CAJ | 학술논문

目的：：对可吸收肋骨钉及肋骨接骨板治疗多发肋骨骨折患者的效果进行对比分析。方法：将69例肋骨骨折患者按手术方式的不同，分为肋骨钉组和接骨板组。肋骨钉组患者39例，接受可吸收肋骨钉髓内固定；接骨板组患者30例，接受肋骨接骨板髓外固定。回顾两组患者入院情况、术中及术后情况，并进行统计学分析。结果：肋骨钉组患者术中出血量、手术部位术后移位比率及术后疼痛恢复时间明显高于接骨板固定组，且有统计学差异。结论：肋骨接骨板固定患者的肋骨骨折，能够更好的保持患者的胸廓形态，对于多根多处肋骨骨折患者能够达到更好的治疗效果。
목적：：대가흡수륵골정급륵골접골판치료다발륵골골절환자적효과진행대비분석。방법：장69례륵골골절환자안수술방식적불동，분위륵골정조화접골판조。륵골정조환자39례，접수가흡수륵골정수내고정；접골판조환자30례，접수륵골접골판수외고정。회고량조환자입원정황、술중급술후정황，병진행통계학분석。결과：륵골정조환자술중출혈량、수술부위술후이위비솔급술후동통회복시간명현고우접골판고정조，차유통계학차이。결론：륵골접골판고정환자적륵골골절，능구경호적보지환자적흉곽형태，대우다근다처륵골골절환자능구체도경호적치료효과。
Objective:To compare and analyze outcomes of multiple rib fractures treated by absorbable rib nail and rib bone plate. Methods:69 cases with multiple rib fractures were divided into rib nail group and bone plate group. The 39 cases in rib nail group were internally fixed with the absorbable rib nails, while 30 cases in bone plate group were externally fixed with rib bone plates. The admission conditions, intraoperative and postoperative conditions of the two groups were reviewed and statistically analyzed. Re-sults:The intraoperative bleeding amount, postoperative shift ratio of operation position, and postoperative pain recovery time of rib nail group were significantly higher than those of bone plate group, and the differences were significant. Conclusions:Rib bone plate fixation of rib fractures can maintain the thoracic morphology, and also can achieve better effects for multiple rib fractures.