创伤性胸骨骨折的外科治疗  

Surgical treatment of traumatic sternal fractures

作　　者：李谦平[1] 成少飞[1] 赵永红[1] 曹勇[1] 

机构地区：[1]上海交通大学附属第六人民医院东院,上海201306

出　　处：《创伤外科杂志》2014年第2期113-115,共3页Journal of Traumatic Surgery

摘　　要：目的探讨创伤性胸骨骨折的外科治疗效果。方法2009年4月～2013年10月收治胸骨骨折病例13例，男性11例，女性2例；平均（38．5±6．7）岁。13例胸骨骨折患者均经过急诊处理，检查胸部CT和胸腔超声后收住人院。根据病情收入普通或ICU病房，根据胸骨骨折及其合并损伤情况进行相应治疗，其中10例经胸骨正中切口行手术切开复位内固定胸骨骨折，3例选择非手术治疗。结果所有患者均治愈出院，随访3个月一3年，切口愈合良好，无胸部疼痛，无钛板移位，无胸骨感染发生。结论手术切开复位内固定治疗胸骨骨折方法有效，可以迅速恢复胸廓的稳定性和完整性，手术简单易行，术后恢复快。Objective To investigate the effect of open reduction in treating traumatic sternal fractures. Methods Thirteen patients with sternal fractures including 11 males and 2 females were treated in our hospital from Apr. 2009 to Oct. 2013. Thirteen cases underwent emergency treatment,chest CT and ultrasound examination before admitting to hospital. Patients were assigned to ordinary ward or ICU ward according to the condition of ster- nal fractures and the consolidated injuries. Among them, 10 cases were treated through a median approach to the sternum for fixing sternal fractures 93 cases were treated non - surgically. Results All 13 patients were cured. The follow-up ranged from 3 months to 3 years. The follow-up indicated good incision healing, no chest pain, no plate shifting and no chest infection. Conclusion Operative treatment of the traumatic sternal fracture is effective, which can quickly restore the stability and integrity of thorax and has advantages of simple surgical procedure and fast post- operative recovery.

关 键 词：胸骨骨折 复位 内固定 

分 类 号：R683.1[医药卫生—骨科学]