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骨折体表定位膜联合 CT 容积再现技术在微创肋骨骨折内固定中的应用。

Application of fracture body surface localization film combined with CT volume rendering in the minimally invasive rib fractures internal fixation.

机构信息

Department of Cardio-Thoracic Surgery, Tianjin Hospital affiliated to Tianjin University, Tianjin, P.R. China.

出版信息

Eur Rev Med Pharmacol Sci. 2020 Dec;24(24):12948-12954. doi: 10.26355/eurrev_202012_24198.

Abstract

OBJECTIVE

To investigate the application value of the technique of fracture body surface localization film combined with CT volume rendering in the selection of minimally invasive incision for internal fixation of rib fractures.

PATIENTS AND METHODS

Clinical data of 55 cases of patients who underwent internal fixation for rib fracture in our hospital from June 2019 to April 2020 were selected. The differences in the accuracy of preset incision, incision length, operation time, intraoperative blood loss, postoperative wound drainage, and postoperative pain score between the group with fracture body surface localization film combined with CT volume rendering (n=32) and the group with traditional localization method (n=23).

RESULTS

Compared with traditional localization method, fracture body surface localization film combined with CT volume rendering could improve the accuracy of surgical incision, reduce the operation time, incision length, intraoperative blood loss, postoperative wound drainage, and postoperative pain score (p<0.05).

CONCLUSIONS

The application of fracture body surface localization film combined with CT volume rendering has obvious effects on the accurate selection of incision of rib fracture internal fixation, and it is an effective method that is worthy of promotion.

摘要

目的

探讨骨折体表定位片联合 CT 容积再现技术在肋骨骨折内固定微创切口选择中的应用价值。

患者与方法

选取我院 2019 年 6 月至 2020 年 4 月收治的 55 例肋骨骨折内固定患者的临床资料,将骨折体表定位片联合 CT 容积再现组(n=32)与传统定位组(n=23)患者的预置切口准确率、切口长度、手术时间、术中出血量、术后伤口引流量、术后疼痛评分进行比较。

结果

与传统定位方法相比,骨折体表定位片联合 CT 容积再现可提高手术切口的准确性,减少手术时间、切口长度、术中出血量、术后伤口引流量和术后疼痛评分(p<0.05)。

结论

骨折体表定位片联合 CT 容积再现应用于肋骨骨折内固定切口的准确选择具有明显效果,是一种值得推广的有效方法。

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