Feliciano D V, Cruse P A, Spjut-Patrinely V, Burch J M, Mattox K L
Cora and Webb Mading Department of Surgery, Baylor College of Medicine, Houston, Texas 77030.
Am J Surg. 1988 Dec;156(6):533-6. doi: 10.1016/s0002-9610(88)80547-6.
Over a 9-year period, fasciotomy for presumed compartmental syndromes after trauma was performed in 25 upper extremities and 100 lower extremities in 122 patients. This procedure was most commonly indicated after vascular injuries in the lower extremities. Twenty percent of patients underwent fasciotomy before vascular repair. Nineteen percent of patients with vascular injuries in the lower extremities had fasciotomies performed at reoperation. Seventy-five percent of amputations in the lower extremities were related to a delay in performing fasciotomy or an incomplete fasciotomy. Upper-extremity fasciotomies most commonly did not decompress the deep component of the volar compartment, whereas lower extremity fasciotomies without fibulectomy most commonly decompressed all four below-knee compartments. Fasciotomy sites were closed by direct suture in more than half of the patients.
在9年的时间里，122例患者的25例上肢和100例下肢因创伤后疑似骨筋膜室综合征而进行了筋膜切开术。该手术最常见于下肢血管损伤后。20%的患者在血管修复前接受了筋膜切开术。19%的下肢血管损伤患者在再次手术时进行了筋膜切开术。下肢75%的截肢与筋膜切开术延迟或筋膜切开不完全有关。上肢筋膜切开术最常见的情况是没有对掌侧深筋膜室进行减压，而未行腓骨切除术的下肢筋膜切开术最常见的情况是对所有四个膝下筋膜室进行了减压。超过一半的患者通过直接缝合关闭筋膜切开部位。
