中华损伤与修复杂志(电子版)
中華損傷與脩複雜誌(電子版)
중화손상여수복잡지(전자판)
CHINESE JOURNAL OF INJURY REPAIR AND WOUND HEALING
2008年
3期
293-298
,共6页
急性筋膜室综合征%手损伤%筋膜室压力
急性觔膜室綜閤徵%手損傷%觔膜室壓力
급성근막실종합정%수손상%근막실압력
Acute compartment syndrome%Hand injuries%Intracompartment pressure
目的 探讨小切口隧道式减压、负压引流方法治疗手创伤后筋膜室综合征的临床治疗效果.方法 2001年6月～2004年8月间招远市中医院骨科收治因手部直接创伤后发生手急性筋膜室综合征患者6例,经腕部掌、背侧小切口对手筋膜室行隧道式减压后,置入导管负压引流;采用Whiteside's方法于手背第一掌骨间隙测量减压前、后筋膜室压力.结果 减压后6例患者的患手肿胀、高张力均明显减轻,减压前筋膜室压力(46.3±3.2) mm Hg,减压后筋膜室压力均为0 mm Hg.随访21～34个月,患者手部无挛缩、畸形、瘫痪和感觉异常发生,功能均恢复良好.结论 小切口隧道式减压、负压引流方法治疗手创伤后筋膜间隔综合征效果良好、可靠、微创、安全.
目的 探討小切口隧道式減壓、負壓引流方法治療手創傷後觔膜室綜閤徵的臨床治療效果.方法 2001年6月～2004年8月間招遠市中醫院骨科收治因手部直接創傷後髮生手急性觔膜室綜閤徵患者6例,經腕部掌、揹側小切口對手觔膜室行隧道式減壓後,置入導管負壓引流;採用Whiteside's方法于手揹第一掌骨間隙測量減壓前、後觔膜室壓力.結果 減壓後6例患者的患手腫脹、高張力均明顯減輕,減壓前觔膜室壓力(46.3±3.2) mm Hg,減壓後觔膜室壓力均為0 mm Hg.隨訪21～34箇月,患者手部無攣縮、畸形、癱瘓和感覺異常髮生,功能均恢複良好.結論 小切口隧道式減壓、負壓引流方法治療手創傷後觔膜間隔綜閤徵效果良好、可靠、微創、安全.
목적 탐토소절구수도식감압、부압인류방법치료수창상후근막실종합정적림상치료효과.방법 2001년6월～2004년8월간초원시중의원골과수치인수부직접창상후발생수급성근막실종합정환자6례,경완부장、배측소절구대수근막실행수도식감압후,치입도관부압인류;채용Whiteside's방법우수배제일장골간극측량감압전、후근막실압력.결과 감압후6례환자적환수종창、고장력균명현감경,감압전근막실압력(46.3±3.2) mm Hg,감압후근막실압력균위0 mm Hg.수방21～34개월,환자수부무련축、기형、탄탄화감각이상발생,공능균회복량호.결론 소절구수도식감압、부압인류방법치료수창상후근막간격종합정효과량호、가고、미창、안전.
Objective To explore therapentic effects of the small incision tunnelly decompression and negative pressure sucking treatment on acute hand compartment syndromes.Methods From Jun. 2001 to Aug. 2004,6 cases of acute hand compartment syndromes after injury were collected. Every compartment though small incision of palmar and dorsal of wrists was tunnelly decompressed,and catheter was cut in compartment for negatitive pressure sucking. Intracompartment pressure was measured with Whiteside's method at pre-decompression and post-decompression in first dorsal interosseous muscle of hand.Results Hand swelling and tenseness were significantly decreased after decompression in compartments, during follow-up for 6 months to one year, no patients was found having contracture, deformity,paralysis, parasthsia, and the function of hand recovred. Conclusions To treat acute hand compartment syndrome the small incision tunnelly decompression and negative pressure sucking is an efficient method, with minimal invasion, safety, and rapid recovery.
