胸腔镜钛镍合金爪形肋骨板治疗多发肋骨骨折合并血气胸的疗效

摘要
图/表
参考文献
相关文章 (15)

全文: PDF (569 KB)
输出: BibTeX | EndNote (RIS)

摘要目的探讨胸腔镜钛镍合金爪形肋骨板治疗多发肋骨骨折合并血气胸的疗效。方法总结2007-03至2013-12收治的24例多发肋骨骨折合并血气胸行电视胸腔镜钛镍合金爪形肋骨板内固定术患者的临床资料,评价其临床效果。结果 24例多发肋骨骨折合并血气胸的患者均治愈。全部患者均在术后24～48 h下床活动,无一例并发切口感染、胸腔感染及深静脉血栓。结论电视胸腔镜钛镍合金爪形肋骨板内固定术治疗多发肋骨骨折合并血气胸是一种安全、有效的方法,值得推广。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	武国栋
	张子瑜
	赵金超
	赵胜雷

关键词 ：胸腔镜, 多发肋骨骨折, 血气胸, 钛镍合金爪形肋骨板

Abstract：Objective To study the application effect of internal fixation aided by videoassisted thoracoscope with Ti-Ni alloy claw-like rib bone plate in treating multiple fractured ribs combined with hemopneumothorax. Methods A total of 24 patients of multiple fractured ribs accompanied by hemopneumothorax were analyzed to evaluate the clinical effect,who had internal fixation aided by video-assisted thoracoscope with Ti-Ni alloy clawlike rib bone plate from March 2007 to October 2013. Results All 24 patients were cured. Conclusions The operation of internal fixation aided by video-assisted thoracoscope with Ti-Ni alloy claw-like rib bone plate is a safe and effective treatment for patients with multiple fractured ribs combined with hemopneumothorax. It is worth promoting for clinicians.

Key words： video-assisted thoracoscope multiple fractured ribs hemopneumothorax Ti-Ni alloy claw-like rib bone plate

收稿日期: 2014-12-15

ZTFLH:

R655.1

作者简介: 武国栋,本科学历,副主任医师,E-mail:wjbzmz@sina.com

引用本文:

武国栋, 张子瑜, 赵金超, 赵胜雷. 胸腔镜钛镍合金爪形肋骨板治疗多发肋骨骨折合并血气胸的疗效[J]. 武警医学, 2015, 26(5): 446-448. WU Guodong,ZHANG Ziyu,ZHAO Jinchao, ZHAO Shenglei. Internal fixation aided by video-assisted thoracoscope with Ti-Ni alloy claw-like rib bone plate in treating multiple fractured ribs combined with hemopneumothorax. Med. J. Chin. Peop. Armed Poli. Forc., 2015, 26(5): 446-448.

链接本文:

http://journal08.magtechjournal.com/Jwk_wjyx/CN/ 或 http://journal08.magtechjournal.com/Jwk_wjyx/CN/Y2015/V26/I5/446

[1]	Yamamoto L, Schroeder C, Morley D, et al.Thoracic trauma:the deadly dozen[J].Crit Care Nurs Q, 2005, 28(1):22-40.
[2]	孙居仙,徐志飞.肋骨骨折治疗选择及疗效评价[J].创伤外科杂志, 2009, 11(3):275-277.
[3]	Iwasaki A, Hamatake D, Shirakusa T, et al.Biosorbable poly-L-lactide rib-connecting pins may reduce acute pain after thoractomy[J].Thorac Cardiovasc Surg, 2004, 52(1):49-53.
[4]	王向东,吴明君,郝福军,等.胸腔镜下镍钛记忆合金环抱器手术治疗连枷胸合并血气胸的临床应用[J].浙江创伤外科, 2012, 17(4):532-533.
[5]	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.
[6]	熊卜贵,王新,方楚权,等.记忆合金环抱器在四肢骨折中的应用[J].临床骨科杂志, 2005, 8(5):443-444.
[7]	范学辉,周垂宝,朱卫杰,等.形状合金治疗各类骨折初步报告[J].中华创伤骨科杂志, 2002, 4(1):72.
[8]	李向东,周灵飞,鲜渝斌.连枷胸的手术与保守治疗的回顾性分析[J].重庆医学, 2011, 40(23):2330-2332.
[9]	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.
[10]	陆善伟,钟竑,徐怀阳.电视胸腔镜联合形状记忆环抱接骨板治疗多发性肋骨骨折[J].中国胸心血管外科临床杂志,2012,19(2):210-212.
[11]	任明明,孔繁义,宋翔,等.胸腔镜辅助爪形接骨板内固定手术治疗多发性肋骨骨折24例[J].中国胸心血管外科临床杂志,2012,19(5):574-575.
[12]	雷伟.基层医院应用胸腔镜下多处小切口治疗复杂性肋骨骨折的初步治疗经验[J].浙江创伤外科,2014,7(3):398-399.
[13]	徐靖,徐国安,方向明,等.微创肋骨内固定术治疗多发肋骨骨折[J].中国微创外科杂志, 2012, 12(1):64-66.
[14]	杨文彬,廖海浪,何福鲜,等.3种内固定方法治疗肋骨骨折的效果观察[J].广西医学, 2010, 32(9):1066-1068.
[15]	李强,李晓斌,乔庆,等.胸腔镜辅助可吸收肋骨钉与爪形接骨板联合应用治疗多发肋骨骨折的临床研究[J].创伤外科杂志, 2014, 16(2):109-112.
[16]	王前进,孙强,王礼俊.胸腔镜下肋骨内固定治疗创伤性连枷胸40例分析[J].人民军医, 2014, 57(3):302-303.
[17]	Nirula R,Mayberry J C.Rib fracture fixation: controversies and technical challenges[J].Am Surg, 2010, 76(8):793-802.
[18]	Arora S, Singh P M, Trikha A.Ventilatory strategies in trauma patients[J].Emerg Trauma Shock, 2014, 7(1):25-31.