84年鼠女哪年财运最旺,857comvvv色九欧美激情|85PO_87国产精品欲av国产av资源

[1]林紅明,孫斌,呂和,等.關(guān)節(jié)鏡下清理聯(lián)合網(wǎng)狀縫合治療下肢巨大皮下血腫的臨床研究[J].中醫(yī)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.
點擊復(fù)制

關(guān)節(jié)鏡下清理聯(lián)合網(wǎng)狀縫合治療下肢巨大皮下血腫的臨床研究()
分享到：

《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第34卷
期數(shù):
2022年08期
頁碼:
20-24
欄目:
臨床研究
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:
林紅明; 孫斌; 呂和; 鄔艷瑛; 吳旭東
(舟山市中醫(yī)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
關(guān)鍵詞:
血腫;  下肢;  關(guān)節(jié)鏡檢查;  縫合技術(shù);  臨床試驗
Keywords:
hematoma;  lower extremity;  arthroscopy;  suture techniques;  clinical trial
摘要:
目的:觀察關(guān)節(jié)鏡下清理聯(lián)合網(wǎng)狀縫合治療下肢巨大皮下血腫的臨床療效和安全性。方法:將36例符合要求的下肢巨大皮下血腫患者隨機分為2組。關(guān)節(jié)鏡手術(shù)組17例,采用關(guān)節(jié)鏡下清理聯(lián)合網(wǎng)狀縫合治療; 開放手術(shù)組19例,采用常規(guī)切開清理聯(lián)合網(wǎng)狀縫合治療。比較2組患者的手術(shù)時間、出血量、創(chuàng)口愈合時間、術(shù)后疼痛視覺模擬量表(visual analogue scale,VAS)評分及并發(fā)癥發(fā)生情況。結(jié)果:2組患者均順利完成手術(shù),均未發(fā)生血管、神經(jīng)損傷等并發(fā)癥。所有患者均獲隨訪,隨訪時間6～8個月,中位數(shù)7個月。術(shù)后所有患者的血腫均清除,皮膚切口和深層組織愈合良好。關(guān)節(jié)鏡手術(shù)組在手術(shù)時間、出血量、創(chuàng)口愈合時間及術(shù)后6個月疼痛VAS評分方面均優(yōu)于開放手術(shù)組[(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]。結(jié)論:關(guān)節(jié)鏡下清理聯(lián)合網(wǎng)狀縫合可有效治療下肢巨大皮下血腫,安全性較高; 與常規(guī)切開清理聯(lián)合網(wǎng)狀縫合治療相比,具有創(chuàng)傷小、手術(shù)時間短、創(chuàng)口愈合快的優(yōu)勢。
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.

參考文獻/References:

