摘要
目的:探究电视胸腔镜(VATS)辅助微创钢板内固定术(MIPO技术)治疗创伤性多发肋骨骨折的临床疗效。方法:回顾性收集124例多发肋骨骨折患者的临床资料并按手术方式分组,其中MIPO组64例,切开复位组60例。比较两组患者基线指标、影像学指标、手术相关指标、疼痛评分(VAS)、临床疗效和并发症发生率。结果:与切开复位组相比,MIPO组患者年龄、性别、致伤原因,骨折部位、肋骨骨折根数、胸部简明创伤评分(AIS)差异无统计学意义(P>0.05)。MIPO组患者术中出血量(180.0,230.0)mL低于切开复位组[(210.0,300.0)mL,P<0.05];MIPO组手术切口长度(7.0,12.0)cm短于切开复位组[(14.5,27.0)cm,P<0.05];MIPO组手术时间(145.0±57.7)min短于切开复位组[(171.4±64.6)min,P<0.05];MIPO组引流管放置时间(5.0,7.0)d,短于切开复位组[(7.0,9.0)d,P<0.05];MIPO组住院时间短于切开复位组[(20.1±8.5 vs.23.9±11.0)d,P<0.05]。与切开复位组相比,MIPO组患者术后并发症发生率显著降低(P<0.05)。结论:VATS辅助MIPO内固定术治疗创伤性RF能够显著提高临床疗效,相对创伤小、疼痛轻、术后恢复快。
Objective:To evaluate the clinical efficacy of video-assisted thoracoscopic(VATS)assisted minimally invasive plate oseoynthesis(MIPO)in the treatment of traumatic multiple rib fractures.Methods:124 patients with traumatic multiple rib fractures were included and divided into MIPO group(n=64)and open reduction group(n=64)according to the surgical methods.The baseline indicators,imaging indicators,surgery-related indicators,pain score(VAS),clinical efficacy,and incidence of complications were compared between both groups of patients.Results:Compared with the open reduction group,there was no statistically significant difference in age,gender,cause of injury,fracture site,number of rib fractures,and chest concise trauma score(AIS)among patients in the MIPO group(P>0.05).The intraoperative bleeding volume in the MIPO group(180.0,230.0)mL was lower than that in the open reduction group[(210.0,300.0)mL,P<0.05],the surgical incision length in the MIPO group(7.0,12.0)cm was shorter than that in the in the open reduction group[(14.5,27.0)cm,P<0.05].The surgical time in the MIPO group was(145.0±57.7)min,which was shorter than that in the open reduction group[(171.4±64.6)min,P<0.05],the drainage tube placement time in the MIPO group was(5.0,7.0)d,which was shorter than that in the open reduction group[(7.0,9.0)d,P<0.05],the hospitalization time in the MIPO group was shorter than that in the open reduction group[(20.1±8.5 vs.23.9±11.0)d,P<0.05].Compared with the open reduction group,the incidence of postoperative complications in the MIPO group was reduced(P<0.05).Conclusion:VATS assisted MIPO internal fixation surgery for traumatic RF can improve clinical efficacy,with relatively minimal trauma,mild pain and faster postoperative recovery.
作者
李震宇
张朋朋
常亮
韩全胜
庞文勇
闵玉丛
张磊冰
LI Zhen-yu;ZHANG Peng-peng;CHANG Liang;HAN Quan-sheng;PANG Wen-yong;MIN Yu-cong;ZHANG Lei-bing(Department of Emergency Surgery,Guizhou Provincial People's Hospital,Guiyang 550002,Guizhou,China)
出处
《川北医学院学报》
CAS
2023年第9期1173-1177,共5页
Journal of North Sichuan Medical College
基金
贵州省科技厅黔科合支撑项目(【2020】4Y164号)。
关键词
胸腔镜
肋骨骨折
微创钢板内固定术
内固定
临床疗效
Thoracoscope
Fractured ribs
Minimally invasive plate internal fixation
Internal fixation
Clinical efficacy
