摘要
目的 研究便携式高频超声在多发性肋骨骨折术中的定位价值.方法 回顾性分析外伤后肋骨多发性骨折患者84例,并依据手术定位方式将其分为体表触诊定位、高频超声定位和胸腔镜定位三组.比较三种方法定位肋骨骨折准确性,并分析患者手术切口长度、手术时间、术中出血量、术后首日引流量、总引流量、术后3d内视觉模拟评分法(VAS)评分、胸引管留置时间及住院天数等指标.结果 高频超声定位组和胸腔镜定位组定位准确率明显高于体表触诊组(P＜0.05).高频超声定位组与胸腔镜定位组患者的手术时间、切口长度、术中出血量、术后首日引流量及总引流量、术后3 d内VAS评分、胸引管留置时间及住院天数明显低于体表触诊定位组(P＜0.05),高频超声定位组手术时间短于胸腔镜定位组(P＜0.05).结论 便携式高频超声能够精准定位多发性肋骨骨折部位,在手术时间和预后方面具有良好效果,有较高的实用价值.
Abstract
Objective To evaluate the value of portable high-frequency ultrasound in the localization of multiple rib fractures during surgery.Methods A retrospective analysis was conducted on 84 patients with multiple post-traumatic rib fractures,who were divided into three groups based on the surgical localization method:palpation,high-frequency ultrasound,and thoracoscopy.The accuracy of rib fracture localization using these three methods was compared,along with the analysis of various surgical parameters in-cluding incision length,operation time,intraoperative blood loss,postoperative first-day drainage,total drainage,visual analog scale(VAS)score within 3 days post-operation,duration of chest tube placement,and hospital stay.Results The accuracy of localization in the high-frequency ultrasound group and thoracoscopy group was significantly higher than that the palpation group(P＜0.05).The operation time,incision length,intraoperative blood loss,postoperative first-day drainage,total drainage,VAS scores within 3 days post-operation,duration of chest tube placement,and hospital stay in the high-frequency ultrasound group and the thoracoscopy group were significantly lower than those in the palpation group(P＜0.05),with the operation time in the high-frequency ultrasound group being shorter than that in the thoracoscopy group(P＜0.05).Conclusion Portable high-frequency ultrasound can accurate locate multiple rib fractures,showing good outcomes in operation time and prognosis,and has a high practical value.
NETL
NSTL
万方数据