肋骨骨折内固定的分析与体会

Discussion of the operation indication of rib fracture with fracture in- ternal- fixation

目的分析肋骨骨折内固定的手术适应证。方法回顾性分析103例肋骨骨折的临床资料，按治疗方法分成内固定组（n=49）与保守组（n=54），比较两组的治疗效果。结果在住院时间、VAS疼痛评分及骨折愈合时间方面，内固定组明显低于保守组，内固定组显著降低了肺部感染、胸廓畸形及迟发性血胸的发病率。结论肋骨骨折内固定术有极大的优越性，对有适应证的患者应积极采取内固定治疗以提高治疗效果。

Objective To explore the operation indication of fracture of rib with fracture internal-fixation. Methods The clinical data of 103 cases with Fracture of rib, treated by fracture internal-fixation （n = 49）and con- servative treatment （ n = 54） respectively,were retrospectively analyzed. Results The hospital stay time, VAS scores and the healing time of surgical group were lower than that of non-surgical group. Fracture internal-fixation could significantly reduce the incidence of lung infection,deformities of chest and delayed hemathorax. Conclusions In- ternal fixation of fracture is much better than other routine therapies for fracture of ribs. The patients with indication of operation should operate actively.