Xiong Ming, Hu Wei, Lou Qiang, Yin Shi, Wang Xin
Department of Cardiothoracic Surgery, First People's Hospital of Fuzhou, Fuzhou, Jiangxi 344000, P.R. China.
Department of ICU, First People's Hospital of Fuzhou, Fuzhou, Jiangxi 344000, P.R. China.
Exp Ther Med. 2019 Jul;18(1):537-542. doi: 10.3892/etm.2019.7597. Epub 2019 May 22.
Clinical efficacy and complications of nickel-titanium memory alloy in the treatment of multiple rib fractures combined with sternal fractures was investigated. A retrospective analysis of 123 patients with multiple rib fractures combined with sternal fractures admitted to First People's Hospital of Fuzhou from January 2013 to December 2015 was performed, including study group (treated with internal fixation by the nickel-titanium memory alloy, n=68) and control group (treated with internal fixation by partial pressure bandage, n=55). Μean arterial pressure (MAP), heart rate (HR), and visual analogue pain score (VAS) of the two groups before and after treatment were compared and analyzed. No significant difference in MAP, HR and VAS scores between groups was detected before treatment (P>0.05). After treatment, MAP score of study group was significantly higher, and HR and VAS scores were significantly lower (P<0.05). Μethod of internal fixation by the nickel-titanium memory alloy, with better efficacy than the traditional method of internal fixation by partial pressure bandage and less postoperative complications in the treatment of flail chest caused by multiple rib fractures combined with sternal fractures, is worthy of clinical application and promotion.
探讨镍钛记忆合金治疗多发性肋骨骨折合并胸骨骨折的临床疗效及并发症。对2013年1月至2015年12月在福州市第一人民医院收治的123例多发性肋骨骨折合并胸骨骨折患者进行回顾性分析，分为研究组（采用镍钛记忆合金内固定治疗，n = 68）和对照组（采用分压包扎内固定治疗，n = 55）。比较分析两组治疗前后的平均动脉压（MAP）、心率（HR）及视觉模拟疼痛评分（VAS）。治疗前两组MAP、HR及VAS评分差异无统计学意义（P > 0.05）。治疗后，研究组MAP评分显著升高，HR及VAS评分显著降低（P < 0.05）。镍钛记忆合金内固定方法在治疗多发性肋骨骨折合并胸骨骨折所致连枷胸方面疗效优于传统分压包扎内固定方法，且术后并发症少，值得临床应用推广。