[1] 何黎,趙蕊,黃相.床旁超聲在外傷性肌肉血腫急診處理中的應(yīng)用[J].右江民族醫(yī)學(xué)院學(xué)報,2015,37(1):99-103.
[2] 王津惠,彭立紅,孔芳,等.彈性繃帶加壓包扎在頜面創(chuàng)傷美容整形治療中的應(yīng)用[J].中華災(zāi)害救援醫(yī)學(xué),2019,7(2):101-102.
[3] 林忠勤,謝海風(fēng),駱國鋼,等.關(guān)節(jié)鏡清除聯(lián)合拉花式深部縫合治療皮下血腫36例[J].中國中醫(yī)骨傷科雜志,2021,29(3):62-66.
[4] ZHANG H,LI Q.Improved vacuum sealing drainage for treatment of surgical site infection following posterior spinal internal fixation:a case report[J].Medicine(Baltimore),2018,97(7):e9952.
[5] 高明剛,劉洪江.VSD治療外傷性巨大皮下血腫的臨床體會[J].中國農(nóng)村衛(wèi)生,2017(2):29-30.
[6] 朱燕飛,章英良,侯橋,等.負壓封閉引流技術(shù)治療下肢創(chuàng)傷性皮下血腫的療效觀察[J].現(xiàn)代實用醫(yī)學(xué),2020,32(6):708-709.
[7] 李文惠,柳國斌.腓腸肌血腫誤診為下肢深靜脈血栓形成[J].臨床誤診誤治,2016,29(7):49-50.
[8] HEFNY A F,KAKA L N,SALIM N A,et al.Unusual case of life threatening subcutaneous hemorrhage in a blunt trauma patient[J].Int J Surg Case Rep,2015,15:119-122.
[9] SCOLARO J A,CHAO T,ZAMORANO D P.The morel-lavallée lesion:diagnosis and management[J].J Am Acad Orthop Surg,2016,24(10):667-672.
[10] 王伯珉,呂小龍.軟組織損傷的臨床治療[J].創(chuàng)傷外科雜志,2020,22(9):718-721.
[11] 李翔.下肢軟組織損傷的評估及治療[J].創(chuàng)傷外科雜志,2020,22(9):641-645.
[12] 黃韌.早期外傷性閉合性小腿較大皮下血腫行切開引流術(shù)的效果觀察[J].中外醫(yī)學(xué)研究,2019,17(32):41-43.
[13] 金一,丑克,余敏.關(guān)節(jié)鏡微創(chuàng)技術(shù)在關(guān)節(jié)外手術(shù)的應(yīng)用與療效觀察[J].中國社區(qū)醫(yī)師,2020,36(10):55.
[14] 鄧偉.關(guān)節(jié)鏡技術(shù)在關(guān)節(jié)外領(lǐng)域的應(yīng)用研究進展[J].現(xiàn)代醫(yī)藥衛(wèi)生,2019,35(14):2160-2162.
[15] 李海濱,王銘,楊學(xué)橋,等.血腫內(nèi)麻醉關(guān)節(jié)鏡下清理紗包固定治療四肢皮下血腫[J].實用骨科雜志,2020,26(1):86-88.
[16] 杜生富,姜明霞,趙剛.關(guān)節(jié)鏡下清創(chuàng)聯(lián)合貫穿縫合治療皮下血腫23例[J].中國矯形外科雜志,2012,20(21):1993-1994.
[17] 朱迎春,賈學(xué)文,王哲洋,等.關(guān)節(jié)鏡手術(shù)治療坐骨結(jié)節(jié)囊腫前瞻性病例對照研究[J].中國骨傷,2018,31(3):217-221.
[18] 李焱,李殿威,楊明宇,等.關(guān)節(jié)鏡聯(lián)合內(nèi)鏡技術(shù)經(jīng)上關(guān)節(jié)囊入路治療肩關(guān)節(jié)盂盂上切跡囊腫二例[J].中國修復(fù)重建外科雜志,2021,35(3):401-402.
[19] 袁伶俐,徐文弟,韓冠生,等.全關(guān)節(jié)鏡下與傳統(tǒng)手術(shù)方法治療腘窩囊腫療效比較[J].中國骨傷,2019,32(2):151-155.
[20] 劉振斌,王剛,李夢虎.下肢深靜脈血栓形成的中西醫(yī)治療進展[J].中國中西醫(yī)結(jié)合外科雜志,2021,27(1):149-153.
(收稿日期:2021-09-26 本文編輯:李曉樂)

相似文獻/References:

[1]饒 俐.彩色多普勒超聲檢查在下肢深靜脈血栓診斷中的價值[J].中醫(yī)正骨,2015,27(06):23.
[2]張永興,王磊,董釗,等.頸椎后路單開門減壓術(shù)后并發(fā)硬膜外血腫2例[J].中醫(yī)正骨,2011,23(12):73.
[3]章峰火,張文亞,胡玉祥,等.急診利用反取皮回植聯(lián)合負壓封閉引流技術(shù)治療 下肢大面積皮膚撕脫傷[J].中醫(yī)正骨,2016,28(02):59.
[4]宋卿鵬,田偉,何達,等.超聲及電刺激引導(dǎo)下神經(jīng)根封閉治療腰椎退行性疾病導(dǎo)致的下肢放射痛[J].中醫(yī)正骨,2018,30(06):44.
[5]周黎,郭濤.自發(fā)性硬脊膜外血腫8例診治分析[J].中醫(yī)正骨,2019,31(08):70.
[6]張磊,王新衛(wèi),陳雨聲,等.應(yīng)用牽拉再生技術(shù)治療下肢復(fù)雜軟組織缺損[J].中醫(yī)正骨,2021,33(07):53.
　ZHANG Lei,WANG Xinwei,CHEN Yusheng,et al.Application of distraction histogenesis technique for treatment of complex soft tissue defects of lower extremities[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(08):53.
[7]包偉東,胡靜,李煥香,等.基于數(shù)據(jù)挖掘技術(shù)分析初次全膝關(guān)節(jié)置換術(shù)后下肢腫脹的中醫(yī)證型和用藥規(guī)律[J].中醫(yī)正骨,2024,36(11):21.
　BAO Weidong,HU Jing,LI Huanxiang,et al.TCM syndrome types and clinical medication rules for lower limb swelling after primary total knee arthroplasty:a data mining-based analysis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2024,36(08):21.

備注/Memo

備注/Memo:
通訊作者:吳旭東 E-mail:[email protected]
更新日期/Last Update: 1900-01-01