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杜普伊特伦挛缩症筋膜切除术：手术规划与解剖中的实用技巧

Dupuytren's Fasciectomy: Surgical Pearls in Planning and Dissection.

作者信息

Hever Pennylouise, Smith Oliver J, Nikkhah Dariush

机构信息

Department of Plastic Surgery, Royal Free Hospital, London, United Kingdom.

出版信息

Plast Reconstr Surg Glob Open. 2020 Jul 21;8(7):e2832. doi: 10.1097/GOX.0000000000002832. eCollection 2020 Jul.

DOI:10.1097/GOX.0000000000002832
PMID:32802632
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7413789/
Abstract

Fasciectomy remains the mainstay of surgical treatment for Dupuytren's disease at many units worldwide, particularly in cases of recurrence after aponeurotomy or enzymatic fasciotomy. In some series, this has been reported as high as 48% in 3 years. The lead author has since abandoned the use of collagenase altogether. In this innovation article, we describe simple maneuvers to aid the planning and dissection of a Dupuytren's fasciectomy. We describe techniques to enable efficient dissection of the cord and minimize problems when designing skin flaps. We also highlight technical points in revision cases.

摘要

在全球许多医疗单位，筋膜切除术仍是治疗杜普伊特伦挛缩症的主要手术方式，尤其是在腱膜切开术或酶解筋膜切开术后复发的病例中。在一些系列研究中，3年内的复发率高达48%。第一作者此后已完全不再使用胶原酶。在这篇创新文章中，我们描述了一些简单的操作方法，以辅助杜普伊特伦筋膜切除术的规划和解剖。我们介绍了一些技术，以便在设计皮瓣时能够高效地解剖条索并将问题降至最低。我们还强调了翻修病例中的技术要点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b41a/7413789/1f867fbb3f3b/gox-8-e2832-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b41a/7413789/36e67efdd063/gox-8-e2832-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b41a/7413789/7f87b420f485/gox-8-e2832-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b41a/7413789/807ab448158d/gox-8-e2832-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b41a/7413789/1f867fbb3f3b/gox-8-e2832-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b41a/7413789/36e67efdd063/gox-8-e2832-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b41a/7413789/7f87b420f485/gox-8-e2832-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b41a/7413789/807ab448158d/gox-8-e2832-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b41a/7413789/1f867fbb3f3b/gox-8-e2832-g004.jpg

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Letter to the Editor: Dupuytren's Fasciektomy: Surgical Pearls in Planning and Dissection.

本文引用的文献

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2
Evidence-Based Medicine: Options for Dupuytren's Contracture: Incise, Excise, and Dissolve.循证医学：掌腱膜挛缩症的治疗选择：切开、切除与溶解
Plast Reconstr Surg. 2017 Jan;139(1):240e-255e. doi: 10.1097/PRS.0000000000002857.
3
Percutaneous needle fasciotomy for Dupuytren's: Further insights.经皮针刺筋膜切开术治疗掌腱膜挛缩症：进一步见解
致编辑的信：掌腱膜切除术：规划与解剖中的手术要点
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J Plast Reconstr Aesthet Surg. 2017 Jan;70(1):144-146. doi: 10.1016/j.bjps.2016.04.023. Epub 2016 May 13.
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J Hand Surg Am. 2012 Apr;37(4):651-6. doi: 10.1016/j.jhsa.2012.01.029.
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[Results of interphalangeal joint arthrolysis in patients with Dupuytren disease].[掌腱膜挛缩症患者指间关节松解术的结果]
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