关键词: 电视胸腔镜, 多根多处肋骨骨折, TiNi肋骨环抱式接骨板

Abstract:

【Abstract】Objective To investigate the curative effects on multiple rib fractures under video-assisted thoracoscopy (VATS). Methods From March 2008 to February 2012,56 patients with multiple rib fracture under VATS using Tin shape memory alloy embracing fixator for internal fixation were analyzed retrospectively. Results The average operative time was 53 min (35-110 min). The mean blood loss was 40 mL(10-85 mL). The postoperative average hospitalization time was in 19.6 d (12 to 23 d). Fourty seven patients were followed up for 3 to 6 months, an average of 4.8 months. The first intention of incision was got in all cases. In this group,complicated ARDS was in 13 cases. Excepting 6 cases died from severe multiple organ injuries, the other cases were reeoverred well. Fourty one cases were followed-up for 3-6 months (Average 4.8 months). No severe sequelae of cardiopulmonay complications were found during follow-up period. No remnant obvious deformity of chest wall occurred and the respiratory function was well. Conclusion Internal fixation of multiple rib fracture under VATS is accurate positioning and effective minimally invasive treatment.

Key words: Video-assisted thoracoscopy, Multiple rib fractures, TiNi shape memory alloy embr-acing fixator