摘要
目的:探讨创伤性胸骨骨折的临床诊治方法。方法:对我院2005年1月～2011年12月期间收治的34例创伤性胸骨骨折患者的临床资料进行回顾性分析。结果:23例稳定、孤立性的胸骨骨折,均使用胸带固定和胸骨闭合复位,效果良好;9例患者非稳定、移位明显的胸骨骨折进行胸骨内固定术,效果良好;2例死亡,死于粉碎性骨折严重。结论:CT三维重建技术能够提高胸骨骨折诊断的正确率。稳定、孤立性的胸骨骨折不需要入院治疗;非稳定的、移位明显且有严重合并伤的胸骨骨折需要入院监护;注重合并伤的治疗。切开复位内固定术是矫正胸骨骨折的安全、有效、简易的方法。
Objective：To summarize the traumatic sternum clinical diagnosis and treatment of fractures of the experience.Methods：A retrospective analysis of 34 patients with traumatic sternal fracture patients clinical treatment process from January 2005 to December 2011.Results：23 cases stability,isolation of the twins fracture,all use fixed and sternal with thoracic closed reduction,the effect is good;Nine patients the unstable,and shift obvious sternum sternum fracture fixation,and the result is good;Two deaths,died in comminuted fracture serious.Conclusion：CT 3 d reconstruction technology can greatly improve the sternum fracture diagnosis accuracy.Stable,isolation of the twins fractures don＇t need to the hospital for treatment;The stable,and shift the obvious and serious injury to the sternum merger fracture hospital care;Pay attention to the treatment of united injury.Open reduction and internal fixation is correct fracture of the sternum is safe,effective,simple and easy method.
出处
《中国医药导刊》
2012年第11期1904-1904,1906,共2页
Chinese Journal of Medicinal Guide
关键词
胸骨骨折
复位内固定术
CT三维重建技术
Sternal fracture
Open reduction and internal fixation
CT 3 d reconstruction technique
