CAJ | 학술논문

目的：比较肋骨重点内固定和肋骨连续内固定治疗外伤性连枷胸的临床疗效。方法126例创伤性连枷胸患者随机分为A 组和B 组，A 组66例行肋骨重点内固定，B 组60例行肋骨连续内固定，比较两组患者手术时间、术中出血量及术后肺不张率、肺部感染率、患者疼痛程度和使用呼吸机例次。结果 A 组患者手术时间、术中出血量和术后使用呼吸机例次明显少于B 组（ P ＜0．05）；两组术后肺不张率、肺部感染率及疼痛评分比较差异均无统计学意义（ P ＞0．05）。结论重点内固定方法治疗外伤性连枷胸，在减少术后肺不张率、肺部感染率和减轻疼痛等方面与肋骨连续内固定效果相同，且能减少手术时间、术中出血量和术后使用呼吸机例次，有利于患者恢复。
목적：비교륵골중점내고정화륵골련속내고정치료외상성련가흉적림상료효。방법126례창상성련가흉환자수궤분위A 조화B 조，A 조66례행륵골중점내고정，B 조60례행륵골련속내고정，비교량조환자수술시간、술중출혈량급술후폐불장솔、폐부감염솔、환자동통정도화사용호흡궤례차。결과 A 조환자수술시간、술중출혈량화술후사용호흡궤례차명현소우B 조（ P ＜0．05）；량조술후폐불장솔、폐부감염솔급동통평분비교차이균무통계학의의（ P ＞0．05）。결론중점내고정방법치료외상성련가흉，재감소술후폐불장솔、폐부감염솔화감경동통등방면여륵골련속내고정효과상동，차능감소수술시간、술중출혈량화술후사용호흡궤례차，유리우환자회복。
Objective To compare the clinical effects of focal-point internal fixation and successive inter-nal fixation on traumatic flail chest .Methods 126 cases of traumatic flail chest were randomly divided into Group A receiving focal-point internal fixation and Group B receiving successive internal fixation .The op-eration time ,intraoperative bleeding volume ,postoperative pulmonary atelectasis ,pulmonary infection rate ,postoperative pain and the frequency of using breathing machine after operations were compared be-tween the two groups .Results The Operation time ,intraoperative bleeding volume and the frequency of u-sing breathing machine after operations in group A were significantly less than those in group B ( P <0 . 05 ) . No statistical difference in the postoperative pulmonary atelectasis , pulmonary infection rate and postoperative pain between the two groups were found ( P > 0 .05 ) .Conclusion In treating traumatic flail chest ,focal-point internal fixation and successive inter-nal fixation can both produce the same curative effect on postoperative pulmonary atelectasis ,pulmonary infection rate and postoperative pain and focal-point internal fixation has better effect in terms of operation time ,intraoperative bleeding volume and the frequency of using breathing machine .