可吸收肋骨钉联合镍钛合金环抱器在多发性肋骨骨折内固定术中45例应用分析

Application analysis on absorbable rib pin combined with nickel titanium alloy embracing fixator in 45 cases of multiple ribs fracture internal fixation

目的探讨可吸收肋骨钉联合镍钛合金环抱器内固定治疗多发性肋骨骨折的适应证、手术方法、疗效及可行性。方法回顾性分析该院2008年4月至2011年4月收治的45例多发性肋骨骨折患者,用可吸收肋骨钉联合镍钛合金环抱器在全麻下行肋骨内固定的手术方法及治疗情况。结果 45例患者中41例胸廓全部恢复正常,4例由于病情较重,只选择胸壁软化区关键肋骨固定,术后胸廓稍有畸形,但均无严重术后并发症。术后3个月骨折基本愈合,3-6个月恢复正常活动。结论可吸收肋骨钉联合镍钛合金环抱器治疗多发性肋骨骨折适应证广,手术操作简单,创伤小,恢复呼吸道功能效果显著,有较好的疗效,值得推广应用。

Objective To investigate of the indications,operative method,effect and feasibility of the absorbable rib pin combined with nickel titanium alloy embracing fixator in treating multiple ribs fracture.Methods 45 patients with multiple ribs fracture in this hospital from April 2008 to April 2011were retrospectively analyzed on the operative method and treatment status by the absorbable rib pin combined with titanium nickel alloy embracing fixator.Results Among 45 cases,41 cases with thoracic deformities recovered to normal.4 cases only selected the key rib fixation in chest softened area due to severe condition and had slight chest deformity after operation without serious postoperative complications.Fractures were basically healed in postoperative 3 months and the normal activities were recovered in postoperative 3-6 months.Conclusion Absorbable rib pin combined with titanium nickel alloy embracing fixator for treating multiple ribs fracture has the wide indications,simple operation,small injury,obvious recovery of respiratory function and better curative effect,and deserves to be popularized.