Deutschmann W
Langenbecks Arch Chir. 1975 Nov;339:389-94. doi: 10.1007/BF01257534.
Surgical treatment of Dupuytren's contracture improves function but cannot remove the cause of the disease. Strict selection of cases, knowledge of the anatomy, the use of incisions appropriate to the local alterations, an atraumatic operative technique, and careful aftercare are essential for positive results. The literature cites success rates of between 60 and 85 percent. Recurrences cannot always be avoided but the frequency can be reduced by meticulous removal of all diseased and normal connective tissue in this area.
Dupuytren挛缩的手术治疗可改善功能,但无法消除病因。严格的病例选择、解剖学知识、采用适合局部病变的切口、无创伤的手术技术以及精心的术后护理对于取得良好效果至关重要。文献报道的成功率在60%至85%之间。复发虽无法完全避免,但通过在该区域细致地清除所有病变及正常结缔组织,可降低复发频率。