纯钛爪型肋骨接骨板对骨折内固定术后并发症的影响分析

Analysis of the Influence of Pure Titanium Claw Type Rib Plate on Postoperative Complications of Fracture Internal Fixation

目的:探讨肋骨接骨板对骨折内固定术后并发症的影响。方法:选取2018年2月至2020年2月于英德市中医院就诊的165例多发肋骨骨折患者,根据治疗方法不同分为两组,对照组80例采用传统局部加压包扎疗法,观察组85例采用纯钛爪型肋骨接骨板内固定术治疗。比较两组住院时间、止痛药物使用剂量、引流管放置时间、疼痛评分、术后并发症等情况。结果:观察组患者住院时间、引流管放置时间短于对照组,止痛药物使用剂量少于对照组,视觉模拟评分法(VAS)评分低于对照组,差异均具有统计学意义(P<0.05);观察组患者骨折移位、胸廓畸形、迟发性血气胸、肺部感染、肺不张等术后并发症总发生率低于对照组,差异具有统计学意义(P<0.05)。结论:与传统的保守治疗相比,纯钛爪型肋骨接骨板对骨折内固定术的效果更佳,并发症更少,患者住院时间更短,加速患者康复,减轻患者疼痛感,且手术安全有效,具有操作微创、简便等优点。

Objective To explore the influence of pure titanium claw type rib plate on the postoperative complications after internal fixation of fractures.Methods 165 patients with multiple rib fractures who were treated in Yingde Hospital of Traditional Chinese Medicine from February 2018 to February 2020 were selected and divided into two groups according to different treatment methods.80 patients in the control group were treated with traditional local compression bandaging therapy,and 85 patients in the observation group were treated with pure titanium claw rib plate internal fixation.The hospitalization time,analgesic dose,drainage tube placement time,pain score and postoperative complications were compared between the two groups.Results The hospitalization time and drainage tube placement time of patients in the observation group were shorter than those in control group,the analgesic drug dosage was lower than that of the control group,visual analog scale(VAS)score was lower than that of the control group,the differences were statistically significant(P<0.05).The total incidence of postoperative complications such as fracture displacement,thoracic malformation,delayed pneumothorax,pulmonary infection and atelectasis in the observation group was lower than that in the control group(P<0.05).Conclusion Compared with the traditional conservative treatment,the pure titanium claw rib plate has better effect on internal fixation of fracture,less complications,shorter hospital stay,accelerating patients'rehabilitation,reducing patients'pain,safe and effective operation.It has the advantages of minimally invasive and simple operation.