Peschen M, Vanscheidt W, Sigmund G, Behrens J O, Schöpf E
Universitäts-Hautklinik, Universitäts-Klinik Freiburg.
Hautarzt. 1996 Jul;47(7):521-5. doi: 10.1007/s001050050463.
Paratibial fasciotomy has been employed since 1981 to treat patients with chronic venous insufficiency (CVI) and therapy-resistant leg ulcers with severe lipodermatosclerosis. The characteristic morphological changes in CVI were evaluated shown before and after paratibial fasciotomy using computerized tomography (CT) and magnet resonance tomography (MRT). 10 patients (6 female, 4 male) were examined by CT and MRT pre- and postoperatively. Preoperatively there is a clear thickening of the dermis and subcutaneous field. In addition, the area around the achilles tendon is thickened, the fasciae are enlarged and the muscles of the lower leg show an increase of fatty tissue. A decrease of the cutaneous and subcutaneous thickening is seen postoperatively. The fasciotomy split is visible in most patients.
自1981年以来，胫骨旁筋膜切开术一直被用于治疗慢性静脉功能不全（CVI）以及伴有严重脂肪硬化症且对治疗有抵抗性的腿部溃疡患者。利用计算机断层扫描（CT）和磁共振断层扫描（MRT）对胫骨旁筋膜切开术前后慢性静脉功能不全的特征性形态变化进行了评估。对10例患者（6例女性，4例男性）在术前和术后进行了CT和MRT检查。术前，真皮和皮下组织明显增厚。此外，跟腱周围区域增厚，筋膜增大，小腿肌肉的脂肪组织增多。术后可见皮肤和皮下增厚有所减轻。在大多数患者中可见筋膜切开的切口。
