CAJ | 학술논문

目的：比较手持设备辅助手术切口设计和传统手术切口设计在肥胖患者多发肋骨骨折内固定术中的临床应用。方法将我科行肋骨内固定手术的肥胖患者随机分为传统组和实验组，后者采用手持设备辅助手术切口设计，术后盲法测量并统计肋骨内固定手术切口长度、内固定手术时间、失血量等。结果实验组患者肋骨内固定手术切口长度(5.8±0.7)cm，内固定手术时间(11.5±2.2)min，失血量(9.1±2.9)mL，均较对照组[(8.2±1.9)cm、(23.5±4.3)min、(17.1±5.3)mL]缩短或减少，差异均有统计学意义(P<0.05)。结论手持设备辅助手术切口设计相对传统组在临床应用中有优势。
목적：비교수지설비보조수술절구설계화전통수술절구설계재비반환자다발륵골골절내고정술중적림상응용。방법장아과행륵골내고정수술적비반환자수궤분위전통조화실험조，후자채용수지설비보조수술절구설계，술후맹법측량병통계륵골내고정수술절구장도、내고정수술시간、실혈량등。결과실험조환자륵골내고정수술절구장도(5.8±0.7)cm，내고정수술시간(11.5±2.2)min，실혈량(9.1±2.9)mL，균교대조조[(8.2±1.9)cm、(23.5±4.3)min、(17.1±5.3)mL]축단혹감소，차이균유통계학의의(P<0.05)。결론수지설비보조수술절구설계상대전통조재림상응용중유우세。
Objective To compare the clinical applications of handheld assisted surgical incision design and traditional surgical incision design in multiple rib fracture fixation of obese patients. Methods Obese patients in our department for rib fixation surgery were randomly divided into the traditional control group and the experimental group. In the lat-ter group,a handheld device was designed to aid surgical incision. After operation, the rib internal fixation incision length, operation time and blood loss were measured and collected by blind method. Results The length of incision for each rib fixation(5.8±0.7) cm, operation time(11.5±2.2) min and blood loss(9.1±2.9) mL in the experimental group were shorter or lower than those in the control group [(8.2±1.9) cm, (23.5±4.3) min, (17.1±5.3) mL]. There were statistically significant differences(P<0.05). Conclusion The handheld device which is designed to aid the surgical incision, has advantages compared to the traditional group in the clinical application.