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莫雷尔-拉瓦利埃损伤。

Morel-Lavallée lesion.

作者信息

Riemer Kristoffer, Haukenes Ove, Kozak Anna

出版信息

Tidsskr Nor Laegeforen. 2019 Jan 3;139(1). doi: 10.4045/tidsskr.18.0351. Print 2019 Jan 15.

Abstract

BACKGROUND

Knowledge about diagnostics and treatment of chronic Morel-Lavallée lesions is sparse.

MATERIAL AND METHOD

The patient presented is a 65-year-old woman who develops a post-traumatic chronic Morel-Lavallée lesion. The paper describes the course of her treatment including dos and don’ts with reference to literature from a systematic PubMed search.

RESULTS AND INTERPRETATION

The Morel-Lavallée lesion is often missed in the trauma setting during both primary, secondary and tertiary examination, resulting in a chronic lesion. Knowledge of the lesion minimises this risk. The gold standard for diagnosis is magnetic resonance imaging, but ultrasonography may also be used in the acute setting. The chronic lesion can be successfully treated with doxycycline-induced obliteration of the cavity followed by compression treatment for a short period.

摘要

背景

关于慢性莫雷尔-拉瓦利埃损伤的诊断和治疗的知识很匮乏。

材料与方法

所呈现的患者是一名65岁女性,患有创伤后慢性莫雷尔-拉瓦利埃损伤。本文参考系统的PubMed搜索文献描述了她的治疗过程,包括注意事项。

结果与解读

在初次、二次和三次检查期间,莫雷尔-拉瓦利埃损伤在创伤情况下常被漏诊,导致形成慢性损伤。对该损伤的了解可将此风险降至最低。诊断的金标准是磁共振成像,但超声检查在急性期也可使用。慢性损伤可通过强力霉素诱导腔隙闭塞,随后进行短期压迫治疗而成功治愈。

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