不同手术时机行肋骨骨折手术治疗的临床效果

Clinical Effects of Surgical Treatment for Rib Fractures at Different Surgical Timing

摘要: 目的：评价早期与晚期切开复位内固定术治疗肋骨骨折的疗效和安全性。方法：回顾性分析2020年6月至2023年12月我院收治的53例(其中男31例，女22例，平均年龄(52.8 ± 6.5)岁)肋骨骨折手术患者的临床资料，其中29例患者在受伤3 d内行肋骨骨折切开复位内固定术(早期手术组)，24例患者在受伤3 d后行肋骨骨折切开复位内固定术(晚期手术组)，比较两组术后恢复及疼痛评分等情况。结果：早期手术组的术后住院时间、带管时间、术后疼痛评分及术后并发症方面均优于晚期手术组，差异有统计学意义(P < 0.05)。结论：早期手术组与晚期手术组相比更能有效缩短手术时间、胸管留置时间及住院时间，降低疼痛感，更有利于患者术后快速康复出院。

Abstract: Objective: To evaluate the efficacy and safety of early and late open reduction and internal fixation in the treatment of rib fractures. Methods: The clinical data of 53 patients (including 31 males and 22 females, with an average age of (52.8 ± 6.5) years) treated in our hospital from June 2020 to December 2023 for rib fracture surgery were retrospectively analyzed. Among them, 29 patients underwent open reduction and internal fixation of rib fracture within 3 days of injury (early operation group). 24 patients underwent open reduction and internal fixation of rib fracture after 3 d injury (late operation group), and the postoperative recovery and pain scores of the two groups were compared. Results: The hospital stay, catheter time, postoperative pain score and postoperative complications of the early operation group were better than those of the late operation group, with statistical significance (P < 0.05). Conclusion: Compared with the late operation group, the early operation group can effectively shorten the operation time, chest tube indentation time and hospital stay, reduce the sense of pain, and is more conducive to the rapid recovery and discharge of patients after surgery.