【摘要】 目的 对连枷胸治疗中可吸收肋骨钉内固定术的手术指征、手术方法进行讨论。方法 对335例肋骨骨折中57例连枷胸患者用可吸收肋骨钉内固定,肋骨骨折数4～17根,其中20例胸廓塌陷,手术在全麻下进行。结果 术后胸壁稳定,胸廓塌陷畸形接近矫正,疼痛明显减轻,疗效满意。结论 对于外伤致胸廓畸形应行内固定治疗,胸廓畸形患者肋骨骨折多错位明显，多引起的相对严重的并发症(剧烈疼痛、连枷胸、中等量以上的血胸等),用肋骨钉对部分肋骨骨折进行复位固定是较有效的方法。

    【关键词】 胸廓畸形；肋骨骨折；并发症；内固定

    Clinic analysis of internal fixation treatment of flail chest with absorbable JIN Wei, CHEN Wei-xin, DING Yao-guang.Department of Thoracic Surgery, Qingpu Department of Zhongshan Hospital, Shanghai 201700,China

    【Abstract】 Objective To discuss relevant indications and approaches of the internal fixation treatment of flail chest with absorbable rib-connecting-pins and. Methods In 335 rib-fracture cases, 57 cases of flail chest was managed by internal fixation with absorbable rib-connecting-pins, of which the number of rib-fracture was 4 to 17 and 20 cases with collaps of chest in all of cases. Results All the chest deformity were nearly retrieved and satisfied effect was achieved. Conclusion Flail chest should be treated with internal fixation. Most of the rib-fracures are malposition of which have severe complication. Internal fixation treatment of some important rib-fracture with absorbable rib-connecting-pins is effective ......