不同引流术治疗Morel-Lavallée损伤的对比研究  

A comparative study of the efficacy of modified VSD drainage versus conventional closed negative pressure drainage for Morel-Lavallée injuries

作　　者：邵营钢 邓昌宗 汪海东[1] 沈忠伟[1] SHAO Yinggang;DENG Changzong;WANG Haidong(Jiaxing Hospital of Traditional Chinese Medicine in Zhejiang Province,Zhejiang 314001,China.)

机构地区：[1]浙江省嘉兴市中医医院,嘉兴314001

出　　处：《浙江创伤外科》2024年第10期1834-1837,共4页Zhejiang Journal of Traumatic Surgery

基　　金：浙江省嘉兴市科学技术局公益类项目(2021AD10011)。

摘　　要：目的探讨应用改良封闭式负压引流技术与传统负压引流治疗Morel-Lavallée损伤的疗效。方法选取本院2020年1月至2023年6月收治的36例Morel-Lavallée损伤患者。根据手术方式随机分为对照组与试验组各18例。结果术前两组间的性别、年龄构成差异无统计学意义(P>0.05)。经改良封闭式负压吸引治疗Morel-Lavallée损伤在再手术次数、切口愈合时间以及住院时间上均少于传统负压引流,差异有统计学意义(P<0.05)。而两组术后B超检查,残留空隙,积液对比差异无统计学意义(P>0.05)。结论改良封闭式负压引流技术治疗Morel-Lavallée损伤安全、有效,缩短住院及1期愈合时间,值得临床进一步推广。Objective To investigate the efficacy of applying modified closed negative pressure drainage technique versus traditional negative pressure drainage in the treatment of Morel-Lavallée injury.Methods 36 patients with Morel-Lavallée injury admitted to our hospital from January 2020 to June 2023 were selected.They were randomly divided into 18 cases each in the control group and the experimental group according to the surgical method.Results There was no significant difference in gender and age composition between the two groups before surgery(P>0.05).The treatment of Morel-Lavallée injury by modified closed negative pressure suction was less than traditional negative pressure drainage in terms of the number of reoperations,the healing time of incision and the length of hospital stay,and the difference was statistically significant(P<0.05),and the difference was statistically significant.And there was no significant difference in the comparison of postoperative ultrasound,residual void,and effusion between the two groups(P>0.05).Conclusion Modified closed negative pressure drainage technique is safe and effective in the treatment of Morel-Lavallée injury,shortens the hospital stay and 1-phase healing time,improves the clinical benefits,and deserves further clinical promotion.

关 键 词：封闭式负压引流技术 Morel-Lavallée损伤 微创 治疗 

分 类 号：R658.3[医药卫生—外科学]