{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T22:21:55Z","timestamp":1782512515828,"version":"3.54.5"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,5,18]],"date-time":"2022-05-18T00:00:00Z","timestamp":1652832000000},"content-version":"vor","delay-in-days":137,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003347","name":"Fudan University","doi-asserted-by":"publisher","award":["Tszb2020-11"],"award-info":[{"award-number":["Tszb2020-11"]}],"id":[{"id":"10.13039\/501100003347","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Contrast Media &amp; Molecular Imaging"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p><jats:italic>Objective<\/jats:italic>. A case\u2010control study was conducted, to assess the complications, short\u2010term effectiveness, and quality of life of video\u2010assisted thoracoscopic surgery with conventional surgery in the treatment of rib fractures. <jats:italic>Methods<\/jats:italic>. From February 2018 to April 2021, 100 patients with rib fractures who required surgical treatment at the hospital were selected. Patients were randomly divided into control and study groups. The study group received thoracoscopy\u2010assisted rib internal fixation, and the control group received traditional open reduction and internal fixation for rib fractures. The treatment effect, postoperative complication rate, surgery\u2010related indicators, stress response, blood gas indicators, VAS (visual analog scale) pain score, and SF\u201036 quality of life score were compared between the two groups. <jats:italic>Results<\/jats:italic>. The total effective rate of the study group was higher than that of the control group, and the difference was statistically significant (<jats:italic>P<\/jats:italic> &lt; 0.05). The postoperative complications in the study group were significantly lower than those in the control group (<jats:italic>\u03c7<\/jats:italic><jats:sup>2<\/jats:sup>\u20105.317; <jats:italic>P<\/jats:italic> &lt; 0.05), but there was no significant difference in hospitalization costs between the two groups (<jats:italic>P<\/jats:italic> &gt; 0.05). The operation time, intraoperative blood loss, incision length, drainage tube placement time, postoperative activity time, and hospital stay in the study group were significantly lower than those in the control group. The SF\u201036 score and VAS score in the study group were higher than those in the control group (<jats:italic>P<\/jats:italic> &lt; 0.05). Compared with the two groups after the operation, the levels of PaO2, SaO2, and PaO2\/FiO2 in the study group were significantly higher than those in the control group (<jats:italic>P<\/jats:italic> &lt; 0.05). Before surgery, there was no significant difference in stress response indicators such as cortisol, blood sugar, and C\u2010reactive protein between the two groups (<jats:italic>P<\/jats:italic> &gt; 0.05), but there was no significant difference in stress response indicators after surgery (<jats:italic>P<\/jats:italic> &gt; 0.05). Cortisol, blood sugar, C\u2010reactive protein, and other indicators were increased in both groups, but compared with the control group, the study group had decreased postoperative cortisol, blood sugar, C\u2010reactive protein, and other stress response indicators (<jats:italic>P<\/jats:italic> &lt; 0.05). <jats:italic>Conclusion<\/jats:italic>. There is a significant difference between thoracoscopic surgery and traditional surgery in the treatment of rib fractures. The probability of postoperative complications of thoracoscopic surgery is lower, and the operation time, intraoperative blood loss, and incision length are better. The pain of patients before and after the operation is significantly reduced, the quality of life is improved greatly, and the stress response is weak.<\/jats:p>","DOI":"10.1155\/2022\/2079098","type":"journal-article","created":{"date-parts":[[2022,5,18]],"date-time":"2022-05-18T20:20:26Z","timestamp":1652905226000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["A Cohort Study on the Comparison of Complications, Short\u2010Term Efficacy, and Quality of Life between Thoracoscopic Surgery and Traditional Surgery in the Treatment of Rib Fractures"],"prefix":"10.1155","volume":"2022","author":[{"given":"Dongdong","family":"Wang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yongdong","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qingqing","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yueping","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9158-6227","authenticated-orcid":false,"given":"Xiaoqi","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,5,18]]},"reference":[{"key":"e_1_2_10_1_2","first-page":"2614","article-title":"Comparative analysis of emergency surgical treatment of multiple rib fractures with lung laceration between thoracoscopic surgery and traditional thoracotomy","volume":"45","author":"Yajun G.","year":"2016","journal-title":"Chongqing medicine"},{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10439-011-0311-8"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-014-2862-y"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-012-1538-8"},{"key":"e_1_2_10_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2012.02.023"},{"key":"e_1_2_10_6_2","first-page":"896","article-title":"Complete thoracoscopic memory alloy internal fixation of rib fracture was performed with patented instrument endoscopic bone plate","volume":"20","author":"Jijun Z.","year":"2020","journal-title":"Chinese Journal of minimally invasive surgery"},{"key":"e_1_2_10_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.lungcan.2012.10.011"},{"key":"e_1_2_10_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/sla.0000000000000952"},{"key":"e_1_2_10_9_2","first-page":"1714","article-title":"Exploration of thoracoscopic exploration and internal fixation for multiple rib fractures","volume":"29","author":"Li W.","year":"2013","journal-title":"Journal of practical Medicine"},{"key":"e_1_2_10_10_2","first-page":"245","article-title":"Video-assisted thoracoscopic rib plate in the treatment of multiple rib fractures complicated with hemopneumothorax","volume":"16","author":"Tong W.","year":"2016","journal-title":"Chinese Journal of minimally invasive surgery"},{"key":"e_1_2_10_11_2","first-page":"3512","article-title":"Internal fixation of pure titanium rib plate in the treatment of rib fractures: a comparative analysis of pain with conservative treatment","volume":"23","author":"Zuopei W.","year":"2019","journal-title":"Research on tissue Engineering in China"},{"key":"e_1_2_10_12_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2019.2313"},{"key":"e_1_2_10_13_2","first-page":"646","article-title":"Analysis of the timing of early tracheotomy and related factors of prognosis in patients with multiple rib fractures","volume":"37","author":"Bing Z.","year":"2021","journal-title":"Chinese Journal of Traumatology"},{"key":"e_1_2_10_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2011.12.006"},{"key":"e_1_2_10_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2017.08.045"},{"key":"e_1_2_10_16_2","first-page":"4419","article-title":"Effect of minimally invasive plate internal fixation on postoperative pain, respiratory function and fracture healing in elderly patients with rib fracture","volume":"41","author":"Shuman Li.","year":"2021","journal-title":"Chinese Journal of Gerontology"},{"key":"e_1_2_10_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0003-4975(02)04544-7"},{"key":"e_1_2_10_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-016-3783-8"},{"key":"e_1_2_10_19_2","first-page":"486","article-title":"Thoracoscopic sympathectomy for palmar hyperhidrosis in children: 21 Years of experience at a tertiary care center","volume":"23","author":"J\u00fcngling P. 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