中国骨与关节杂志
中國骨與關節雜誌
중국골여관절잡지
Chinese Journal of Bone and Joint
2015年
6期
439-442
,共4页
陈华%郝明%张巍%高远%梁向党%张群%郭义柱%陶笙%张立海%唐佩福
陳華%郝明%張巍%高遠%樑嚮黨%張群%郭義柱%陶笙%張立海%唐珮福
진화%학명%장외%고원%량향당%장군%곽의주%도생%장립해%당패복
软组织损伤%减压术,外科%筋膜间室综合征%四肢%创伤和损伤
軟組織損傷%減壓術,外科%觔膜間室綜閤徵%四肢%創傷和損傷
연조직손상%감압술,외과%근막간실종합정%사지%창상화손상
Soft tissue injuries%Decompression,surgical%Compartmental syndrome%Extremities%Wounds and injuries
目的：评价外侧单切口四间室筋膜间室减压术( single-incision four-compartment fasciotomy， SICF )治疗急性小腿筋膜间室综合征( compartment syndrome，CS )的临床效果。方法2011年1月至2013年12月，我院收治32例(32侧)胫腓骨骨折合并小腿 CS 患者。男20例，女12例；年龄25～50岁，平均33.4岁；左侧14例，右侧18例；闭合损伤20例，开放损伤12例( Gustilo-Anderson I 型8例，II 型4例)。受伤至手术切开减压时间5～16 h，中位时间10 h。术中采用外侧单切口进行小腿四间室减压。结果手术时间40～90 min，平均70.0 min；切口长20～25 cm，平均22.4 cm。术后切口均愈合，无切口感染、下肢深静脉血栓形成、腓浅神经损伤等并发症。32例随访12～24个月随访，平均16个月，骨折均愈合，无骨感染发生。结论 SICF 手术技术软组织损伤相对较小、外科显露清楚、小腿筋膜四间室充分减压，是双切口减压术一种很好的替代方法。
目的：評價外側單切口四間室觔膜間室減壓術( single-incision four-compartment fasciotomy， SICF )治療急性小腿觔膜間室綜閤徵( compartment syndrome，CS )的臨床效果。方法2011年1月至2013年12月，我院收治32例(32側)脛腓骨骨摺閤併小腿 CS 患者。男20例，女12例；年齡25～50歲，平均33.4歲；左側14例，右側18例；閉閤損傷20例，開放損傷12例( Gustilo-Anderson I 型8例，II 型4例)。受傷至手術切開減壓時間5～16 h，中位時間10 h。術中採用外側單切口進行小腿四間室減壓。結果手術時間40～90 min，平均70.0 min；切口長20～25 cm，平均22.4 cm。術後切口均愈閤，無切口感染、下肢深靜脈血栓形成、腓淺神經損傷等併髮癥。32例隨訪12～24箇月隨訪，平均16箇月，骨摺均愈閤，無骨感染髮生。結論 SICF 手術技術軟組織損傷相對較小、外科顯露清楚、小腿觔膜四間室充分減壓，是雙切口減壓術一種很好的替代方法。
목적：평개외측단절구사간실근막간실감압술( single-incision four-compartment fasciotomy， SICF )치료급성소퇴근막간실종합정( compartment syndrome，CS )적림상효과。방법2011년1월지2013년12월，아원수치32례(32측)경비골골절합병소퇴 CS 환자。남20례，녀12례；년령25～50세，평균33.4세；좌측14례，우측18례；폐합손상20례，개방손상12례( Gustilo-Anderson I 형8례，II 형4례)。수상지수술절개감압시간5～16 h，중위시간10 h。술중채용외측단절구진행소퇴사간실감압。결과수술시간40～90 min，평균70.0 min；절구장20～25 cm，평균22.4 cm。술후절구균유합，무절구감염、하지심정맥혈전형성、비천신경손상등병발증。32례수방12～24개월수방，평균16개월，골절균유합，무골감염발생。결론 SICF 수술기술연조직손상상대교소、외과현로청초、소퇴근막사간실충분감압，시쌍절구감압술일충흔호적체대방법。
Objective To evaluate clinical effects of single-incision four-compartment fasciotomy ( SICF ) in the treatment of acute leg compartment syndromes.Methods From January 2011 to December 2013, 32 patients ( 32 sides ) with acute leg compartment syndromes and tibia and ifbula diaphyseal fractures were treated with SICF techniques. This series covered 20 males and 12 females with the average age of 33.4 years ( range: 25-50 years ). The left leg was involved in 14 cases, while the right in 18. Twenty patients presented with close injuries, and the other 12 sustained from open fractures ( Gustilo-Anderson I in 8 cases and II in 4 ). The time from injury to operation ranged from 5hrs to 16 hrs ( neutral: 10 hrs ). Decompression was done in all cases by SICF technique.Results The operation time ranged 40-90 mins ( mean: 70 mins ). The length of incision ranged 20-25 cm with a mean of 22.4 cm. The wounds in all cases healed well without any incision related complications such as deep vein thrombosis, peroneal superficial nerve injuries. All patients in this series got followed-up, which ranged from 12 to 24 months with an average of 16 months and revealed fracture union without infections in all cases.Conclusions SICF can provide a complete decompression of the four compartments in the leg with relatively minimal damage to the soft tissues and a clear surgical exploration, being a good alternative to the conventional double incision fasciotomy.
