The value of portable high-frequency ultrasound in intraoperative localization of multiple rib fractures
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.
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