多发肋骨骨折合并胸椎骨折同期行内固定手术临床观察

Clinical observation on patients with multiple rib fractures complicated with thoracic vertebral fracture receiving simultaneous internal fixation

目的 探讨多发肋骨骨折合并胸椎骨折同期行内固定术的临床治疗效果.方法 选取我科2006年1月~2009年2月采用分期内固定术治疗的创伤性多发性肋骨骨折合并胸椎骨折（均为爆裂性骨折、SCI）患者35例,2009年3月~2013年5月采用同期内固定术治疗此类患者31例,比较两组患者治疗及并发症情况.结果 两组患者治愈率均为100%,同期内固定组平均麻醉时间、住院日、住院费用、疼痛评分、哌替啶用量、术后呼吸机支持时间均明显少于分期内固定组（P＜0.05）.结论 同期行内固定术治疗多发肋骨骨折合并胸椎骨折优于分期内固定术,值得临床推广应用.

Objective To discuss the clinical curative effects of simultaneous internal fixation on multiple rib fractures complicated with thoracic vertebra fracture. Methods Group A included 35 patients with traumatic multiple rib fractures complicated with thoracic vertebra fracture （all blowout fracture, SCI） who received the staging internal fixation between January 2006 and February 2009. Group B included 31 patients with traumatic multiple rib fractures complicated with thoracic vertebra fracture （all blowout fracture, SCI） who received simultaneous internal fixation between March 2009 and May 2013. Comparison was made in the treatment results and complications between the two groups. Results The recovery rate of both groups was 100%. Compared with group A, group B has shorter average time of anesthesia, shorter hospitalization time, less hospitalization costs, lower pain score, less meperidine dosage, and shorter ventilator support time （P 〈 0.05 ）. Conclusion The simuhaneous internal fixation is superior to the staging internal fixation in the treatment of multiple rib fractures complicated with thoracic vertebra fracture and is worthwhile to be promoted in clinic.