负压封闭引流术在骨筋膜室综合征中的应用

Treatment of Osteofascial Compartment Syndrome with Vacuum Sealing Drainage

目的探讨负压封闭引流(VSD)治疗骨筋膜室综合征的效果。方法对近3年来收治的四肢骨折合并骨筋膜室综合征患者共12例早期采用切开联合负压封闭引流减压治疗。结果所有患者均未导致神经、肌肉和皮肤坏死,也未合并创面感染。结论负压封闭引流术能高效地对骨筋膜室进行减压,减轻局部组织水肿和有效防控创面的感染,是一种较理想的治疗骨筋膜室综合征的方法。

Objective To explore the treatment effects of osteofascial compartment syndrome with vacuum sealing drainage.Methods 12 patients with the extremities fractures associated with osteofascial compartment syndrome were early treated with decompression and vacuum sealing drainage.Results All patients were not caused nerve,muscle and skin necrosis,also unincorporated wound infection.Conclusion Vacuum sealing drainage can effectively reduce osteofascial compartment pressure,reduce local tissue oedema and effectively prevent and control wound infection,is an ideal treatment of osteofascial compartment syndrome.