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肋骨内固定术治疗连枷胸
引用本文:徐靖,许国安,方向明,周亚军,高栋才,刘毓平,徐军,邓武昌,杨洋. 肋骨内固定术治疗连枷胸[J]. 矿产勘查, 2011, 0(10): 65-66,69
作者姓名:徐靖  许国安  方向明  周亚军  高栋才  刘毓平  徐军  邓武昌  杨洋
作者单位:中国人民解放军第九四医院心胸外科,南昌330002
摘    要:目的探讨肋骨内固定术治疗连枷胸的临床效果。方法将2007年7月至2008年7月采用非内固定手术治疗的73例肋骨骨折患者设为A组,2008年8月至2010年8月采用微创肋骨内固定术治疗的70例设为B组,比较2组患者疗效及并发症情况。结果B组呼吸机支持时间、住院时间、疼痛感觉、镇痛药用量、肺不张等均明显低于A组(P〈0.05或P〈0.01)。结论肋骨内固定术治疗连枷胸优于非内固定手术治疗组,具有较高的临床应用价值。

关 键 词:连枷胸  微创  NiTi记忆合金-抓握式接骨板  聚左旋乳酸可吸收骨固定系统  内固定

Internal Fixation of Rib Fractures for Flail Chest
XU Jing,XU Guo-an,FANG Xiang-ming,ZHOU Ya-jun,GAO Dong-cai,LIU Yu-ping,XU Jun,DENG Wu-chang,YANG Yang. Internal Fixation of Rib Fractures for Flail Chest[J]. Mineral Exploration, 2011, 0(10): 65-66,69
Authors:XU Jing  XU Guo-an  FANG Xiang-ming  ZHOU Ya-jun  GAO Dong-cai  LIU Yu-ping  XU Jun  DENG Wu-chang  YANG Yang
Affiliation:(Department of Thoracic Surgery ,the 94th Hospital of the Chinese People ' s Liberation Army, Nanchang 330002, China)
Abstract:Objective To investigate the clinical effects of internal fixation of rib fractures on flail chest. Methods The curative effects and complications were compared between patients who underwent non-internal fixation of rib fractures from July 2007 to July 2008 (group A,n=73) and patients who underwent minimally invasive internal fixation of rib fractures from August 2008 to August 2010 (group B,n=70), Results Compared with group A,the number of patients requiring ventilatory support,the length of hospital stay, chest pain, analgesic consumption, the incidence of pulmonary atelectasis significantly increased in group B (P〈0.05 or P〈0.01). Conclusion Internal fixation of rib fractures is superior to non-internal fixation and has high clinical value for flail chest.
Keywords:flail chest  minimally invasive  Ti-Ni shapememory alloy embracing fixator  GRAND Fix  internal fixation
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