Rominger M B, Lukosch C J, Bachmann G F
Abteilung Strahlendiagnostik, Philipps-Universität Marburg, Baldingerstrasse, 35043 Marburg, Germany.
Eur Radiol. 2004 Aug;14(8):1432-9. doi: 10.1007/s00330-004-2305-5. Epub 2004 Apr 6.
The aim of this study was to evaluate the use of MR imaging for diagnosis and therapy management of compartment syndromes. In total, 15 patients (5 with an imminent compartment syndrome and 10 with manifest compartment syndrome) underwent MR imaging with a variety of pulse sequences including fat suppression, magnetization transfer imaging, and intravenous gadopentetate dimeglumine (Gd-DTPA) administration. Early and late follow-up MR images were obtained. Manifest compartment syndromes showed swollen compartments with loss of normal muscle architecture on T1-weighted spin-echo images. T2-weighted spin-echo and magnetization transfer imaging showed bright areas, which enhanced after Gd-DTPA. Early follow-up showed changes in enhancement patterns; late follow-up showed fibrosis and cystic and fatty degenerations of the affected compartments. MR imaging can help make the diagnosis of a manifest compartment syndrome in clinically ambiguous cases. It points out the affected compartments and allows the surgeon to selectively split the fascial spaces.
本研究的目的是评估磁共振成像（MR）在骨筋膜室综合征诊断及治疗管理中的应用。共有15例患者（5例为濒临骨筋膜室综合征，10例为显性骨筋膜室综合征）接受了MR成像检查，采用了多种脉冲序列，包括脂肪抑制、磁化传递成像以及静脉注射钆喷酸葡胺（Gd-DTPA）。获取了早期和晚期随访的MR图像。显性骨筋膜室综合征在T1加权自旋回波图像上表现为骨筋膜室肿胀，正常肌肉结构消失。T2加权自旋回波和磁化传递成像显示为高信号区，在注射Gd-DTPA后强化。早期随访显示强化模式有改变；晚期随访显示受累骨筋膜室出现纤维化、囊性变和脂肪变性。MR成像有助于在临床诊断不明确的病例中诊断显性骨筋膜室综合征。它能指出受累的骨筋膜室，使外科医生能够选择性地切开筋膜间隙。
