可吸收螺钉内固定治疗多发性肋骨骨折的临床疗效

Clinical Effect of Internal Fixation with Absorbable Screw in the Treatment of Multiple Rib Fractures

目的:分析可吸收螺钉内固定治疗多发性肋骨骨折的临床疗效。方法:选择2013年10月-2015年10月在我院接受治疗的多发性肋骨骨折患者89例作为研究对象,根据内固定材料不同将患者分为研究组和对照组。研究组45例患者采用可吸收肋骨钉内固定治疗,对照组44例患者采用记忆合金接骨板内固定治疗。观察并比较两组患者的临床疗效及术后并发症的发生情况。结果:与对照组比较,研究组患者术中出血量少,术后胸痛缓解时间以及下床活动时间较早,差异均具有统计学意义(P<0.05);两组患者的手术时间、术后引流时间、住院时间比较,差异均无统计学意义(P>0.05);研究组患者并发症的发生率(6.67%)明显低于对照组(20.45%),差异具有统计学意义(P<0.05)。结论:可吸收肋骨钉内固定治疗多发性肋骨骨折具有术中出血量少、术后胸痛缓解时间和下床活动时间快的特点,可作为临床治疗首选材料。

Objective： To explore the absorbable rib nails internal fixation on the treatment of multiple rib fractures. Methods： 89 cases with multiple rib fractures who were treated in our hospital from October 2013 to October 2015 were selected and according to the different internal fixation methods, the patients were divided into the study group and the control group. 45 cases in the study group were treated with absorbable rib nails internal fixation, while another 44 cases in the control group were treated with memory alloy plate internal fixation. Then the clinical curative effect and the incidence of postoperative complications were observed and compared. Results：Compared with the control group, the blood loss, the postoperative pain relief and the activity time of patients in the study group were lower, and the differences were statistically significant（P〈0.05）; There was no statistically significant difference about the operation time,postoperative drainage and hospitalization between the two groups（P〉0.05）; The incidence of postoperative complications in the study group was 6.67% which is lower than 20.45% in the control groups, and the difference was statistically significant（P〈0.05）. Conclusion：The absorbable rib screw fixation in the treatment of multiple rib fractures with less blood loss, postoperative chest pain relief time and get out of bed activity time fast characteristics, can be used as the clinical treatment of choice material.