目的探讨高龄多发肋骨骨折患者行切开纯钛肋骨爪内固定手术的临床效果。方法选取多发性肋骨骨折患者66例,按照随机数表法分为对照组和观察组各33例,对照组采用非内固定治疗,观察组采用纯钛肋骨爪内固定术治疗。结果观察组ICU监护时间、机械通气时间、住院时间均显著少于对照组(P<0.05),观察组胸壁稳定率明显高于对照组(P<0.05),观察组并发症发生率显著低于对照组(P<0.05)。观察组总有效率显著高于对照组(P<0.05)。结论纯钛肋骨爪内固定术治疗高龄多发肋骨骨折患者疗效显著,能够显著减少并发症发生率及住院时间等,提高胸壁稳定率。
ObjectiveTo explore the clinical efficacy of surgical dissection and internal fixation using pure titanium rib plate for multiple rib fractures in elderly patients. MethodsA total of 66 patients with multiple rib fractures were selected , and were divided into control group (n=33) and observation group(n=33) using random number table. The control group was treated without internal fixation, while the observation group was treated with internal fixation using pure titanium rib plate. ResultsThe ICU stay, duration for mechanical ventilation and hospital stay in the observation group were significantly shorter than those in the control group (P<0.05), The stability rate of the chest wall in the observation group was significantly higher than that in the control group (P<0.05).The incident rate of the complications in the observation group was significantly lower than that in the control group (P<0.05). The total effective rate in the observation group was significantly higher than that in the control group (P<0.05). ConclusionFor the elderly patients with multiple rib fractures, internal fixation using pure titanium rib plate can achieve a significant efficacy, can significantly reduce the incidence of complications and the hospital stay, and improves the chest wall stability.