骨折相关张力性水泡形成机制及治疗的研究进展  

Recent advances in mechanism and treatment of fracture-related tension blister

作　　者：陈晓俊 郭骏飞 贾会扬 王宸 郭家良[1] 王鑫贵 赵阔 侯志勇[1] 张英泽[1] Chen Xiaojun;Guo Junfei;Jia Huiyang;Wang Chen;Guo Jialiang;Wang Xingui;Zhao Kuo;Hou Zhiyong;Zhang Yingze(Department of Orthopedic Surgery,Third Hospital of Hebei University,Orthopedic Research Institution of Hebei Province,Key Laboratory of Orthopedic Biomechanics,National Health Commission Key Laboratory of Intelligent Orthopedic Equipment,Shijiazhuang 050051,China)

机构地区：[1]河北医科大学第三医院创伤急救中心,河北省骨科研究所,河北省骨科生物力学重点实验室,国家卫生健康委骨科智能器材重点实验室,石家庄050051

出　　处：《中华创伤杂志》2021年第9期848-854,共7页Chinese Journal of Trauma

基　　金：河北省自然科学基金(H2020206193)。

摘　　要：张力性水泡的出现往往预示着严重的软组织损伤,不仅增加了术后伤口并发症的风险,也延长了骨折治疗的时间。但张力性水泡的出现可以降低筋膜室内的压力,缓解疑似骨筋膜间隔综合征患者的临床症状,避免不必要的减张手术,被认为是一种潜在的减压方式。近年来,筋膜、筋膜系统重新被人们认识并且加以研究,张力性水泡与筋膜系统自我减压存在一定的联系。因此,水泡出现及消退的时间在很大程度上影响着医师的临床决策,张力性水泡的处理成为骨折治疗的一部分。笔者就骨折相关张力性水泡的特征、发生机制、减压效果、预防、治疗及并发症等研究进展作一综述,为张力性水泡在骨科中的诊治提供参考。The presence of tension blister often predicts severe soft tissue damage,which not only increases the risk of wound complications but also prolongs the surgical treatment time.However,the developed tension blister has been proposed as a potential decompressive approach for it may relieve the pressure of osteofascial compartment and improve the likelihood of relieving clinical symptoms,as well as avoid unnecessary surgery in cases of suspected osteofascial compartment syndrome.Recently,the osteofascial system has been increasingly recognized that associations were found between the tension blister and osteofascial self-release processing.Thus,the timing of blister occurrence and regression substantially influences physicians′clinical decisions,making blister management as part of the treatment of fractures.In this review,the authors give an overview of the characteristics,mechanism,stress reduction effect,prevention,current treatment status and complications of the fracture-related tension blister,hoping to help orthopedic physicians understand and treat the tensile blister.

关 键 词：水疱 软组织损伤 筋膜间隔综合征 肌释扼定律 

分 类 号：R687.3[医药卫生—骨科学]