爪形肋骨接骨板治疗多发肋骨骨折的临床研究

Clinical studies of rib jaw-shaped bone plate for the treatment of multiple rib fractures

目的探讨爪形肋骨接骨板内固定治疗多发肋骨骨折的临床价值及意义。方法收集2015年6月—2016年12月收治多发肋骨骨折40例,其中手术内固定20例,保守治疗组20例,比较分析两组临床治疗情况。结果所有患者均痊愈出院,手术内固定组比保守治疗组疼痛明显减轻,胸管留置时间、下床自主活动时间及住院时间短,并发症发生率低,胸廓畸形矫正更满意,差异有统计学意义(P<0.05)。结论爪形肋骨接骨板内固定术治疗多发肋骨骨折固定效果满意,手术操作简单、创伤小,术后并发症少,恢复快,值得临床推广应用。

Objective To investigate the clinical value and significance of rib jaw-shaped bone plate in the treatment of multiple rib fractures. Methods 40 patients with multi-rib fractures were selected from June 2015 to November2016. 20 cases were performed of rib jaw-shaped bone plate in the surgical treatment,20 cases of conservative treatment.The clinical treatment conditions of two groups were compared. Results Patients in both groups were all cured. Pain perception,hospital stay time,retain time of thoracic duct and independent ambulation time in surgery group were obviously reduced comparing with conservative treatment group as well as the surgical complications. There was a significant differences（P〈0. 05）. Conclusion Rib jaw-shaped bone plate for the treatment of multiple rib fractures has satisfactory results. Its advantages are as follows： simple and quick operative technique,minimal invasive surgery,less complications,fast recovery. It is worthy of clinical application.