经听诊三角行后肋肋骨骨折内固定术  

Clinical Study of Posterior Rib Internal Fixation Through Triangle of Auscultation

作　　者：杜峰[1] 吴卫春[1] 许坚[1] Du Feng;Wu Weichun;Xu Jian(Department of Thoracic Surgery,Second Affiliated Hospital,College of Medicine,Zhejiang University,Hangzhou 311000,China)

机构地区：[1]浙江大学医学院附属第二医院余杭分院胸外科杭州市余杭区第一人民医院,杭州311000

出　　处：《中国微创外科杂志》2018年第12期1131-1132,共2页Chinese Journal of Minimally Invasive Surgery

基　　金：杭州市卫生科技计划项目(20161335)

摘　　要：目的探讨经听诊三角入路行后肋肋骨骨折内固定术的可行性。方法 2013年10月～2017年10月,经听诊三角入路行后肋肋骨骨折内固定术80例,采用钛镍记忆合金环抱器内固定。结果从开胸到显露肋床的时间5～10min,平均6. 5 min;术后停用镇痛泵后的1周内切口疼痛程度根据视觉模拟评分法1～4分,平均2. 8分。术后切口愈合良好,均未发生积液及感染。全部病例随访3～6个月,未发生环抱器松动滑脱致骨折移位,肩关节活动持续良好。结论经听诊三角入路行后肋肋骨骨折内固定术安全可行。Objective To evaluate the feasibility of posterior rib internal fixation through the approach of triangle of auscultation.Methods A total of 80 patients with rib fractures underwent operations through approach of triangle of auscultation from October 2013 to October 2017.The operation material was the new nitinol encircling device.Results The time for exposing the rib bed by thoracotomy was 5-10 min(mean,6.5 min).The pain intensity score according to the visual analogue scale was 1-4(mean,2.8)in one week after stopping using the analgesia pump.No incision infection or effusion occurred.All incisions healed well.All the patients were followed up for 3-6 months.During the follow-ups,no sliping or loosening of the encircling device happened,which would lead to fracture malposition.The movement of the shoulder joint continued to function well.Conclusion The posterior rib internal fixation through the approach of triangle of auscultation is safe and feasible.

关 键 词：听诊三角 肋骨骨折 

分 类 号：R687.3[医药卫生—骨科学]