记忆合金环抱器治疗重症胸部外伤多发性肋骨骨折患者的疗效分析
|
摘要
目的探讨记忆合金环抱器治疗重症胸部外伤多发性肋骨骨折的疗效。方法选取52例重症胸部外伤多发性肋骨骨折患者,将采用记忆合金环抱器手术治疗的26例患者设为手术组,将采用胸带固定治疗的26例患者设为非手术组。比较2组气管插管时间、气管切开患者例数、气管切开时间、胸腔引流量、胸管拔管时间、胸痛时间、肺部并发症、住院时间。结果手术组术后气管插管时间、气管切开患者例数及气管切开时间、胸腔引流量、胸管拔管时间、手术后胸痛持续时间、肺部并发症、住院时间均显著优于非手术组(P <0. 05)。结论记忆合金环抱器治疗重症胸部外伤多发性肋骨骨折疗效显著,可以缓解疼痛,减少并发症,缩短康复时间。
Objective To explore the efficiency of memory alloy embracing fixator in treating patients with severe thoracic trauma complicated with multiple rib fractures. Methods A total of 52 patients with severe thoracic trauma complicated with multiple rib fractures were divided into two groups,with 26 cases in each group. The patients treated with memory alloy embracing fixator were designed as surgery group,and patients treated with thoracic band fixation were designed as non-surgery group. The time of tracheal intubation,the number of patients with tracheotomy,tracheotomy time,thoracic drainage,chest tube extubation time,chest pain time,pulmonary complications and hospital stay were compared between the two groups. Results The time of tracheal intubation,the number of patients with tracheotomy and the time of tracheotomy,thoracic drainage,the time of thoracic tube extubation,the duration of chest pain,pulmonary complications and hospital stay in the surgery group were significantly better than those in the non-surgery group(P < 0. 05). Conclusion Memory alloy embracing fixator is effective in treating patients with severe thoracic trauma complicated with multiple rib fractures,which can alleviate pain,reduce the complications and shorten recovery time.
Objective To explore the efficiency of memory alloy embracing fixator in treating patients with severe thoracic trauma complicated with multiple rib fractures. Methods A total of 52 patients with severe thoracic trauma complicated with multiple rib fractures were divided into two groups,with 26 cases in each group. The patients treated with memory alloy embracing fixator were designed as surgery group,and patients treated with thoracic band fixation were designed as non-surgery group. The time of tracheal intubation,the number of patients with tracheotomy,tracheotomy time,thoracic drainage,chest tube extubation time,chest pain time,pulmonary complications and hospital stay were compared between the two groups. Results The time of tracheal intubation,the number of patients with tracheotomy and the time of tracheotomy,thoracic drainage,the time of thoracic tube extubation,the duration of chest pain,pulmonary complications and hospital stay in the surgery group were significantly better than those in the non-surgery group(P < 0. 05). Conclusion Memory alloy embracing fixator is effective in treating patients with severe thoracic trauma complicated with multiple rib fractures,which can alleviate pain,reduce the complications and shorten recovery time.
引文
[1]胡盛寿.心胸外科学[M].北京:中华医学电子音像出版社,2014,8(1):274-275.
[2]张洪波,王建东,左占杰,等.多发肋骨骨折76例治疗分析[J].武警后勤学院学报:医学版,2016,25(7):571-573.
[3]蒲新.羟考酮联合舒芬太尼用于腹部手术术后镇痛临床研究[J].中国药业,2016,25(12):43-45.
[4]赵大明.肋骨骨折切开复位内固定术治疗重症胸外伤效果观察[J].河南医学研究,2017,26(6):1024-1025.
[5]李杨,杨异,吴伟铭,等.肋骨骨折临床治疗研究进展[J].创伤与急危重病医学,2016,4(5):315-318.
[6]魏玮,曾奇峰,余显畅,等.胸腔镜探查同期行肋骨骨折内固定治疗胸外伤的价值[J].广州医药,2018,49(3):48-50.
[7]刘锦源,戚晓通,陈广明.肋骨爪形接骨钛板治疗多发性肋骨骨折的临床分析[J].外科研究与新技术,2018,7(1):28-30.
[8]隋铁泉,张志伟,杨洋,等.同期肋骨因固定手术治疗胸外伤合并多发肋骨骨折[J].中华胸心血管外科杂志,2014,30(1):14-16.
