| 肋骨纯钛接骨板内固定治疗连枷胸的疗效观察 |
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| 引用本文： | 金炯,马煜,鲍新洲,张明.肋骨纯钛接骨板内固定治疗连枷胸的疗效观察[J].中国现代医生,2012,50(15):157-158. |
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| 作者姓名： | 金炯 马煜 鲍新洲 张明 |
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| 作者单位： | 浙江省嵊州市人民医院肿瘤外科,浙江嵊州,312400 |
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| 摘 要： | 目的探讨肋骨纯钛接骨板内固定在连枷胸治疗中的疗效。方法64例连枷胸患者随机分为两组，采用不同的治疗方法，其中观察组32例连枷胸患者均于全麻下给予肋骨纯钛接骨板内固定术治疗，对照组给予加压包扎、肋骨牵引或呼吸机正压通气内固定等非手术疗法。观察两组患者机械通气时间、ICU监护时间、住院天数、肺炎发病率等指标。结果治疗后观察组的机械通气时间、ICU监护时间、住院天数、肺炎发病率分别为（10．5±2．9）d、（12．1±3．5）d、（17．1±6．9）d、24％，明显少于对照组的（15．3±6．6）d、（16．1±3．7）d、（22．8±9．0）d、77％（P〈0．05），术后观察组肺功能改善情况明显好于对照组（P〈0．05）。结论肋骨纯钛接骨板内固定治疗连枷胸安全有效。
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| 关 键 词： | 连枷胸 纯钛接骨板 内固定 |
Application value of titanium plate fixation ribs for flail chest |
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| Authors: | JIN Jiong MA Yu BAO Xinzhou ZHANG Ming |
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| Institution: | Department of Surgical Oncology,Shengzhou People’s Hospital in Zhejiang Province,Shengzhou 312400,China |
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| Abstract: | Objective To discuss the application value of titanium plate fixation ribs for flail chest.Methods The clinical retrospective data of 64 cases with flail chest,respectively treated by non-operative treatment(n = 32) and titanium plate fixation ribs(n = 32) were analyzed.Results The average ICU stay time,mechanical ventilation time,average hospital stay time,the incidence of pneumonia of the treatment group were lower than that of the control group(P < 0.05).The clinical control rate and the improvement of pulmonary function in the treatment group were superior to that in the control group(P < 0.05).Conclusion The technique of titanium plate fixation ribs for flail chest is safe and effective. |
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| Keywords: | Flail chest Titanium plate Fixation therapy |
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