骨筋膜室综合征诊断与治疗的研究进展

Research advances in diagnosis and treatment of osteofascial compartment syndrome

骨筋膜室综合征(OCS)是指由各种原因造成的肢体创伤导致筋膜室内压力(ICP)升高,阻断筋膜室内组织微循环而引发的一系列症状和体征。目前其病理、病因已有明确的认识,即缺血4小时以上就可造成不可逆的损伤,早期准确诊断及选择适当的治疗方案就尤为重要。但目前临床上对该病诊断的准确性尚有所不足,治疗方案的选择仍有不同的见解。本文对OCS的早期诊断和动态监测以及治疗方法进行了回顾分析,旨在提高该病诊断的准确性,以及为该病的最佳处理方式提供指导。

Osteofascial compartment syndrome（OCS） occurs after tissue injury caused by several reasons such as fracture and casts. Because of tissue injury, compartment pressure rises to a high level resulting in microvascular perfusion interrupt and this induce some signs and symptoms. The pathologys and causes of the syndrome have already been recognized. It is important to make the early accurate diagnosis and select the appropriate treatment, because the ischaemic damage may be irreversible over six hours. However, the understanding of the clinic diagnosis is less and the clinic diagnosis accuracy is not high. There are many disagreements about the treatment of OCS because of its variety and lack of guideline. This review addresses early diagnosis, auxiliary examinations and treatments of OCS to promote diagnostic accuracy and provide guideline for the treatment.