Muscle-sparing微创肋骨骨折内固定术的临床疗效观察  

Clinical observation of the therapeutic effect of Muscle-sparing minimally invasive internal fixation for rib fracture

作　　者：周开国 唐佳 ZHOU Kaiguo;TANG Jia(Chest Surgery,the Suzhou Hospital Affiliated to Nanjing University Medical School,Jiangsu,Suzhou 215153,China)

机构地区：[1]南京大学医学院附属苏州医院胸外科,江苏苏州215153

出　　处：《中国医药科学》2025年第2期70-74,共5页China Medicine And Pharmacy

摘　　要：目的观察及总结Muscle-sparing微创肋骨骨折内固定术的临床资料,探讨其安全性、可行性和术后患者的受益情况。方法回顾性分析2019年1月至2023年6月共112例多发肋骨骨折患者的临床资料,56例采用Muscle-sparing微创肋骨骨折内固定术作为改良组,56例采用常规切断肌肉肋骨骨折内固定术作为传统组。比较两组患者一般情况、手术情况、术后并发症和术后恢复情况的数据。结果手术情况比较,改良组手术时间、术中出血量、肋骨引流管引流量、自主下床活动时间、术后住院时间少于传统组(P<0.05)。术后并发症比较,改良组肺部感染、胸腔积液、患侧上肢活动受限少于传统组(P<0.05)。术后恢复情况比较,改良组术后咳嗽排痰能力,术后3 d 6 min步行试验,术后3个月重返全职工作岗位占比高于传统组(P<0.05),术后3 d及5 d视觉模拟评分法(VAS)评分低于传统组(P<0.05)。结论对于多发肋骨骨折内固定手术的患者,采用Muscle-sparing微创肋骨骨折内固定术,在安全性、可行性和术后恢复情况方面值得信赖,可予以推广。Objective To observe and summarize the clinical data of Muscle-sparing minimally invasive internal fixation for rib fracture,and to explore its safety,feasibility and postoperative benefits for patients.Methods The clinical data of 112 patients with multiple rib fractures from January 2019 to June 2023 were retrospectively analyzed.56 patients were treated with Muscle-sparing minimally invasive internal fixation for rib fractures as the improved group,and 56 patients were treated with conventional internal fixation for muscle rib fractures as the traditional group.The general situation,operation,postoperative complications and postoperative recovery of the two groups were compared.Results Compared with the traditional group,the operation time,intraoperative blood loss,drainage volume of rib drainage tube,spontaneous ambulation time and postoperative hospitalization time in the improved group were less(P<0.05).Compared with the traditional group,the pulmonary infection,pleural effusion and limitation of upper limb movement in the improved group were less(P<0.05).Compared with the postoperative recovery,the ability of cough and expectoration in the improved group was higher than that in the traditional group(P<0.05),and the visual analogue scale(VAS)on the 3rd and 5th days after operation was less than that in the traditional group(P<0.05).Conclusion Muscle-sparing minimally invasive internal fixation for multiple rib fractures is reliable in terms of safety,feasibility and postoperative recovery,and can be popularized.

关 键 词：肌肉非损伤小切口 多发性肋骨骨折 内固定术 钛镍记忆合金 

分 类 号：R687.3[医药卫生—骨科学]