Thorpe A P
Department of Orthopaedic and Fracture Surgery, Queen's Medical Centre, Nottingham.
J Hand Surg Br. 1988 May;13(2):199-201. doi: 10.1016/0266-7681_88_90138-6.
Forty-three patients were reviewed between 17 and 113 months (mean of 47 months) following surgery for acquired stenosing tenosynovitis of the fingers or thumbs. 32 (60.4%) of the 53 operations were completely successful. Of the remaining 21 operations, 26% either failed to relieve all symptoms, or symptoms had recurred at review. 15 operations led to complications that bothered the patient to some extent. Three procedures resulted in significant functional deficit of the hand, two because of nerve damage and one because of stiffness following infection. The three major complications all followed operations performed by junior surgeons. The importance of an adequate trial of conservative therapy to avoid unnecessary surgery is emphasised.
对43例因获得性手指或拇指狭窄性腱鞘炎接受手术的患者进行了17至113个月（平均47个月）的随访。53例手术中有32例（60.4%）完全成功。其余21例手术中，26%要么未能缓解所有症状，要么在复查时症状复发。15例手术导致了在一定程度上困扰患者的并发症。3例手术导致手部严重功能障碍，2例是由于神经损伤，1例是由于感染后僵硬。这3例主要并发症均发生在低年资外科医生进行的手术之后。强调了进行充分的保守治疗试验以避免不必要手术的重要性。
