Prospective Study of Video-assisted Rib Planting in Chest Wall Stabilization
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 20
- Locations
- 1
- Primary Endpoint
- The pain score after operation
Study Overview
Brief Summary
The purpose of this study is to compare the advantages and disadvantages of video-assisted rib planting and traditional internal fixation of rib fractures in chest wall stabilization.
The investigators design a new surgical method of video-assisted thoracoscopic surgery for rib fractures, evaluate the advantages and disadvantages of the new surgical techniques with a prospective study.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 70 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •≥3 unilateral rib displacement fractures
- •18-70 years old
- •ASA score I-II
- •Preoperative arterial oxygen partial pressure >60mmHg
- •Carbon dioxide partial pressure <50mmHg
Exclusion Criteria
- •The distance from the broken end of the posterior rib fracture to the spine is less than 2cm
- •Airway stenosis
- •Abnormal coagulation system
- •History of peptic ulcer or bleeding
- •History of allergy to anesthesia related drugs
- •History of asthma or chronic obstructive pulmonary emphysema
- •Pregnant women
Arms & Interventions
video-assisted rib planting
Intervention: video-assisted rib planting (Procedure)
Outcomes
Primary Outcomes
The pain score after operation
Time Frame: 24 hours after operation
The investigators evaluate and record the patients' pain score after operation by visual analog scale (VAS). 0-10 is used to represent different degrees of pain, 0 is painless and 10 is severe pain. The grading criteria of pain were: 0: no pain; 1-3: mild pain; 4-6: moderate pain; 7-10: severe pain.
The pain score after operation
Time Frame: 6 hours after operation
The investigators evaluate and record the patients' pain score after operation by visual analog scale (VAS)，which is used to evaluate pain scores 6h,12h,and 24h after the operation. 0-10 is used to represent different degrees of pain, 0 is painless and 10 is severe pain. The grading criteria of pain were: 0: no pain; 1-3: mild pain; 4-6: moderate pain; 7-10: severe pain.
The pain score after operation
Time Frame: 12 hours after operation
The investigators evaluate and record the patients' pain score after operation by visual analog scale (VAS). 0-10 is used to represent different degrees of pain, 0 is painless and 10 is severe pain. The grading criteria of pain were: 0: no pain; 1-3: mild pain; 4-6: moderate pain; 7-10: severe pain.
Secondary Outcomes
- The postoperative drainage(7 days at most)
Investigators
Weigang Zhao
Clinical Professor
Shanghai Jiao Tong University Affiliated Sixth People's Hospital