[摘要] 目的 探討并分析微創(chuàng)肋骨內(nèi)固定術(shù)治療重度胸部外傷的臨床治療效果及價(jià)值。 方法 方便選取該院2015年12月—2016年12月期間收治的94例重度胸部外傷伴肋骨骨折患者，按照隨機(jī)分配的原則將其分為對(duì)照組（47例患者）與實(shí)驗(yàn)組（47例患者），其中對(duì)照組患者給予保守治療，實(shí)驗(yàn)組患者給予微創(chuàng)肋骨內(nèi)固定術(shù)方式治療，對(duì)兩組患者的治療效果、治療前后VAS評(píng)分以及平均住院治療時(shí)間給予觀察與對(duì)比。結(jié)果 實(shí)驗(yàn)組患者治療前后的VAS評(píng)分分別為（9.12±0.86）分、（4.02±0.31）分，對(duì)照組患者治療前后的VAS評(píng)分分別為（8.97±0.88）分、（6.58±0.63）分，兩組患者治療后VAS評(píng)分顯著優(yōu)于治療前，實(shí)驗(yàn)組患者治療后VAS評(píng)分顯著優(yōu)于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。實(shí)驗(yàn)組患者平均住院治療時(shí)間為（14.74±5.21）d，對(duì)照組患者平均住院治療時(shí)間為（23.58±6.17）d，實(shí)驗(yàn)組患者平均住院時(shí)間顯著低于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。實(shí)驗(yàn)組患者治療總有效率為95.74%，對(duì)照組患者治療總有效率為80.85%，實(shí)驗(yàn)組患者的治療總有效率顯著高于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 在重度胸部外傷患者的臨床治療過程中應(yīng)用微創(chuàng)肋骨內(nèi)固定術(shù)治療具有顯著臨床療效，值得在臨床上推廣應(yīng)用。
　　[關(guān)鍵詞] 微創(chuàng)肋骨內(nèi)固定術(shù)；治療效果；重度胸部外傷；住院治療時(shí)間
　　[中圖分類號(hào)] R5 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1674-0742（2018）01（c）-0038-03
　　[Abstract] Objective This paper tries to evaluate and analyze the clinical effect and value of minimally invasive rib fixation in the treatment of severe thoracic trauma. Methods Convenient selection 94 patients with severe thoracic trauma and rib fractures admitted in this hospital from December 2015 to December 2016 were divided into control group（47 patients） and experimental group （47 patients） according to the principle of random assignment. The patients in the control group were treated with conservative treatment. The patients in the experimental group were treated with minimally invasive rib fixation. The treatment effect of the two groups of patients， the VAS score before and after treatment and the average hospitalization time were observed and compared. Results VAS scores of the patients in the experimental group were （9.12±0.86）points and （4.02±0.31）points respectively. The VAS scores of the control group were （8.97±0.88）points and （6.58±0.63）points The VAS score of the patients in the experimental group was significantly better than that before the control group（P<0.05）， the difference was statistically significant. The average hospitalization time was（14.74±5.21）d in the experimental group and（23.58±6.17）d in the control group. The average hospital stay was significantly lower in the experimental group than in the control group with significant difference（P<0.05）. The total effective rate was 95.74% in the experimental group and 80.85% in the control group. The total effective rate was significantly higher in the experimental group than in the control group . The difference was statistically significant（P<0.05）. Conclusion The application of minimally invasive rib fixation in the treatment of severe thoracic trauma has significant clinical efficacy and is worthy of clinical application.

相關(guān)熱詞搜索：外傷 肋骨 胸部 微創(chuàng) 固定