高龄肺癌患者术中肋骨骨折应用肋骨环抱接骨板研究.docVIP

高龄肺癌患者术中肋骨骨折应用肋骨环抱接骨板研究 　　[摘要] 目的 分析高龄（70岁以上）肺癌术中合并肋骨骨折患者应用肋骨环抱接骨板对围手术期心肺并发症发生率的影响。 方法 连续选择2011年1月～2015年6月接受手术治疗且合并肋骨骨折的115例高龄原发性肺癌患者，观察其围手术期并发症发生情况，并按是否应用肋骨环抱接骨板分组进行比较。 结果 115例接受肺癌手术患者中应用肋骨环抱接骨板67例（观察组），未应用肋骨环抱接骨板患者48例（对照组）。对照组围手术期发生肺不张、肺内感染等并发症的发生频次均明显多于观察组（P0.05或P0.01）。术后观察组患者血气指标均明显优于对照组（P0.05）。 结论 70岁以上肺癌手术患者开胸过程中容易发生肋骨骨折，造成围手术期发生心肺并发症较多，应用肋骨环抱接骨板能减少围手术期心肺并发症发生率。 　　[关键词] 肺癌；高龄；围手术期；肋骨环抱接骨板 　　[中图分类号] R687.3 [文献标识码] B [文章编号] 1673-9701（2017）04-0098-03 　　Study on the application of rib embracing fixators for intraoperative rib fracture in the elderly patients with lung cancer 　　SONG Qingping WANG Chuifang 　　Department of Thoracic Surgery， Liaocheng Tumor Hospital in Shandong Province， Liaocheng 252000， China 　　[Abstract] Objective To analyze on the application of rib embracing fixators of perioperative cardiopulmonary complications in the elderly patients above 70 years of age suffered from rib fractures. Methods A total of 115 elderly patients with primary lung cancer treated with surgeries and suffered from multiple rib fractures from January 2011 to June 2015 were selected continuously. The incidence of perioperative complications was observed， meanwhile， these patients were divided into groups for comparative analysis based on the application of rib embracing fixators. Results Among these 115 patients treated with lung cancer surgeries， 67 patients （observation group） were given rib embracing fixators， while 48 patients（control group） were not given rib embracing fixators. During the perioperative period， the incidences of complications such as atelectasis， lung infection were significantly higher in the control group than those in the observation group（P0.05 or P0.01）. The blood gas indexes in observation group of patients were significantly better than the control group after surgery（P0.05）. Conclusion Rib fractures tend to be induced during thoracotomy in the patients above 70 years of age， causing higher incidence of perioperative cardiopulmonary su