Evaluation of the Effect of Small Incisionremoval Combined with Simple Closed Negative Pressuredrainage Device in Treatment of Subcutaneous Giant Hematoma
Objective:To evaluate the clinical effect of small incision removal of subcutaneous hematoma combined with simple negative pressure closed drainage device in the treatment of subcutaneous giant hematoma.Methods:In this study,94 patients with subcutaneous giant hematoma admitted to the emergency medicine department of Affiliated Hospital of North Sichuan Medical College from September 2021 to March 2023 were selected as the study objects.According to the random number table method,94 patients were divided into the experimental group(47 cases)that received small incision removal of hematoma combined with simple negative pressure closed drainage device treatment.The control group(47 cases)received hematoma puncture and aspiration combined with pressure dressing.General data such as age,gender,site of hematoma,cause of injury,pain degree at admission[visual analogue scale(VAS scale)]were collected from the two groups of patients.A 3-month follow-up was conducted after discharge.Clinical data such as healing time of hematoma,VAS score on the 14th day of treatment,treatment cost,skin necrosis,infection,recurrence of hematoma and vascular injury were collected in both groups.SPSS22.0 statistical software was used for statistical analysis of the collected data.t test was used for data consistent with normal distribution,non-parametric test was used for data inconsistent with normal distribution,and Chi-square test(x2 test)was used for qualitative data.When P＜0.05,the difference was statistically significant.Results:1.The healing time of hematoma,VAS score on the 14th day of treatment and treatment cost of the experimental group were lower than those of the control group(P＜0.05);2.The incidence of skin necrosis,infection,hematoma recurrence and vascular injury in the experimental group was lower than that in the control group(P＜0.05).Conclusion:Small incision removal of hematoma combined with simple negative pressure closed drainage device in the treatment of subcutaneous giant hematoma can promote the healing of hematoma,reduce the pain during treatment,reduce the occurrence of complications,and the treatment cost is low.
Giant subcutaneous hematomaSimple closed negative pressure drainageVSDHematoma aspiration by puncture
NETL
NSTL
万方数据
