CAJ | 학술논문

目的：采用镍钛记忆合金抓握式接骨板治疗多发性肋骨骨折的手术疗效观察。方法2011年7月－2014年6月收治118例多发性肋骨骨折患者，随机分为两组，采用手术治疗（观察组）和非手术治疗（对照组），治疗后观察比较两组患者血氧饱和度（ SaO2）、C－反应蛋白（ CRP）恢复时间，视觉模拟评分（ VAS）、下地功能锻炼时间、住院时间、骨折愈合时间、术后并发症、住院费用情况。结果观察组SaO2、CRP恢复时间、VAS、下地功能锻炼时间、住院时间、骨折愈合时间均优于对照组，并发症发生率低，但住院费用较高。结论采用记忆合金抓握式接骨板治疗多发性肋骨骨折痛苦小，骨折愈合好，临床疗效显著，并发症发生率低，值得临床推广应用。
목적：채용얼태기억합금조악식접골판치료다발성륵골골절적수술료효관찰。방법2011년7월－2014년6월수치118례다발성륵골골절환자，수궤분위량조，채용수술치료（관찰조）화비수술치료（대조조），치료후관찰비교량조환자혈양포화도（ SaO2）、C－반응단백（ CRP）회복시간，시각모의평분（ VAS）、하지공능단련시간、주원시간、골절유합시간、술후병발증、주원비용정황。결과관찰조SaO2、CRP회복시간、VAS、하지공능단련시간、주원시간、골절유합시간균우우대조조，병발증발생솔저，단주원비용교고。결론채용기억합금조악식접골판치료다발성륵골골절통고소，골절유합호，림상료효현저，병발증발생솔저，치득림상추엄응용。
Objective To observe the effect of surgical treatment with nitinol grip style plate for multiple rib fractures.Meth-ods A total of 118 patients with multiple rib fractures admitted to the hospital from July, 2011 to June, 2014 were randomly divided into the internal fixation group (treated with surgical measures) and the control group (managed with non-surgical measures).After the treatment, SaO2 , restoration time of CRP, VAS, functional exercise time, hospitalization time, fracture healing time, complication rates, and hospitalization expenses were compared between the two groups.Results Remarkably superior to the control group in terms of SaO2 , CRP and VAS, the internal fixation group consumes less time in functional exercise, hospitalization stay and fracture healing, and meanwhile risks lower rate of complications, even though the hospitalization expenses were relatively high.Conclusion The sur-gical treatment with nitinol grip style plate for multiple rib fractures results in less suffering but good fracture healing, notable clinical effect and low rate of complications, and is worth popularizing.