可吸收肋骨固定钉加涤纶补片治疗多发性肋骨骨折12例  

Treatment of fracture of multiple ribs with absorbable rib fixed nail and dacron flap in 12 patients

作　　者：朱海宏[1] 徐铁峥[1] 周珉[1] 郭劝民[1] 

机构地区：[1]衢州市人民医院心胸外科,浙江衢州324000

出　　处：《中国骨伤》2009年第10期787-789,共3页China Journal of Orthopaedics and Traumatology

摘　　要：目的:介绍加用涤纶补片外包裹固定治疗多发性肋骨骨折的方法及适应证,以减少骨折移位并发症的发生。方法:自2006年9月至2008年3月采用可吸收肋骨钉加涤纶补片治疗多发性肋骨骨折12例,男8例,女4例;年龄22～51岁,平均38.2岁;受伤至手术时间:2h～3d。均为闭合性损伤且伴有明显胸痛及胸闷气闭,其中伴呼吸困难、咳痰中带血、血氧饱合度下降4例。X线检查:单侧肋骨骨折3例,双侧肋骨骨折9例,均伴有血气胸。结果:12例患者均获得随访,时间2～26个月,平均8个月。所有病例骨折均愈合。依据评定标准,从疼痛、呼吸、肋骨对位情况等方面对疗效进行观察:优10例,良1例,可1例。结论:应用可吸收肋骨钉加涤纶补片治疗多发性肋骨骨折是安全有效的,特别适用于骨质疏松、粉碎性骨折及斜形骨折的患者。Objective：To introduce the methods of dacron flap application and its indications in treating fracture of multiple ribs,in order to reduce the incidence of the complications of fracture displacement. Methods：From September 2006 to March 2008,12 patients with fracture of multiple ribs were treated with absorbable rib fixed nail and dacron flap. Included 8 males and 4 females,the age was from 22 to 51 years with an average of 38.2 years,the operative time was 2 hours to 3 days after injured. All the patients were closed injury and simultaneously accompanied with significant chest pain and chest tightness. 4 cases with dyspnea,blood in sputum and blood oxygen saturation decreased. The X-ray showed 3 cases of unilateral fracture and 9 cases of bilateral rib fractures and all cases accompanied with hemopneumothorax. Results：All patients were followed up from 2 to 26 months with an average of 8 months. All the fractures healed. According to clinical criteria,pain,breathing, ribs alignment etc. to observe the effect,10 cases got excellent result,1 case good,1 case poor. Conclusion：It is safe and effective to use absorbable rib fixed nails and dacron flap for treating fracture of multiple ribs and especially for the patients of osteoporosis,comminuted fracture or oblique fracture.

关 键 词：肋骨骨折 骨折 闭合性 可吸收性植入物 外科手术 

分 类 号：R683.1[医药卫生—骨科学] R656.21[医药卫生—外科学]