CAJ | 학술논문

回顾性比较多发性肋骨骨折手术治疗及非手术治疗各30例效果，主要从住院时间、疼痛视觉模拟评分( VAS)、自主下床活动时间、住院费用、胸廓成形程度及肺通气功能对病情进行评价。术后患者VAS下降明显，住院时间及自主下床活动时间较短，最大自主通气量明显增加，肋骨复位程度明显优于非手术治疗，但治疗费用相对较高。采用镍钛记忆合金肋骨环抱器治疗多发性肋骨骨折是有效的治疗手段，值得临床推广。
회고성비교다발성륵골골절수술치료급비수술치료각30례효과，주요종주원시간、동통시각모의평분( VAS)、자주하상활동시간、주원비용、흉곽성형정도급폐통기공능대병정진행평개。술후환자VAS하강명현，주원시간급자주하상활동시간교단，최대자주통기량명현증가，륵골복위정도명현우우비수술치료，단치료비용상대교고。채용얼태기억합금륵골배포기치료다발성륵골골절시유효적치료수단，치득림상추엄。
To compare the effect of surgical and non-surgical treatment for multiple fractured ribs retrospectively, with 30 cases in each group. Patient's length of stay, visual analogue scale ( VAS) pain, independent ambulation time, cost of hospitalization, thoracoplasty degree and the lung ventilation function were evaluated. The results showed that VAS declined obviously in patients of surgical group, length of stay and independent ambulation time were shorter. Compared to the non-surgical group, the maximal voluntary ventilation increased significantly and ref-erral rib reduction was significantly better, but cost of the surgical group was higher. It's an effective treatment for using nickel titanium memory alloy embracing fixator in the treatment of multiple fractured rips, and is worthy of clinical application.