环抱型肋骨接骨板治疗连枷胸手术时保留骨膜的临床疗效分析

Clinical Efficacy of Encircling Rib Plate in Treating Flail Chest Combind with Periosteum Reserved

目的探讨环抱型肋骨接骨板治疗连枷胸手术时保留骨膜的临床疗效。方法回顾性分析河北医科大学第一医院2013年10月～2015年5月收治的54例经影像学诊断为连枷胸患者的临床资料，分析比较患者在接受环抱型肋骨接骨板治疗连枷胸手术时保留骨膜治疗前后患者的心率、呼吸频率、血氧饱和度、肺功能、疼痛程度差异，同时对患者进行6个月的随访，观察患者的骨折愈合情况。结果54例患者均骨性愈合，治疗后患者的心率、呼吸频率、血氧饱和度、肺功能及疼痛程度均较治疗前明显改善，差异有统计学意义（P〈0．05）。结论环抱型肋骨接骨板治疗连枷胸手术时保留骨膜临床疗效显著，能显著改善患者的生活质量及肺功能，值得临床推广。

Objective To investigate the clinical efficacy of encircling rib plate in treating flail chest combind with periosteum reserved. Methods A retrospective analysis of 54 flail chest patients clinical data from October 2013 to May 2015 in the First Hospital of Medical University that were dianosed by radiological was performed. The heart rate, respiratory rate, oxygen saturation, pulmonary function and the degree of patient＇s pain in flail chest surgery were compared before and after the patients treated with encircling rib plate combind with periosteum reserved. All of the patients were followed - up six months, and the fracture healing were observed. Results All of the patients healed, the heart rate, respiratory rate, oxygen saturation, pulmonary function and the degree of patient＇s pain were significant improved after treatment than treatment before. The difference was significant difference （P 〈 0.05）. Conclusion Encircling rib plate in treating flail chest eombind with periosteum reserved significant improved the clinical effect, and significantly improved the patients＇ quality life and lung function, it would be worthy of promotion.