镍钛记忆合金环抱器在多发性肋骨骨折治疗中的应用效果观察  

The clinical effect of Ti-Ni shape memory alloy embracing fixator in the treatment of multiple rib fractures

作　　者：刘朋涛[1] 于苗子[1] 李贺鹏[1] 许海伟[1] 

机构地区：[1]漯河医学高等专科学校第二附属医院外科,河南462300

出　　处：《中国临床新医学》2017年第2期160-163,共4页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的观察镍钛记忆合金环抱器在多发性肋骨骨折治疗中的应用效果。方法选取该院2012-08~2014-08多发性肋骨骨折患者62例,抽签随机分为观察组和对照组各31例,观察组采用镍钛记忆合金环抱器内固定治疗,对照组采用保守治疗,比较两组患者的治疗效果、围术期恢复情况和并发症发生率。结果观察组疗效优于对照组(P<0.01);观察组导管滞留时间、机械通气时间、下床活动时间、骨折愈合时间、胸痛持续时间、平均住院时间均短于对照组(P<0.05);观察组并发症发生率为3.23%,低于对照组的32.26%(P<0.01)。结论镍钛记忆合金环抱器治疗多发性肋骨骨折安全可靠,疗效好,术中给患者带来的创伤小,术后恢复较快,能帮助促进骨折愈合,值得临床上应用推广。Objective To study the clinical effect of Ti-Ni shape memory alloy embracing fixator in the treatment of multiple rib fractures. Methods Sixty-two patients with multiple rib fractures in our hospital from August2012 to August 2014 were selected,and were randomly divided into the observation group and the control group,with31 cases in each group. The observation group received Ti-Ni shape memory alloy embracing fixator internal fixation and the control group was conservatively treated. The clinical effect,perioperative recovery and complication rate were compared between the two groups. Results The effective rate of the observation group（ 93. 55%） was significantly higher than that of the control group（ 64. 52%） after the treatment（ P〈0. 05）. The residence time of catheter,the duration of mechanical ventilation,the time of early ambulation and fracture healing,the duration of chest pain and the average hospital stay in the observation group were significantly shorter than those in the control group（ P〈0. 05）. The total complication rate of the observation group（ 3. 23%） was significantly lower than that of the control group（ 32. 26%）（ P〈0. 01）. Conclusion Ti-Ni shape memory alloy embracing fixator is safe and reliable in the treatment of multiple rib fractures with good efficacy,quick recovery and fracture healing,less trauma to the patients during the operation.

关 键 词：镍钛记忆合金环抱器 多发性肋骨骨折 并发症 

分 类 号：R68[医药卫生—骨科学]