多发肋骨骨折胸腔镜辅助下选择性切开复位内固定治疗的研究

Abstract: Objective To explore the clinical efficacy of selective incision, reduction and internal fixation assisted by thoracoscopy in the treatment of multiple rib fractures. Methods Inpatients with multiple rib fractures admitted to our hospital from June 1, 2022 to June 30, 2024 were enrolled and divided into an experimental group of 40 cases and a control group of 41 cases by the random number table method. The control group was given conservative treatment, while the experimental group was given surgical treatment. To study and apply the selective open reduction and internal fixation therapy for multiple rib fractures assisted by thoracoscopy. The basic information and clinical data of the two groups of patients were recorded and analyzed. The clinical efficacy of the two groups of patients in terms of recovery time, partial pressure of oxygen in blood (PaO2), Visual Analogue Scale (VAS) pain score, and the probability of complications (pneumonia, thoracic deformity, effusion, etc.) was compared. Results The injury severity score (ISS) score for injury severity of the two groups of patients was≥16 points. At admission, there were no statistically significant differences in the pain index and preoperative partial pressure of oxygen in the experimental group and the control group (P＞0.05). After treatment, compared with the control group, the recovery time of patients in the experimental group was shortened (P＜0.05), the partial pressure of blood oxygen on the 7th day after treatment was increased (P＜0.05), the VAS score on the 7th day was decreased (P＜0.05), and the total incidence of complications was reduced (P＜0.05). Conclusion The treatment of multiple rib fractures can be achieved through selective open reduction and internal fixation assisted by thoracoscopy. This method is safe and effective and can be widely applied in clinical practice.