骨筋膜室綜合征是指骨筋膜層內(nèi)的組織承受高于正常壓力的壓力,導(dǎo)致疼痛、蒼白、無(wú)脈,最終出現(xiàn)感覺異常。骨筋膜室綜合征可發(fā)生在病態(tài)肥胖患者或壓傷、嚴(yán)重?zé)齻妥矒魝?。診斷可以通過壓力測(cè)量?jī)x器測(cè)量筋膜室內(nèi)的壓力來(lái)確定,但臨床上更多的是靠臨床判斷來(lái)確診。骨筋膜室壓大于或等于30mmhg是骨筋膜室間隔綜合征病原學(xué)改變。在發(fā)展為筋膜室綜合征的患者中,常規(guī)治療包括筋膜切開術(shù)。緊急筋膜切開術(shù)可以在床邊進(jìn)行。筋膜切開術(shù)是通過切開壓迫筋膜以釋放骨筋膜室壓力,使肌肉釋放,降低壓力,恢復(fù)血流及神經(jīng)功能。 足底筋膜病,或足底筋膜炎,是在一般人群中出現(xiàn)的足跟下疼痛的常見的問題。患者可以進(jìn)行非侵入性治療,如物理療法、矯正手法、非甾體抗炎藥、照射療法或沖擊波療法來(lái)緩解癥狀。侵入性治療包括局部皮質(zhì)類固醇注射、肉毒素注射、富含血小板血漿注射以及手術(shù)。 壞死性筋膜炎是一種罕見的,有時(shí)是致命的軟組織感染,并成為內(nèi)科和外科急癥。它可導(dǎo)致多層炎癥和壞死,包括筋膜、肌肉、皮下脂肪,以及隨后的上覆皮膚壞死。壞死組織急診徹底清創(chuàng)是標(biāo)準(zhǔn)、必要的治療方法。 Clinical Significance Compartment syndrome is a condition where the tissues within a fascial layer experience higher than normal pressures leading to pain, pallor, loss of pulses, and eventual paresthesias. Compartment syndrome can develop in morbidly obese patients or following crush injuries, severe burns, and impact injuries. Diagnosis can be confirmed by measuring the pressure within a fascial compartment with a pressure device, although clinical judgment is often used to determine the diagnosis. A compartment pressure of thirty mmHg or greater is pathognomonic for compartment syndrome. In patients who develop compartment syndrome, treatment regularly involves a fasciotomy. An urgent fasciotomy can be done at the bedside. A fasciotomy is a procedure where the compressing fascia is cut to relieve compartment pressure and allow the muscle to swell, decrease pressure, and restore blood flow and nerve function. Plantar fasciopathy, or plantar fasciitis, is a common health concern in the general population resulting in inferior heel pain. Patients can receive non-invasive therapies such as physical therapy, orthosis, NSAIDs, radiation therapy, or shockwave therapy to help relieve symptoms. Invasive treatments include local corticosteroid injections, botulinum injection, platelet-rich plasma injection, and surgery. Necrotizing fasciitis is a rare and sometimes fatal soft-tissue infection that is a medical and surgical emergency. It is the resulting condition of inflammation and necrosis at multiple layers including fascia, muscle, subcutaneous fat, and subsequent necrosis of overlying skin. Emergency radical debridement of the necrotic tissues is the standard mandatory procedure.
筋膜炎是一種比較常見的非特異性疾病,在全身的各個(gè)不同部位都有可能會(huì)發(fā)生,會(huì)伴有明顯的疼痛現(xiàn)象,與此同時(shí)它也會(huì)有很多的癥狀,比如說(shuō)彌漫性疼痛或者是局部壓痛等等,所以建議最好是在短時(shí)間內(nèi)接受治療,否則可能會(huì)產(chǎn)生危害。 現(xiàn)在的生活條件逐漸的變好,與此同時(shí),很多人也患有了各種各樣的疾病,比如說(shuō)頭疼或者是腿疼等等,要知道在我們?nèi)梭w的眾多部位中,雙腿也是非常重要的,一旦出現(xiàn)了超負(fù)荷的運(yùn)動(dòng),就有可能會(huì)出現(xiàn)筋膜炎的情況,但是很多人并不是特別的了解什么是筋膜炎呢? 什么是筋膜炎? 筋膜炎,又稱纖維炎,是一種發(fā)生在肌肉筋膜的非特異性炎癥,它可以發(fā)生在身體的所有部位,大部分在腰部和肩胛骨區(qū)域。最常見的臨床表現(xiàn)是腰背部筋膜炎和臀肌筋膜炎,對(duì)于某些腰痛患者,骶骨肌表面或髂嵴肌附著處可觸及條紋或纖維結(jié)節(jié),伴有疼痛和壓痛。
總訪問量 20,120次
在線服務(wù)患者 14位
科普文章 4篇
領(lǐng)導(dǎo)風(fēng)采