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目的探讨环抱型肋骨接骨板治疗连枷胸手术时保留骨膜的临床疗效。方法回顾性分析河北医科大学第一医院2013年10月~2015年5月收治的54例经影像学诊断为连枷胸患者的临床资料,分析比较患者在接受环抱型肋骨接骨板治疗连枷胸手术时保留骨膜治疗前后患者的心率、呼吸频率、血氧饱和度、肺功能、疼痛程度差异,同时对患者进行6个月的随访,观察患者的骨折愈合情况。结果 54例患者均骨性愈合,治疗后患者的心率、呼吸频率、血氧饱和度、肺功能及疼痛程度均较治疗前明显改善,差异有统计学意义(P<0.05)。结论环抱型肋骨接骨板治疗连枷胸手术时保留骨膜临床疗效显著,能显著改善患者的生活质量及肺功能,值得临床推广。
Objective To investigate the clinical efficacy of encircling rib plate in preserving periosteum during flail chest surgery. Methods The clinical data of 54 patients with flail chest radiographically diagnosed by First Affiliated Hospital of Hebei Medical University from October 2013 to May 2015 were retrospectively analyzed. The clinical data of patients undergoing flail chest surgery The patients’ heart rate, respiratory rate, oxygen saturation, lung function and pain degree were kept before and after periosteal treatment. At the same time, the patients were followed up for 6 months to observe the fracture healing. Results All the 54 patients were healed. After treatment, the heart rate, respiratory rate, oxygen saturation, pulmonary function and pain were significantly improved in all 54 patients. The difference was statistically significant (P <0.05). Conclusion Surrounded by rib plate treatment of flail chest surgery to retain the periosteal significant clinical effect, can significantly improve the quality of life of patients and lung function, worthy of clinical promotion.