开放性胫骨骨折合并骨筋膜室综合征(附21例报告)

回顾性研究 413例胫骨开放性骨折时发现有 2 1例合并骨筋膜室综合征 ,占 5 %。其中胫骨粉碎性骨折 17例 ,并发中、重度软组织损伤 19例 ,说明骨室筋膜综合征的发生率与骨折及软组织损伤的严重程度成正比。早期诊断、及时彻底的筋膜室减压和预防感染是治疗本病的有效措施。开放性胫骨骨折合并骨筋膜室综合征并非少见 ,临床上应高度重视。

OPEN TIBIAL FRACTURE COMPLICATED WITH COMPARTMENT SYNDROME

In 413 cases of open tibial fracture reviewed, the author found 21 cases (5 %) complicated with compartment syndrome, including 17 cases of comminuted tibial fracture and 19 cases complicated with moderate or severe soft tissue injury. The incidence of compartment syndrome was directly proportional to the severity of the fracture and the soft tissue injury. Early diagnosis, thorough and timely compartment decompression and prevention of infection are the effective therapeutic measures for the disease. Open tibial fracture complicated with compartment syndrome is not seldom encountered and should be taken seriously in clinical practice.