Abstract:[Abstract] Objective: Comparison of the advantages and disadvantages between conservative treatment and surgical treatment of multiple rib fractures. Methods: Analysis of the relationship of the two treatment methods with the relevant clinical evaluation parameters by collection of clinical data of 40 cases of conservative treatment and 36 cases of surgical treatment in patients with multiple rib fractures. Results:The time of hospitalization or ICU stay and chest pain relief, respiratory support and the pleural cavity status at discharge were not statistically different (P> 0.05). However, fracture displacement correction rate of rib fractures ,the closed drainage rate of pleural cavity and the total amount of pleural cavity drainage fluid were higher than the conservative group, only the thoracenteses rate in surgery group was lower than conservative group, the difference was statistically significant (P<0.05). Conclusion: Surgical treatment group of multiple rib fractures was superior to conservative group in correcting fracture displacement,but the reduction of chest pain duration in surgical treatment group was not superior to that in conservative group.
基金资助:
江苏大学临床医学科技发展基金资助项目(JLY2010074)
通讯作者:
孙宝林主任医师,教授,E-mail:sbl118@yahoo.com.cn
作者简介: 余守强(1976—),男,安徽肥西人,主治医师
引用本文:
余守强1, 孙宝林1, 全勇辉1, 严征远1, 魏春生1, 杨小龙2. 保守治疗与手术治疗多发性肋骨骨折的比较[J]. 江苏大学学报:医学版, 2012, 22(6): 518-522.
YU Shou-qiang1, SUN Bao-lin1, QUAN Yong-hui1, YAN Zheng-yuan1, WEI Chun-sheng1, YANG Xiao-long2. A comparing study for Conservative treatment and surgical treatment of multiple rib fractures. Journal of Jiangsu University(Medicine Edition), 2012, 22(6): 518-522.