循证医学：掌腱膜挛缩症的治疗选择：切开、切除与溶解
Evidence-Based Medicine: Options for Dupuytren's Contracture: Incise, Excise, and Dissolve.
作者信息
Denkler Keith A, Vaughn Carolyn J, Dolan Estelle L, Hansen Scott L
机构信息
San Francisco, Calif.
From the Division of Plastic Surgery, University of California, San Francisco.
出版信息
Plast Reconstr Surg. 2017 Jan;139(1):240e-255e. doi: 10.1097/PRS.0000000000002857.
LEARNING OBJECTIVES
After studying this article, the participant should be able to: 1. Understand updates in the basic science, epidemiology, and treatment of Dupuytren's disease. 2. Understand treatment with needle aponeurotomy, collagenase, and fasciectomy. 3. Understand advanced needle techniques for Dupuytren's contracture. 4. Understand the safety and effectiveness of a new treatment, collagenase.
SUMMARY
The literature on Dupuytren's disease encompasses many specialties. Its treatment is generally by perforating, excising, or dissolving the affected tissues. This article reviews the changing understanding of this disease and treatment options.
学习目标
在研读本文后，参与者应能够：1. 了解掌腱膜挛缩症的基础科学、流行病学及治疗方面的最新进展。2. 了解针式腱膜切开术、胶原酶及筋膜切除术的治疗方法。3. 了解掌腱膜挛缩症的先进针刺技术。4. 了解一种新治疗方法——胶原酶的安全性和有效性。
总结
关于掌腱膜挛缩症的文献涵盖多个专业领域。其治疗通常是通过对受影响组织进行穿孔、切除或溶解。本文回顾了对该疾病及治疗选择不断变化的认识。
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