胸腔镜与开胸进行锡钛合金肋骨环抱器内固定术治疗连枷胸的疗效对比分析

目的:探讨胸腔镜与开胸进行锡钛合金肋骨环抱器内固定术治疗连枷胸的疗效对比分析.方法:将57例连枷胸患者分为微创组(n=29)和开胸组(n=28).微创组采用胸腔镜下进行锡钛合金肋骨环抱器内固定术.开胸组采用开胸锡钛合金肋骨环抱器内固定术.对比两组手术情况.采用视觉模拟评分法(VAS)评估患者术前与术后1d的疼痛变化.对比两组并发症发生情况.结果:微创组的手术时间、镇痛药物总量、引流管留置时间、住院时间显著低于开胸组,差异有统计学意义;两组治疗后的VAS评分水平较治疗前均明显降低;治疗后,观察组的VAS评分明显低于对照组,差异有统计学意义;两组呼吸衰竭的发生率对比,差异无统计学意义;微创组的显著低于开胸组,差异有统计学意义.结论:胸腔镜下锡钛合金肋骨环抱器内固定术治疗连枷胸,具有创伤小、恢复快、并发症低的特点.

Thoracoscopic surgery and thoracotomy for tin and titanium alloy rib encircling efficacy analysis of fixation for the treatment of flail chest

Objective To investigate the effect of thoracoscopic surgery and thoracotomy for tin and titanium alloy rib en-circling efficacy analysis of fixation for the treatment of flail chest.Methods 57 cases of flail chest patients were divided into minimally invasive group (n=29) and thoracotomy group (n=28). In the minimally invasive group, the internal fixation of tita-nium alloy cage was performed under thoracoscope. Open chest group was treated with open chest tin titanium alloy embracing fixator. The operation of the two groups were compared. The visual analogue scale (VAS) was used to evaluate the changes of1D before and after operation. The complications of the two groups were compared.Results the operation time, the total amount of analgesic drugs, the indwelling time of drainage tube and the length of stay in the minimally invasive group were significantly lower than those in the thoracotomy group. The difference was statistically significant. The VAS scores of the two groups after treatment were significantly lower than those before treatment. After treatment, the VAS score of the observation group was sig-nificantly lower than that of the control group. The difference was statistically significant. The incidence of respiratory failure in two groups. There was no significant difference. Minimally invasive group was significantly lower than thoracotomy group. The difference was statistically significant.Conclusion Thoracoscopic tin and titanium alloy embracing fixator and internal fixation in the treatment of flail chest, has the characteristics of little trauma and quick recovery and low complication rate.