| 足部骨筋膜室综合征早期诊断与治疗 |
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Received:July 20, 2009
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| 作者 | Author | 单位 | Unit | E-Mail |
| 竺湘江 |
ZHU Xiang-jiang |
嵊州市人民医院骨科,浙江 嵊州 312400 |
Department of Orthopaedics,Shengzhou People's Hospital,Shengzhou 312400,Zhejiang,China |
zxjsz@sohu.com |
| 赵勇 |
ZHAO Yong |
嵊州市人民医院骨科,浙江 嵊州 312401 |
Department of Orthopaedics,Shengzhou People's Hospital,Shengzhou 312401,Zhejiang,China |
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| 王刚祥 |
WANG Gang-xiang |
嵊州市人民医院骨科,浙江 嵊州 312402 |
Department of Orthopaedics,Shengzhou People's Hospital,Shengzhou 312402,Zhejiang,China |
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| 宋南炎 |
SONG Nan-yan |
嵊州市人民医院骨科,浙江 嵊州 312403 |
Department of Orthopaedics,Shengzhou People's Hospital,Shengzhou 312403,Zhejiang,China |
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| 徐宏宇 |
XU Hong-yu |
嵊州市人民医院骨科,浙江 嵊州 312404 |
Department of Orthopaedics,Shengzhou People's Hospital,Shengzhou 312404,Zhejiang,China |
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| 潘科良 |
PAN Ke-liang |
嵊州市人民医院骨科,浙江 嵊州 312405 |
Department of Orthopaedics,Shengzhou People's Hospital,Shengzhou 312405,Zhejiang,China |
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| 期刊信息：《中国骨伤》2009年22卷，第11期，第866-867页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：探讨足趾氧饱和度监测下足背双切口减压在治疗足部骨筋膜室综合征的作用。
方法：2000年1月至2007年6月收治26例足骨筋膜室综合征患者，男22例，女4例；年龄22～68岁，平均36.3岁。在足趾氧饱和度监测下，行足背双切口减压，减压后3～10 d行减张缝合或植皮术。按照美国足踝骨科协会的足部评分标准(AOFAS),对术后患者疼痛、功能和自主活动、支撑情况等进行观察，评价术后功能。
结果：26例获随访，时间6～43个月，平均19个月，全部患者创口均愈合良好。AOFAS总评分由术前的(30.4±8.0)分提高到术后的(92.5±5.0)分(t=3.13,P<0.01);治疗
结果：优21例，良4例，差1例。
结论：严重暴力引起的足部骨折、脱位、肿胀、挫伤，早期应密切注意足部骨筋膜室综合征，一经确诊立即进行筋膜室切开彻底减压。足趾氧饱和度监测和背侧双切口减压方法简便、效果满意，如骨折移位、脱位明显者可同时行内固定治疗。 |
| [关键词]:筋膜间隔综合征 足 诊断 治疗 |
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| Early diagnosis and therapy of osteofascial compartment syndrome of the foot |
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Abstract:
Objective: To investigate the effects of decompresion through double-incision of foot dorsum on the treatment of osteofascial compartment syndrome of the foot under the monitoring of saturation of blood oxygen.
Methods: From January 2000 to June 2007,26 cases of osteofascial compartment syndrome of the foot were decompressed through double-incision of foot dorsum under the monitoring of saturation of blood oxygen,and relaxation suture or skin grafting were operated within 3 to 10 days after decompressing. Among them,22 patients were males and 4 were females,with an average age of 36.3 years old ranging from 22 to 68 years. According to AOFAS system,the pain,function,autonomic activities and suport were evaluated.
Results: All patients were followed-up for from 6 to 43 months with the average of 19 months. All patients were healed. According to AOFAS system,the total scores increased from preoperative(30.4±8.02) to postoperative(92.5±5.0)(t=3.13,P<0.01);the results were excellent in 21 cases,good in 4 and poor in 1.
Conclusion: The patients of fracture-dislocated,swelling and injured in the soft tissue because of severe violence should observed closely on osteofascial compartment syndrome of the foot early. Feet are operated and thoroughly decompressed as soon as it is diagnosed as the compartment syndrome. Osteofascial compartment syndrome of the foot decompressed by foot dorsum double-incision is convenient and satisfied,and the operation is performed by internal fixation if it is displacedly fractured at the same time. |
| KEYWORDS:Compartment syndromes Foot Diagnosis Therapy |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 竺湘江,赵勇,王刚祥,宋南炎,徐宏宇,潘科良.足部骨筋膜室综合征早期诊断与治疗[J].中国骨伤,2009,22(11):866~867 |
| 英文格式: | ZHU Xiang-jiang,ZHAO Yong,WANG Gang-xiang,SONG Nan-yan,XU Hong-yu,PAN Ke-liang.Early diagnosis and therapy of osteofascial compartment syndrome of the foot[J].zhongguo gu shang / China J Orthop Trauma ,2009,22(11):866~867 |
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