CAJ | 학술논문

目的：比较肋骨环抱器和肋骨接骨板在创伤后肋骨内固定手术中使用的优缺点。方法：通过总结我科2010年1月至2014年6月实施的182例肋骨内固定手术，在应用指证、操作简易度、手术切口、固定效果、愈合效果等多方面比较两者的优缺点。结果：肋骨环抱器适用范围大，操作更简单，但影响血供和骨质愈合；肋骨接骨板可用于肋骨骨质破碎或缺失，不影响血供和骨质愈合，但手术需要特殊器械，价格较贵。结论：合理选择不同的固定材料，或者联合应用两种材料，可以达到最佳手术效果。
목적：비교륵골배포기화륵골접골판재창상후륵골내고정수술중사용적우결점。방법：통과총결아과2010년1월지2014년6월실시적182례륵골내고정수술，재응용지증、조작간역도、수술절구、고정효과、유합효과등다방면비교량자적우결점。결과：륵골배포기괄용범위대，조작경간단，단영향혈공화골질유합；륵골접골판가용우륵골골질파쇄혹결실，불영향혈공화골질유합，단수술수요특수기계，개격교귀。결론：합리선택불동적고정재료，혹자연합응용량충재료，가이체도최가수술효과。
Objective: Tocompare the usage of Ti-Ni shape memory grab holder and plate fixator in rib internal fixation operation after severe trauma.Methods:182 cases of rib internal fixation operation were performed during January 2010 to June 2014 in our department.These two fixation devices were compared in implant indication,operative difficulty,operation incision,fixation effect,healing effect and other aspects.Results:The embracing fixator can be used in more area of ribs,the operation is more simple,but it will destruct blood supply and affect the fracture healing;The plate with screws can be used in comminuted rib fractures or ribs missing.It does not affect the blood supply and bone healing,but the operation requires special equipments and the price is more expensive.Conclusion:To choose the different fixation materials correctly,or combined use of these two kinds,can achieve the best effect of operation.