微创切口联合硬化剂治疗Morel-Lavallée损伤的疗效分析

Analysis of efficacy of minimally invasive incision combined with sclerosis in treatment of Morel-Lavallée lesion

目的探讨微创切口联合硬化剂治疗Morel-Lavallée损伤(MLL)的临床效果。方法回顾性分析2018-04—2020-02间郑州大学第一附属医院急诊外科采用微创切口治疗的16例Morel-Lavallée损伤患者的临床资料。根据是否联合应用硬化剂分为联合硬化剂组(10例)和单纯微创切口组(6例)。对2组患者的基线资料、愈合时间,以及MLL复发、皮肤坏死、术后感染例数进行对比分析。结果 2组患者的基线资料差异无统计学意义(P>0.05)。联合硬化剂组愈合时间短于微创切口组,差异有统计学意义(P<0.05)。联合硬化剂组无复发病例,微创切口组2例复发,但差异无统计学意义(P>0.05)。2组均未发生皮肤坏死及感染等其他并发症。结论微创切口联合硬化剂治疗MLL,具有愈合时间短、治疗周期短、术后并发症发生率低等优点,疗效确切。

Objective To observe the clinical effect of minimally invasive incision combined with sclerosing agent in the treatment of Morel-Lavallée lesion.Methods Clinical data of 16 patients with minimally invasive treatment of Morel-Lavallee injury from 2018-04 to 2020-02 were retrospectively analyzed.All patients were complicated with closed fracture and received surgical treatment within 7 d after injury.Basic data,healing time,number of cases of MLL recurrence,number of cases of skin necrosis,number of cases of postoperative infection were compared and analyzed according to whether the combination of sclerosing agent was divided into minimally invasive incision combined sclerosing agent group(10 cases)and simple minimally invasive incision group.Results Comparison of sex,age and other basic data between the two groups was not statistically significant(P>0.05).The healing time of minimally invasive incision combined with sclerosing agent group was shorter than that of simple minimally invasive incision group(t=-2.257 Pt=0.024<0.05).The number of MLL recurrence cases(0 cases)in minimally invasive incision combined with sclerosing agent group was less than that of simple minimally invasive incision group(2 cases),but there was no significant difference between the two groups(P=0.375>0.05).No other complications such as skin necrosis and infection occurred in both groups.Conclusion Minimally invasive incision combined with sclerosing agent can effectively cure Morel-Lavallée lesion,and this method has the advantages of short healing time,short treatment cycle and low incidence of postoperative complications.It has a definite curative effect and has high clinical application value,which is worthy of further discussion and application.