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掌腱膜挛缩症治疗中的开放手掌技术

Open Palm Technique in Dupuytren's Disease Treatment.

作者信息

Malta Marcio Carpi, Alves Marcelo de Pinho Teixeira, Malta Luis Marcelo de Azevedo

机构信息

PhD; Associate Professor, Head of the Orthopedics Service, Hospital Universitário Antonio Pedro, Universidade Federal Fluminense, Niterói, RJ, Brazil.

Master's in Medical Sciences from the Universidade Federal Fluminense, Niterói, RJ, Brazil.

出版信息

Rev Bras Ortop. 2013 Aug 13;48(3):246-250. doi: 10.1016/j.rboe.2012.07.005. eCollection 2013 May-Jun.

DOI:10.1016/j.rboe.2012.07.005
PMID:31214540
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6565875/
Abstract

OBJECTIVE

To evaluate the results of the open palm technique for the treatment of Dupuytren's disease.

METHOD

The authors used the technique described by McCash. Twelve patients (13 hands) were surgically treated, between october 2002 and september 2011.

RESULTS

The wounds healed in a medium of 25 days (variation of 17 to 30 days). There were no complications, such as infection, haematoma formation, skin necrosis, residual edema.

CONCLUSION

The open palm technique remains a safe alternative for the treatment of Dupuytren's disease, with satisfactory results and low risk of complications.

摘要

目的

评估开放手掌技术治疗杜普伊特伦挛缩症的效果。

方法

作者采用了麦卡什描述的技术。在2002年10月至2011年9月期间,对12例患者(13只手)进行了手术治疗。

结果

伤口愈合时间平均为25天(17至30天不等)。未出现感染、血肿形成、皮肤坏死、残余水肿等并发症。

结论

开放手掌技术仍是治疗杜普伊特伦挛缩症的一种安全选择,效果满意且并发症风险低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2905/6565875/d5537b90104a/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2905/6565875/2cbff92ba115/pl1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2905/6565875/24505d3338e2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2905/6565875/e267713c032c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2905/6565875/9c36349be396/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2905/6565875/01bc6a046bd5/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2905/6565875/d5537b90104a/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2905/6565875/2cbff92ba115/pl1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2905/6565875/24505d3338e2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2905/6565875/e267713c032c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2905/6565875/9c36349be396/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2905/6565875/01bc6a046bd5/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2905/6565875/d5537b90104a/gr5.jpg

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引用本文的文献

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Cochrane Database Syst Rev. 2015 Dec 9;2015(12):CD010143. doi: 10.1002/14651858.CD010143.pub2.

本文引用的文献

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Results of needle aponeurotomy for Dupuytren contracture in over 1,000 fingers.1000余例手指掌腱膜挛缩症的经皮腱膜切开术结果
J Hand Surg Am. 2012 Apr;37(4):651-6. doi: 10.1016/j.jhsa.2012.01.029.
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Needle aponeurotomy: a treatment alternative for Dupuytren's disease.针式腱膜切开术:治疗掌腱膜挛缩症的一种替代疗法。
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Dupuytren disease: Anatomy, pathology, presentation, and treatment.
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The surgical treatment of Dupuytren's contracture: a synthesis of techniques.
Plast Reconstr Surg. 2004 Feb;113(2):540-4. doi: 10.1097/01.PRS.0000101054.80392.88.
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THE OPEN PALM TECHNIQUE IN DUPUYTREN'S CONTRACTURE.
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Myofibroblasts and mechano-regulation of connective tissue remodelling.肌成纤维细胞与结缔组织重塑的机械调节
Nat Rev Mol Cell Biol. 2002 May;3(5):349-63. doi: 10.1038/nrm809.
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The injection of nodules of Dupuytren's disease with triamcinolone acetonide.用曲安奈德注射治疗掌腱膜挛缩症结节。
J Hand Surg Am. 2000 Nov;25(6):1157-62. doi: 10.1053/jhsu.2000.18493.
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Enzyme injection as nonsurgical treatment of Dupuytren's disease.酶注射作为掌腱膜挛缩症的非手术治疗方法。
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