应用IPC治疗外伤后下肢水肿计算机X光断面及临床疗法.docVIP

应用IPC治疗外伤后下肢水肿：计算机X光断面及临床疗法 Intermittent Pneumatic Compression Therapy in Posttraumatic Lower Limb Edema: Computed Tomography and Clinical Measurements Olavi Airaksinen, MD, Kaarina Partanen, MD, Pertti J. Kolari, MSc, Seppo Soimakallio, MD ABSTRACT. Airaksinen O, Partanen K, Kolari P J, Soimakallio S. Intermittent pneumatic compression therapy in posttraumatic lower limb edema: computed tomography and clinical measurements. Arch Phys Med Rehabil 1991;72:667-70. The purpose of our study was to assess the amount of posttraumatic lower limb edema and its distribution between subcutaneous and subfascial compartments before and after intermittent pneumatic compression (IPC) therapy in patients with fractures of the lower leg immobilized with a cast for six to 12 weeks. Computed tomography (CT) was used as an objective method of measuring the compartmental distribution of edema. Sixteen patients with a mean age of 37 years (range 19 to 64 years) were investigated by clinical measurement of the leg circumference and by CT at the ankle joint and at three equidistant (10cra) levels above it. The unaffected leg served as a control for the evaluation of the amount of edema and density of the tissues. Edema was found primarily in subcutaneous tissue. The IPC treatment decreased relative edema from 23% to 15.9% (p0.01) as measured by CT, and from 23.5% to 13.2% as measured clinically. The density of muscle tissue increased 9% (p 0.01) and that of subcutaneous tissue decreased 5.6% (p0.05). The IPC treatment influenced both the amount of edema and the density of tissue compartments. KEY WORDS: Computed tomography; Edema; Fracture Edema often occurs as a complication after cast immobilization for trauma of the lower legs. The etiology of this edema is probably multifactorial, including increased capillary filtration and reduced lymphatic drainage resulting from soft tissue trauma to lymphatic vessels. Surface measurements and water plethysmography have been used to est