标题：可吸收固位钉与记忆金属接骨板治疗多发性肋骨骨折的疗效比较

      作者：李刚建 1，赵 鑫 2
    (1.浦东新区光明中医院骨科，上海 201399；
2.上海第九人民医院骨科，上海 201399)

      卷次： 2015年26卷8期

      【摘要】 目的 探讨多发性肋骨骨折患者采用可吸收固位钉与记忆金属接骨板内固定治疗的疗效差异。
方法 回顾性分析2011年6月至2013年6月我院收治的105例多发性肋骨骨折患者的临床资料，根据治疗方法
分为观察组59例和对照组46例，观察组采用可吸收固位钉治疗，对照组采用记忆金属接骨板内固定治疗，比较
两组患者的术中情况及术后并发症差异。结果 两组患者的手术时间、术中出血量、引流时间、住院时间、恢复
骨连续性时间比较差异均无统计学意义(P>0.05)；观察组患者的自主活动时间、术中加用镇痛药使用率、胸痛持
续时间均显著低于对照组，差异均具有统计学意义(P<0.05)；观察组的术后并发症发生率为10.17%，低于对照组
的15.22%，但差异无统计学意义(P>0.05)；两组患者的骨折愈合效果分布和优良率比较差异均无统计学意义(P>
0.05)。结论 可吸收固位钉与记忆金属接骨板内固定治疗多发性肋骨骨折均具有较好的效果，但可吸收固位钉
在术后镇痛、术后早期活动等方面具有优势，且不需要二次手术取出内固定。

      【关键词】 多发性肋骨骨折；可吸收固位钉；记忆金属接骨板；内固定

      【中图分类号】 R683.1 【文献标识码】 A 【文章编号】 1003—6350（2015）08—1138—03


Effect of absorbable retention pin versus memory metal bone plate in the treatment of multiple fractured ribs.
LI Gang-jian 1, ZHAO Xin 2.
1. Department of Orthopedics, Shanghai Pudong New District Guangming Hospital of
Traditional Chinese Medicine, Shanghai 201399, CHINA; 2. Department of Orthopedics, the Ninth People's Hospital of
Shanghai, Shanghai 201399, CHINA

【Abstract】 Objective To compare the effect of absorbable retention pin with that of memory metal bone
plate in the treatment of multiple fractured ribs. Methods The clinical data of 105 patients of multiple fractured ribs
in our hospital from June 2011 to June 2013 were retrospectively analyzed. Based on treatment, the patients were di-
vided into the observation group (n=59) and the control group (n=46), which applied absorbable retention pin, memo-
ry metal bone plate for internal fixation treatment, respectively. Intraoperative situation and postoperative complica-
tions were compared between the two groups. Results There was no statistically significant difference between the
two groups in operation time, intraoperative blood loss, drainage time, length of hospital stay, and time of restoring
bone continuity (P>0.05). The autonomic activity duration time, rate of adding analgesics, and time of chest pain in
the observation group were significantly shorter or lower than the control group (P<0.05). The incidence of postopera-
tive complications was 10.17% in the observation group, which was lower than 15.22% in the control group, but the
difference was not statistically significant (P>0.05). The two groups showed no statistically significant difference in
the distribution and excellent rate of fracture healing effect (P>0.05). Conclusion Absorbable retention pin and mem-
ory metal bone plate both have good effects in the treatment of multiple fractured ribs, but absorbable retention pin has
advantages in postoperative analgesia, early postoperative activities, with no need of a second operation to take out the
internal fixation.

      【Key words】 Multiple rib fracture; Absorbable retention pin; Memory metal bone plate; Internal fixation
基金项目：上海市科委课题(编号：10DZ1973900)