【摘要】 目的：探讨外伤性闭合性小腿较大皮下血肿切开引流术的必要性及术后临床效果。方法：选取2016年2月-2019年3月在笔者所在医院治疗的早期外伤性闭合性小腿较大皮下血肿患者76例。所有患者血肿量在20～50 ml。按照数字表法分为参照组及观察组，每组38例。参照组采用保守治疗，观察组给予切开引流术治疗，比较两组治疗效果及不良反应发生情况。结果：观察组愈合时间及住院时间均短于参照组，差异均有统计学意义(P<0.05);观察组不良反应发生率为5.27%，低于参照组的21.06%，差异有统计学意义(P<0.05);观察组治疗优良率为94.73%，高于参照组的78.94%，差异有统计学意义(P<0.05)。结论：对于早期外伤性闭合性小腿较大皮下血肿患者行切开引流术治疗，效果显著，可缩短其愈合时间及住院时间，减少不良反应发生，值得临床推广及借鉴。

    【关键词】 小腿 较大皮下血肿 切开引流术

    [Abstract] Objective： To investigate the necessity and postoperative clinical effect of incision and drainage of large subcutaneous hematoma with traumatic calf. Method： A total of 76 patients with large subcutaneous hematoma of traumatic calf were selected from February 2016 to March 2019 in our hospital. The amount of hematoma in all patients was 20-50 ml. They were divided into the reference group and the observation group according to the digital table method ......