Wilhelm A, Englert D
Chirurgischen Klinik des Städtischen Krankenhauses Aschaffenburg, Lehrkrankenhaus der Universität Würzburg.
Handchir Mikrochir Plast Chir. 1989 Mar;21(2):66-71.
The postoperative healing in cases of Dupuytren's contracture is not only influenced by the age of the patient and the progress of the disease, but also by the existence of other accompanying diseases and general and local factors. The appearance of postoperative edema and the so-called hand-finger-syndrome are also especially unfavorable, because these complications determine the duration of treatment and the functional results. As a cause for these postoperative complications a disorder of the subclavian vein could be found and documented by means of phlebography. Preoperative examination of the venous situation is therefore an important diagnostic step to determine indications and to allow an estimation of the postoperative course and the duration of treatment. Demonstration of cases and statistical evaluation of our patients over the last five years show the importance of this observation.
Dupuytren挛缩症患者的术后愈合不仅受患者年龄和疾病进展的影响，还受其他伴随疾病的存在以及全身和局部因素的影响。术后水肿和所谓的手-指综合征的出现也特别不利，因为这些并发症决定了治疗的持续时间和功能结果。通过静脉造影可以发现并记录锁骨下静脉紊乱作为这些术后并发症的一个原因。因此，术前对静脉情况进行检查是确定手术指征以及评估术后病程和治疗持续时间的重要诊断步骤。对过去五年我们患者的病例展示和统计评估表明了这一观察结果的重要性。
