骨折血肿回收再利用106例临床分析

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。

Clinical Analysis of the Fracture Hematoma Recycling 106 Case

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.