多发肋骨骨折患者的两种手术方式对比研究  

Comparative study of two kinds of operation modes for multiple rib fracture

作　　者：党玉涛[1] 王建利[1] 李国[1] 陈武[1] 

机构地区：[1]北京市石景山医院胸外科,北京100043

出　　处：《中国民康医学》2015年第18期9-10,12,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:对可吸收肋骨钉及肋骨接骨板治疗多发肋骨骨折患者的效果进行对比分析。方法:将69例肋骨骨折患者按手术方式的不同,分为肋骨钉组和接骨板组。肋骨钉组患者39例,接受可吸收肋骨钉髓内固定;接骨板组患者30例,接受肋骨接骨板髓外固定。回顾两组患者入院情况、术中及术后情况,并进行统计学分析。结果:肋骨钉组患者术中出血量、手术部位术后移位比率及术后疼痛恢复时间明显高于接骨板固定组,且有统计学差异。结论:肋骨接骨板固定患者的肋骨骨折,能够更好的保持患者的胸廓形态,对于多根多处肋骨骨折患者能够达到更好的治疗效果。Objective：To compare and analyze outcomes of multiple rib fractures treated by absorbable rib nail and rib bone plate. Methods：69 cases with multiple rib fractures were divided into rib nail group and bone plate group. The 39 cases in rib nail group were internally fixed with the absorbable rib nails, while 30 cases in bone plate group were externally fixed with rib bone plates. The admission conditions, intraoperative and postoperative conditions of the two groups were reviewed and statistically analyzed. Re-sults：The intraoperative bleeding amount, postoperative shift ratio of operation position, and postoperative pain recovery time of rib nail group were significantly higher than those of bone plate group, and the differences were significant. Conclusions：Rib bone plate fixation of rib fractures can maintain the thoracic morphology, and also can achieve better effects for multiple rib fractures.

关 键 词：肋骨骨折 可吸收肋骨钉 肋骨接骨板 

分 类 号：R683.1[医药卫生—骨科学]