中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
21期
27-29
,共3页
内固定%胸腔镜%血胸
內固定%胸腔鏡%血胸
내고정%흉강경%혈흉
Fixation%Thoracoscopy%Hemothorax
目的：研究应用形状记忆环抱接骨板结合胸腔镜治疗多发肋骨骨折合并血胸的治疗效果。方法整群选取2011年1月-2013年12月2年间在该院进行多发肋骨骨折合并血胸治疗的患者104例，采用随机数表法分为内固定组和非内固定组，各52例，内固定组患者采用内固定治疗。非内固定组患者给予加压包扎和胸部护板外固定。对比两组患者治疗后的胸痛缓解时间、坐起时间、下床时间、住院时间、肺不张、肺部感染、胸壁畸形并发症发生率，治疗前后疼痛评分、PO2含量和PCO2含量。结果内固定组患者在胸痛缓解时间、坐起时间、下床时间、住院时间明显的低于非内固定组，内固定组的肺不张、肺部感染和胸壁畸形并发症发生率明显的低于非内固定组，内固定组患者术后3 d疼痛评分、PO2含量情况均优于非内固定组患者，差异有统计学意义（P<0.05）。结论形状记忆环抱接骨板结合胸腔镜治疗多发肋骨骨折合并血胸具有固定效果好、创伤小、并发症少的优点。
目的：研究應用形狀記憶環抱接骨闆結閤胸腔鏡治療多髮肋骨骨摺閤併血胸的治療效果。方法整群選取2011年1月-2013年12月2年間在該院進行多髮肋骨骨摺閤併血胸治療的患者104例，採用隨機數錶法分為內固定組和非內固定組，各52例，內固定組患者採用內固定治療。非內固定組患者給予加壓包扎和胸部護闆外固定。對比兩組患者治療後的胸痛緩解時間、坐起時間、下床時間、住院時間、肺不張、肺部感染、胸壁畸形併髮癥髮生率，治療前後疼痛評分、PO2含量和PCO2含量。結果內固定組患者在胸痛緩解時間、坐起時間、下床時間、住院時間明顯的低于非內固定組，內固定組的肺不張、肺部感染和胸壁畸形併髮癥髮生率明顯的低于非內固定組，內固定組患者術後3 d疼痛評分、PO2含量情況均優于非內固定組患者，差異有統計學意義（P<0.05）。結論形狀記憶環抱接骨闆結閤胸腔鏡治療多髮肋骨骨摺閤併血胸具有固定效果好、創傷小、併髮癥少的優點。
목적：연구응용형상기억배포접골판결합흉강경치료다발륵골골절합병혈흉적치료효과。방법정군선취2011년1월-2013년12월2년간재해원진행다발륵골골절합병혈흉치료적환자104례，채용수궤수표법분위내고정조화비내고정조，각52례，내고정조환자채용내고정치료。비내고정조환자급여가압포찰화흉부호판외고정。대비량조환자치료후적흉통완해시간、좌기시간、하상시간、주원시간、폐불장、폐부감염、흉벽기형병발증발생솔，치료전후동통평분、PO2함량화PCO2함량。결과내고정조환자재흉통완해시간、좌기시간、하상시간、주원시간명현적저우비내고정조，내고정조적폐불장、폐부감염화흉벽기형병발증발생솔명현적저우비내고정조，내고정조환자술후3 d동통평분、PO2함량정황균우우비내고정조환자，차이유통계학의의（P<0.05）。결론형상기억배포접골판결합흉강경치료다발륵골골절합병혈흉구유고정효과호、창상소、병발증소적우점。
Objective To study the efficacy of shape memory encircling bone plate combined with thoracoscopy for multiple rib fractures complicated with hemothorax. Methods 104 patients who received treatment for multiple rib fractures complicated with hemothorax in our hospital during January 2011 and February 2013 were divided into fixation group and non fixation group with 52 in each according to random number table. Internal fixation and external fixation by pressure dressing and chest orthosis were performed in the two groups respectively. The chest pain relief time, sitting up time, ambulation time, hospitalization time, the complication rate of pulmonary atelectasis, lung infection, thoracic wall abnormal, and the pain scores, PO2 and PCO2 content be-fore and after treatment of the two groups were compared. Results The chest pain relief time, sitting up time, ambulation time, hos-pitalization time were shorter, the complication rate of pulmonary atelectasis, lung infection, thoracic wall abnormal were lower and the pain scores, and PO2 content 3 days after treatment were better, in the internal fixation than in the non fixation group, and the differences were statistically significant(P<0.05). Conclusion Shape memory encircling bone plate combined with thoracoscopy for multiple rib fractures complicated with hemothorax has the advantages of good fixed effects, less trauma and less complication.
