| 足部骨筋膜室综合征早期诊断与治疗 |
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Received:June 02, 2005
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| 作者 | Author | 单位 | Unit | E-Mail |
| 王五洲 |
WANG Wu-zhou |
解放军八九医院,山东潍坊261000 |
The 89th Hospital of PLA,Weifang 261000,Shandong,China |
Wuzhou5@yahoo.com.cn |
| 王剑利 |
WANG Jian-li |
解放军八九医院,山东潍坊261000 |
The 89th Hospital of PLA,Weifang 261000,Shandong,China |
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| 郭德亮 |
GUO De-liang |
解放军八九医院,山东潍坊261000 |
The 89th Hospital of PLA,Weifang 261000,Shandong,China |
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| 赵雁 |
ZHAO Yan |
解放军八九医院,山东潍坊261000 |
The 89th Hospital of PLA,Weifang 261000,Shandong,China |
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| 袁勇 |
YUAN Yong |
解放军八九医院,山东潍坊261000 |
The 89th Hospital of PLA,Weifang 261000,Shandong,China |
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| 期刊信息：《中国骨伤》2006年19卷，第6期，第321-322页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨足部骨筋膜室综合征早期诊断与治疗结果。
方法:1998年1月-2003年12月收治15例足骨筋膜室综合征患者(均为男性:年龄15～55岁,平均32岁),行足背双切口减压4例,足底内侧减压9例,足内外两侧减压2例。1周后行减张缝合或植皮术。
结果:15例随访9～24个月,12例恢复佳,足运动感觉正常;2例有足底感觉减退、足趾麻木;1例遗留前足挛缩、无力,足趾麻木。无爪形趾及功能障碍者。
结论:足损伤后,Whiteside法测定组织间隙压力是诊断足骨筋膜室综合征的可靠方法。治疗时足部如有骨折、血肿者,骨筋膜室减张切口,宜选择足底内侧切开效果较好。 |
| [关键词]:足损伤 筋膜间室综合征 诊断 治疗方案 |
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| Early diagnosis and treatment of osteofascial compartment syndrome of foot |
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Abstract:
Objective:To explore the methods of early diagnosis and treatment of osteofascial compartment syndrome of foot.
Methods:From 1998.1 to 2003.12,15 patients with osteofascia compartment syndrome were treated with decompression operation.Among 15 patients(all male;ranging in age from 15 to 55 years,with an average of 32 years),4 patients were treated with double-incision decompression at dorsum of foot,9 were treated with medial incision decompression at sole,and 2 patients were treated with medical and lateral incision decompression at sole.After 1 week,relaxation suture or skin grafting were performed.
Results:All the patients were followed up for 9 to 24 months.Twelve patients obtained excellent recovery and normal movement and sensation;2 patients had sole hypoesthesia and toes numbness;1 patient had contracture and weakness of forefoot,as well as toes numbness.None of claw toe or functional disturbance after operation.
Conclusion:Measurement of interstitial pressure with Whiteside method is a reliable method to diagnosis osteofascial compartment syndrome of foot.The medial incision is better for decompression. |
| KEYWORDS:Foot injuries Compartment syndromes Diagnosis Treatment protocols |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 王五洲,王剑利,郭德亮,赵雁,袁勇.足部骨筋膜室综合征早期诊断与治疗[J].中国骨伤,2006,19(6):321~322 |
| 英文格式: | WANG Wu-zhou,WANG Jian-li,GUO De-liang,ZHAO Yan,YUAN Yong.Early diagnosis and treatment of osteofascial compartment syndrome of foot[J].zhongguo gu shang / China J Orthop Trauma ,2006,19(6):321~322 |
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