severe chest trauma patients,rib fracture open reduction and internal fixation is effective. It could significantly relieve patients' pain and shorten the hospitalization time.