中国医药科学杂志欢迎您.   今天是:        
许志扬,关军,许建新,张洋,谢晓威,涂家华,郑茂华▲.胸腔镜辅助镍钛记忆合金环抱器内固定治疗多发性肋骨骨折的疗效分析[J].中国医药科学,2021,(4):198-201        基金项目:[基金项目] 福建省莆田市科技计划项目(2018S3Y003)
胸腔镜辅助镍钛记忆合金环抱器内固定治疗多发性肋骨骨折的疗效分析
Efficacy analysis of thoracoscopic assisted internal fixation with nickel-titanium memory alloy embracing fixator for multiple rib fractures
  
DOI:
中文关键词:  [关键词]肋骨骨折;环抱器;胸腔镜;内固定
英文关键词:[Key words] Rib fracture; Embracing fixator; Thoracoscope; Internal fixation
作者单位
许志扬,关军,许建新,张洋,谢晓威,涂家华,郑茂华▲ 福建医科大学教学医院莆田市第一医院胸心外科,福建莆田 351100 
摘要点击次数: 19
全文下载次数: 54
中文摘要:
      [摘要] 目的 探讨胸腔镜辅助镍钛记忆合金环抱器内固定治疗多发性肋骨骨折的临床应用价值。 方法 回顾性分析2018年6月至2019年9月福建医科大学教学医院莆田市第一医院收治的58例多发性肋骨骨折的患者,根据治疗方法不同,分为镍钛记忆合金环抱器内固定术联合胸腔镜组(手术组,28例)和保守治疗组(非手术组,30例),比较两组患者治疗前疼痛视觉模拟(VAS)评分、治疗后第7天VAS、住院期间并发症(肺部感染)、住院时间、住院费用、胸腔闭式引流拔管时间。 结果 两组患者治疗前VAS、住院时间、胸腔闭式引流拔管时间比较,差异无统计学意义(P>0.05)。手术组治疗后第7天VAS显著低于非手术组(P<0.05),手术组住院费用显著高于非手术组(P<0.05),手术组肺部感染发生率明显低于非手术组(P<0.05)。 结论 多发性肋骨骨折患者实施胸腔镜辅助镍钛记忆合金环抱器内固定治疗费用较高,但可明显缓解疼痛、降低肺部感染发生率,值得临床推广。
英文摘要:
      [Abstract] Objective To explore the clinical application value of thoracoscopic assisted internal fixation with nickel-titanium memory alloy embracing fixator in the treatment of multiple rib fractures. Methods A total of 58 patients with multiple rib fractures admitted to Teaching Hospital of Fujian Medical University, the First Hospital of Putian City from June 2018 to September 2019 were analyzed retrospectively. According to different treatments, they were divided into the operation group (n=28, thoracoscopic assisted internal fixation with Ni-Ti memory alloy embracing fixator) and the non-operative group (n=30, conservative treatment). The visual analogue scale (VAS) before treatment and on the 7th day after treatment, complications during hospitalization (pulmonary infection) hospitalization stay, hospitalization cost, and extubation time of closed thoracic drainage were compared between the two groups. Results There was no significant difference in VAS, hospitalization stay and extubation time of closed thoracic drainage between the two groups before treatment (P>0.05).On the 7th day after treatment, VAS and the incidence of pulmonary infection in the operation group were significantly lower than those in the non-operative group (P<0.05), thehospitalization cost of the operation group was significantly higher than that of the non-operative group (P<0.05). and the incidences of pulmonary infection of the operation group were significantly lower than that of the nonoperation group (P < 0.05). Conclusion Thoracoscopic assisted internal fixation with Ni-Ti memory alloy embracing fixator is expensive for patients with multiple rib fractures, but it can obviously relieve pain and reduce the incidence of pulmonary infection, which is worthy of clinical promotion.
查看全文  查看/发表评论  下载PDF阅读器
关闭
关键词: 中国医药科学 中国医学 中国医学科学 中华医学 医学杂志 临床医学杂志 医学期刊 中国预防医学 中华预防医学 预防医学杂志 中国药学 药学杂志
药理杂志 中国中医 中医杂志 中华中医药 中医药杂志 中国医疗 医疗器械杂志 中国中西医结合 中国医药 医药杂志 医药期刊 医药论文 医学论文 科研论文 职称论文
function PdfOpen(url){ var win="toolbar=no,location=no,directories=no,status=yes,menubar=yes,scrollbars=yes,resizable=yes"; window.open(url,"",win); } function openWin(url,w,h){ var win="toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=yes,resizable=no,width=" + w + ",height=" + h; controlWindow=window.open(url,"",win); } &et=8C69D9BCA894EB900E16630E91F2971C1D49E9D09BED1A55E3833AEE740B8715DF5C0D9253D509CCF0C78D86522CC4445584C581A590B0830CA2ED0DE8CE26E5040CD434403FA0CD0157B7D880B5FF7ED1F592DFBD08075B67E5A7EDF9B42FD66D57447D52EA9A1479D4B314DEF2EB6546C310C04BBA0E548F6ADEE0C00F5F4EEC98E12A797E2F90275B87DAE82D3C8C&pcid=&cid=&jid=&yid=9475FABC7A03F4AB&aid=&vid=&iid=E158A972A605785F&sid=FEF02B4635FE8227&eid=BC084ACE66B62CC8&fileno=20210252&flag=1&is_more=0">