Morel-Lavallée损伤的临床诊断及治疗策略的研究进展  

Research progress on clinical diagnosis and treatment strategies for Morel-Lavallée lesions

作　　者：尹一杰 邹昌[1] 余游 范涌熙 黄申博 何帅[1] 方跃[1] YIN Yijie;ZOU Chang;YU You;FAN Yongxi;HUANG Shenbo;HE Shuai;FANG Yue(Department of Orthopedics Surgery,Trauma Center,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]四川大学华西医院骨科/创伤医学中心,成都610041

出　　处：《华西医学》2024年第2期319-324,共6页West China Medical Journal

摘　　要：Morel-Lavallée损伤是一种软组织潜行闭合脱套伤,外部暴力致使皮下组织和深筋膜之间产生死腔,进而导致腔内液体的蓄积和感染形成。造成Morel-Lavallée损伤的主要原因包括高能量损伤、钝器伤或挤压伤,其病变通常位于大转子上。由于这类病变在临床上易被漏诊,可能造成骨折部位感染等并发症。基于以上情况,该文对Morel-Lavallée损伤的病因、流行病学、病理机制、临床表现、影像学特征、鉴别诊断、并发症及治疗方式进行综述,旨在提高创伤骨科医生对该损伤的认识,从而为临床决策提供参考。Morel-Lavallée lesions manifest as a type of subcutaneous closed degloving injury,where the external violence creates a potential space between the subcutaneous tissue and the deep fascia,leading to the accumulation of fluid and the formation of infection within the cavity.The primary causes of Morel-Lavallée lesions include high-energy trauma,blunt force injuries,or compression injuries,with the lesions typically located around the greater trochanter.Due to the potential for clinical oversight,these lesions may result in complications such as infection at the fracture site.In light of these circumstances,this article provides a comprehensive review of the etiology,epidemiology,pathological mechanisms,clinical manifestations,imaging features,differential diagnosis,complications,and treatment modalities of Morel-Lavallée lesions.The aim is to enhance the awareness of trauma orthopedic surgeons regarding this injury,thereby offering insights for clinical decision-making.

关 键 词：Morel-Lavallée损伤 闭合性脱套伤 研究进展 

分 类 号：R687.3[医药卫生—骨科学]