电视胸腔镜辅助环抱式肋骨接骨板治疗多发肋骨骨折临床效果观察

Clinical observation of video-assisted thoracoscopic encircling rib bone plate in the treatment of multiple rib fractures

目的:探讨电视胸腔镜辅助环抱式肋骨接骨板内固定术治疗多发肋骨骨折的效果。方法:回顾分析2017年1月至2023年11月收治的70例多发肋骨骨折患者,均行胸腔镜辅助环抱式肋骨接骨板固定术,记录手术时间、术中出血量、治疗后疼痛视觉模拟评分、住院时间、骨折愈合情况及并发症发生率。结果:肋骨固定3~14根,手术时间(55.5±14.2)min,术中出血量(24.3±5.1)mL,术后引流量(160.7±20.5)mL,术后复查胸部CT显示肋骨复位良好,经内固定治疗后胸壁稳定,胸壁畸形均矫正满意,肋骨接骨板无松动、断裂,术后无明显并发症发生。结论:电视胸腔镜辅助环抱式肋骨接骨板内固定术治疗多发肋骨骨折效果满意,尤其合并血气胸者具有较高的临床应用价值。

Objective:To investigate the effect of video-assisted thoracoscopic internal fixation of encircling rib bone plate in the treatment of multiple rib fractures.Methods:A retrospective analysis was performed on 70 patients with multiple rib fractures treated from Jan.2017 to Nov.2023,all of whom underwent thoracoscopic assisted encircling rib plate fixation.The operation time,intraopera-tive blood loss,visual analogue score of postoperative pain,hospital stay,fracture healing,and incidence of complications were recorded.Results:Three to fourteen ribs were fixed,the operation time was(55.5±14.2)min,the intraoperative blood loss was(24.3±5.1)mL,and the postoperative drainage volume was(160.7±20.5)mL.Postoperative CT examination showed that the ribs were well reduced,the chest wall was stable after internal fixation,and the chest wall malformations were all corrected satisfactorily.The rib plate was not loose or broken,and there were no obvious postoperative complications.Conclusions:The effect of video-assisted thoracoscopic internal fixation of encircling rib bone plate in the treatment of multiple rib fractures is satisfactory,especially for patients with hemopneumotho-rax,which has high clinical application value and is worthy of further clinical popularization and application.