Yin Degang, Lu Jingang, Wang Jiansheng, Yan Biao, Zheng Zhongshu
Department of Thoracic Surgery, Xixi Hospital, Hengbu Street 2, Xihu District, Hangzhou, 310023, China.
Department of Anesthesiology, Xixi Hospital, Hangzhou, 310023, China.
J Orthop Surg Res. 2021 Jan 28;16(1):86. doi: 10.1186/s13018-021-02221-y.
The aim of the present study was to explore the therapeutic effect and prognosis in patients with rib fractures and atelectasis after thoracic trauma in order to provide a basis for clinical decision-making in primary hospitals.
A retrospective study was conducted on 86 patients admitted to our hospital between January 2016 and May 2020 with rib fractures and atelectasis after thoracic trauma. On the basis of the chest computed tomography scans taken at the time of discharge, the patients were divided into two groups: the reexpansion group and the non-reexpansion group. The two groups were compared with respect to the changes observed in the patients' levels of blood oxygen saturation (SpO2) and pulmonary function, the presence of secondary pulmonary or thoracic infection, the time of chest tube drainage, the length of hospitalization, the cost of hospitalization, and the patients' level of satisfaction with their quality of life 3 months after discharge.
In the reexpansion group, there were significant differences in the levels of SpO2 and pulmonary function measured before and after pulmonary reexpansion (P < 0.05). Compared with the non-reexpansion group, the patients in the reexpansion group had a lower incidence of secondary pulmonary and thoracic infection and a higher level of satisfaction with their quality of life after discharge; these differences were statistically significant (P < 0.05). There was no statistical significance between the two groups with respect to the time of chest tube drainage or the length of hospitalization (P > 0.05). However, the cost of hospitalization was significantly higher in the reexpansion group than in the non-reexpansion group (P < 0.05).
The patients in the pulmonary reexpansion group had a lower incidence of complications and a better prognosis than the patients in the non-reexpansion group.
本研究旨在探讨胸外伤后肋骨骨折合并肺不张患者的治疗效果及预后情况，为基层医院临床决策提供依据。
对2016年1月至2020年5月我院收治的86例胸外伤后肋骨骨折合并肺不张患者进行回顾性研究。根据出院时胸部计算机断层扫描结果，将患者分为复张组和未复张组。比较两组患者血氧饱和度（SpO2）水平、肺功能变化、继发性肺部或胸腔感染情况、胸腔闭式引流时间、住院时间、住院费用以及出院3个月后患者对生活质量的满意度。
复张组肺复张前后SpO2水平及肺功能差异有统计学意义（P < 0.05）。与未复张组相比，复张组继发性肺部和胸腔感染发生率较低，出院后生活质量满意度较高，差异有统计学意义（P < 0.05）。两组胸腔闭式引流时间和住院时间差异无统计学意义（P > 0.05）。然而，复张组住院费用明显高于未复张组（P < 0.05）。
肺复张组患者并发症发生率低于未复张组，预后更好。