[9] Fabricant L,Ham B,Mullins R,et al. Prolonged pain and disability are common after rib fractures[J]. The American Journal of Surgery,2013,205(5):511-516.
[10]吕晓东.切开复位内固定术与保守治疗在重症胸外伤肋骨骨折治疗中的效果比较[J].中国实用医刊,2018(6):92-94.
[11]李世健,邢万红.切开复位内固定治疗外伤性多发肋骨骨折临床疗效及手术时机评价[J].中华创伤杂志,2016,32(6):533-534.
[12] Xu J Q,Qiu P L,Yu R G,et al. Better short-term efficacy of treating severe flail chest with internal fixation surgery compared with conservative treatments[J]. Eur J Med Res,2015,20:55-59.
[13] Caragounis E C,Fagevik Olsén M,Pazooki D,et al. Surgical treatment of multiple rib fractures and flail chest in trauma:a one-year follow-up study[J]. World J Emerg Surg,2016,11:27-33.
[14]国建飞,张涛,邢琳琳,等.爪形接骨板内固定术治疗多发肋骨骨折98例效果观察[J].解放军医药杂志,2016,28(8):44-47.
[15]田学涛,李隽.胸部外伤肋骨骨折固定方法[J].中国临床医生,2015,43(2):25-28.
[16]裴志杰,张皓.胸廓重建临床材料的应用与进展[J].武警后勤学院学报:医学版,2017,26(2):173-176.
[17]赖小刚,王宪东,刘大治,等.镍钛记忆合金环抱器治疗多发性肋骨骨折的临床分析[J].临床军医杂志,2015,43(1):85-86.
[2]张洪波,王建东,左占杰,等.多发肋骨骨折76例治疗分析[J].武警后勤学院学报:医学版,2016,25(7):571-573.
[3]蒲新.羟考酮联合舒芬太尼用于腹部手术术后镇痛临床研究[J].中国药业,2016,25(12):43-45.
[4]赵大明.肋骨骨折切开复位内固定术治疗重症胸外伤效果观察[J].河南医学研究,2017,26(6):1024-1025.
[5]李杨,杨异,吴伟铭,等.肋骨骨折临床治疗研究进展[J].创伤与急危重病医学,2016,4(5):315-318.
[6]魏玮,曾奇峰,余显畅,等.胸腔镜探查同期行肋骨骨折内固定治疗胸外伤的价值[J].广州医药,2018,49(3):48-50.
[7]刘锦源,戚晓通,陈广明.肋骨爪形接骨钛板治疗多发性肋骨骨折的临床分析[J].外科研究与新技术,2018,7(1):28-30.
[8]隋铁泉,张志伟,杨洋,等.同期肋骨因固定手术治疗胸外伤合并多发肋骨骨折[J].中华胸心血管外科杂志,2014,30(1):14-16.
[9] Fabricant L,Ham B,Mullins R,et al. Prolonged pain and disability are common after rib fractures[J]. The American Journal of Surgery,2013,205(5):511-516.
[10]吕晓东.切开复位内固定术与保守治疗在重症胸外伤肋骨骨折治疗中的效果比较[J].中国实用医刊,2018(6):92-94.
[11]李世健,邢万红.切开复位内固定治疗外伤性多发肋骨骨折临床疗效及手术时机评价[J].中华创伤杂志,2016,32(6):533-534.
[12] Xu J Q,Qiu P L,Yu R G,et al. Better short-term efficacy of treating severe flail chest with internal fixation surgery compared with conservative treatments[J]. Eur J Med Res,2015,20:55-59.
[13] Caragounis E C,Fagevik Olsén M,Pazooki D,et al. Surgical treatment of multiple rib fractures and flail chest in trauma:a one-year follow-up study[J]. World J Emerg Surg,2016,11:27-33.
[14]国建飞,张涛,邢琳琳,等.爪形接骨板内固定术治疗多发肋骨骨折98例效果观察[J].解放军医药杂志,2016,28(8):44-47.
[15]田学涛,李隽.胸部外伤肋骨骨折固定方法[J].中国临床医生,2015,43(2):25-28.
[16]裴志杰,张皓.胸廓重建临床材料的应用与进展[J].武警后勤学院学报:医学版,2017,26(2):173-176.
[17]赖小刚,王宪东,刘大治,等.镍钛记忆合金环抱器治疗多发性肋骨骨折的临床分析[J].临床军医杂志,2015,43(1):85-86.