手术治疗多发肋骨骨折的研究进展

Research Progress of Surgical Treatment of Multiple Rib Fractures

摘要: 肋骨骨折是胸部外伤的常见类型。多发肋骨骨折及连枷胸多伴随其他胸廓损伤，同时有挫伤和肋骨骨折的患者预后更差，多造成严重的临床后果，需慎重处理。多发肋骨骨折与肺炎和死亡的风险增加相关，特别是在老年人中。目前对于多发肋骨骨折及连枷胸诊疗方案存在争议，随着医学技术的发展，手术复位内固定逐渐被证实可缩短住院时间、减轻痛苦、降低费用，但仍缺乏统一的临床共识及诊疗指南。本文旨在深入探讨多发肋骨骨折的治疗方法，并提出可行的、符合标准的、有效的治疗策略。

Abstract: Rib fractures are a common type of chest trauma. Patients with multiple rib fractures and flail chest are often accompanied by other thoracic injuries, and patients with contusion and rib fracture have a worse prognosis, often resulting in serious clinical consequences, requiring careful management. Multiple rib fractures are associated with an increased risk of pneumonia and death, especially in the elderly. Controversy abounds concerning the diagnosis and treatment of multiple rib fractures and flail chest. Despite the development of medical technology, which has enabled surgical reduc-tion and internal fixation to reduce hospital stay, relieve pain, and reduce costs, there is still a lack of unified clinical consensus and diagnosis and treatment guidelines. The research progress in the treatment of multiple rib fractures has been reviewed in this article, in order to attain reasonable, standardized, and effective programs.