Clinical study of thoracoscopic nickel-titanium shape memory alloys internal fixation in treating fracture of multiple ribs
HU Wei-cai
SHAO Huan-zhang
ZHANG Quan
XU Lei
WEI Li
FAN Qing-bo
DAI Rong-qin
Abstract：Objective To study the clinical effect of thoracoscopic nickel-titanium shape memory alloys in-ternal fixation in treating fracture of multiple ribs(FMR).Methods A total of 136 FMR patients were admitted to our hospital from Jan.2013 to Jun.2017.Among them were 88 male cases and 48 female cases with an average age of 43.38(24-79)years.The injured factors included traffic injury in 82 cases,high fall injury in 34 cases,and crashing injury in 20 cases.They were selected and divided into experimental group(n=68)and control group(n=68)using the random number table method.Patients in experimental group were performed thoracoscopic nickel-ti-tanium shape memory alloys internal fixation,and those in control group were performed transthoracic nickel-titanium internal fixation.The intraoperative blood loss,operation time,postoperative ventilation time,drainage tube place-ment time,hospital stays,the level of inflammatory factors such as IL-6,IL-8 and CRP and vital capacity before oper-ation and 7d after operation,the pain score before operation and 1d,3d,5d and 7d after operation,the postoperative pulmonary atelectasis and the incidence of pneumonia of the two groups were observed.Results The intraoperative blood loss,operation time,postoperative ventilation time,drainage tube placement time,hospital stays in the experi-mental group were less than those in the control group(189.76 ±19.53)mL vs.(221.68 ±22.65)mL,(58.97 ± 5.92)min vs.(80.76 ±8.18)min,(1.97 ±0.21)d vs.(3.69 ±0.38)d,(2.33 ±0.24)d vs.(4.79 ±0.49)d, (7.92 ±0.83)d vs.(13.19 ±1.33),P<0.05).At 7d after operation,the levels of IL-6,IL-8 and CRP in the ex-perimental group were lower than those in the control group(90.85 ±9.11)ng/L vs.(136.57 ±13.62)ng/L, (112.86 ±11.21)ng/L vs.(228.42 ±22.49)ng/L,(4.74 ±0.48c)mg/L vs.(6.64 ±0.68)mg/L,and the vital capacity was higher than that in control group(2116.76 ±213.65)mL vs.(1789.95 ±181.75)mL,P<0.05).At 1d,3d,5d and 7d after operation,the pain scores in experimental group were lower than those in control group (P<0.05).The incidences of postoperative pulmonary at-electasis and pneumonia in experimental group(4.41%,7.35%)were lower than those in control group (14.71%,20.59%)(P<0.05).Conclusion Thoracoscopic nickel-titanium shape memory alloys internal fixa-tion in treating FMR generates less trauma,firm fixation and fast postoperative recovery,so the therapy is worthy of clinical application.
Keywords：fracture of ribsthoracoscopybone plateinternal fixation
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 88-91 )