Department of Surgery, Saint Francis Hospital and Medical Center, Hartford, Connecticut.
Department of Surgery, University of California Irvine School of Medicine, Irvine, California.
Curr Opin Anaesthesiol. 2022 Apr 1;35(2):172-175. doi: 10.1097/ACO.0000000000001095.
Traumatic chest wall injuries and rib fractures remain a prevalent injury. Despite many advances, these injuries result in high morbidity and mortality. Surgical stabilization of rib fractures (SSRF) is increasing in utilization with expanding indications. Recent studies have demonstrated that many patients may benefit from surgical intervention.
Over the past 20 years the indications and timing of SSRF has evolved. Once reserved mainly for the most extreme of injuries, expanding indications demonstrate that even minimally injured patients may benefit from intervention regarding pain control, respiratory complications, and overall mortality.
SSRF has become more prevalent with improving outcomes for patients. Understanding the indications will help expand utilization and improve patient outcomes.
创伤性胸壁损伤和肋骨骨折仍然是一种常见的损伤。尽管有许多进展，这些损伤仍导致高发病率和死亡率。肋骨骨折的外科固定（SSRF）的应用正在增加，适应证也在扩大。最近的研究表明，许多患者可能受益于手术干预。
在过去的 20 年中，SSRF 的适应证和时机已经发生了变化。曾经主要保留用于最严重的损伤，扩大的适应证表明，即使是轻微受伤的患者也可能受益于干预，以控制疼痛、呼吸并发症和整体死亡率。
SSRF 的应用越来越普遍，患者的预后也得到了改善。了解适应证将有助于扩大其应用范围，改善患者的预后。
