可吸收肋骨钉与记忆合金接骨板内固定治疗多发性肋骨骨折的效果比较.docVIP

可吸收肋骨钉与记忆合金接骨板内固定治疗多发性肋骨骨折的效果比较 　　[摘要] 目的 探讨可吸收肋骨钉与记忆合金接骨板内固定治疗多发性肋骨骨折的效果。 方法 选择2009年1月～2013年6月在台州市中心医院胸外科行手术内固定治疗的胸部外伤致多发性肋骨骨折患者70例，随机分为观察组和对照组，每组各35例，观察组采用可吸收肋骨钉内固定治疗，对照组采用记忆合金接骨板进内固定治疗。观察两组患者手术时间、术中失血量、术后镇痛率、术后下床活动时间、术后胸管引流时间、术后住院时间和术中术后并发症的发生率等，术后6个月随访复查X线了解骨折愈合情况。 术后6个月随访复查胸部X线，两组患者均无骨折再移位。 结论 可吸收肋骨钉与记忆合金接骨板均是治疗多发性肋骨骨折较理想的术式，前者在术后镇痛率和术后下床活动时间等方面具有优势，且无需二次手术取出内固定，减轻了患者痛苦。 　　[关键词] 多发肋骨骨折；可吸收肋骨钉；记忆合金接骨板；疗效 　　[中图分类号] R683.1 [文献标识码] A [文章编号] 1673-7210（2014）04（b）-0047-04 　　[Abstract] Objective To discuss curative effect of application of absorbable rib nails and memory alloy bone plate internal fixation in the treatment of fracture of multiple ribs fracture. Methods 70 cases of patients with fracture of multiple ribs and internal fixation surgery treatment in Department of Chest Surgery， Taizhou Central Hospital from January 2009 to June 2013 were selected and divided into observation group and control group at random with 35 cases in each group. The observation group was treated with absorbable rib nails internal fixation treatment， the control group was treated with memory alloy bone plate internal fixation treatment. The operation time， amount of blood loss， postoperative analgesic rate， out-of-bed activity time， chest tube drainage time， length of stay （LOS）， occurrence rate of complication of patients in two groups were observed， and the fracture healing was followed up and rechecked by X-ray for 6 months after the operation. Results The postoperative analgesic rate and out-of-bed activity time of patients in observation group According to the following-up and rechecking of X-ray for 6 months after the operation， no fracture displacement was found in the two groups. Conclusion Both absorbable rib nails and memory alloy bone plate are the favorable operations to treat fracture of multiple ribs， the absorbable rib nails has advantages in postoperative analgesic rate and out-of-bed activity time without second operation to remove internal fixation， which can a