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目的探讨多根、多处肋骨骨折急救中镍钛合金环抱器肋骨内固定手术的疗效和应用价值。方法对47例多根、多处肋骨骨折连枷胸实施急诊肋骨内固定手术的患者资料进行回顾性分析。结果内固定组治愈46例,平均下床自主活动时间为术后6d;平均住院时间16d。出院后均无胸廓畸形及术侧胸部、肩部、上肢活动障碍等后遗症。术后6个月复查胸片,骨折全部骨性愈合,同时,患者术后发生呼吸衰竭、血气胸、肺不张及肺部感染等并发症较非手术治疗组有明显减少,差异有统计学意义(P<0.05)。结论镍钛合金环抱器结合重点固定法肋骨内固定在合并连枷胸的多发伤救治中,较其他的非手术常规治疗具有更好的疗效;而对手术适应证的良好把握是确保疗效的关键。
Objective To investigate the curative effect and application value of internal fixation of nickel-titanium alloy embracing cage in multiple and multiple rib fractures. Methods A retrospective analysis was performed on the data of 47 patients with multiple root and multiple flaps with flail chest for emergency internal fixation. Results 46 cases of internal fixation group were cured, the average time to get out of bed autonomy activity after 6 days; average length of stay 16d. After discharge, no thoracic deformity and surgical side of the chest, shoulders, upper limb movement disorders and other sequelae. The chest radiographs were reviewed 6 months after operation. All fractures were healed. At the same time, complications such as respiratory failure, pneumothorax, atelectasis and pulmonary infection were significantly decreased compared with the non-surgical treatment group, with statistical differences Significance (P <0.05). Conclusion Nitinol embracing combined with the key fixation method in the treatment of multiple traumatic injuries combined with flail chest has better curative effect than other non-surgical conventional treatments. However, it is the key to ensure the curative effect that the nickel-titanium alloy embracing device is used in the treatment of multiple injuries.