CAJ | 학술논문

目的：探讨手术内固定在治疗创伤性连枷胸为主的全身多发伤中的疗效。方法：对107例以创伤性连枷胸为主的全身多发伤患者的临床资料进行回顾性分析，比较手术组（手术内固定治疗，n＝39）和非手术组（外固定治疗，n＝68）患者的病死率、平均住院时间、平均机械通气时间、引流量、下床时间、疼痛感觉、胸壁畸形以及肺部炎症、肺不张和呼吸功能衰竭等并发症发生率及其他临床疗效。结果：手术组患者病死率、平均住院时间、平均机械通气时间、引流量均显著低于于非手术组（P＜0．05）。下床时间、疼痛感觉、胸壁畸形以及肺部炎症、肺不张和呼吸功能衰竭等并发症发生率均显著低于非手术组（ P＜0．05）。结论：手术内固定治疗连枷胸，可减少并发症，有良好的近期和远期疗效。
목적：탐토수술내고정재치료창상성련가흉위주적전신다발상중적료효。방법：대107례이창상성련가흉위주적전신다발상환자적림상자료진행회고성분석，비교수술조（수술내고정치료，n＝39）화비수술조（외고정치료，n＝68）환자적병사솔、평균주원시간、평균궤계통기시간、인류량、하상시간、동통감각、흉벽기형이급폐부염증、폐불장화호흡공능쇠갈등병발증발생솔급기타림상료효。결과：수술조환자병사솔、평균주원시간、평균궤계통기시간、인류량균현저저우우비수술조（P＜0．05）。하상시간、동통감각、흉벽기형이급폐부염증、폐불장화호흡공능쇠갈등병발증발생솔균현저저우비수술조（ P＜0．05）。결론：수술내고정치료련가흉，가감소병발증，유량호적근기화원기료효。
Objective::To compare the outcomes of traumatic flail chest with multiple injuries treated by operative fixation versus conservative approach . Methods:The clinical data were retrospectively analyzed in 107 cases with traumatic flail chest with multiple injuries , and compared regarding case fatali-ty rate, mean length of hospital stay, mean time of required mechanical ventilation,the draining volume,resuming of off-bed activity, pain perception, the prevalence of chest wall deformity,the complication and other outcomes between operative group(treated by operative fixation, n=39)and non-operative group(treated by conservative approach, n=68).Results:The operative group had lower case fatality rate, shorter mean length of hospital stay and me-chanical ventilation, lower draining volume as well as earlier resuming of off-bed activity, less pain perception, lower incidence of chest wall deformity, pulmonary infection, pulmonary atelectasis and respiratory failure than the non-operative group (P <0.05).Conclusion:Surgical internal fixation for traumatic flail chest with multiple injuries may lead to fewer complications , yet to better short-and long-term effects.