CAJ | 학술논문

目的研究小切口治疗四肢皮下血肿的方法和疗效.方法选择15例四肢皮下血肿患者,碰撞所致8例,摔伤所致2例,挤压所致5例,血肿最大15 cm x 17 cm,最小2 cm×3 cm.全部患者均行小切口微创治疗,彻底冲洗后腔内注射稀释的地塞米松,加压包扎7～10 d.结果随访3～12个月,最后随诊时除1例患者出现局部皮肤有僵硬感外,其余患者均无疼痛、肿胀、感染、关节活动受限等表现,无复发病例.结论小切口微创治疗四肢皮下血肿可取得与关节镜下手术相似的效果,避免了开放手术的弊端和并发症,并且可以早期功能恢复.
목적 연구소절구치료사지피하혈종적방법화료효.방법 선택15례사지피하혈종환자,팽당소치8례,솔상소치2례,제압소치5례,혈종최대15 cm x 17 cm,최소2 cm×3 cm.전부환자균행소절구미창치료,철저충세후강내주사희석적지새미송,가압포찰7～10 d.결과 수방3～12개월,최후수진시제1례환자출현국부피부유강경감외,기여환자균무동통、종창、감염、관절활동수한등표현,무복발병례.결론 소절구미창치료사지피하혈종가취득여관절경하수술상사적효과,피면료개방수술적폐단화병발증,병차가이조기공능회복.
Objective To study the method and effect of small invasive treatment for subcutaneous hematoma in limbs.Methods Fifteen cases of subcutaneous hematoma in limbs were choosed,8cases were caused by collision,2 cases were caused by falling,and 5 cases were caused by extrusion.The biggest area of hematoma was 15 cm × 17 cm and the smallest was 2 cm ×3 cm.The hematoma wall and its contents were debrided and performed with minimally invasive treatment,and injected with diluted hexadecadrol.Then,the wounds were dressed up with compression bandage in the following 7 - 10 days.Results The patients received a follow-up of 3 to 12 months.The results showed that one patient had rigid sense of local skin; the rest of them had satisfactory recovery without recurrence or wound infection,swelling,pain or activity restriction of joins.Conclusions Minimally invasive treatment of subcutaneous hematoma in limbs can obtain a similar effect as operation with arthroscopic assistance,avoide the drawbacks and complications of open surgery,and can obtain functional recovery earlier.