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记忆合金环抱器治疗多发肋骨骨折的临床观察 被引量:12

The therapeutic effects and long-term follow-up of memory alloy embracing fixator for the treatment of the multiple fracture of ribs
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摘要 目的 探讨镍钛记忆合金环抱器对于多发性肋骨骨折及连枷胸的手术治疗效果.方法 对2006年1月至2009年12月杭州市中医院收治的多发性肋骨骨折及连枷胸所有患者行镍钛记忆合金环抱器内固定术,观察术后效果并远期随访.结果 所有患者均治愈,平均住院时间为(10.31±3.14)d,手术后疼痛明显减轻,与术前比较差异具有统计学意义(P=0.02),肺部感染、肺不张等术后并发症发生率17.65%;同时远期并发症较少,对日常工作及生活影响较小.结论 应用镍钛记忆合金环抱器治疗多发性肋骨骨折具有创伤小、操作简便、安全、固定可靠、组织相容性好以及术后并发症少等优点,是一种较为先进实用的治疗方法,值得推广. Objective To explore the therapeutic effects of Ni-Ti memory alloy embracing fixator on the multiple fracture of ribs and flail chest. Method From January 2006 to December 2009, the effects of operation and long-term follow-up after internal fixation operation with memory alloy embracing fixator in patients with multiple fracture of ribs and flail chest were observed. Results The hospital stay of patients treated with memory alloy embracing fixator was 10.31 ± 3.14 days and pain was significantly reheved after treatment ( P= 0.02) .The rate of post-operative complications was 17.65% such as atelectasis, pulmonary infection, etc. There were fewer longterm complications and less influence to daily activity of life. Conclusions It is a advanced and practical method for patients with the multiple fracture of ribs by using Ni-Ti memory alloy embracing fixator with slighter trauma,simple, safe, reliable, good histocompatibility and fewer post-operative complications.
出处 《中华急诊医学杂志》 CAS CSCD 北大核心 2010年第9期966-969,共4页 Chinese Journal of Emergency Medicine
关键词 多发性肋骨骨折 连枷胸 内固定 远期随访 Multiple fractured ribs Flail chest Internal fixation Long-term follow-up
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参考文献15

  • 1Sharma OP,Oswanski MF,Jolly S,et al.Perils of rib frac-tures[J].Am Surg,2008,74(4):310-314.
  • 2Yamamoto L,Schroeder C,Morley D,et al.Thoracic trau-ma:the deadly dozen[J].Crit Care Nurs Q,2005,28(1):22-40.
  • 3Pettiford BL,Luketich JD,Landreneau RJ.The management of flail chest[J].Thorac Surg Clin,2007,17(1):25-33.
  • 4BastosR,Calhoon JH,Baisden CE.Flail chestand pulmonary contusion[J].Semin Thorac Cardiovasc Surg,2008,20(1):39-45.
  • 5Richardson JD,Franklin GA,Heffley S,et al.Operative fix-ation of chestwall fractures:an underused procedure[J].Am Surg,2007,73(6):591-597.
  • 6Balci AE,Eren S,Cakir O,et al.Open fixation in flailchest:review of 64 patients[J].Asian Cardiovasc Thorac Ann,2004,12(1):11-15.
  • 7卢欣欣,于兰贞,魏代艳.疼痛评估现状及新进展[J].中国实用护理杂志(中旬版),2006,22(10):57-58. 被引量:81
  • 8文毅,陈光春,廖小勇.镍钛记忆合金环抱器手术治疗多发性肋骨骨折及连枷胸的临床研究[J].创伤外科杂志,2009,11(3):203-205. 被引量:61
  • 9Nirula R,Diaz JJ Jr,Trunkey DD,et al.Rib fracture repair:indications,technical issues,and future directions[J].World J Surg,2009,33(1):14-22.
  • 10郭孟.记忆合金环抱器治疗多发性肋骨骨折47例临床观察[J].中国骨与关节损伤杂志,2009,24(1):83-84. 被引量:16

二级参考文献42

共引文献223

同被引文献85

  • 1李月兰.胸外科术后雾化吸入障碍分析及护理对策[J].国际护理学杂志,2007,26(2):139-140. 被引量:14
  • 2姜杰,杜好信,耿国军,姚成才,陈端阳,李水文.肋骨固定钉在多发性肋骨骨折治疗中的应用[J].中华全科医师杂志,2007,6(6):375-376. 被引量:6
  • 3孙玉鄂.胸外科手术学[M].北京:人民军医出版社,2004.56-58.
  • 4Sharma OP, Oswanski MF, Jolly S, et al. Perils of rib fractures. Am Surg,2008,74(4) :310-314.
  • 5Richardson JD, Franklin GA, Heffley S, et al. Operative fixation of chest wall fractures: an underused procedure? Am Surg,2007, 73 (6) :591-596 ; discussion 596-597.
  • 6Aicher B, Peil H, Peil B, et al. Pain measurement: Visual Ana- logue Scale (VAS) and Verbal Rating Scale (VRS) in clinical trials with OTC analgesics in headache. Cephalalgia, 2012,32 (3) :185-197.
  • 7Athanassiadi K, Theakos N, Kalantzi N, et al. Prognostic factors in flail-chest patients. Eur J Cardiothorac Surg,2010,38 (4) :466- 471.
  • 8Qasim Z, Gwinnutt C. Flail chest: pathophysiology and manage- ment. Trauma, 2009,11 : 63-70.
  • 9Nirula R, Diaz JJ Jr, Trunkey DD, et al. Rib fracture repair:indi- cations,technical issues , and future directions. World J Surg, 2009,33 ( 1 ) : 14-22.
  • 10Granetzny A, Abd E1-Aal M, Emam E, et al. Surgical versus con- servative treatment of flail chest. Evaluation of the pulmonary sta- tus. Interact Cardiovasc Thorac Surg,2005,4 (6) :583-587.

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