记忆钛合金肋骨接骨板对多发肋骨骨折患者呼吸功能及预后的影响

Effect of Memory Titanium Alloy Rib Plate on Respiratory Function and Prognosis in Patients with Multiple Rib Fractures

目的:探讨记忆钛合金肋骨接骨板对多发肋骨骨折(MRF)患者呼吸功能及预后的影响。方法:将2016年1月-2018年12月六院集团胸外科收治的300例MRF患者,按照随机数字表法分为研究组(150例)和对照组(150例),分别采用记忆钛合金肋骨接骨板内固定术、环形接骨板内固定术。观察两组患者手术情况、呼吸功能及并发症的发生情况。结果:与对照组比较,研究组的机械通气时间、下床行走时间显著缩短(P<0.05)。术后10 d,两组各肺功能指标均显著改善,研究组显著优于对照组(P<0.05);术后3个月,研究组FVC、FEV1水平显著优于对照组(P<0.05)。术后住院期间,研究组胸腔闭式引流时间和总并发症发生率显著低于对照组(P<0.05)。结论:记忆钛合金肋骨接骨板内固定治疗MRF可较好实现骨折复位,促进术后恢复及近远期呼吸功能改善,减少术后并发症,改善患者预后。

Objective:To explore clinical effect of memory titanium alloy rib plate on respiratory function and prognosis in patients with multiple rib fractures(MRF).Methods:From January 2016 to December 2018,300 MRF patients admitted to the department of orthopaedics in our hospital were divided into study group(150 cases)and control group(150 cases)according to the random number table method,memory titanium alloy rib plate fixation and ring plate fixation were used respectively.The surgery situation,respiratory function and incidence of complications in the two groups were observed.Results:Compared with the control group,the mechanical ventilation time,walking time of the study group were significantly shortened(P<0.05).On the 10th days after operation,the lung function indexes of both groups were significantly improved,and the study group was significantly better than the control group(P<0.05).Three months after surgery,FVC and FEV1 levels in the study group were significantly higher than those in the control group(P<0.05).During postoperative hospitalization,the closed thoracic drainage time and total complications in the study group was significantly lower than that in the control group(P<0.05).Conclusions:Memory titanium alloy rib plate internal fixation for MRF can better achieve fracture reduction,promote postoperative recovery and short-term and long-term respiratory function improvement,reduce postoperative complications,improve the prognosis.