肋骨骨折内固定术骨折断端定位方法的研究进展  

Research progress on methods for locating fracture ends during internal fixation of rib fractures

作　　者：李强盛 张静 万旭东 张松 张炳太 王鹏 李忠望 刘军 LI Qiangsheng;ZHANG Jing;WAN Xudong;ZHANG Song;ZHANG Bingtai;WANG Peng;LI Zhongwang;LIU Jun(Department of Cardiothoracic Surgery,Bengbu Third People's Hospital Affiliated to Bengbu Medical College,Bengbu Anhui 233000,China)

机构地区：[1]蚌埠医科大学附属蚌埠第三人民医院胸心外科,安徽蚌埠233000

出　　处：《中国急救复苏与灾害医学杂志》2024年第9期1246-1250,1260,共6页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：蚌埠市科技局科技创新指导类项目(编号:20220121)。

摘　　要：肋骨骨折内固定术目前已成为外伤性肋骨骨折最常用的外科治疗手段。肋骨骨折断端的定位是手术切口设计的前提和关键。精准的定位可以减少肌肉离断和神经损伤,缩短手术切口及手术时间,减轻手术创伤。因此,肋骨骨折断端的定位越来越受到关注。笔者就肋骨骨折内固定术骨折断端定位方法的研究进展进行综述,探讨MSCT肋骨三维重建、超声、电视辅助胸腔镜、电磁导航4种定位方法的临床实践价值,为肋骨骨折断端定位方法的选择提供参考。Internal fixation of rib fractures has become the most commonly used surgical treatment for traumatic rib fractures.Preoperative localization of rib fractures is the prerequisite and key to the design of surgical incisions.Accurate positioning can reduce muscle dissection,nerve damage,operation time,and surgical trauma.Therefore,the localization of rib fractures is receiving increasing attention.The author reviews the research progress of fracture localization methods in surgical stabilization of rib fracture and explores the clinical practical value of four localization methods:3D reconstruction of multi-slice CT,ultrasound,video-assisted thoracocospy,and electromagnetic navigation,providing reference for the selection of rib fracture localization methods.

关 键 词：肋骨骨折 定位方法 骨折内固定术 超声 电视辅助胸腔镜 

分 类 号：R641[医药卫生—外科学]