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外科研究与新技术（中英文）

外科研究与新技术 ›› 2018, Vol. 7 ›› Issue (1): 28-30.doi: 10.3969/j.issn.2095-378X.2018.01.008

• 论著 • 上一篇    下一篇

肋骨爪形接骨钛板治疗多发性肋骨骨折的临床分析

刘锦源1, 戚晓通1, 陈广明2   

  1. 1.南京医科大学第一附属医院胸心外科,南京 210029;
    2.江苏盛泽医院胸心外科,苏州 215228
  • 收稿日期:2017-08-14 发布日期:2019-12-12
  • 通讯作者: 戚晓通,电子信箱:qixiaotong2008@163.com
  • 作者简介:刘锦源(1983—),男,医学硕士,研究胸外科临床与教学

Clinical analysis on internal fixation with titanium embracing fixator for multiple rib fractures

LIU Jinyuan1, QI Xiaotong1, CHEN Guangming2   

  1. 1.Department of Cardiothoracic Surgery, The First Affiliated Hospital of Nanjing Medical University,Nanjing 210029, China;
    2.Department of Cardiothoracic Surgery, Jiangsu Shengze Hospital, Suzhou 215228, China
  • Received:2017-08-14 Published:2019-12-12

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摘要： 目的 探讨肋骨爪形接骨钛板治疗多发性肋骨骨折的效果。方法 回顾性分析2011年1月—2016年1月应用肋骨爪形接骨钛板内固定手术治疗多发性肋骨骨折52例患者的临床资料,与同期采用非手术治疗的136例患者进行比较(疼痛程度、持续疼痛时间和术后肺部并发症)。结果 手术组术后疼痛持续时间明显缩短(P＜0.05)。肺部感染、肺不张的并发症发生率低于非手术组(P＜0.05)。手术组患者能够更早地恢复原有的活动。结论 应用肋骨爪形接骨钛板治疗多发性肋骨骨折可以缓解疼痛、减少肺部并发症以及缩短恢复时间。

关键词: 肋骨爪形接骨钛板, 多发性肋骨骨折, 回顾性分析

Abstract: Objective To evaluate the effect of internal fixation with titanium embracing fixator on multiple rib fractures.Methods Clinical data of 188 patients with multiple rib fractures treated with internal fixation with titanium embracing fixator (operation group, n=52) or conventional conservative treatment (non-operation group, n=136) between January 2011 and January 2016 were retrospectively analyzed and compared.Results The duration of pain was significantly reduced in the operation group compared with the non-operation group (P＜0.05). The incidence rates of pulmonary infection and atelectasis in the operation group was lower than those in the non-operation group (P＜0.05). The patients in the operation group recovered more quickly than the non-operation group.Conclusion Applying internal fixation with titanium embracing fixator to the treatment of multiple rib fractures can relieve pain, reduce pulmonary complications, and shorten recovery time.

Key words: Titanium embracing fixator, Multiplerib fracture, retrospective analysis

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