| 可吸收肋骨固定钉加涤纶补片治疗多发性肋骨骨折12例 |
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投稿时间：2009-05-05
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| 作者 | Author | 单位 | Address | E-Mail |
| 朱海宏 |
ZHU Hai-hong |
衢州市人民医院心胸外科,浙江 衢州 324000 |
Department of Cardiothoracic Surgery,the People's Hospital of Quzhou,Quzhou 324000,Zhejiang,China |
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| 徐铁峥 |
XU Tie-zheng |
衢州市人民医院心胸外科,浙江 衢州 324000 |
Department of Cardiothoracic Surgery,the People's Hospital of Quzhou,Quzhou 324000,Zhejiang,China |
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| 周珉 |
ZHOU Min |
衢州市人民医院心胸外科,浙江 衢州 324000 |
Department of Cardiothoracic Surgery,the People's Hospital of Quzhou,Quzhou 324000,Zhejiang,China |
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| 郭劝民 |
GUO Quan-min |
衢州市人民医院心胸外科,浙江 衢州 324000 |
Department of Cardiothoracic Surgery,the People's Hospital of Quzhou,Quzhou 324000,Zhejiang,China |
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| 期刊信息：《中国骨伤》2009年，第22卷，第10期，第787-789页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的：介绍加用涤纶补片外包裹固定治疗多发性肋骨骨折的方法及适应证，以减少骨折移位并发症的发生。
方法：自2006年9月至2008年3月采用可吸收肋骨钉加涤纶补片治疗多发性肋骨骨折12例，男8例，女4例；年龄22～51岁，平均38.2岁；受伤至手术时间：2 h～3 d.均为闭合性损伤且伴有明显胸痛及胸闷气闭，其中伴呼吸困难、咳痰中带血、血氧饱合度下降4例。X线检查：单侧肋骨骨折3例，双侧肋骨骨折9例，均伴有血气胸。
结果：12例患者均获得随访，时间2～26个月，平均8个月。所有病例骨折均愈合。依据评定标准，从疼痛、呼吸、肋骨对位情况等方面对疗效进行观察：优10例，良1例，可1例。
结论： 应用可吸收肋骨钉加涤纶补片治疗多发性肋骨骨折是安全有效的，特别适用于骨质疏松、粉碎性骨折及斜形骨折的患者。 |
| 【关键词】肋骨骨折 骨折，闭合性 可吸收性植入物 外科手术 |
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| Treatment of fracture of multiple ribs with absorbable rib fixed nail and dacron flap in 12 patients |
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ABSTRACT
Objective: To introduce the methods of dacron flap application and its indications in treating fracture of multiple ribs,in order to reduce the incidence of the complications of fracture displacement.
Methods: From September 2006 to March 2008,12 patients with fracture of multiple ribs were treated with absorbable rib fixed nail and dacron flap. Included 8 males and 4 females,the age was from 22 to 51 years with an average of 38.2 years,the operative time was 2 hours to 3 days after injured. All the patients were closed injury and simultaneously accompanied with significant chest pain and chest tightness. 4 cases with dyspnea,blood in sputum and blood oxygen saturation decreased. The X-ray showed 3 cases of unilateral fracture and 9 cases of bilateral rib fractures and all cases accompanied with hemopneumothorax.
Results: All patients were followed up from 2 to 26 months with an average of 8 months. All the fractures healed. According to clinical criteria,pain,breathing, ribs alignment etc. to observe the effect,10 cases got excellent result,1 case good,1 case poor.
Conclusion: It is safe and effective to use absorbable rib fixed nails and dacron flap for treating fracture of multiple ribs and especially for the patients of osteoporosis,comminuted fracture or oblique fracture. |
| KEY WORDS Rib fractures Fractures,closed Absorbable implants Surgical procedures,operative |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 朱海宏,徐铁峥,周珉,郭劝民.可吸收肋骨固定钉加涤纶补片治疗多发性肋骨骨折12例[J].中国骨伤,2009,22(10):787~789 |
| 英文格式: | ZHU Hai-hong,XU Tie-zheng,ZHOU Min,GUO Quan-min.Treatment of fracture of multiple ribs with absorbable rib fixed nail and dacron flap in 12 patients[J].zhongguo gu shang / China J Orthop Trauma ,2009,22(10):787~789 |
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