CAJ | 학술논문

目的：探讨利用胸腔镜在进行肋骨骨折内固定手术时对手术切口的精确定位的效果及可行性。方法回顾性分析28例肋骨骨折合并血气胸的患者在进行肋骨骨折内固定手术采用胸腔镜辅助精确定位胸部切口的病例资料，并与同期23例行传统剖胸肋骨骨折内固定的患者病例资料相比较。结果与行传统剖胸肋骨骨折内固定术的患者相比，胸腔镜组在切口延长次数上明显减少(P<0.05)。结论胸腔镜可精确定位肋骨骨折内固定手术切口，避免术中延长切口，具有减少组织损伤等优点，值得临床推广。
목적：탐토이용흉강경재진행륵골골절내고정수술시대수술절구적정학정위적효과급가행성。방법회고성분석28례륵골골절합병혈기흉적환자재진행륵골골절내고정수술채용흉강경보조정학정위흉부절구적병례자료，병여동기23례행전통부흉륵골골절내고정적환자병례자료상비교。결과여행전통부흉륵골골절내고정술적환자상비，흉강경조재절구연장차수상명현감소(P<0.05)。결론흉강경가정학정위륵골골절내고정수술절구，피면술중연장절구，구유감소조직손상등우점，치득림상추엄。
Objective To investigate the ef ect and the feasibility of precise positioning of the oprative incision on rib fractures repair by thoracoscopy. Methods Retrospective analysis 28 patients of rib fractures combined hemopneumothorax of precise positioning of the oprative incision on rib fractures repair by thoracoscopy and rib fractures repair by traditional thoracotomy. Results The quanlity of oprative incision to lengthen lesser than the rib fractures repair by traditional thoracotomy( P<0.05). Conclusion Thoracoscopy can accurately locate the oprative incision and less injury of tissue. It is worth to popularize.