Evaluation on the curative effect of surgical treatment of non-flail chest rib fractures

doi:10.3877/cma.j.issn.2095-8773.2019.01.01

Abstract

Abstract:

Objective

To evaluate the effect of operative treatment of non-flail chest rib fractures.

Methods

A retrospective analysis of 109 patients who underwent non-flail chest rib fractures between May 2015 and June 2016 was conducted. We compared patients’ pain index and pulmonary function parameters (vital capacity, VC; forced vital capacity in the first second, FEV₁; peak expiratory flow, PEF) at different stages: at hospital admission (IN), on the day before surgery (PRE), and on postoperative days one (D1), two (D2), and seven (D7).

Results

The 109 patients included 85 men (78.0%) and 24 women (22.0%) between the age of 23 and 74 ( with a mean of 52). 75 had multiple injuries (68.8%), 34 had chest trauma solely (31.2%), the average injury severity score (ISS) was 18.2.The average number of fractured ribs was 5.8 ( ranging from 3-16). The average length of time from admission to operative intervention was 4.4 days (ranging from 1-16). The fractures healed in all patients, while superficial wound infections occurred in two cases (1.8%), skin numbness around the incision occurred in 5 cases (4.6%). Pain and pulmonary function parameters (VC, FEV₁, PEF) had improved significantly by postoperative day seven (P<0.05).

Conclusions

In patients with three or more non-flail chest rib fractures , early surgical treatment is safe, and can effectively relieve pain , leading to rapid recovery of lung function.

Key words: Non-flail chest rib fractures, Operative treatment, Lung function, Pain index

Yang Li, Weiwei He, Yi Yang, Weiming Wu, Zongli Gao, Yonghong Zhao, Xiang Guo, Tiancheng Zhao. Evaluation on the curative effect of surgical treatment of non-flail chest rib fractures[J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2019, 06(01): 1-5.

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References 18

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指标		数据
年龄(岁)		52(23～74)^*
性别[n(%)]		?
?	男性	85(78.0)
?	女性	24(22.0)
多发伤[n(%)]		75(68.8)
胸外伤[n(%)]		34(31.2)
ISS评分(分)		18.21(11～34)^*
肋骨骨折数(根)		5.79(3～16)
入院至手术时间(d)		4.36(1～16)
术后并发症[n(%)]		?
?	切口感染	2(1.8)
?	切口麻木	5(4.6)
治愈[n(%)]		109(100)
死亡[n(%)]		0(0)

指标		数据
年龄(岁)		52(23～74)^*
性别[n(%)]		?
?	男性	85(78.0)
?	女性	24(22.0)
多发伤[n(%)]		75(68.8)
胸外伤[n(%)]		34(31.2)
ISS评分(分)		18.21(11～34)^*
肋骨骨折数(根)		5.79(3～16)
入院至手术时间(d)		4.36(1～16)
术后并发症[n(%)]		?
?	切口感染	2(1.8)
?	切口麻木	5(4.6)
治愈[n(%)]		109(100)
死亡[n(%)]		0(0)

指标	IN	PRE	D1	D2	D7
VC(L)	0.960 (0.023^*)	1.100	1.040(0.899)	1.110(0.578)	1.560(<0.001^**)
FEV₁(L)	0.780 (0.012^*)	0.850	0.810(0.898)	0.940(0.103)	1.340(<0.001^**)
PEF(L/s)	1.170 (0.198)	1.300	1.370(0.359)	1.680(0.003^**)	2.340(<0.001^**)
PAIN	9.000 (<0.001^**)	8.000	9.000(0.072)	8.000(<0.001^**)	6.000(<0.001^**)

指标	IN	PRE	D1	D2	D7
VC(L)	0.960 (0.023^*)	1.100	1.040(0.899)	1.110(0.578)	1.560(<0.001^**)
FEV₁(L)	0.780 (0.012^*)	0.850	0.810(0.898)	0.940(0.103)	1.340(<0.001^**)
PEF(L/s)	1.170 (0.198)	1.300	1.370(0.359)	1.680(0.003^**)	2.340(<0.001^**)
PAIN	9.000 (<0.001^**)	8.000	9.000(0.072)	8.000(<0.001^**)	6.000(<0.001^**)

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