术前超声定位在肋骨骨折内固定微创手术中的应用价值探讨(1)
[摘要] 目的 探討在微创手术中肋骨骨折进行内固定，手术前运用超声技术进行定位的价值和影响。 方法 选取我院2016年1月～2018年12月所收治的43例进行固定手术的肋骨骨折患者，随机分为两组，即实验组(21例)和对照组(22例)。实验组选用微创切口的先进超声定位技术，对照组选用传统剖胸切口的X线、CT体表定位技术。对比两组患者手术的切口长度、体表定位的精准率、手术当日和第2日胸腔的引流量以及术后引流的时间。 结果 与对照组比较，实验组患者手术切口长度小(P<0.05)，体表定位准确率高(100.00% vs 84.11%，P<0.05)，手术当日胸腔的引流量少(P<0.05)，术后胸腔进行引流的时间短[(4.90±0.29)d vs (7.00±0.32)d，P<0.05]。两组在检查过程中均无明显不良反应发生。 结论 在肋骨骨折患者进行的内固定手术定位中，术前运用超声定位具有切口小、定位准、减少手术后胸腔引流量和引流时间等优点，无明显不良反应，在临床上有非常重要的应用价值。
[关键词] 超声定位;肋骨骨折;微创手术;胸部创伤;手术切口长度
[中图分类号] R687.3 [文献标识码] B [文章编号] 1673-9701(2019)29-0090-04
The application value of preoperative ultrasound localization in minimally invasive surgery for internal fixation of rib fractures
LUO Liang YANG Libao CHI Wanzhong
Department of Thoracic Surgery， Sanming Second Hospital in Fujian Province， Sanming 366000， China
[Abstract] Objective To investigate the value and influence of preoperative ultrasound localization on the minimally invasive surgery for internal fixation of rib fractures. Methods 43 patients with rib fractures who underwent fixed surgery from January 2016 to December 2018 were randomly divided into two groups， including the experimental group(21 patients) and the control group(22 patients). The experimental group used advanced ultrasound positioning technique with minimally invasive incision， and the control group used X-ray and CT surface positioning technique of traditional thoracotomy. The length of the incision， the accuracy of the surface location， the drainage of the thoracic cavity on the day of surgery and the second day of surgery， and the time of postoperative drainage were compared between the two groups. Results Compared with that of the control group， the length of the surgical incision in the experimental group was small(P<0.05); the accuracy of surface location in the experimental group was high(100.00% vs 84.11%， P<0.05); the drainage volume of the thoracic cavity in the experimental group was less on the day of surgery(P<0.05); and the drainage time of the thoracic cavity after surgery in the experimental group was shorter[(4.90±0.29)d vs (7.00±0.32)d， P<0.05]. There were no obvious adverse reactions in the two groups during the examination. Conclusion In the internal fixation of patients with rib fractures， preoperative ultrasound localization has the advantages of small incision， accurate positioning， reduced thoracic drainage and drainage time after operation， without obvious adverse reactions. It has important application valuein clinical medicine., http://www.100md.com(罗亮 杨力宝 池万忠)
[关键词] 超声定位;肋骨骨折;微创手术;胸部创伤;手术切口长度
[中图分类号] R687.3 [文献标识码] B [文章编号] 1673-9701(2019)29-0090-04
The application value of preoperative ultrasound localization in minimally invasive surgery for internal fixation of rib fractures
LUO Liang YANG Libao CHI Wanzhong
Department of Thoracic Surgery， Sanming Second Hospital in Fujian Province， Sanming 366000， China
[Abstract] Objective To investigate the value and influence of preoperative ultrasound localization on the minimally invasive surgery for internal fixation of rib fractures. Methods 43 patients with rib fractures who underwent fixed surgery from January 2016 to December 2018 were randomly divided into two groups， including the experimental group(21 patients) and the control group(22 patients). The experimental group used advanced ultrasound positioning technique with minimally invasive incision， and the control group used X-ray and CT surface positioning technique of traditional thoracotomy. The length of the incision， the accuracy of the surface location， the drainage of the thoracic cavity on the day of surgery and the second day of surgery， and the time of postoperative drainage were compared between the two groups. Results Compared with that of the control group， the length of the surgical incision in the experimental group was small(P<0.05); the accuracy of surface location in the experimental group was high(100.00% vs 84.11%， P<0.05); the drainage volume of the thoracic cavity in the experimental group was less on the day of surgery(P<0.05); and the drainage time of the thoracic cavity after surgery in the experimental group was shorter[(4.90±0.29)d vs (7.00±0.32)d， P<0.05]. There were no obvious adverse reactions in the two groups during the examination. Conclusion In the internal fixation of patients with rib fractures， preoperative ultrasound localization has the advantages of small incision， accurate positioning， reduced thoracic drainage and drainage time after operation， without obvious adverse reactions. It has important application valuein clinical medicine., http://www.100md.com(罗亮 杨力宝 池万忠)