Clinical Effect of Thoracoscopic Internal Fixation in Treatment Multiple Rib Fractures and Analysis of Analysis the Ameliorative Effect of Pulmonary Ventilation Disorde
LUO Hua, PENG Jianming, YUAN Yuexi
Changsha Central Hospital Affiliated to Nanhua University, Hunan Changsha 413000, China
Abstract：Objective: To analyze the thoracoscopic internal fixation in treatment multiple rib fractures and analysis of analysis the ameliorative effect of pulmonary ventilation disorder.Methods: 112 patients with multiple rib fractures who were treated in our hospital from October 2017 to January 2019, theoe patients were divided into control group (n=54) and treatment group (n=58) according to simple random method. The control group was treated with traditional open reduction and internal fixation, while the treatment group was treated with thoracoscopic internal fixation. The operation conditions, clinical efficacy, visual analogue scale (VAS), blood gas analysis, changes in pulmonary ventilation function before and after the operation and complications between the two groups were compared. Results: The incision length, operation time, intraoperative blood loss, postoperative thoracic drainage volume, postoperative ventilator usage time and hospitalization time of the treatment group were lesser than those in the control group (P<0.05). On the 1st and 3rd day after operation, VAS and arterial blood carbon dioxide partial pressure(PaCO2) in both groups decreased. The treatment group was lower than the control group, while arterial oxygen partial pressure(PaO2) in both groups increased. The treatment group was higher than the control group. 14 days and 6 months after operation, the forced expiratory volume (FEV1), maximum ventilation volume (MVV) and forced vital capacity (FVC) in the first second of the two groups all increased. the treatment group was higher than the control group. VAS, blood gas analysis and pulmonary ventilation function indexes of the two groups had interaction between time and groups. there were statistically significant differences between the two groups in the above indicators 1d and 3d postoperatively (P<0.05), there were statistically significant differences within two groups in the above indicators 1d and 3d postoperatively(P<0.05). The incidence of complications in the treatment group was lower than that in the control group (P<0.05).Conclusion: Thoracoscopic internal fixation is safe and effective in the treatment of multiple rib fractures, which can effectively reduce pulmonary ventilation dysfunction with less postoperative complications.
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2020, Vol. 26 
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