记忆合金环抱式接骨板治疗多发性肋骨骨折伴连枷胸。
Memory alloy embracing fixator in treatment of multiple fractured ribs and flail chest.
机构信息
Department of Thoracic Surgery, Hangzhou TCM Hospital, Hangzhou 310007, China.
出版信息
World J Emerg Med. 2010;1(3):212-5.
BACKGROUND
With the development of internal fixation materials, simple operation with internal fixation has become a tendency. Ni-Ti shape memory alloy embracing fixator has such advantages as slight injury, easy operation, security, reliable fixation, and better histocompatibility. The present study was to explore curative effect and postoperative results of Ti-Ni shape memory alloy embracing fixator in patients with multiple fractured ribs and flail chest.
METHODS
The curative effect and long-term follow-up results were observed after internal fixation with a shape memory alloy embracing fixator in patients with multiple fractured ribs and flail chest from January 2006 to December 2009.
RESULTS
All patients were cured with an average hospital stay of 10.31±3.14 days. Post-operative pain was less severe than preoperative pain (P=0.02). The rate of postoperative complications such as atelectasis, pulmonary infection, etc was 17.65%. There were fewer long-term complications and less influence on daily work and life.
CONCLUSIONS
It is practical to perform an operation for fracture of multiple ribs using a Ti-Ni shape memory alloy embracing fixator. The fixator, which is less traumatic, simple, safe, and reliable, has a good-histocompatibility and fewer postoperative complications.
背景
随着内固定材料的发展，单纯内固定操作已成为一种趋势。镍钛形状记忆合金环抱器具有创伤小、操作简单、安全可靠、固定牢固、组织相容性好等优点。本研究旨在探讨 Ti-Ni 形状记忆合金环抱器治疗多发性肋骨骨折伴连枷胸的疗效及术后结果。
方法
回顾性分析 2006 年 1 月至 2009 年 12 月采用形状记忆合金环抱器内固定治疗多发性肋骨骨折伴连枷胸患者的疗效及长期随访结果。
结果
所有患者均治愈，平均住院时间 10.31±3.14 天。术后疼痛明显轻于术前（P=0.02）。术后并发症如肺不张、肺部感染等发生率为 17.65%。长期并发症少，对日常生活和工作影响小。
结论
Ti-Ni 形状记忆合金环抱器治疗多发性肋骨骨折实用可行，该固定器创伤小、操作简单、安全可靠、组织相容性好、术后并发症少。
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