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[杜普伊特伦挛缩症——一个以人名命名的疾病的故事]

[Dupuytren’s disease – the story of an eponym].

作者信息

Glicenstein J

机构信息

63, boulevard des Invalides, 75007 Paris, France.

出版信息

Chir Main. 2012 Jun;31(3):107-12. doi: 10.1016/j.main.2012.04.007.

Abstract

December 5, 1831, baron Guillaume Dupuytren presents at the surgical clinics of the Hotel-Dieu of Paris a report upon "an entirely new subject, with a new theory and a new method of treatment for a disease generally regarded as incurable". The patient presented had a permanent contraction of the ring finger and adjacent fingers of both hands, which appeared spontaneously without any injury or previous illness. Dupuytren explains he had the opportunity to dissect the hand of a man who died after having had a contraction of the fingers for many years. He defines the cause of the contraction to be the palmar fascia. He describes the operative treatment: aponeurotomy by a transverse incision. "Probably many surgeons (Cline 1808, Astley Cooper 1822) were aware of the palmar aponeurosis producing this condition before Dupuytren's lecture". "Thoroughness of his demonstration, the brilliance of the presentation and the supremacy of his surgical authority combined to link permanently the name of Dupuytren with this hand deformity" (J. Hueston).

摘要

1831年12月5日,纪尧姆·迪皮特朗男爵在巴黎主宫医院的外科诊所发表了一份关于“一个全新的课题,一种针对一种通常被认为无法治愈的疾病的新理论和新治疗方法”的报告。所展示的患者双手的无名指及相邻手指出现永久性挛缩,挛缩自发出现,没有任何损伤或既往病史。迪皮特朗解释说,他有机会解剖一名手指挛缩多年后死亡男子的手部。他将挛缩的病因确定为掌腱膜。他描述了手术治疗方法:通过横向切口进行腱膜切开术。“在迪皮特朗发表演讲之前,可能许多外科医生(克莱恩,1808年;阿斯特利·库珀,1822年)就已经意识到掌腱膜会导致这种病症”。“他论证的透彻性、演讲的精彩程度以及他外科权威的至高无上地位,共同使得迪皮特朗的名字与这种手部畸形永远联系在一起”(J. 休斯顿)

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