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- 2017-05-04 发布于浙江
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Muscle can absorb non-invasive treatment of rib fractures rib 21 cases of nail
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Muscle can absorb non-invasive treatment of rib fractures rib 21 cases of nail
Of: Wang Tao, Xu Zhong can, Zhang Guofeng, Kong Jichang
[Abstract] rib fractures in 21 cases of non-invasive muscle nail in treatment of absorbing ribs, the clinical symptoms improved fracture callus growth. The minimally invasive treatment of postoperative results were satisfactory fixation, internal fixation without second surgery Remove, etc., are worth promoting.
[Keywords:] rib fractures; bone screw; surgery
Our hospital from September 2007 ~ February 2008 21 cases of rib fractures were treated using muscle can absorb non-invasive internal fixation nail ribs reduction for the treatment, and achieved satisfactory results, the clinical experience are summarized below.
Clinical data
1 General information of the 21 patients, 18 males and 3 females; aged from 15 to 62 years, mean age 32.8 years. The causes of injury: road traffic injuries in 12 cases, 5 cases of injury by falling, blunt injured in 4 cases. Which traumatic pneumothorax combined in 18 cases of blood, spleen rupture, 1 case of traumatic diaphragmatic hernia in 1 case. 2 cases of a single rib fracture, multiple rib fractures in 19 cases, including 8 cases of bilateral, unilateral in 11 cases. preoperative chest X ray films, abdominal B-, CT examination, preoperative routine examination 1, positioning perspective. internal fixation materials: poly-L-lactic acid absorbable bone fixation system (GUNZE) (Zhuhai Port Kangda Medical Equipment Co., Ltd.).
2 surgical methods with intravenous anesthesia endotracheal intubation, according to X ray localization of preoperative selection of surgical incision (an average of 1 to 3), length 3 ~ 7cm, within the fixed line number 1 to 4 rib, multiple rib fractures on the same single Various fixation line. intraoperative chest full of free muscle in each group, target ribs, blunt dissection along the direction of muscle fibers, do not stray off
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