Al-Dadah O Q, Darrah C, Cooper A, Donell S T, Patel A D
Norfolk and Norwich University Hospital, Colney Lane, Norwich, Norfolk NR4 7UY, England, United Kingdom.
Injury. 2008 Oct;39(10):1204-9. doi: 10.1016/j.injury.2008.03.029. Epub 2008 Jul 25.
A cohort of 109 consecutive patients with a tibial fracture who underwent continuous compartment pressure monitoring of the anterior compartment of the leg were reviewed and compared to a historical control group of the immediate previous 109 patients who were clinically monitored. Of these patients 33 underwent fasciotomies for acute compartment syndrome in association with tibial diaphyseal fractures. Seventeen patients had continuous compartment pressure monitoring and 16 clinical assessments alone. The fasciotomy rate of patients who underwent continuous compartment pressure monitoring was 15.6%. Patients who were not monitored had a fasciotomy rate of 14.7%. The mean time delay from injury to fasciotomy was 22 h in the monitored group and 23 h in the non-monitored group. Continuous compartment pressure monitoring did not increase the rate of unnecessary fasciotomies. We could not demonstrate a significant difference in terms of clinical outcome and time delay from injury to fasciotomy.
对109例连续接受小腿前侧间隔室压力持续监测的胫骨干骨折患者进行了回顾性研究，并与之前109例接受临床监测的患者组成的历史对照组进行比较。这些患者中，33例因急性间隔室综合征合并胫骨干骨折而接受了筋膜切开减压术。17例患者进行了间隔室压力持续监测，16例仅进行了临床评估。接受间隔室压力持续监测的患者筋膜切开减压率为15.6%。未接受监测的患者筋膜切开减压率为14.7%。监测组从受伤到筋膜切开减压的平均延迟时间为22小时，未监测组为23小时。间隔室压力持续监测并未增加不必要的筋膜切开减压率。我们未能证明在临床结果以及从受伤到筋膜切开减压的时间延迟方面存在显著差异。
