下肢慢性骨筋膜间隔综合征诊疗研究进展  

Diagnosis and treatment of chronic exertional compartment syndrome of the lower extremities:a review

作　　者：王昊飞 陈晓俊 王涛[1] 郭骏飞 侯志勇[1] Wang Haofei;Chen Xiaojun;Wang Tao;Guo Junfei;Hou Zhiyong(Trauma Emergency Center,Third Hospital of Hebei Medical University,Shijiazhuang 050051,China;Department of Orthopedics,Third Hospital of Hebei Medical University,Shijiazhuang 050051,China;Department of Joint Surgery,Honghui Hospital of Xi′an Jiaotong University,Xi′an 710054,China)

机构地区：[1]河北医科大学第三医院创伤急救中心,石家庄050051 [2]河北医科大学第三医院骨伤科,石家庄050051 [3]西安交通大学附属红会医院关节外科,西安710054

出　　处：《中华创伤杂志》2024年第3期266-274,共9页Chinese Journal of Trauma

基　　金：国家自然科学基金(82072523)。

摘　　要：下肢慢性骨筋膜间隔综合征(CECS)是一种运动诱发肢体疼痛的临床常见疾病,好发于运动员等积极参与运动的人群,主要表现为运动后下肢疼痛,还可能出现麻木、肢体无力等症状,对患者的生活和工作造成影响。下肢CECS症状通常在一定强度的运动后才会出现,门诊体检时往往难以发现典型症状,易被误诊或漏诊。此外,由于尚缺乏公认而统一的下肢CECS治疗标准,临床工作中常难以抉择是否对患者行手术治疗、选择何种手术方案进行治疗。为此,笔者就下肢CECS诊疗的研究进展进行综述,为临床规范化诊疗提供参考。Chronic exertional compartment syndrome(CECS)of the lower extremities is a common clinical condition characterized by exercise⁃induced pain in the extremities,which is predominantly observed in people who take an active part in sports,such as athletes.It is mainly presented as post⁃exercise pain in the lower extremities,probably accompanied by numbness and limb weakness,etc.,affecting the patients′life and work.The symptoms of CECS in the lower limbs are usually present after physical activities of a certain intensity,making them difficult to be identified through routine outpatient physical examination,and likely to be misdiagnosed and underdiagnosed.Furthermore,the absence of universally accepted and unified treatment standards for CECS of the lower extremities complicates the decision⁃making process regarding the necessity of surgical intervention and choice of surgical approach in the clinical practice.For this purpose,recent developments in the diagnosis and treatment of CECS of the lower extremities were reviewed to provide reference for its standardized diagnosis and treatment.

关 键 词：筋膜间隔综合征 下肢 运动损伤 

分 类 号：R687.3[医药卫生—骨科学]