【摘要】 目的 :探讨小腿后深筋膜室缺血致屈趾肌挛缩的诊断和治疗。方法 :选择 1990年 1月 1998年 1月治疗的小腿后深筋膜室缺血致屈趾肌挛缩患者 5 8例。分别治疗 :I度挛缩 ,先进行筋膜切开术 ;然后理疗和被动锻炼 ;Ⅱ度挛缩 ,进行筋膜切开术 ,屈肌腱延长术 ,3周后理疗和被动锻炼 ;Ⅲ度挛缩 ,进行筋膜切开术 ,后深筋膜室内屈肌腱附丽点剥脱 ,瘢痕化肌肉切除 ,屈肌腱延长术 ,3周后理疗和被动锻炼。结果 :所有病例接受 2 3年的随访 (平均 2年 4个月 )。疗效评估为优 45例 ( 78% ) ,其中I度 12例 ,Ⅱ度 33例。良 10例 ( 17% ) ,其中II度 3例 ,Ⅲ度 7例 .可 3例 ( 5 % )均为Ⅲ度。结论 :小腿后深筋膜室缺血致屈趾肌挛缩可以通过筋膜切开术 ;屈肌腱附丽点剥脱 ,瘢痕化肌肉切除 ,屈肌腱延长术 ,理疗和被动锻炼综合治疗获得良好的预后。更多还原

【Abstract】 Objective:To study the diagnosis and treatment of the posterior-deep compartmental syndrome of the leg with the contraction of the flexion muscles. Methods:Fifty-eight cases were treated with different degrees of contraction. The contracted leg muscles were divided into three subgroups (three degrees). The first degree: were treated by fasciotomy; physiotherapy and passive exercise.the second degree:treated by fasciotomy; the tendons elongation; physiotherapy and passive rehabilitation in three weeks after surgery. The third degree:treated by fasciotomy; the dissection of the attachment of the contraction flexion muscles in the posterior deep compartment and resection of the scared muscles; the tendons elongation; physiotherapy and passive exercise in three weeks after surgery. Results:All cases were followed up from 2 to 3 years, (averaged 2 years and 4 months). Excellent: 45 cases (78%) with First degree:12 cases; Second degree: 33 cases; Good: 10 cases (17%), with Second degree: 3 cases; Third degree: 7cases. Fair: 3 cases (5%) with all Third degree. Conclusion:The ischemic contraction of leg muscles in posterior deep compartment can be cured by fasciotomy; the dissection of the attachment of flexion muscles; the tendons elongation, physiotherapy and passive exercise with good results.更多还原