Symes T, Stothard J
Department of Trauma and Orthopaedics, The James Cook University Hospital, Marton Road, Middlesbrough, Cleveland, UK.
J Hand Surg Br. 2006 Dec;31(6):606-7. doi: 10.1016/j.jhsb.2006.08.005. Epub 2006 Oct 10.
Percutaneous needle fasciotomy treatment of Dupuytren's disease has been used on the continent for over two decades but has only recently gained popularity in the UK. The National Institute for Clinical Excellence published guidance in February 2004 stating that the procedure is safe and effective. We report a case of two complications in the same patient following the use of the technique, on only one occasion, in a patient who was anticoagulated. We believe that it is the first time that a false aneurysm has been reported following the procedure and that this was probably related to the inhibited coagulation cascade. The patient also sustained an injury to flexor digitorum profundus but had an intact superficialis tendon and we find it difficult to explain this occurrence. We report the above complication as we feel this technique may be chosen specifically in patients with co-existing medical problems such as anticoagulation.
经皮针状筋膜切开术治疗掌腱膜挛缩症在欧洲大陆已应用二十多年，但直到最近才在英国受到欢迎。英国国家临床优化研究所于2004年2月发布指南，称该手术安全有效。我们报告了同一例患者在接受该技术治疗时仅一次就出现了两种并发症，该患者正在接受抗凝治疗。我们认为这是首次报告该手术后出现假性动脉瘤，这可能与凝血级联反应受抑制有关。患者的指深屈肌也受到损伤，但指浅屈肌腱完整，我们很难解释这种情况的发生。我们报告上述并发症，是因为我们觉得在有抗凝等并存医疗问题的患者中可能会特别选择这种技术。
