中国伤残医学2016，Vol.24Issue(8)：9-11,3.DOI:10.13214/j.cnki.cjotadm.2016.08.004
胸腔镜辅助下肋骨骨折内固定术的临床应用
Clinical application of internal fixation for rib fracture under assistance of VATS
陈莹 1林万里 1冯才厚 1龚兰娟1
作者信息
- 1. 高州市人民医院胸外科，广东高州 525200
- 折叠
摘要
Abstract
Objective:To make an analysis and comparison of the curative effects of treating multiple rib fracture by the internal fixa-tion under the assistance of thoracoscope and the traditional internal fixation.Methods:According to the methods, 44 patients with multi-ple rib fracture were divided into a group of traditional internal fixation of 22 cases and a group of internal fixation under thoracoscope of 22cases.Observation and comparison were conducted on the various operational indexes and clinical curative effects of the two groups. Results:In thesurgical operations on the group of internal fixation under the assistance of thoracoscope, the bleeding amount, duration of ventilation, and the time of staying at ICU are all lower than those of the group of traditional internal fixation (P<0.05);the difference of the surgical time between the two groups is of no statistical meaning (P>0.05).The good rate of the group of internal fixation under thoracoscope is 90.91%, which leads to no statistical meaning when compared with the 81.82%of the group of traditional internal fixation ( P>0.05) .Conclusion:The internal fixation under the assistance of thoracoscope roughly equals the traditional internal fixation in terms of treating multiple rib fracture, with the former having the advantages of fewer bleeding, less trauma and faster recovery rate because it does not require cutting through the intercostal muscles and opening the ribs to get into the chest.Therefore, it should be suitable for clini-cal application and promotion.关键词
胸腔镜辅助下内固定/传统内固定/多发肋骨骨折Key words
Internal fixation under the assistance of thoracoscope/Traditional internal fixation/Multiple rib fracture分类
医药卫生引用本文复制引用
陈莹,林万里,冯才厚,龚兰娟..胸腔镜辅助下肋骨骨折内固定术的临床应用[J].中国伤残医学,2016,24(8):9-11,3.
