Janzing H, Broos P
Department of Traumatology, University Hospital Gasthuisberg, Leuven, Belgium.
Acta Chir Belg. 1998 Aug;98(4):187-91.
The compartment syndrome has been defined as an elevation of the interstitial pressure in a closed osteofascial compartment resulting in microvascular compromise. The only effective treatment is early decompression of the involved compartment. In acute conditions, this decompression can only be established if skin and fascia are incised over the muscular part of the compartment. A good knowledge of the anatomy and importance of the fascia generalis, communis and propria is necessary for successful and complete decompression. Classic and more recent anatomical and clinical data are selected from the surgical literature to provide comprehensive and anatomically based guidelines for fasciotomies of the upper and lower limbs.
骨筋膜室综合征被定义为封闭的骨筋膜室内间质压力升高，导致微血管受损。唯一有效的治疗方法是对受累骨筋膜室进行早期减压。在急性情况下，只有在骨筋膜室肌肉部分上方切开皮肤和筋膜才能实现这种减压。要成功并彻底地进行减压，必须充分了解总筋膜、固有筋膜和普通筋膜的解剖结构及其重要性。从外科文献中选取经典的和最新的解剖学及临床资料，以提供基于解剖学的全面上肢和下肢筋膜切开术指南。
