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Dupuytren挛缩症的真皮筋膜切除术长期随访

Long term follow-up of dermofasciectomy for Dupuytren's contracture.

作者信息

Brotherston T M, Balakrishnan C, Milner R H, Brown H G

机构信息

Department of Plastic Surgery, Royal Victoria Infirmary, Newcastle upon Tyne, UK.

出版信息

Br J Plast Surg. 1994 Sep;47(6):440-3. doi: 10.1016/0007-1226(94)90075-2.

DOI:10.1016/0007-1226(94)90075-2
PMID:7952813
Abstract

During the 4-year period 1980-1983, we carried out 338 operations for Dupuytren's disease of the hand. Of these 46 (13.6%) had a dermofasciectomy and skin graft for recurrent disease. In this sub-group, 34 patients (10.1%) were operated on by the same senior surgeon (H.G.B.). Only these cases were included in this study. Average follow-up was 100 months (range 80-120 months). It was found that graft durability was good, there was no clinical evidence of recurrence beneath grafts, contracture did not exceed 15 degrees at any joint and two point discrimination in the graft was equal to, or better than, 12 mm in the palm and 8 mm in the digit.

摘要

在1980年至1983年的4年期间,我们对338例手部掌腱膜挛缩症患者进行了手术。其中46例(13.6%)因复发性疾病接受了真皮筋膜切除术及皮肤移植术。在这一亚组中,34例患者(10.1%)由同一位资深外科医生(H.G.B.)实施手术。本研究仅纳入了这些病例。平均随访时间为100个月(范围80 - 120个月)。结果发现,移植皮肤的耐用性良好,移植皮肤下方没有临床复发证据,任何关节处的挛缩均未超过15度,移植皮肤处的两点辨别觉在手掌处等于或优于12毫米,在手指处等于或优于8毫米。

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