Sheridan G W, Matsen F A
J Bone Joint Surg Am. 1976 Jan;58(1):112-5.
Sixty-six cases of acute compartment syndrome were treated by fasciotomy in forty-six extremities of forty-four patients. Fasciotomy performed early, that is, less than twelve hours after the onset of the compartment syndrome, resulted in normal function in 68 per cent of the extremities. Only 8 per cent of those having late fasciotomy had normal function. The complication rates for the early and late fasciotomized extremities were 4.5 per cent and 54 per cent, respectively. No significant differences in residual function or complication rate were noted with "open" or "closed" fasciotomy.
44例患者的46个肢体出现急性骨筋膜室综合征，其中66例接受了筋膜切开术治疗。早期进行筋膜切开术，即在骨筋膜室综合征发病后不到12小时进行手术，68%的肢体功能恢复正常。而接受晚期筋膜切开术的患者中只有8%的肢体功能恢复正常。早期和晚期接受筋膜切开术的肢体并发症发生率分别为4.5%和54%。“开放”或“闭合”筋膜切开术在残余功能或并发症发生率方面没有显著差异。
