骨-筋膜室综合征57临床报告  

Diagnosis and Treatment in Osteofascial Compartment Syndrome:57 Cases Report

作　　者：宋世江[1] 江昆[1] 宋瑞芳[1] 刘子祯[1] 林雪林[1] 张玉岩[1] 王成江[1] 

机构地区：[1]聊城市第二人民医院,山东临清252601

出　　处：《临床误诊误治》2007年第9期42-44,共3页Clinical Misdiagnosis & Mistherapy

摘　　要：目的:探讨四肢损伤并骨-筋膜室综合征的早期诊治方法,分析诊治延误原因。方法:1998年7月～2005年3月期间收治骨-筋膜室综合征患者57例,应用Whiteside测压装置监测,密切观察临床症状和体征,确诊后即时切开减压45例,保守治疗后减压8例,保守治疗4例。结果:及时减压组优良率约93.3%(42/45),保守后减压组优良率约50%(4/8)。随访6个月～3年,平均2.3年,其中2例出现前臂沃克曼挛缩,2例后期形成慢性骨髓炎,1例出现足下垂并感觉障碍,1例二期截肢,1例转院后死亡,50例血液循环及下肢功能恢复良好。结论:严密观察病情、早期诊断、及时彻底切开减压是改善骨-筋膜室综合征预后的重要措施。Objective：To explore earlier diagnosis and treatment for limb fracture combined osteofascial compartment syndrome and analyse the reason for delayed diagnosis and treatment. Methods：From July 1998 to March 2005,57 patients with limb fracture combined osteofascial compartment syndrome were included in the study. The symptoms and signs were closely observed by Whiteside method. After verified diagnosis,45 patients received promptly open decompression and 8 patients received open decompression after conservative treatment and 4 patients received conservative treatment. Results：Of 45 patients,42 patients treated with open decompression were cured immediately,with excellence rate of 93.3% （42/45） ;8 patients treated with open decompression after conservative treatment obtained excellence rate of 50% （4/8）. The follow up ranged from 6 months to 3 years （average 2. 3 years） showed that chronic osteomyelitis was seen in 2 patients at late stage,dropfoot and sensory nerve abnormalities in 1 patient,amputations in 1 patient,death in 1 patietn after being transferred to another hospital. 50 patients got satisfactory recovery of blood circulation and lower limb function. Conclusion ： Early diagnosis, close observation and thorough open decompression were important in treatment of osteofascial compartment syndrome.

关 键 词：骨-筋膜室综合征 并发症 减压术 外科 骨折 闭合性 骨折 开放性 创伤 

分 类 号：R686[医药卫生—骨科学]