Morel-Lavallée损伤的临床病理特点及治疗现状  

Etiology,pathological basis and treatment status of Morel-Lavallée injury

作　　者：李方国[1] 赵杰[1] 杨召[2] 张玺[1] 孙杰[1] LI Fangguo;ZHAO Jie;YANG Zhao;ZHANG Xi;SUN Jie(The Second Ward of Trauma Orthopedics,Tianjin Hospital,Tianjin 300211,China;Department of Emergency Surgery,Tianjin Hospital,Tianjin 300211,China)

机构地区：[1]天津市天津医院创伤膝关节二病区,300211 [2]天津市天津医院急诊外科,300211

出　　处：《天津医药》2022年第3期328-332,共5页Tianjin Medical Journal

基　　金：国家自然科学基金青年项目(82102639);天津市卫生健康科技项目(ZC20067)。

摘　　要：Morel-Lavallée损伤是一类严重的闭合性软组织脱套伤,常见于高能量剪切暴力损伤,可发生在身体不同部位,经常伴随骨盆、髋臼等各类骨折的发生。尽管该损伤发生率不高,但这类损伤十分特殊,早期隐蔽性较强。临床外科医师对此类损伤缺乏足够的重视,往往处理不及时或处理不当,导致皮肤软组织坏死、感染等诸多并发症。目前,Morel-Lavallée损伤没有标准的分类系统,主要基于MRI影像学表现,但对于指导临床治疗及预后无实际意义。其治疗方案多样,如局部加压包扎、经皮穿刺抽吸、有限切开清创冲洗、负压吸引、置管引流等,效果不一。就MorelLavallée损伤的研究现状予以综述。Morel-Lavallée lesion is a serious closed soft tissue degloving injury.It is mainly caused by high energy shear force,which can occur in different parts of body,often accompanied by pelvic,acetabular and other types of fractures.Although the incidence of this injury is not high,this kind of injury is very special.It is difficult to be identified in the early stage,and has a high rate of misdiagnosis and missed diagnosis.Clinical surgeons do not pay enough attention to this kind of injury,and often not timely or improperly handled,resulting in necrosis of skin and soft tissue,infection and many other complications.There is no standard classification system for Morel-Lavallée injury,which mainly relies on MRI radiological characteristics,but it has no practical significance for guiding clinical treatment and prognosis.Treatment options are varied,including pressure dressing,percutaneous aspiration,sclerosis,conservative treatment and open debridement.In this paper,the research status of Morel-Lavallée injury is reviewed.

关 键 词：脱套伤 诊断 治疗 Morel-Lavallée损伤 

分 类 号：R641[医药卫生—外科学] R541[医药卫生—临床医学]