| 摘要: |
| ［摘要］ 目的 对比分析切开复位内固定与非手术方法治疗多发性肋骨骨折的临床疗效。方法 将2012-02～2017-10该院收治的126例多发性肋骨骨折患者分为内固定组（n=65）和非手术组（n=61），分别采用切开复位内固定手术和非手术方法进行治疗，比较两组患者的住院时间、下床功能锻炼时间、骨折愈合时间、治疗费用及治疗前后疼痛程度、肺功能及并发症发生情况。结果 内固定组住院时间、下床功能锻炼时间、骨折愈合时间均明显短于非手术组，住院费用明显高于非手术组，差异均有统计学意义（P<0.05）。治疗前两组视觉模拟评分法（VAS）评分比较差异无统计学意义（P>0.05），治疗后1、7、14 d内固定组VAS评分均明显低于非手术组，差异均有统计学意义（P<0.05）。治疗后3个月，内固定组肺功能指标均明显优于非手术组，差异均有统计学意义（P<0.05）。内固定组术后主要并发症发生率为6.15%（4/65），非手术组为18.03%（11/61），差异有统计学意义（P<0.05）。结论 切开复位内固定手术能明显促进患者康复、减少痛苦及降低并发症发生率，疗效满意。 |
| 关键词: 切开复位内固定手术 非手术治疗 多发性肋骨骨折 临床疗效 |
| DOI：10.3969/j.issn.1674-3806.2019.02.25 |
| 分类号:R 683.1 |
| 基金项目: |
|
| Comparison of the clinical effects between open reduction and internal fixation and nonsurgical treatment on multiple rib fractures |
|
WU Shao-quan, XIONG Zhen
|
|
The First Department of General Surgery, the People′s Hospital of Rongshui County, Guangxi 545300,China
|
| Abstract: |
| ［Abstract］ Objective To compare the clinical effects between open reduction and internal fixation and nonsurgical treatment on multiple rib fractures. Methods One hundred and twenty-six patients with multiple rib fractures in our hospital from February 2012 to October 2017 were divided into the internal fixation group(receiving open reduction and internal fixation, n=65) and the nonsurgical group(receiving nonsurgical treatment, n=61). The hospitalization time, the time of ambulation exercise, the fracture healing time, the hospitalization expenses, the pain degrees before and after treatment, the complications and pulmonary function were compared between the two groups. Results The hospitalization time, the time of ambulation exercise and the fracture healing time in the internal fixation group were significantly shorter than those in the nonsurgical group（P<0.05）, and the hospitalization expenses in the internal fixation group were significantly higher than those in the nonsurgical group（P<0.05）. There were no significant differences in VAS scores between the two groups before surgery（P>0.05）. VAS scores in the internal fixation group were significantly lower than those in the nonsurgical group 1, 7 and 14 days after surgery（P<0.05）. The pulmonary function indexes in the internal fixation group were significantly better than those in the nonsurgical group 3 months after surgery（P<0.05）. The incidence of main complications was 6.15%（4/65） in the internal fixation group, and 18.03%（11/61） in the nonsurgical group（P<0.05）. Conclusion Open reduction and internal fixation can obviously promote the patients′ recovery, reduce the pain and the incidence of complications in the treatment of multiple rib fractures. |
| Key words: Open reduction and internal fixation Nonsurgical treatment Multiple rib fractures Clinical effect |
