简介：　　【摘 要】 目的： 分析胸腔镜下小切口纯钛肋骨接骨板固定术治疗多发性肋骨骨折的临床效果。 方法： 选我院 60例多发性肋骨骨折患者，按照随机分组法将其分为研究组和对照组，各 30例，对照组采用非手术保守治疗，研究组采用胸腔镜下小切口纯钛肋骨接骨板固定术进行治疗，并对比两组患者治疗前后 24小时疼痛视觉模拟评分、自主下床活动时间、治疗有效率以及并发症发生率。 结果： 研究组患者的下床活动时间、疼痛评分均显著少于对照组（ P<0.05） 。研究组患者的治疗有效率显著高于对照组（ P<0.05）。研究组患者的并发症发生率显著低于对照组（ P<0.05）。 结论： 胸腔镜下小切口纯钛肋骨接骨板固定术治疗多发性肋骨骨折效果显著，且安全性较高，值得进一步推广。  　　【关键词】  肋骨骨折 ;多发性 ;胸腔镜 ;小切口  　 [Abstract] Objective: to analyze the clinical effect of thoracoscopic small incision pure titanium rib plate fixation in the treatment of multiple rib fractures. method: Methods: 60 patients with multiple rib fractures in our hospital were randomly divided into study group and control group, 30 cases in each group. The control group was treated with non-surgical conservative treatment, and the study group was treated with thoracoscopic mini incision pure titanium rib plate fixation. The 24-hour pain visual analogue score, the time of getting out of bed, the effective rate of treatment, and the treatment effect rate were compared between the two groups before and after treatment The incidence of complications. Results: the activity time and pain score of the study group were significantly less than those of the control group (P < 0.05). The effective rate of the study group was significantly higher than that of the control group (P < 0.05). The incidence of complications in the study group was significantly lower than that in the control group (P < 0.05). Conclusion: Thoracoscopic small incision pure titanium rib plate fixation in the treatment of multiple rib fractures has significant effect and high safety, which is worthy of further promotion.

简介：　　【摘要】目的：分析微型钛板内固定对手足部骨折的治疗效果并观察患者的治愈率与治愈时间。方法：选取 2016年 1月至 2019年 6月期间于笔者医院医治手足部骨折的 80例患者，以采取的不同手术方法为分组依据，将其分为采取微型钛板内固定治疗的研究组、采取钢丝骨间结扎内固定治疗的对照组，每组 40例。组间对比治愈率、骨折愈合时间、住院时间、并发症发生率。结果：研究组治愈率高达 100%，比对照组的 65%高得多 ;其并发症发生率为 7.5%，比对照组的 27.5%低得多 ;并且研究组骨折愈合时间、住院时间也比对照组短，差异均存在统计学意义（ P<0.05）。结论：微型钛板内固定对手足部骨折有显著治疗效果，该方法不仅治愈率高、并发症发生率低，还可以使患者在较短的时间内骨折愈合、出院，其临床应用价值非常显著。  　　【关键词】 手足部骨折 ;微型钛板 ;内固定 ;治愈率 ;愈合时间 ;效果  [Abstract] Objective: to analyze the therapeutic effect of mini titanium plate internal fixation on hand and foot fractures, and observe the cure rate and cure time of patients. Methods: from January 2016 to June 2019, 80 patients with hand and foot fractures in our hospital were selected and divided into two groups according to different surgical methods, 40 cases in each group. The cure rate, fracture healing time, hospitalization time and complication rate were compared between the two groups. Results: the cure rate of the study group was as high as 100%, much higher than 65% of the control group; the incidence of complications was 7.5%, much lower than 27.5% of the control group; and the fracture healing time and hospitalization time of the study group were also shorter than those of the control group, the differences were statistically significant (P < 0.05). Conclusion: mini titanium plate internal fixation has a significant therapeutic effect on hand and foot fractures. This method not only has high cure rate and low complication rate, but also can make the fracture heal and discharge in a short time. Its clinical application value is very significant.

简介：【摘要】目的 探讨采用经皮微创接骨板内固定术(MIPO)治疗四肢骨折的方法和临床效果。方法 用2018年3月-2019年8月来院医治的68例四肢骨折患者，应用掷硬币法均分为参照组和观察组，各34例。参照组用传统切开复位固定手术，观察组用经皮微创接骨板内固定术治疗，比较两组的治疗效果、并发症。结果 治疗后，参照组治疗效果不及观察组；观察组比参照组较少出现并发症，（x2=4.121，P=0.042）统计学意义显著。结论 MIPO在四肢骨折治疗中更有效，较少出现并发症，应推广。

简介：【摘要】目的：探究核磁共振(MRI)扫描技术对膝关节半月板发生周缘垂直撕裂的病例进行诊断的价值。方法：选取本院收治的疑似膝关节半月板发生周缘垂直撕裂的病例71例，均对其进行关节镜与核磁共振(MRI)扫描技术检查，观察检查结果。结果：与关节镜诊断结果为金标准，MRI诊断特异度、敏感度、准确度分别为83.33%、94.92%、92.96%；经分析发现，56例确诊患者中，有碎块内移征/髁间碎块征占比最高，为37.50%，其次为双后交叉韧带征为21.43%。结论：核磁共振(MRI)扫描技术对膝关节半月板发生周缘垂直撕裂的诊断价值较高，可依据不同征象确定患者撕裂情况，有助于临床医师及时针对性制定治疗方案干预，减轻患者痛苦。

简介：【摘要】目的：探究关节镜于膝关节外侧盘状半月板损伤治疗有效性，分析对患者术后疼痛的影响。方法：共计采纳18例膝关节外侧盘状半月板损伤患者为探查对象，病例选取时间为2015年12月-2019年12月，采用关节镜手术治疗，观察患者术后疼痛情况。结果：术后Lysholm评分高于术前（P<0.05）；术后VAS疼痛评分低于术前（P<0.05）；所选患者术后均无血栓栓塞性疾病、麻醉并发症、术后感染、神经损伤、骨折、韧带损伤等严重并发症发生，1例患者表现为膝关节血肿，发生率5.56%。结论：于膝关节外侧盘状半月板损伤治疗采用关节镜手术治疗，利于术后膝关节功能早期康复，手术安全性较高，术后疼痛情况得以显著控制，预期效果显著。