应用镍钛合金环抱器治疗多发性肋骨骨折32例

Treatment of multiple fractured ribs by Ti- Ni shape memory alloy embracing fixator in 32 cases

目的：探讨应用镍钛合金环抱器治疗多根多处肋骨骨折的应用效果。方法：回顾性分析32例镍钛合金环抱器治疗多处肋骨骨折的临床资料。结果：术后胸痛显著减轻,胸壁稳定,呼吸功能恢复痊愈出院,术后2个月复查,无明显胸廓塌陷畸形,X线胸片示内固定牢固,肋骨骨折端骨性愈合。结论：应用镍钛形状记忆合金环抱器治疗多发性肋骨骨折具有创伤小、操作简便、手术时间短、固定可靠、组织相容性好以及并发症少等优点,是一种治疗多发性肋骨骨折较理想的方法。

Objective：To observe the effects of internalfixation of multiple fractured ribs with Ti - Ni shape memory alloy embracing fixator. Methods： Retrospective analysis of 32 eases which rib fractures were treated with Ti - Ni shape memory alloy embracing fixator. Results： After internalfixation, chest pains were obviously relieved, chestwalls werestable, respiratory functions recovered and then patients recovered. During 2months follow -up , chest deformity was invisible ,andX -ray indicated stability of internalfixation and healing of fracture points of rib. Conclusions ： Severe collapsed chestwall or Flailchestcaused by fracture of muhiple ribs should be treated by Ti - Ni shape memory alloy embracing fixator and Ti - Ni shape memory alloy embracing fixator is a smi ple, firm and perfect method.