Armstrong J R, Hurren J S, Logan A M
Department of Plastic Surgery, West Norwich Hospital, Norwich, UK.
J Bone Joint Surg Br. 2000 Jan;82(1):90-4. doi: 10.1302/0301-620x.82b1.9808.
Dupuytren's disease may present with well-defined subcutaneous cords or as more diffuse disease with involvement of the skin. Fasciectomy is the procedure commonly carried out for the full range of disease, but is associated with rates of recurrence of up to 66%. We reviewed 143 rays in 103 patients undergoing dermofasciectomy for diffuse disease with involvement of the skin. We found recurrence in 12 rays (8.4% of rays; 11.6% of patients) during a mean follow-up of 5.8 years, eight as cords and four as nodules. We suggest that dermofasciectomy is a better method of disease control than fasciectomy for the more diffuse type of disease with involvement of the skin.
掌腱膜挛缩症可能表现为界限清晰的皮下条索，或表现为累及皮肤的更弥漫性病变。筋膜切除术是针对各种程度病变通常实施的手术，但复发率高达66%。我们回顾了103例因累及皮肤的弥漫性病变而接受真皮筋膜切除术患者的143条射线。在平均5.8年的随访中，我们发现12条射线（占射线的8.4%；占患者的11.6%）出现复发，其中8条为条索状，4条为结节状。我们认为，对于累及皮肤的更弥漫性病变类型，真皮筋膜切除术比筋膜切除术是更好的疾病控制方法。
