【摘要】 目的探讨环抱式全钛接骨治疗72例多发性肋骨骨折患者的临床疗效。方法回顾性分析2017年1月至2019年12月于本院胸外科接受治疗的72例多发性肋骨骨折患者的临床资料,根据治疗方式的不同分为保守治疗组(n=34)和手术治疗组(n=38)。保守治疗组进行多头胸带外加压固定和胸部护板外固定以及基础对症治疗,手术治疗组于生命体征平稳后择期行环抱式全钛接骨治疗术。比较两组患者的临床疗效、各项住院指标、VAS评分、各项血气指标及并发症发生情况。结果治疗后,手术治疗组优良率明显高于保守治疗组(P<0.05),手术治疗组自主下床活动时间、胸管留置时间、住院时间均明显短于保守治疗组,VAS评分低于保守治疗组(P<0.05),手术治疗组PaO2和氧合指数均明显高于保守治疗组(P<0.05),手术治疗组PaCO2明显低于保守治疗组(P<0.05)。两组患者均未发生明显并发症。结论环抱式全钛接骨治疗多发性肋骨骨折患者临床疗效显著,可有效促进患者康复,改善血气指标,且安全性较高。更多还原

【Abstract】 Objective To investigate the clinical effect of embracing all titanium osteosynthesis in the treatment of 72 patients with multiple rib fractures. Methods The clinical data of 72 patients with multiple rib fractures treated in Thoracic Surgery Department of our hospital from January2017 to December 2019 were retrospectively analyzed. According to the different treatment methods, they were divided into conservative treatment group(n=34) and surgical treatment group(n=38). The conservative treatment group was treated with multi head chest band external compression fixation, chest guard plate external fixation and basic symptomatic treatment, while the surgical treatment group was treated with encircling all titanium osteosynthesis after stable vital signs. The clinical efficacy, hospitalization indexes, VAS score, blood gas indexes and complications between the two groups were compared. Results After treatment, the clinical efficacy of the surgical treatment group was significantly better than that of the conservative treatment group(P<0.05). The time of getting out of bed, the indwelling time of chest tube and the length of hospital stay of the surgical treatment group were significantly shorter than those of the conservative treatment group. The VAS score of the surgical treatment group was lower than that of the conservative treatment group(P<0.05). The PaO2 and oxygenation index of the surgical treatment group were significantly higher than those of the conservative treatment group(P<0.05), PaCO2 in the surgical treatment group was significantly lower than that in the conservative treatment group(P<0.05). No obvious complications occurred in the two groups. Conclusion The clinical effect of encircling all titanium osteosynthesis in the treatment of multiple rib fractures is significant, which can effectively promote the rehabilitation of patients, improve blood gas index, and the safety is high.更多还原