摘要
目的:评估腔镜辅助内固定治疗多发肋骨骨折的效果。方法:2019年3-10月收治多发肋骨骨折患者74例,随机分为两组,各37例。试验组采取腔镜辅助内固定术,对照组采取常规手术,比较两组临床效果。结果:试验组切口长度、术中出血量、手术时间、下床活动时间、住院时间及并发症发生率均低于对照组,差异有统计学意义(P<0.05);试验组术后1 d白细胞介素-6(IL-6)、白细胞介素-8(IL-8)、白细胞介素-1β(IL-1β)水平均低于对照组,差异有统计学意义(P<0.05)。结论:多发肋骨骨折采取腔镜辅助内固定治疗的安全性较好,疗效确切。
Objective:To explore the effect of endoscopic assisted internal fixation in the treatment of multiple rib fractures.Methods:From March to October 2019,74 patients with multiple rib fractures were selected and randomly divided into two groups with 37 cases in each group.The experimental group was treated with endoscopic assisted internal fixation.The control group received routine operation.We compared the clinical effects of the two groups.Results:In the experimental group,the incision length,bleeding during operation,operation time,time to get out of bed,hospitalization time and complication rate were lower than that of the control group,the difference was statistically significant(P<0.05).In the experimental group,at 1 day after operation,IL-6,IL-8 and IL-1β were lower than those in the control group,the difference was statistically significant(P<0.05).Conclusion:It is safe and effective to adopt endoscope assisted internal fixation for multiple rib fractures.
作者
丁勇
Ding Yong(The People's Hospital of Weishan County,Shandong Jining 277600)
出处
《中国社区医师》
2021年第24期16-17,共2页
Chinese Community Doctors
关键词
肋骨骨折
内固定
胸腔镜
Rib fracture
Internal fixation
Thoracoscope
