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目的:探讨高海拔地区创伤性筋膜间隙综合征特点、规律、治疗方法及手术时机。方法:对168例创伤性筋膜间隙综合征(包括亚临床病例95例)患者的临床特点、治疗方法、诊断标准及治疗效果进行分析。结果:全组168例中,158例完全恢复正常,9例因切开减压术后部分肌肉萎缩、粘连,功能训练差,导致踝关节屈伸功能受限,遗留部分功能障碍。1例因肌肉缺血坏死、肾功能进行性损害而截肢。结论:高海拔地区筋膜间隙综合征早期诊断标准,对可能发生的亚临床病例进行早期干预,系统综合治疗,避免贻误治疗时机,有效降低筋膜间隙综合征的发生及致残、致死率。
Objective: To investigate the characteristics, rules, treatment and timing of traumatic fascia gap syndrome in high altitude areas. Methods: The clinical features, treatment, diagnostic criteria and therapeutic effect of 168 cases of traumatic fascia syndrome (including 95 cases of subclinical disease) were analyzed. Results: Of the 168 cases, 158 cases recovered completely, and 9 cases suffered from muscle atrophy, adhesions and poor functional training after decompression. All these resulted in the limited function of ankle flexion and extension with some dysfunction left. One case was amputated due to muscle ischemic necrosis and progressive impairment of renal function. Conclusion: The early diagnostic criteria of FFA in high altitude area can make early intervention in the possible subclinical cases and systematically treat the patients, avoid the chance of delaying the treatment, and effectively reduce the occurrence of FFA and the lethality and lethality.