Searle A E, Logan A M
Department of Plastic Surgery, West Norwich Hospital, Norfolk, United Kingdom.
Ann Chir Main Memb Super. 1992;11(5):375-80. doi: 10.1016/s0753-9053(05)80273-x.
Clinical involvement of the palmar and digital skin by Dupuytren's disease occurs frequently. A review of 40 rays in 32 patients who had consecutively undergone dermofasciectomy is presented. The average follow-up period was 38 months, with a minimum of 24 months. Four out of the 40 rays developed recurrent nodule formation limited to the proximal or distal graft insets but there was no recurrent cord formation, suggesting better disease control than by fasciectomy alone. Full thickness graft to resurface the defect has been surprisingly complication-free.
掌腱膜挛缩症累及手掌和手指皮肤的情况很常见。本文回顾了32例连续接受真皮筋膜切除术的患者的40条射线。平均随访期为38个月，最短为24个月。40条射线中有4条出现复发性结节形成，局限于近端或远端移植植入部位，但没有复发性条索形成，这表明与单纯筋膜切除术相比，疾病控制效果更好。用于修复缺损的全厚皮片移植出人意料地没有并发症。
