中国胸心血管外科临床杂志

中国胸心血管外科临床杂志

隧道式钛合金肋骨锁定板肋骨骨折内固定

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目的 探讨隧道式钛合金肋骨锁定板肋骨骨折内固定的外科治疗效果。 方法 回顾性分析上海交通大学附属第六人民医院东院 2016 年 6 月至 2017 年 1 月 10 例多发性肋骨骨折患者的临床资料,其中男 6 例、女 4 例,年龄 30~63(38.5±9.0)岁,多发性肋骨骨折患者均经过急诊处理,胸部 CT 和胸腔超声检查后入院。根据肋骨骨折及其合并损伤情况进行相应治疗,手术选择隧道式钛合金肋骨锁定板肋骨骨折内固定,术后常规放置胸腔引流管引流和负压吸引球引流,治疗均要求定期复查,随访 3 个月。 结果 所有患者均治愈出院,没有伤口感染、不愈合和死亡病例,术后 3 个月随访胸部疼痛明显减轻,没有肺不张和胸腔积液,未见其他并发症。 结论 隧道式钛合金肋骨锁定板肋骨骨折内固定可以迅速恢复胸廓的稳定性和完整性,创伤小,手术简单易行,术后恢复快,可提高患者的生活质量。

Objective To investigate the tunnel-type open reduction and internal fixation of rib fractures (ORIF) with titanium locking plate in traumatic rib fractures. Methods Clinical data of 10 patients with multiple rib fractures from June 2016 to January 2017 in the Sixth People’s Hospital Affiliated to Shanghai Jiaotong University were analyzed. There were 6 males and 4 males with an average age of 38.5±9.0 years (range, 30–63 years). All patients underwent emergency treatment, chest CT and ultrasound examination before they admitted to the hospital. According to rib fractures and injuries, patients were given the tunnel-type ORIF of rib fractures with titanium locking plates, the chest tube and negative suction drainage. The patients were followed up over three months. Results All patients were cured. There was no complication during follow-up. No wound infection and death occurred. Postoperative three-month follow-up showed that chest pain was significantly relieved without pulmonary atelectasis and pleural effusion or other complications. Conclusion Tunnel-type internal fixation of rib fractures with titanium locking plates is effective, which can quickly restore the stability and integrity of the thorax. Surgical procedure is simple and can get fast postoperative recovery to improve the patient's quality of life.

关键词: 隧道式; 锁定板; 肋骨骨折; 切开复位内固定

Key words: Tunnel-type; locking plate; rib fractures; open reduction and internal fixation

引用本文: 李谦平, 桑宏阳, 邬松, 成少飞. 隧道式钛合金肋骨锁定板肋骨骨折内固定. 中国胸心血管外科临床杂志, 2017, 24(12): 974-978. doi: 10.7507/1007-4848.201702005 复制

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