CAJ | 학술논문

目的：探讨胸腔镜辅助下钛镍合金接骨板内固定治疗多发肋骨骨折的效果。方法回顾性分析65例多发肋骨骨折患者资料，35例患者胸腔镜辅助钛镍合金接骨板内固定治疗（内固定组），30例行常规保守治疗（对照组），比较两组患者疗效及并发症情况。结果内固定组患者全部临床治愈，疼痛感觉、住院时间、呼吸机通气支持率、肺部感染、肺不张发生率均明显优于对照组（P ＜0.05）。结论电视胸腔镜辅助下钛镍合金接骨板内固定治疗多发肋骨骨折具有安全、操作简便及微创等优点，是治疗多发性肋骨骨折一种比较理想的方法。
목적：탐토흉강경보조하태얼합금접골판내고정치료다발륵골골절적효과。방법회고성분석65례다발륵골골절환자자료，35례환자흉강경보조태얼합금접골판내고정치료（내고정조），30례행상규보수치료（대조조），비교량조환자료효급병발증정황。결과내고정조환자전부림상치유，동통감각、주원시간、호흡궤통기지지솔、폐부감염、폐불장발생솔균명현우우대조조（P ＜0.05）。결론전시흉강경보조하태얼합금접골판내고정치료다발륵골골절구유안전、조작간편급미창등우점，시치료다발성륵골골절일충비교이상적방법。
Objective To explore the results of multiple rib fracture treated by Ti-Ni shape memory alloy embracing fixator under video-assisted thoracoscopy(VATS).Methods We made a retrospective analysis of 65 eases of multiple rib fracture in our hospital,with 30 cases of conservative treatment and 35cases with multiple rib fracture treated by Ti-Ni shape memory alloy embracing fixator.Entilator sup-port,hospital stays,pain sensation and complication rate were compared.Results The treatment groups hospital stays,entilator support,pain sensation and complication rate were less than those of the control group.Conclusion Ti-Ni shape memory alloy embracing fixation under video-assisted thoracoscopy is a safe,convenient,effective and minimally invasive method for multiple rib fracture.