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时间:2020-05-24
《记忆合金肋骨环抱接骨器治疗创伤性连枷胸疗效观察.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、中国校医2013年7月第27卷第7期ChinJSchoolDoctorJu1.2013Vo1.27No.7·533·[文章编号]1001—7062(2013)07—0533—03[中图分类号]R608[文献标识码]B[临床医学]记忆合金肋骨环抱接骨器治疗创伤性连枷胸疗效观察马晨光,朴阳,张晓华,陈瑜,张立新[摘要]目的探讨应用记忆合金肋骨环抱接骨器治疗创伤性连枷胸的方法和疗效。方法回顾分析我院2006年3月一2012年3月收治的创伤性连枷胸患者69例,其中37例患者采用记忆合金肋骨环抱接骨器手术治疗的做为观察
2、组,其余32例采用加压包扎、牵引外固定等保守治疗方法的做为对照组,进行对比分析,比较2组患者疗效及并发症情况。结果观察组/对照组,疼痛感(3.97±1.07)/(6.49±1.95);胸壁畸形:0/13;平均住院时间(d):(15.32±5.12)/(20.19±6.67);平均机械通气时间(d):(1.69±1.45)/(4.12±2.56);呼吸系统并发症:12/27;死亡:2/3。观察组术后胸壁畸形消失、疼痛明显改善、平均住院时间、平均机械通气时间、呼吸系统并发症(包括肺部炎症、肺不张)的发生率均显著低
3、于对照组(P<0.05),2组病死率差异无统计学意义(P>0.05)。结论记忆合金肋骨环抱接骨器内固定术治疗创伤性连枷胸安全可行,并有疗效高、痛苦小、并发症少等优点。[关键词]连枷胸/外科手术;骨折固定术,内/方法;内固定器;合金EfficacyofmemoryalloyribembracingfixatorsintreatmentoftraumaticflailchestMAChen—guang,PIAOYang,ZHANGXia~hua,eta1.DepartmentofSurgery,Heilongji
4、angProvincialHospital,Har~n150036,Heilongjiang,China[Abstraet]ObjectiveToexploretheapplicationandclinicalefficacyofmemoryalloyribembracingfixatorsinthetreatmentoftratwnaticribflailchest.1VlethodsAretrospactiveresearchⅥperformedfrcrnMarch2006toMarch2012.and3
5、7casesoftraumaticribflailchestweretreatedwiththem~aoryalloyembracingfixatorsasa~entalgroupand32patientsweretreatedwiththeccmapressionbandagingandtractionexternalfixationmethc~asacontrolgroup.ResultsThe~entalgroupocnaredwiththeoontrolgroup:thewin:(3.97±1.07)
6、/(6.49±1.95);chestwandeformities:0/13;themeandurationofhospitalizafion(d):(15.32±5.12)/(20.19±6.67);theaveragedurationofmechanicalventilation(d):(1.69±1.45)/(4.12±2.56);respiratoryconaplications:12/27;death:2/3.Thep。6tcpemtivechestwalldeformity,winimproveme
7、nt,thea、圯timeofhospitalization,theaveragedurationofmechanicalventilation,andrespiratorycxnplications(includingpulmonaryinflammationandatelectasis)weresignificantlybetterorsl~rterorlowerintheexperimentalgroupthantl'x~inthecontrolgroup(P<0.05),butthereWO"Snos
8、ignificantdiferenceofthemortalitybetweenthe2groups(P>0.05).OmdmiomThemel'iKa'yalloyribernbmcingfixatorinternalfixationiseffectiveandsafeinthetrcalrnentoftraumaticflailchest.[Keywords]FlailChest/surgery
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