缺血性肌挛缩

前臂缺血性肌挛缩症畸形固定期的手术方法及其疗效

Treatment of Ischemic Muscle Contracture in Forearm at the Deformity Stage

前臂缺血性肌挛缩症的临床分期及其治疗

The Clinical Stage and Treatment of Ischemic Muscle Contracture in Forearm

目的探讨肌滑移术治疗前臂Volkmann缺血性肌挛缩的疗效。

Objective To investigate therapeutic effects of muscle sliding operation treating Volkmann ischemic contracture of the forearm .

前臂缺血性肌挛缩的牵张保守治疗

The straining and conservative therapy in ischemic muscular contracture of forearm

中度前臂缺血性肌挛缩早、晚期手术治疗的临床观察

Clinical outcome of early and late surgical treatment of moderate Volkmann contracture

前臂缺血性肌挛缩的早期外科治疗远期随访分析

Long-term follow-ups of surgical treatment of early ischemic contracture in the forearm

屈肌滑移术治疗前臂缺血性肌挛缩

Sliding operation of flexor muscles treating Volkmann ′ s ischemic contracture of forearm

及时有效的康复治疗可以促使缺血性肌挛缩的病理过程向好的方面转归，减少并发症的发生。

Prompt and effective rehabilitation can improve the pathologic process and minimize the complications .

结论前臂缺血性肌挛缩早期显微外科治疗是可行性。

Conclusion Microsurgery is a good way to treat early ischemic contracture in the forearm .

前臂缺血性肌挛缩的康复治疗

Rehabilitative treatment of forearm ischemic contracture

小腿缺血性肌挛缩；

Ischemic contracture of the leg ;

目的探讨前臂缺血性肌挛缩早期显微外科治疗的临床意义及治疗效果。

Objective To discuss clinical outcomes of the surgical treatment of early ischemic contracture in the forearm .

微创牵拉技术治疗小腿缺血性肌挛缩后遗重度踝足畸形

Mini-invasive distraction technique for treatment of severe ankle and foot deformities secondary to ischemic contracture of the leg

目的报告临床较为少见的因指深屈肌腱粘连引起症状类似于轻度缺血性肌挛缩的诊断和治疗。

Objective To report the diagnosis and treatment of pseudo-Volkmann 's contracture caused by tethering of flexor digitorum profundus .

目的：为减少前臂断肢再植后缺血性肌挛缩提供血管吻合的形态学依据。

Objective : To provide vascular morphological basis to reduce the incidence of ischemic spasm after replantation of severed forearm .

结果49例治愈，2例并发缺血性肌挛缩，1例并发缺血性肌坏死而最终行截肢术。

The results were 49 cured , 2 complicated by ischemic contracture , and 1 complicated by ischemic muscular necrosis and amputated .

结论：积极的神经松解术是前臂缺血性肌挛缩症挛缩期最有效的手术方法。

Conclusion : The most effective way for treatment of ischemic contracture in forearm is application of nerve decompression at contracture stage .

结果：本组获2年以上的随访，且无缺血性肌挛缩、肘内翻和关节僵硬等并发症。

Results : The ischemic contracture , cubitus varus and anchylosis did not occurred in all the patients followed more than 2 years .

结果：62例中3例未及时行减压治疗者最终发生缺血性肌挛缩，而早期行深筋膜切开减压或给予20%甘露醇静注脱水减压治疗的59例患者手部肿胀消退，功能正常。

Results : 3 cases without any decompression were arised ischemic contracture , and other 59 cases with carving or droping 20 % mannitol were healed .

方法应用显微外科技术早期为28例｜病程为1.5～9个月的前臂缺血性肌挛缩患者行神经、肌腱松解术。

Methods Neurolysis and myotendolysis were done for 28 cases of early ischemic contracture in the forearm . Their courses of disease were 1.5 to 9 months .

结论：前臂缺血性肌挛缩的预后主要和损伤程度、治疗时间及是否作康复治疗有密切的关系。

Conclusions : The prognosis of ischemic contracture in the forearm is related to the severity of the injury , the course of the treatment and the application of rehabilitation therapy .

2002年4月至2004年3月，应用微创牵拉技术治疗因下肢创伤、骨折等原因并发的小腿缺血性肌挛缩后遗固定性踝足畸形患者8例。

From April 2002 to March 2004 , 8 patients with ankle and foot deformities secondary to ischemic contracture of the leg induced by trauma and fracture were treated with the distractive instrument .

目的比较即刻行切开减压术，1周、4周、12周行神经松解术治疗前臂缺血性肌挛缩的疗效。

Objective To compare effect of fasciotomy for Volkmann contracture of the forearm immediately and neurolysis for Volkmann contracture of the forearm at 1 week , 4 weeks and 12 weeks in the models .

例1经左大腿下1/3离断，伤后6小时远断端出现缺血性肌挛缩；

Case 1 . The leg was severed at the level of the lower 1 / 3 of the left thigh , ischemic contracture of muscles occurred on the distal part six hours later after injury .

结果21例中，18例肢体血运良好，动脉搏动可扪及，功能恢复好，2例出现小腿缺血性肌挛缩，1例截肢。

Results After the operations , 18 in 21 cases had enough blood supply with the arterial pulse touched and good function of the injuried limbs , ischemic contracture in 2 cases and amputation in 1 case .

本组除1例因伤后24小时入院出现前臂缺血性肌挛缩、1例因严重粉碎性骨折术后肘关节活动中度受限外，14例均恢复良好。

Of the 16 cases had forearm ischemic contracture of muscle because of going to hospital after 24 hours . 1 had intermediate limited motion of articulatio cubiti because of serious comminuted fracture after operation . 14 recovered well .