镍钛合金抓握式接骨板内固定治疗多发性肋骨骨折50例临床分析

Clinical analysis of internal fixation with grip - type of Ni - Ti alloy plate in treatment of multiple ribs fractures

探讨采用镍钛合金抓握式接骨板对多肋骨折内固定治疗的临床效果。方法回顾性分析50例多肋骨折患者使用镍钛合金抓握式接骨板行内固定治疗的临床资料。结果术后胸痛显著减轻，胸廓形状恢复正常，反常呼吸消失，呼吸困难显著改善；术后2月复查，所有患者胸片示骨折完全愈合，内固定无松动、脱落及断裂，胸廓无畸形。所有患者均获随访2-14个月，平均9个月，均未出现并发症。结论应用镍钛合金抓握式接骨板内固定治疗多肋骨折，手术操作简单方便、创伤小、组织相容性好，固定牢靠，并发症少，临床效果满意。

To analyze the clinical effect of internal fixation with grip-type of Ni-Ti alloy plate in treatment of multiple ribs fractures. Methods Clinical data of 50 patients with multiple ribs fractures treated by internal fixation t with grip-type of Ni-Ti alloy plate were retrospectively analyzed. Results The chest pain alleviated, the shape of bony thorax recovered, paradoxical respiration vanished, and dyspnea relieved significantly in all cases af- ter operation. Two months after operation, chest X-ray indicated healed fractures, internal fixation without loosening and breaking off,no chest deformity in all patients. Followed up 2 to 14 months,an average of 9 months,and no complication was found. Conclusion The internal fixation with grip-type of Ni-Ti alloy plate in treatment of multiple ribs fractures was simple, convenient,less invasive, good tissue compatibility, stable fixation, less complications, and clinical results were. satisfactory.