彩超定位下经皮置管溶栓引流治疗创伤性闭合肌肉血肿17例  

Percutaneous Thrombolysis with Color Ultrasound on the Treatment of 17 Patients with Traumatic Closed Muscle Hematoma

作　　者：杨威 凃昊 吴美平 YANG Wei;TU Hao;WU Meiping(Enshi Tujia and Miao Autonomous Prefecture Ethnic Hospital,Enshi 445000,Hubei China)

机构地区：[1]恩施土家族苗族自治州民族医院,湖北恩施445000

出　　处：《中国中医骨伤科杂志》2023年第11期72-74,79,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:探讨彩超定位下经皮置管溶栓引流治疗创伤性闭合肌肉血肿的临床疗效。方法:选取2021年1月至2022年12月诊治的17例创伤性闭合肌肉血肿患者,住院患者5例,门诊患者12例。其中男9例,女8例;年龄为30~65岁,平均为(47.470±8.754)岁;均采取彩超定位下经皮置管溶栓引流治疗,观察血肿消退情况,统计治疗周期,并对患者进行治疗前后疼痛评分。结果:17例患者全部获随访,随访时间为2~4个月,中位数为2.5个月。17例患者症状均明显缓解,置管孔愈合,无创面感染、皮肤坏死、药物或敷贴过敏等情况。17例患者治疗周期平均为(4.120±1.111)d,治疗前疼痛评分平均为(5.820±0.809)分,治疗后疼痛评分平均为(1.290±0.470)分,经t检验,二者差异有统计学意义(t=19.965,P<0.001)。治疗后患者疼痛明显缓解。结论:创伤性闭合肌肉血肿临床中较为多见,多数患者经过保守治疗可治愈,但对于较大的血肿需要进行手术干预,经皮置管溶栓引流术具有操作简易、安全、创伤小、恢复快的优点,值得临床推广应用。Objective:To investigate the clinical efficacy of percutaneous thrombolysis with color ultrasound on the treatment of patients with traumatic closed muscle hematoma.Methods:A total of 17 patients with traumatic closed muscle hematoma treated from January 2021 to December 2022 were selected,including 5 inpatients and 12 outpatients,including 9 males and 8 females.Patients aged from 30 to 65 years old with(47.470±8.754)years old on average,were treated by percutaneous thrombolysis and drainage with color ultrasound.The regression of hematoma was observed,the treatment cycle was analyzed,and pain scores were performed before and after treatment.Results:This group of 17 patients were followed up for 2 to 4 months,with a median of 2.5 months.The symptoms of the 17 patients were significantly relieved,the catheterization hole healed,and no wound infection,skin necrosis,drug or application allergy appeared.The treatment period of 17 patients was(4.120±1.111)d,the pain score before operation was(5.820±0.809)points,and the pain score after treatment was(1.290±0.470)points,compared with the t test,the difference was statistically significant(t=19.965,P<0.001),and the pain was significantly relieved after treatment.Conclusion:Traumatic closed muscle hematoma is more common in clinical practice,and most patients can be cured by conservative treatment.However,for larger hematoma,surgical intervention is required.Percutaneous thrombolysis drainage with simple operation,safety,less trauma and quick recovery merits clinical promotion and application.

关 键 词：血肿 彩超 溶栓 穿刺 置管 

分 类 号：R685[医药卫生—骨科学]