慢性骨筋膜室综合征的诊治康复进展
Progress in diagnosis,treatment and rehabilitation of chronic compartment syndrome
张建 1许波2
作者信息
- 1. 山东中医药大学第一临床医学院,山东济南 250014
- 2. 山东中医药大学第一临床医学院,山东济南 250014;山东中医药大学附属医院显微骨科,山东济南 250014
- 折叠
摘要
慢性骨筋膜室综合征(chronic compartment syndrome,CCS)是一种主要因劳累或运动导致患肢肿痛、感觉异常及神经功能障碍的疾病.其主要机制是筋膜室内压力增加导致组织灌注缺血,临床较为罕见且诊断不足,其病理生理学尚不明确.筋膜室内压(intramuscular compartment pressure,IMCP)测量是目前的确诊手段,非侵入性检查逐渐成为替代诊断方法.筋膜切开术仍是首选治疗方法,微创、内镜等新技术已显示出良好成效.目前CCS的临床诊治及预防康复缺乏规范指导.本文主要针对CCS的诊治康复进行综述,以期为该疾病研究提供进一步思考.
Abstract
Chronic compartment syndrome(CCS)is a disease in which swelling,pain,paresthesia and neurological dysfunction are caused mainly by exertion or exercise.Its main mechanism is tissue perfusion ischemia caused by increased pressure in the fascia compart-ment,which is rare and usually underdiagnosed in clinic setting,and its pathophysiology remains unclear.Intramuscular compartment pres-sure(IMCP)measurement is the current diagnostic method,and non-invasive testing is becoming an alternative diagnostic method.Fascioto-my is still the treatment of choice,and new techniques such as minimally invasive and endoscopy have shown good results.At present,the clinical diagnosis,treatment,prevention and rehabilitation of CCS lack standardized guidance.This paper mainly reviews the diagnosis,treatment and rehabilitation of CCS,in order to provide a reference for the study of this condition.
关键词
慢性骨筋膜室综合征/筋膜室内压/非侵入性诊断工具/肉毒杆菌毒素A/开放性筋膜切开术Key words
chronic compartment syndrome/intramuscular compartment pressure/noninvasive diagnostic tools/botulinum toxin A/open fasciotomy引用本文复制引用
出版年
2024
NETL
NSTL
万方数据