Abstract：
Defining universally accepted guidelines for the diagnosis and treatment of chronic exertional compartment syndrome (CECS) is hampered by the absence of high-quality scientific research. The aim of this Delphi study was to establish consensus on practical issues guiding diagnosis and treatment of CECS of the leg in civilian and military patient populations.
An international expert group was queried using the Delphi technique with a traditional three-round electronic consultation. Results of previous rounds were anonymously disclosed in the questionnaire of rounds 2 and 3, if relevant. Consensus was defined as > 70% positive or negative agreement for a question or statement.
The panel consisted of 27 civilian and military healthcare providers. Consensus was reached on five essential key characteristics of lower leg CECS. The panel achieved partial agreement regarding standardization of the diagnostic protocol, including muscle tissue pressure measurements. Consensus was reached on conservative and surgical treatment regimens. However, the experts did not attain consensus on their approach of postoperative rehabilitation and preferred treatment approach of recurrent or residual disease. A summary of best clinical practice for the diagnosis and management of CECS was formulated by experts working in civilian and military healthcare facilities.
The Delphi panel reached consensus on key criteria for signs and symptoms of CECS and several aspects for conservative and surgical treatment. The panel did not agree on the role of ICP values in the diagnostic process, postoperative rehabilitation guidelines protocol, or the preferred treatment approach for recurrent or residual disease. These aspects serve as a first attempt to initiate simple guidelines for clinical practice.
An international expert group was queried using the Delphi technique with a traditional three-round electronic consultation. Results of previous rounds were anonymously disclosed in the questionnaire of rounds 2 and 3, if relevant. Consensus was defined as > 70% positive or negative agreement for a question or statement.
The panel consisted of 27 civilian and military healthcare providers. Consensus was reached on five essential key characteristics of lower leg CECS. The panel achieved partial agreement regarding standardization of the diagnostic protocol, including muscle tissue pressure measurements. Consensus was reached on conservative and surgical treatment regimens. However, the experts did not attain consensus on their approach of postoperative rehabilitation and preferred treatment approach of recurrent or residual disease. A summary of best clinical practice for the diagnosis and management of CECS was formulated by experts working in civilian and military healthcare facilities.
The Delphi panel reached consensus on key criteria for signs and symptoms of CECS and several aspects for conservative and surgical treatment. The panel did not agree on the role of ICP values in the diagnostic process, postoperative rehabilitation guidelines protocol, or the preferred treatment approach for recurrent or residual disease. These aspects serve as a first attempt to initiate simple guidelines for clinical practice.
摘要：
缺乏高质量的科学研究，阻碍了为慢性劳累性室综合征（CECS）的诊断和治疗定义普遍接受的指南。这项Delphi研究的目的是就指导平民和军事患者中腿部CECS的诊断和治疗的实际问题达成共识。
使用Delphi技术和传统的三轮电子咨询对国际专家组进行了查询。如果相关，前几轮的结果将在第2轮和第3轮的问卷中匿名披露。共识被定义为对问题或陈述的正面或负面同意>70%。
该小组由27名平民和军事医疗保健提供者组成。就小腿CECS的五个基本关键特征达成了共识。小组就诊断方案的标准化达成了部分协议，包括肌肉组织压力测量。就保守和手术治疗方案达成共识。然而,专家们对他们的术后康复方法和复发或残留疾病的首选治疗方法没有达成共识。在民用和军事医疗机构工作的专家制定了CECS诊断和管理的最佳临床实践摘要。
Delphi小组就CECS的体征和症状的关键标准以及保守治疗和手术治疗的几个方面达成了共识。专家组不同意ICP值在诊断过程中的作用，术后康复指南协议，或复发或残留疾病的首选治疗方法。这些方面作为启动临床实践的简单指南的首次尝试。
使用Delphi技术和传统的三轮电子咨询对国际专家组进行了查询。如果相关，前几轮的结果将在第2轮和第3轮的问卷中匿名披露。共识被定义为对问题或陈述的正面或负面同意>70%。
该小组由27名平民和军事医疗保健提供者组成。就小腿CECS的五个基本关键特征达成了共识。小组就诊断方案的标准化达成了部分协议，包括肌肉组织压力测量。就保守和手术治疗方案达成共识。然而,专家们对他们的术后康复方法和复发或残留疾病的首选治疗方法没有达成共识。在民用和军事医疗机构工作的专家制定了CECS诊断和管理的最佳临床实践摘要。
Delphi小组就CECS的体征和症状的关键标准以及保守治疗和手术治疗的几个方面达成了共识。专家组不同意ICP值在诊断过程中的作用，术后康复指南协议，或复发或残留疾病的首选治疗方法。这些方面作为启动临床实践的简单指南的首次尝试。
