胸腔镜手术治疗外伤所致多发肋骨骨折合并血气胸的疗效及预后分析

Analysis of the efficacy and prognosis of thoracoscopic surgery in the treatment of trauma-induced multiple rib fractures combined with hemopneumothorax

目的探究胸腔镜手术治疗外伤所致多发肋骨骨折合并血气胸的疗效及预后情况。方法84例外伤所致多发肋骨骨折合并血气胸患者,以随机数字表法分为对照组与观察组,各42例。对照组接受传统手术治疗,观察组接受胸腔镜手术治疗。比较两组治疗效果、手术相关指标、并发症发生情况。结果观察组治疗总有效率为97.62%,高于对照组的85.71%,差异有统计学意义(P<0.05)。两组手术时间比较差异无统计学意义(P>0.05);观察组术中出血量(67.84±12.68)ml、术后胸腔引流量(358.97±31.40)ml均少于对照组的(102.13±21.57)、(451.19±29.78)ml,差异有统计学意义(P<0.05);观察组并发症发生率为9.52%,低于对照组的26.19%,差异有统计学意义(P<0.05)。结论对外伤所致多发肋骨骨折合并血气胸患者实施胸腔镜手术,可提升治疗效果,减少患者手术创伤,降低术后并发症发生率,效果显著。

Objective To investigate the efficacy and prognosis of thoracoscopic surgery in the treatment of trauma-induced multiple rib fractures combined with hemopneumothorax.Methods A total of 84 patients with trauma-induced multiple rib fractures and hemopneumothorax were divided into control group and observation group according to random numerical table,with 42 cases in each group.The control group received traditional surgical treatment,and the observation group received thoracoscopic surgical treatment.The therapeutic effect,surgery-related indexes,and complication rates of the two groups were compared.Results The total effective rate of treatment in the observation group was 97.62%,which was higher than 85.71%in the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in operation time between the two groups(P>0.05).The intraoperative blood loss(67.84±12.68)ml and postoperative chest drainage(358.97±31.40)ml in the observation group were less than(102.13±21.57)and(451.19±29.78)ml in the control group,and the difference was statistically significant(P<0.05).The complication rate in the observation group was 9.52%,which was lower than 26.19%in the control group,and the difference was statistically significant(P<0.05).Conclusion Thoracoscopic surgery has significant in the treatment of patients with traumainduced multiple rib fractures and hemopneumothorax,and can improve the therapeutic effect,reduce the surgical trauma of the patient,and lower the postoperative complication rate.