电视胸腔镜联合记忆环抱式接骨板治疗胸部多发性肋骨骨折合并血气胸的疗效观察

Clinical efficacy of video-assisted thoracoscopy and memory embracing plate in multiple rib fractures with hemopneumothorax

目的观察电视胸腔镜联合记忆环抱式接骨板治疗胸部多发性肋骨骨折合并血气胸疗效。方法118例多发性肋骨骨折合并血气胸患者随机分为对照组和观察组;观察组采用电视胸腔镜及形状记忆环抱接骨板行肋骨内固定,而对照组采用传统经胸内固定术。比较两组手术时间、出血量、胸腔引流量、胸部疼痛、住院时间、肺部复张、骨折对位、切口愈合及术后1个月并发症。结果观察组手术时间、出血量、胸腔引流量、胸部疼痛缓解、住院时间、术后并发症均少于对照组(P<0.01),而肺部复张、骨折对位、切口愈合优于对照组(P<0.01)。结论电视胸腔镜联合记忆环抱式接骨板治疗胸部多发性肋骨骨折合并血气胸的疗效明显优于传统经胸术内固定术。

Objective To observe the clinical efficacy of video-assisted thoracoscopy(VAT)and memory embracing plate(MEP)in multiple rib fractures with hemopneumothorax.Methods A total of 118 patients with multiple rib fractures and hemopneumothorax were randomly treated with VAT plus MEP(observation group)or traditional transthoracic fixation(control group).Operation time,blood loss,thoracic drainage,chest pain,hospital stay,lung recruitment,fracture alignment,wound healing,and 1-month postoperative complications were compared between two groups.Results Compared with control group,operation time,blood loss,thoracic drainage,chest pain,hospital stay,and postoperative complications were lower(P<0.01),and lung recruitment,fracture alignment and wound healing were better(P<0.01)in observation group.Conclusion Clinical efficacy of combined VAT and MEP is superior to traditional transthoracic fixation in multiple rib fractures with hemopneumothorax.