Conservative treatment of flail chest comparative study and surgical treatment.docVIP

 PAGE \* MERGEFORMAT 17 Conservative treatment of flail chest comparative study and surgical treatment Of: are fixed yuan, Su Wang Jie, Tan Yuankang, Ling Wen, Zhang Weimin, Zhao Xingji, Martin [Abstract] Objective To investigate the optimization of flail chest treatment programs, reduce lung function damage, improve the treatment success rate. Methods A retrospective analysis in February 1991 ~ December 2008 in our hospital 35 patients with flail chest cases. Divided into the conservative treatment group [towel clamp suspension traction and ribs (or breathing machine gas fixation] in 13 cases, 22 cases of internal fixation group. surgical group than the line to stop bleeding, lung repair and other treatment, but also a “+ Kirschner wire” or memory alloys surrounded by internal fixation with bone ribs. Results (1 cure rate of 97.1% (34/35, a conservative group 1 patients died of multiple organ failure (MOSF. (2 ISS operation group and the conservative group values #8203;#8203;(25.7 + -6.9 vs 29.8 + - 8.5, the number of bilateral rib fractures (11.8 + -3.5 vs 9.8 + -1.8 was no significant difference (Pgt; 0.05,0.05, massive hemothorax incidence was significantly higher than the conservative surgery group (40.9% vs 7.7% (P lt; 0.05), respiratory complications and the incidence of thoracic deformity was significantly lower than the conservative surgery group (36.4% vs 84.6%, 27.3% vs 92.3% (P lt;0.01,0.01), required ventilator support for operation group (4 / 22 , 18.2%) and the conservative group (3 / 13, 23.1% difference was not statistically significant (Pgt; 0.05. (3 memory alloy ribs and internal fixation with bone surrounded by respiratory complications (4 / 16, 25% was significantly lower than the “wire + Kirschner “fixation (4 / 6, 66.7% (P lt;0.05, the aftermath of thoracic deformity surgery group were” Kirschner wire + “fixation group, embracing memory alloy ribs and chest bone shape recovery device to correct the chest wall softening satisfaction.