肋骨内固定术治疗连枷胸  

Internal Fixation of Rib Fractures for Flail Chest

作　　者：徐靖[1] 许国安[1] 方向明[1] 周亚军[1] 高栋才[1] 刘毓平[1] 徐军[1] 邓武昌[1] 杨洋[1] 

机构地区：[1]中国人民解放军第九四医院心胸外科,南昌330002

出　　处：《南昌大学学报（医学版）》2011年第10期65-66,69,共3页Journal of Nanchang University：Medical Sciences

摘　　要：目的探讨肋骨内固定术治疗连枷胸的临床效果。方法将2007年7月至2008年7月采用非内固定手术治疗的73例肋骨骨折患者设为A组,2008年8月至2010年8月采用微创肋骨内固定术治疗的70例设为B组,比较2组患者疗效及并发症情况。结果 B组呼吸机支持时间、住院时间、疼痛感觉、镇痛药用量、肺不张等均明显低于A组(P<0.05或P<0.01)。结论肋骨内固定术治疗连枷胸优于非内固定手术治疗组,具有较高的临床应用价值。Objective To investigate the clinical effects of internal fixation of rib fractures on flail chest. Methods The curative effects and complications were compared between patients who underwent non-internal fixation of rib fractures from July 2007 to July 2008 （group A,n=73） and patients who underwent minimally invasive internal fixation of rib fractures from August 2008 to August 2010 （group B,n=70）, Results Compared with group A,the number of patients requiring ventilatory support,the length of hospital stay, chest pain, analgesic consumption, the incidence of pulmonary atelectasis significantly increased in group B （P〈0.05 or P〈0.01）. Conclusion Internal fixation of rib fractures is superior to non-internal fixation and has high clinical value for flail chest.

关 键 词：连枷胸 微创 NiTi记忆合金-抓握式接骨板 聚左旋乳酸可吸收骨固定系统 内固定 

分 类 号：R655.1[医药卫生—外科学]