CAJ | 학술논문

目的探讨血肿回收再利用对骨痂形成的影响.方法对106例闭合性长骨骨折患者,按常规术前无菌针管回收大约有18~22mL的血肿,先放置在准备好的无菌盘内为复位后的使用做好准备,在为患者成功复位之后,为了保持骨折断端复位后能够稳定,要选择合适的内固定物进行固定,为患者进行止血,并且止血药彻底,对患者的伤口进行冲洗以后将无菌盘内的骨折血肿用凝胶海绵回收,约2.5~3mL每块,将4~5块180°放在患者骨折部位的间隙的周围,然后将患者的骨膜及软组织进行缝合.结果对所有的研究对象进行定期的随访,随访时间总为1~3年.进行手术之后,所有患者的愈合时间在6~12周之间,没有1例患者的愈合时间延后,也没有1例患者手术之后出现异物反应和其他的并发症.结论避免骨折后局部内环境受干扰和破坏,是对骨折血肿吸收和机化的有利因素,对保证骨折的早期愈合具有重要意义.
목적탐토혈종회수재이용대골가형성적영향.방법대106례폐합성장골골절환자,안상규술전무균침관회수대약유18~22mL적혈종,선방치재준비호적무균반내위복위후적사용주호준비,재위환자성공복위지후,위료보지골절단단복위후능구은정,요선택합괄적내고정물진행고정,위환자진행지혈,병차지혈약철저,대환자적상구진행충세이후장무균반내적골절혈종용응효해면회수,약2.5~3mL매괴,장4~5괴180°방재환자골절부위적간극적주위,연후장환자적골막급연조직진행봉합.결과대소유적연구대상진행정기적수방,수방시간총위1~3년.진행수술지후,소유환자적유합시간재6~12주지간,몰유1례환자적유합시간연후,야몰유1례환자수술지후출현이물반응화기타적병발증.결론피면골절후국부내배경수간우화파배,시대골절혈종흡수화궤화적유리인소,대보증골절적조기유합구유중요의의.
Objective To explore the relationship between the recycling hematoma and callus formation. Methods 106 closed long bone fracture cases were aspirated hematoma about 15-20mL with sterile needle before their surgeries. After normal operative fixation, use gelfoam to recycle the aforementioned hematoma and put them into the space among the fracture. Suture the periosteum and soft tissue. Results The 106 cases all received follow-up of 1-3 years. The clinic healing time was 6-12 weeks. Delayed union, foreign body reaction and other complication didn’t happen. Conclusion Protecting local internal environment from disturbance and destruction is a favorable factor for hematoma absorption and organization, and have important implications for the early fracture healing.