Objective To explore the efficacy and safety of video-assisted thoracoscopic internal fixation surgery in the treat-ment of rib fractures combined with hemopneumothorax,aiming to provide a reference for clinical treatment.Methods A total of 120 patients with rib fractures combined with hemopneumothorax treated at the Shanghai Fengxian District Central Hospital from January 2019 to February 2024 were selected as the study participants and assigned to a control group and an observation group,with 60 cases in each group using the random number table method.Patients in the control group under-went conventional open reduction and internal fixation surgery.Patients in the observation group underwent video-assisted thoracoscopic internal fixation surgery.The clinical efficacy evaluation at six months postoperatively was compared between the two groups.The time of operation,length of hospital stay,and postoperative related indicators(blood loss,pain relief,and time to drainage tube removal)were compared.The lung function[forced expiratory volume in the first second(FEV1).forced vital capacity(FVC),and peak expiratory flow(PEF)]was compared before and one month after surgery;and the occurrence of complications during the postoperative hospital stay was compared.Results The overall response rate in the observation group was significantly higher than in the control group(P＜0.05).The time of operation,length of hos-pital stay,postoperative pain relief,and time to drainage tube removal in the observation group were all shorter than in the control group,and the postoperative blood loss was less than in the control group,with statistically significant differences(P＜0.05).Before surgery,there were no statistically significant differences in FEV1,FVC,and PEF between the two groups(P＞0.05).One month after surgery,FEV1,FVC,and PEF in both groups were significantly increased,and the observation group was significantly greater than the control group(P＜0.05).The incidence of complications in the obser-vation group was significantly lower than in the control group(P＜0.05).Conclusion Video-assisted thoracoscopic internal fixation surgery for patients with rib fractures combined with hemopneumothorax can achieve good results,accelerate post-operative recovery,promote respiratory function,and reduce the incidence of complications,holding promise for promotion and application in clinical practice.
关键词
肋骨骨折/血气胸/电视胸腔镜下内固定手术/临床疗效/肺功能
Key words
Rib fractures/Hemopneumothorax/Video-assisted thoracoscopic internal fixation surgery/Clinical efficacy/Pul-monary function
维普
万方数据