[1]林红明,孙斌,吕和,等.关节镜下清理联合网状缝合治疗下肢巨大皮下血肿的临床研究[J].中医正骨,2022,34(08):20-24.
　LIN Hongming,SUN Bin,LYU He,et al.A clinical study of arthroscopic debridement combined with meshed suture for treatment of giant subcutaneous hematoma in lower limbs[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2022,34(08):20-24.
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关节镜下清理联合网状缝合治疗下肢巨大皮下血肿的临床研究()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第34卷
期数:
2022年08期
页码:
20-24
栏目:
临床研究
出版日期:
2022-08-20

文章信息/Info

Title:
A clinical study of arthroscopic debridement combined with meshed suture for treatment of giant subcutaneous hematoma in lower limbs
作者:
林红明; 孙斌; 吕和; 邬艳瑛; 吴旭东
(舟山市中医院,浙江 舟山 316000)
Author(s):
LIN Hongming; SUN Bin; LYU He; WU Yanying; WU Xudong
Zhoushan City Hospital of Traditional Chinese Medicine,Zhoushan 316000,Zhejiang,China
关键词:
血肿;  下肢;  关节镜检查;  缝合技术;  临床试验
Keywords:
hematoma;  lower extremity;  arthroscopy;  suture techniques;  clinical trial
摘要:
目的:观察关节镜下清理联合网状缝合治疗下肢巨大皮下血肿的临床疗效和安全性。方法:将36例符合要求的下肢巨大皮下血肿患者随机分为2组。关节镜手术组17例,采用关节镜下清理联合网状缝合治疗; 开放手术组19例,采用常规切开清理联合网状缝合治疗。比较2组患者的手术时间、出血量、创口愈合时间、术后疼痛视觉模拟量表(visual analogue scale,VAS)评分及并发症发生情况。结果:2组患者均顺利完成手术,均未发生血管、神经损伤等并发症。所有患者均获随访,随访时间6～8个月,中位数7个月。术后所有患者的血肿均清除,皮肤切口和深层组织愈合良好。关节镜手术组在手术时间、出血量、创口愈合时间及术后6个月疼痛VAS评分方面均优于开放手术组[(31.76±4.32)min,(61.84±6.06)min,P=-16.959,P=0.000;(19.41±4.64)mL,(53.16±7.30)mL,P=-16.318,P=0.000;(13.18±0.95)d,(16.11±1.66)d,P=-6.381,P=0.000;(0.18±0.39)分,(1.11±0.94)分,P=-3.796,P=0.001]。结论:关节镜下清理联合网状缝合可有效治疗下肢巨大皮下血肿,安全性较高; 与常规切开清理联合网状缝合治疗相比,具有创伤小、手术时间短、创口愈合快的优势。
Abstract:
Objective:To observe the clinical outcomes and safety of arthroscopic debridement combined with meshed suture for treatment of giant subcutaneous hematoma in lower limbs.Methods:Thirty-six patients with giant subcutaneous hematoma in lower limbs were enrolled in the study and were randomly divided into arthroscopic surgery group(17 cases)and open surgery group(19 cases).The patients in arthroscopic surgery group were treated with arthroscopic debridement and meshed suture,while the ones in open surgery group with conventional open debridement and meshed suture.The operative time,blood loss,incision healing time,postoperative pain visual analogue scale(VAS)score and complications were compared between the 2 groups.Results:The surgery was finished successfully in all patients,and no complications such as blood vessel injuries and nerve injuries were found in the 2 groups.All patients were followed up for 6-8 months with a median of 7 months.The hematoma was cleared in all patients,and the skin incision and deep tissues healed well.The arthroscopic surgery group surpassed open surgery group in operative time,blood loss,incision healing time and pain VAS score evaluated at postoperative month 6(31.76±4.32 vs 61.84±6.06 minutes,P=-16.959,P=0.000; 19.41±4.64 vs 53.16±7.30 mL,P=-16.318,P=0.000; 13.18±0.95 vs 16.11±1.66 days,P=-6.381,P=0.000; 0.18±0.39 vs 1.11±0.94 points,P=-3.796,P=0.001).Conclusion:Arthroscopic debridement combined with meshed suture can effectively treat giant subcutaneous hematoma in lower limbs with high safety,and it displays the advantages of less trauma,shorter operative time and faster incision healing compared to conventional open debridement and meshed suture.

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(收稿日期:2021-09-26 本文编辑:李晓乐)

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通讯作者:吴旭东 E-mail:wxd220@163.com
更新日期/Last Update: 1900-01-01