中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (4): 725-728.doi: 10.3969/j.issn.1673-8225.2011.04.038

• 骨与关节学术探讨 academic discussion of the bone and joint • 上一篇    下一篇

可吸收固位钉治疗多发性肋骨骨折

黄国胜   

  1. 南阳医学高等专科学校第一附属医院胸外科，河南省南阳市473001
  • 收稿日期:2010-09-25 修回日期:2010-10-26 出版日期:2011-01-22 发布日期:2011-01-22
  • 作者简介:黄国胜，男，1972年生，河南省南阳市人，汉族，1995年新乡医学院毕业，副主任医师，主要从事普胸外科微创研究。

Absorbable retention pin for the treatment of multiple rib fracture

Huang Guo-sheng   

  1. Department of Thoracic Surgery, First Affiliated Hospital of Nanyang Academy of Medicine, Nanyang  473001, Henan Province, China
  • Received:2010-09-25 Revised:2010-10-26 Online:2011-01-22 Published:2011-01-22
  • About author:Huang Guo-sheng, Associate chief physician, Department of Thoracic Surgery, First Affiliated Hospital of Nanyang Academy of Medicine, Nanyang 473001, Henan Province, China

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536

被引次数

31

摘要：

背景：介绍可吸收材料的种类及优点，可吸收肋骨钉治疗多发性肋骨骨折适应证及禁忌证。对比观察采用可吸收固位钉和保守方法治疗多发性肋骨骨折的疗效。
方法：以“肋骨骨折，可吸收固位钉，内固定”为检索词，检索2002/2010 PubMed数据库、维普数据库与可吸收固位钉与多发性肋骨骨折相关文献，重点探讨了可吸收材料的种类及优点，以及可吸收肋骨钉治疗多发性肋骨骨折适应证及禁忌证。并进行了临床验证，对120例多发性肋骨骨折的患者采用可吸收钉进行内固定，同时以行保守治疗的多发肋骨骨折患者80例做对照。
结果：可吸收肋骨固定钉具有良好的组织相容性；抗弯曲强度略高于人体骨皮质；无毒副作用；3~5年可完全降解，避免二次手术。临床验证表明采用可吸收钉固定的患者恢复肋骨连续性，胸骨疼痛持续时间，住院时间较保守治疗者明显缩短(P < 0.01)；同时可吸收钉固定患者的肺不张例数，胸廓畸形例数，胸腔积液例数，胸膜粘连例数比保守治疗者减少(P < 0.01)。
结论：对胸外伤引起多根多段肋骨骨折，用可吸收肋骨钉进行固位方法简易，并发症少，疗效可靠。

关键词: 肋骨骨折, 可吸收固位钉, 内固定, 并发症, 生物相容性

Abstract:

OBJECTIVE: To report the categories and advantages of absorbable materials, the indication and contraindication of absorbable retention pin for the treatment of fracture of multiple ribs.
METHODS: “Fracture of rib, absorbable retention pin, internal fixation” in Chinese was utilized as search terms to retrieve PubMed database (2001/2010), VIP database, and articles related to absorbable retention pin and fracture of multiple ribs. The categories and advantages of absorbable materials, and the indication and contraindication of absorbable retention pin for the treatment of fracture of multiple ribs were explored and underwent clinical verification. A total of 120 fractures of multiple ribs cases were treated with absorbable retention pin internal fixation; meanwhile, 80 cases of which underwent expectant treatment as controls.
RESULTS: Absorbable retention pin has good histocompatibility, the bending strength was slightly higher than human cortical bone, and there was no toxic side effect. Absorbable retention pin can be completely degraded 3 to 5 years, avoid the second surgery. Clinical verification demonstrated that the continuity of the recovery ribs, the breast bone durante dolors, and length of stay of patients with absorbable retention pin was significantly shorter than that of patients with expectant treatment (P < 0.01). At the same time, the number of cases of atelectasis, number of cases of thoracic deformity, number of cases of pleural effusion, and number of cases of pleural adhesions of patients with absorbable retention pin was less than that of patients with expectant treatment (P < 0.01).
CONCLUSION: Absorbable retention pin was applied to undergo retention for chest trauma caused by multiple sections of rib fractures. This method is simple, fewer complications, and reliable curative effect.

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