CAJ | 학술논문

目的：总结重症胸外伤合并多发肋骨骨折应用镍钛记忆合金环抱器手术治疗的诊治经验和临床效果。方法对2009年1月至2013年6月采用环抱器内固定术治疗的148例患者与非内固定治疗的47例患者的临床资料进行分析比较。结果内固定组住院时间、疼痛感觉、呼吸机辅助时间、肺功能恢复指标、并发症均优于非内固定组（P＜0．05）。结论镍钛记忆合金环抱器治疗多发性肋骨骨折优于保守治疗，值得临床推广。
목적：총결중증흉외상합병다발륵골골절응용얼태기억합금배포기수술치료적진치경험화림상효과。방법대2009년1월지2013년6월채용배포기내고정술치료적148례환자여비내고정치료적47례환자적림상자료진행분석비교。결과내고정조주원시간、동통감각、호흡궤보조시간、폐공능회복지표、병발증균우우비내고정조（P＜0．05）。결론얼태기억합금배포기치료다발성륵골골절우우보수치료，치득림상추엄。
Objective To summarize the experience of diagnosis,treatment and clinical effects of Ni-Ti shape memory alloy embracing fixator for severe chest trauma complicated with multiple rib frac-tures.Methods From January 2009 to June 2013,the clinical data of 148 cases with embracing fixator and 47 cases with non-internal fixation were retrospectively analyzed and compared.Results Internal fix-ation was superior to non-internal fixation in hospital stay,pain perception,mechanical ventilation time, pulmonary function recovery and complications(P<0.05).Conclusion Ni-Ti shape memory alloy em-bracing fixator is better than other conservative therapies in the treatment of multiple rib fractures and it's worthy of spreading.