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桡骨茎突狭窄性腱鞘炎的外科治疗。

Surgical treatment of de Quervain's disease.

作者信息

Zarin Mohammad, Ahmad Israr

机构信息

Department of Surgery, DHQ Hospital, Battagram, Hazara.

出版信息

J Coll Physicians Surg Pak. 2003 Mar;13(3):157-8.

PMID:12689535
Abstract

OBJECTIVE

The purpose of this study was to evaluate the clinical outcome of surgical treatment of de Quervain's disease.

STUDY DESIGN

Prospective study.

PLACE AND DURATION OF STUDY

The study was conducted in District Headquarters Hospital, Battagram from December, 2001 to July 2002. SUBJECTS AND METHODS Patients with de Quervain's disease who did not respond to conservative treatment with analgesics, splintage and local steroid injections were operated under local anesthesia and the tendons of abductor pollicis longus and extensor pollicis brevis were released. The patients were followed for a minimum of 3 months to assess the clinical outcome of procedure.

RESULTS

Female to male ratio was 9:1. All females were housewives exposed to manual work. Three of them had rheumatoid arthritis. The age range was from 30-50 years with mean age of 38 years. The results of surgical treatment were excellent with 96% patients being completely relieved of symptoms.

CONCLUSION

Surgical release of tendons of first dorsal compartment of wrist has excellent results in patients with de quervain's tenosynovitis.

摘要

目的

本研究旨在评估桡骨茎突狭窄性腱鞘炎手术治疗的临床效果。

研究设计

前瞻性研究。

研究地点与时间

本研究于2001年12月至2002年7月在巴塔格拉姆地区总部医院进行。

研究对象与方法

对经镇痛药、夹板固定及局部类固醇注射保守治疗无效的桡骨茎突狭窄性腱鞘炎患者,在局部麻醉下进行手术,松解拇长展肌和拇短伸肌腱。对患者进行至少3个月的随访,以评估手术的临床效果。

结果

女性与男性比例为9:1。所有女性均为从事体力劳动的家庭主妇。其中3例患有类风湿关节炎。年龄范围为30至50岁,平均年龄38岁。手术治疗效果极佳,96%的患者症状完全缓解。

结论

腕部第一背侧腱鞘的肌腱手术松解对桡骨茎突狭窄性腱鞘炎患者有极佳疗效。

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