Effect of minimally invasive complete thoracoscopic intrathoracic fixation of rib fracture in the thoracic cavity comparing with traditional intratho-racic fixation of rib fracture on intraoperative and postoperative related indexes such as pain and foreig
Objective To explore the effect of minimally invasive complete thoracoscopic intrathoracic fixation of rib fracture in the thoracic cavity comparing with tradition intrathoracic fixation of rib fracture on intraoperative and postoperative related indexes such as pain and foreign body sensation in patients.Methods One hundred and twenty patients with rib fractures requiring surgical treatment admitted to the Department of Thoracic Surgery,the Fifth People's Hospital of Zhuhai,Guangdong Province from January 2022 to January 2024 were selected.Based on the surgical method,the above patients were divided into the experimental group and the control group,with 60 cases in each group.Minimally invasive complete thoracoscopic intrathoracic fixation of rib fractures in the thoracic cavity was used in the experimental group and traditional intrathoracic fixation of rib fracture was used in the control group.The visual analogue scale(VAS)score at 12,24,48,and 72 h postoperatively,foreign body sensation scores at one week,two weeks,one month,and three months post operatively,operation time,intraoperative bleeding volume,postoperative drainage volume,postoperative time of drain removal,and postoperative secondary thoracentesis were observed in the two groups.Results Overall analysis found that:the differences in postoperative VAS scores between groups,time point comparisons,and inter-actions of the two groups were statistically significant(P＜0.05).Intra-group comparison:there was statistical significance in VAS scores between the two groups at various postoperative time points(P＜0.05).Comparison between groups:VAS scores of experimental group were lower than control group at various postoperative time points(P＜0.05).Overall analysis found that:the differences in postoperative foreign body sensation scores between groups,time point comparisons,and interactions of the two groups were statistically significant(P＜0.05).Intra-group comparison:there were statistically significant differences in foreign body sensation scores between the two groups at various postoperative time points(P＜0.05).Comparison between groups:the foreign body sensation scores of the experimental group were lower than those of the control group at various postoperative time points(P＜0.05).The operative time,intraoperative bleeding volume,postoperative drainage volume,extubation time,and the number of postoperative secondary puncture cases in experimental group were all lower than those in control group(P＜0.05).Conclusion Minimally invasive complete thoracoscopic intrathoracic fixation of rib fractures in the thoracic cavity has significant advantages over conventional intrathoracic fixation of rib fractures,but still needs to be individualised to the patient.
Rib fracturIntrathoracic fixationPain levelForeign body sensation
万方数据
维普
