胸腔镜下记忆合金环抱器内固定治疗多发肋骨骨折

Internal fixation of memory alloy embracing fixator by VATS for treatment of multiple fractured ribs

目的观察胸腔镜下记忆合金环抱器内固定术治疗多发肋骨骨折的效果。方法回顾性分析2006年9月至2014年12月采用胸腔镜下记忆合金环抱器内固定治疗多发肋骨骨折患者34例临床资料,与同期采用传统方法(非手术治疗)治疗患者24例进行比较,观察两组胸痛缓解时间、胸引管引流量、呼吸机支持时间、住院时间及并发症发生率的情况。结果胸腔镜组的胸痛时间、胸引管引流量、呼吸机支持时间、住院时间及并发症发生率均较优于传统方法组,差异均有统计学意义(P<0.05)。结论胸腔镜下记忆合金环抱器内固定治疗多发肋骨骨折创伤小,患者恢复快,能明显改善患者生活质量。

Objective To observe and assess the therapy efficacy of internal fixation of memory alloy embracing fixator by VATS for the treatment of multiple fractured ribs. Methods Retrospective study was conducted from September 2006 to December 2014 on 34 patients with the therapy of internal fixation of memory alloy embracing fixator by VATS for the treatment of multiple fractured ribs, versus 24 patients with the traditional non-operative therapy in the same period of time. The associated indexes of the two groups were recorded respectively, including time of chest-pain onset, volume of chest tube drainage, run-time of ventilator, length of stay and complication occurrence rate, etc. Results The recorded indexes of the VATS group were eminently shorter or less than those of the control group (P<0. 05). Conclu-sion Therapy of internal fixation of memory alloy embracing fixator by VATS for the treatment of multiple fractured ribs is superior with less surgical trauma, simpler operation, faster recovery and further improvement of patient's life quality.