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[掌腱膜挛缩症。10年病例分析]

[Dupuytren's disease. Analysis of a 10 year caseload].

作者信息

Rebelo J S, Ferreira J B, Vilão M C, Boléo-Tomé J

机构信息

Serviço de Cirurgia Plástica e Maxilo-Facial, Hospital Egas Moniz, Lisboa.

出版信息

Acta Med Port. 1992 Oct;5(9):463-6.

PMID:1481713
Abstract

The authors present an analysis concerning patients operated on for Dupuytren contracture over the past ten years. One hundred and ten patients (94 males and 16 females) were reviewed. At the time of surgery the average was 52 years old. The 125 hands (292 fingers) were rated 3,136, according to the simplified Tubiana's score. In 82.7% of the patients, selective regional fasciectomy was applied. In the long term, recurrence appeared in 58 hands (96 fingers); 74.1% being in the first five years. 48 of them were graded Stage Nodular, 28 Stage 1, 16 Stage 2, 4 Stage 3. Some factors seem to be of a bad prognosis regarding recurrence: ectopic localisations, age (under 55 years old), alcoholism, diabetes mellitus, epilepsy, and family history. Results after operative procedure were satisfactory. The hands were rated 1,316 and the Coefficient of Amelioration was above 0.75 in more than 50%.

摘要

作者对过去十年因掌腱膜挛缩症接受手术的患者进行了分析。共回顾了110例患者(94例男性和16例女性)。手术时的平均年龄为52岁。根据简化的图比阿纳评分,125只手(292根手指)的评分为3136分。82.7%的患者接受了选择性区域筋膜切除术。从长期来看,58只手(96根手指)出现了复发;其中74.1%发生在前五年。其中48例为结节期,28例为1期,16例为2期,4例为3期。一些因素似乎对复发预后不良:异位定位、年龄(55岁以下)、酗酒、糖尿病、癫痫和家族史。手术结果令人满意。手部评分为1316分,改善系数超过0.75的患者超过50%。

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