摘要
目的 探讨小腿高能量闭合性损伤和刀刺伤导致的急性骨筋膜室综合征的早期治疗策略和疗效.方法 2012年3月-2015年8月,对小腿高能量闭合性损伤及小腿刀刺伤所致的骨筋膜室综合征24例患者,于伤后8h内急诊行显微镜下探查损伤血管、清除血肿治疗,并Ⅰ期缝合切口.结果 术后24例小腿全部成活,无再次骨筋膜室综合征和血管危象发生.随访3～6个月,患肢踝关节活动功能良好,无跟腱挛缩、跛行现象.结论 急诊Ⅰ期行显微探查和血肿清除术,能及时修复损伤血管,减少再出血,有效降低了骨筋膜室内压力,减少了缺血性肌挛缩和坏疽的发生,是治疗小腿高能量闭合性损伤和刀刺伤导致的急性骨筋膜室综合征的一个比较理想的方法.
Objective To investigate the method and effect of calf osteofascial compartment syndrome＇s early treatment strategy caused by high-energy closed injury and stab injury. Methods From March 2012 to August 2015, we treated calf osteofascial compartment syndrome for 24 patiants, the emergency operation was done to repair the damaged vessels and removal hematoma within 8 hours after injury, the skin incision was sutured at the same time. Results 24 cases of postoperative calf all survived, and the osteofascial compartment syndrome and crisis of blood-circulation did not happen again. Follow up for 3 months to 6 months, the ankle joint activity function was good, no achilles tendon contracture and claudication. Conclusion It is an ideal operation method for high-energy closed injury and stab injury of calf osteofascial compartment syndrome. Emergency repairs of damaged vessels and removal of the hematoma can reduce bleeding again and the osteofascial compartment pressure, thereby reduce the occurrence of ischemic contracture and gangrene.
出处
《实用手外科杂志》
2016年第2期160-161,共2页
Journal of Practical Hand Surgery
关键词
小腿
骨筋膜室综合征
血管探查术
急诊
Calf, Osteofascial compartment syndrome
Vessel surgical exploration
Emergency
