肋骨骨折的治疗：手术固定、区域镇痛及肋间神经冷冻消融的综述
Rib fracture management: A review of surgical stabilization, regional analgesia, and intercostal nerve cryoablation.
作者信息
Stopenski Stephen, Binkley Jana, Schubl Sebastian D, Bauman Zachary M
机构信息
Division of Trauma, Department of Surgery, University of California at Irvine Medical Center, Orange, California, USA.
Division of Trauma, Emergency General Surgery and Critical Care Surgery, Department of Surgery, University of Nebraska Medical Center, Omaha, Nebraska, USA.
出版信息
Surg Pract Sci. 2022 May 16;10:100089. doi: 10.1016/j.sipas.2022.100089. eCollection 2022 Sep.
Rib fractures still remain a common problem in blunt thoracic trauma, often resulting significant acute and/or chronic morbidity and mortality. The management of rib fractures has improved over the past two decades, resulting in overall improved patient outcomes. With advances in surgical stabilization of rib fractures (SSRF), improvements in regional analgesia, and the introduction of intercostal nerve cryoablation, patient outcomes from rib fractures have improved significantly over the past several years. This article explores the indications and technique for SSRF as well as discusses additional therapeutic modalities for rib fractures through regional anesthesia and intercostal nerve cryoablation.
肋骨骨折仍是钝性胸部创伤中的常见问题，常导致显著的急性和/或慢性发病率及死亡率。在过去二十年中，肋骨骨折的治疗有所改善，患者总体预后得到提高。随着肋骨骨折手术固定（SSRF）技术的进步、区域镇痛的改善以及肋间神经冷冻消融术的引入，肋骨骨折患者的预后在过去几年中有了显著改善。本文探讨了SSRF的适应证和技术，并讨论了通过区域麻醉和肋间神经冷冻消融术治疗肋骨骨折的其他治疗方式。
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