关键词: 严重肋骨骨折, 胸腔镜, 肋骨内固定, 连枷胸

Abstract: Objective To explore the clinical efficacy of thoracoscopic combined with small incision in the treatment of severe multiple rib fractures. Methods From August 2015 to February 2018 ，A retrospective analysis of 32 patients with severe chest blunt trauma admitted to our department. All patients underwent thoracoscopic exploration within one week after injury and assisted with one or more A small incision of about 10cm ，using a nickeltitanium memory alloy rib embracing fixator to fix the ribs，remodeling the structure and stability of the chest wall，and recording data related to surgery. Results All 32 patients underwent successful operation. The average number of rib fixation was 5.6（4?11）. The average operation time was 126 min（86-180 min）. The average intraoperative blood loss was 130 mL（100-250 mL）. The average extubation time after operation was performed 3 d（2-5 d）， average postoperative hospital stay：10.5 d（6?18d），follow?up was followed up for a total of 6 months ， 2 patients with chronic chest pain，no death and other serious complications. Conclusion Thoracoscopy?assisted small incision is safe and effective in the treatment of severe multiple rib fractures. It can make internal fixation surgery more minimally invasive and promote rapid recovery.

Key words: severe rib fracture, thoracoscopic, rib internal fixation, flail chest