[1]林忠勤 谢海风 骆国钢 陈伟凯 卓超然 张鸿振 姚剑川.关节镜清除联合拉花式深部缝合治疗皮下血肿36例[J].中国中医骨伤科杂志,2021,29(03):62-66.
　LIN Zhongqin XIE Haifeng LUO Guogang CHEN Weikai ZHUO Chaoran ZHANG Hongzhen YAO Jianchuan.Arthroscopic Debridement Combined with Pull-Out Deep Suture in the Treatment of 36 Cases Subcutaneous Hematoma[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(03):62-66.
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关节镜清除联合拉花式深部缝合治疗皮下血肿36例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第29卷
期数:
2021年03期
页码:
62-66
栏目:
临床报道
出版日期:
2021-03-15

文章信息/Info

Title:
Arthroscopic Debridement Combined with Pull-Out Deep Suture in the Treatment of 36 Cases Subcutaneous Hematoma
文章编号:
1005-0205(2021)03-0062-05
作者:
林忠勤 谢海风 骆国钢 陈伟凯 卓超然 张鸿振 姚剑川
1浙江温州中西医结合医院关节外科(浙江 温州,325000)△通信作者 E-mail:yjcgkgj16@126.com
Author(s):
LIN Zhongqin XIE Haifeng LUO Guogang CHEN Weikai ZHUO Chaoran ZHANG Hongzhen YAO Jianchuan
1Department of Orthopedic Surgery,Wenzhou Hospital of Intergrated Traditional Chinese and Western Medicine,Wenzhou 325000,Zhejiang China.
关键词:
关节镜;  皮下血肿;  深部缝合
Keywords:
arthroscopy;  subcutaneous hematoma;  deep suture
分类号:
R687.4
文献标志码:
B
摘要:
目的:探讨关节镜清除联合拉花式深部缝合治疗皮下血肿的临床疗效。方法:收集2016年1月至2019年6月收治的四肢不同部位皮下血肿患者36例,其中胫前5例,髌前11例,臀部7例,大腿6例,肩部2例,肘后5例。男20例,女16例; 年龄16～71岁,平均43.5岁。皮下血肿形成原因:车祸伤12例,重物碰伤9例,摔伤10例,小针刀治疗损伤5例。皮下血肿形成时间1～60 d,平均24 d。均采用关节镜清除联合拉花式深部缝合治疗。结果:所有患者均获随访,随访时间3～14个月,平均 6个月。所有血肿得到完全清除,术后皮肤与深筋膜获得良好愈合,皮肤柔软,活动度好,未见疼痛及功能障碍,无复发,无血管及神经损伤。结论:关节镜清除联合拉花式深部缝合创伤小、恢复快、术后不易复发,是治疗四肢周围血肿有效的方法。
Abstract:
To explore the clinical efficacy of arthroscopic debridement combined with pull-out deep suture in the treatment of subcutaneous hematoma.Methods:A total of 36 cases(20 male and 16 female,16 to 71 years old with 43.5 years old on average)of subcutaneous hematoma in different parts of the limbs were treated from January 2016 to June 2019,including 5 cases of anterior tibia; 11 cases of anterior patella,7 cases of hips,6 cases of thighs,2 cases of shoulder,5 cases of posterior elbows.The causes of subcutaneous hematoma formation were traffic accident injuries for 12 cases,heavy injuries for 9 cases,fall injuries for 10 cases and small needle knife for 3 cases.The time of subcutaneous hematoma formation was 1 to 60 d with 24 d on average.All cases were treated by arthroscopic combined with pull-out deep suture.Results:All patients were followed up for 3 to 14 months(6 months on average).All hematoma was completely removed,and the skin and deep fascia were healed well after the operation with soft and well activity.There was no pain,dysfunction,recurrence and no vascular nerve injury.Conclusion:Arthroscopic debridement combined with deep pull-out suture method has the advantages of little trauma,fast recovery,and is not easy to relapse after surgery.It is an effective method for the treatment of hematoma on the limbs.

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更新日期/Last Update: 2021-03-15