CAJ | 학술논문

目的在重症肋骨骨折并连枷胸治疗中，比较环抱式接骨器行肋骨骨折内固定与常规胸壁外固定的疗效。方法回顾分析2008年1月~2012年12月在我院治疗的106例重症肋骨骨折并连枷胸患者的治疗方法，观察组76例，采用环抱式接骨器行肋骨内固定术，对照组30例选择常规治疗。结果观察组在住院时间、疼痛指数、呼吸机使用时间、肺部感染控制时间明显优于对照组。结论应用环抱式接骨器行重症肋骨骨折内固定手术，缩短了患者住院日，减轻了肋骨骨折引起的疼痛，缩短了呼吸机使用时间，可使患者早期下床活动，促进肺功能早期恢复，肺部感染控制时间也大大缩短，且手术简单易行，整体效果良好，值得推广。
목적재중증륵골골절병련가흉치료중，비교배포식접골기행륵골골절내고정여상규흉벽외고정적료효。방법회고분석2008년1월~2012년12월재아원치료적106례중증륵골골절병련가흉환자적치료방법，관찰조76례，채용배포식접골기행륵골내고정술，대조조30례선택상규치료。결과관찰조재주원시간、동통지수、호흡궤사용시간、폐부감염공제시간명현우우대조조。결론응용배포식접골기행중증륵골골절내고정수술，축단료환자주원일，감경료륵골골절인기적동통，축단료호흡궤사용시간，가사환자조기하상활동，촉진폐공능조기회복，폐부감염공제시간야대대축단，차수술간단역행，정체효과량호，치득추엄。
Objective To study the ef ects of internal fixation with surrounding bone fracture adapter in the treatment of severe rib fractures,and comparing with the conservative treatment. Methods Total y 106 patients were treated by surgical or conventional therapy,76 of the patients received internal fixation with surrounding bone fracture adapter,30 underwent conventional treatment. Results In the surgical group, length of stay, pain scores, ventilator time, pulmonary infection control time were significantly better than the conventional therapy group. Conclusion Internal fixation with surrounding bone fracture adapter in the treatment of severe rib fractures is feasible.