小切口微创治疗皮下血肿的方法和疗效  

Small incision with minimally invasive treatment for subcutaneous hematoma

作　　者：张率功[1] 刘志[1] 于晓川[1] 杨猛[1] 杨锡明[1] 

机构地区：[1]济宁医学院附属滕州市中心人民医院,山东滕州277500

出　　处：《中国实用医刊》2012年第7期42-43,共2页Chinese Journal of Practical Medicine

摘　　要：目的研究小切口治疗四肢皮下血肿的方法和疗效。方法选择15例四肢皮下血肿患者，碰撞所致8例，摔伤所致2例，挤压所致5例，血肿最大15Ccm×17cm，最小2cm×3cm。全部患者均行小切口微创治疗，彻底冲洗后腔内注射稀释的地塞米松，加压包扎7～10d。结果随访3～12个月，最后随诊时除1例患者出现局部皮肤有僵硬感外，其余患者均无疼痛、肿胀、感染、关节活动受限等表现，无复发病例。结论小切口微创治疗四肢皮下血肿可取得与关节镜下手术相似的效果，避免了开放手术的弊端和并发症，并且可以早期功能恢复。Objective To study the method and effect of small invasive treatment for subcutane- ous hematoma in limbs. Methods Fifteen cases of subcutaneous hematoma in limbs were choosed, 8 cases were caused by collision, 2 cases were caused by falling, and 5 cases were caused by extrusion. The biggest area of hematoma was 15 cm×17 cm and the smallest was 2 cm× 3cm. The hematoma wall and its contents were debrided and performed with minimally invasive treatment, and injected with diluted hexadecadrol. Then, the wounds were dressed up with compression bandage in the following 7 - 10 days. Results The patients received a follow-up of 3 to 12 months. The results showed that one patient had rigid sense of local skin ; the rest of them had satisfactory recovery without recurrence or wound infection, swelling, pain or activity restriction of joins. Conclusions Minimally invasive treatment of subcutaneous hematoma in limbs can obtain a similar effect as operation with arthroscopic assistance, avoide the draw- backs and complications of open surgery, and can obtain functional recovery earlier.

关 键 词：血肿 小切口 微创 

分 类 号：R687.3[医药卫生—骨科学]