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[掌腱膜挛缩症的治疗(作者译)]

[Treatment of Dupuytren's contracture (author's transl)].

作者信息

Deutschmann W

出版信息

Langenbecks Arch Chir. 1975 Nov;339:389-94. doi: 10.1007/BF01257534.

DOI:10.1007/BF01257534
PMID:1107712
Abstract

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.

摘要

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。

相似文献

1
[Treatment of Dupuytren's contracture (author's transl)].[掌腱膜挛缩症的治疗(作者译)]
Langenbecks Arch Chir. 1975 Nov;339:389-94. doi: 10.1007/BF01257534.
2
[Results following surgical treatment of Dupuytren's contracture].
Handchirurgie. 1970;2(1):27-9.
3
Dupuytren's contracture in women.
Hand Clin. 1991 Nov;7(4):707-11; discussion 713.
4
The treatment of Dupuytren's contracture by radical aponeurectomy.
Ital J Orthop Traumatol. 1986 Sep;12(3):305-14.
5
[Treatment of Dupuytren's contracture; an overview of options].[掌腱膜挛缩症的治疗;治疗选择概述]
Ned Tijdschr Geneeskd. 2009;153:A129.
6
[2-stage operative treatment of Dupuytren contracture].[Dupuytren挛缩的两阶段手术治疗]
Handchir Mikrochir Plast Chir. 1985 May;17(3):143-4.
7
Results of surgical treatment of Dupuytren's disease in women: a review of 109 consecutive patients.女性掌腱膜挛缩症的外科治疗结果:109例连续患者的回顾
J Hand Surg Am. 2007 Nov;32(9):1423-8. doi: 10.1016/j.jhsa.2007.06.015.
8
Dupuytren's disease of the radial side of the hand.
Hand Clin. 1999 Feb;15(1):149-59.
9
Wound complications in the surgical management of Dupuytren's contracture: a comparison of operative incisions.掌腱膜挛缩症手术治疗中的伤口并发症:手术切口比较
Hand. 1982 Oct;14(3):248-54. doi: 10.1016/s0072-968x(82)80057-0.
10
[An attempt to objectify the assessment of extension or recurrence of Dupuytren's disease on the basis of ultrasound].[基于超声对杜普伊特伦挛缩症扩展或复发评估进行客观化的尝试]
Przegl Lek. 2012;69(12):1266-70.

本文引用的文献

1
[RESULTS AND EXPERIENCES WITH THE SURGICAL TREATMENT OF DUPUYTREN'S CONTRACTURE].
Chirurg. 1963 Oct;34:451-7.
2
Extensive versus limited fasciectomy for Dupuytren's contracture.用于治疗掌腱膜挛缩症的广泛筋膜切除术与有限筋膜切除术
Scand J Plast Reconstr Surg. 1967;1(2):150-3. doi: 10.3109/02844316709022846.
3
The palmar fascia, and the development of deformities and displacements in Dupuytren's contracture.掌腱膜与杜普伊特伦挛缩症中畸形和移位的发展
Ann R Coll Surg Engl. 1971 Apr;48(4):238-51.
4
[Alternatives to amputation in extreme Dupuytren's contracture].[极端掌腱膜挛缩症中截肢的替代方法]
Handchirurgie. 1970;2(2):56-60.
5
[Results following surgical treatment of Dupuytren's contracture].
Handchirurgie. 1970;2(1):27-9.
6
[Dupuytren's contracture].[杜普伊特伦挛缩症]
Ther Umsch. 1971 Dec;28(12):818-21.
7
[Dupuytren's contracture and its treatment].[杜普伊特伦挛缩症及其治疗]
Chirurg. 1968 Sep 9;39(9):400-4.
8
[Formal genesis of Dupuytren's contracture as a guide to adequate therapy].
Chirurg. 1973 Mar;44(3):131-6.
9
[Dupuytren's contractures and results of their surgical therapy].
Bruns Beitr Klin Chir (1971). 1972;219(6):551-9.