|
|
Application effect comparison of internal fixation and conservative treatment in the treatment of multiple fractures of the ribs |
LIANG Rui-yu LIANG Jin-song RAO Xin-hui ZHANG Zi-zheng LI Jian-ming ZHONG Hai-hui ZHANG Huan-rong |
Department of Thoracic Surgery,Meizhou People′s Hospital,Guangdong Province,Meizhou 514031,China |
|
|
Abstract Objective To compare the curative effect of internal fixation and conservative therapy on treating multiple rib fractures of the ribs.Methods A total of 54 patients with multiple rib fractures from November 2012 to August 2017 admitted into our hospital were selected as research objects.They were evenly divided into control group(conservative therapy)and observation group (internal fixation)by a random number table,27 cases in each group.The degree of pain and postoperative recovery of the indicators before and after treatment were compared in the two groups.Results The total effectiveness rate in the observation group was 100.00%,significantly higher than that in the control group accounting for 85.19%(P<0.05).There was no significant difference in visual analogue scale(VAS)score before treatment and first day after therapy in the two groups(P>0.05).On days 3 and 7 after treatment,the scores of VAS in the observation group were significantly lower,compared with that in the control group(P<0.05).In the observation group,the time of being forced to stay in bed,pleural canal indwelling time,time of using analgesics,and hospital stay were all shorter compared with those in the control group.The thoracic cavity drainage in the observation group was significantly less compared with that in the control group,with a statistical difference(P<0.05).Conclusion Compared with traditional conservative therapy,application of internal fixation in the treatment of multiple fractures of the ribs can obtain more reliable and definite effects by effectively relieving patient′s suffering and shortening the recovery of fractures,which plays a critical role in promoting the early recovery of patients.
|
|
|
|
|
[1] |
王洪斌,张明,刘海林,等.微创小切口肋骨内固定术治疗多根多处肋骨骨折及连枷胸[J].中国胸心血管外科临床杂志,2012,19(4):449-450.
|
[2] |
吴祥胜,范虹,蒋徽川,等.可吸收肋骨钉与记忆合金接骨板在治疗多根多处肋骨骨折中的应用[J].中国临床医学,2012,19(4):388-390.
|
[3] |
杨文彬,王成日,廖海浪,等.记忆合金环抱器与可吸收钉治疗多根多处肋骨骨折的临床疗效对比[J].广西医学,2012,34(4):506-507.
|
[4] |
刘金山,王树军.静脉持续镇痛联合肋骨内固定在多根多处肋骨骨折中的应用[J].蚌埠医学院学报,2015,40(7):886-888.
|
[5] |
王立,张淼,贲晓松,等.对多发性肋骨骨折行经胸腔镜探查+内固定手术的探讨[J].实用医学杂志,2013,29(10):1714-1715.
|
[6] |
李新亚,高峰,王刚,等.记忆合金环抱接骨板治疗多根多处肋骨骨折的临床研究[J].解剖与临床,2012,17(6):501-504.
|
[7] |
杨学永,王振国,王韬渊,等.金属肋骨接骨板内固定治疗多发肋骨骨折的临床分析[J].中国急救复苏与灾害医学杂志,2012,7(6):578-579.
|
[8] |
杜俊凯,王军,李治延,等.微创内固定治疗多根多处肋骨骨折临床效果和安全性评价[J].解放军医药杂志,2017,29(10):38-41.
|
[9] |
李忠,王瑞华,卓宜盟,等.纯钛爪形肋骨接骨板治疗多发肋骨骨折对肋间神经痛缓解的研究[J].中国医药科学,2015,5(22):171-173.
|
[10] |
李克耀,刘晋梁,罗霄,等.采用可吸收肋骨钉手术治疗连枷胸九例[J].中国胸心血管外科临床杂志,2012,19(2):207.
|
[11] |
沈东涛.CT引导小切口内固定治疗多发性肋骨骨折的疗效评价[J].山西医药杂志,2016,45(21):2509-2512.
|
[12] |
李良民,孔维成,石旭钢,等.胸腔镜辅助下应用“捆绑式外固定”治疗肋骨骨折错位及浮动胸壁体会[J].中华急诊医学杂志,2015,24(7):795-797.
|
[13] |
张兵辰.在合并连枷胸的多发伤患者救治中镍钛合金环抱器肋骨内固定的应用效果[J].中国现代医生,2012,50(4):145-146.
|
[14] |
蔡伟.胸腔镜下肋骨骨折内固定术的临床效果分析[J].河南职工医学院学报,2014,26(1):9-11.
|
[15] |
杨敏.胸壁负压引流对肋骨骨折内固定术后康复的影响[J].中国临床医学,2016,23(4):502-504.
|
|
|
|