慢性骨筋膜室综合征的诊治康复进展  

Progress in diagnosis,treatment and rehabilitation of chronic compartment syndrome

作　　者：张建 许波 ZHANG Jian;XU Bo(The First Clinical College,Shandong University of Traditional Chinese Medicine,Jinan 250014,China;Department of Microsurgery and Orthope-dics,Affiliated Hospital,Shandong University of Traditional Chinese Medicine,Jinan 250014,China)

机构地区：[1]山东中医药大学第一临床医学院,山东济南250014 [2]山东中医药大学附属医院显微骨科,山东济南250014

出　　处：《中国矫形外科杂志》2024年第23期2158-2163,共6页Orthopedic Journal of China

基　　金：山东省中医药科技项目(面上项目)(编号:M-2023165)。

摘　　要：慢性骨筋膜室综合征(chronic compartment syndrome,CCS)是一种主要因劳累或运动导致患肢肿痛、感觉异常及神经功能障碍的疾病。其主要机制是筋膜室内压力增加导致组织灌注缺血,临床较为罕见且诊断不足,其病理生理学尚不明确。筋膜室内压(intramuscular compartment pressure,IMCP)测量是目前的确诊手段,非侵入性检查逐渐成为替代诊断方法。筋膜切开术仍是首选治疗方法,微创、内镜等新技术已显示出良好成效。目前CCS的临床诊治及预防康复缺乏规范指导。本文主要针对CCS的诊治康复进行综述,以期为该疾病研究提供进一步思考。Chronic compartment syndrome(CCS)is a disease in which swelling,pain,paresthesia and neurological dysfunction are caused mainly by exertion or exercise.Its main mechanism is tissue perfusion ischemia caused by increased pressure in the fascia compartment,which is rare and usually underdiagnosed in clinic setting,and its pathophysiology remains unclear.Intramuscular compartment pressure(IMCP)measurement is the current diagnostic method,and non-invasive testing is becoming an alternative diagnostic method.Fasciotomy is still the treatment of choice,and new techniques such as minimally invasive and endoscopy have shown good results.At present,the clinical diagnosis,treatment,prevention and rehabilitation of CCS lack standardized guidance.This paper mainly reviews the diagnosis,treatment and rehabilitation of CCS,in order to provide a reference for the study of this condition.

关 键 词：慢性骨筋膜室综合征 筋膜室内压 非侵入性诊断工具 肉毒杆菌毒素A 开放性筋膜切开术 

分 类 号：R686.3[医药卫生—骨科学]