电视胸腔镜辅助下钛镍合金接骨板内固定治疗多发肋骨骨折的临床研究

Clinical study of titanium-nickel alloy cleidocranialdyspasia fixation aided by video-assisted thoracoscope for multiple rib fracture

目的分析电视胸腔镜辅助下钛镍合金肋骨接骨板治疗多发肋骨骨折的临床疗效及优点。方法总结83例多发肋骨骨折患者的临床资料,比较电视胸腔镜辅助下(VATS组)与传统开胸(对照组)钛镍合金肋骨接骨板治疗多发肋骨骨折的手术时间、术中出血量、住院天数、疗效评价及呼吸功能改善情况。结果 83例患者均痊愈出院;VATS组患者手术时间、术中出血量、住院时间、疗效评价及呼吸功能改善情况均优于对照组(P<0.05)。结论 VATS辅助下钛镍合金肋骨接骨板技术治疗多发肋骨骨折是一种安全、便捷、有效、创伤小的方法,术后患者痛苦小、恢复快,明显改善患者的生活质量。

Objective To study the clinical effect and advantages of titanium-nickel alloy cleidocranialdyspasia fixation aided by video-assisted thoracoscope for multiple rib fracture.Methods Analyses the clinical data of 83 cases of multiple rib fracture were conducted.Comparisons were made on the operative time,peri-operative bleeding,hospitalization time,clinical effect and respirational function improvement between titanium-nickel alloy cleidocranialdyspasia fixation aided by video-assisted thoracoscope and traditional treatment for multiple rib fracture.Results All 83 patients were cured.The use of titanium-nickel alloy cleidocranialdyspasia fixation aided by video-assisted thoracoscope are better than that of traditional treatment for multiple rib fracture（P0.05） on the measures of the operation time,peri-operative bleeding,hospitalization time,clinical effect and respirational function improvement.Conclusion Titanium-nickel alloy cleidocranialdyspasia fixation aided by video-assisted thoracoscope is a safe,convenient,effective and minimally invasive method for multiple rib fracture.