Moermans J P
Clinique du Parc Léopold, Brussels, Belgium.
J Hand Surg Br. 1996 Dec;21(6):797-800. doi: 10.1016/s0266-7681(96)80195-1.
Segmental aponeurectomy has been proposed as a less extensive procedure for the treatment of Dupuytren's disease to limit the incidence of wound complications and stiffness associated with wide dissections. Analysis of the late results showed that the operation brought a lasting correction of the contracture. In hands which did not show any sign of progression of the disease, the follow-up values were even slightly better than the immediate postoperative measurements. It also showed that the proportions of recurrences, extensions and hands free of the disease are similar to those after other procedures and that the type of operation does not appear to be related to the progression of Dupuytren's disease.
节段性腱膜切除术已被提议作为一种治疗杜普伊特伦挛缩症的范围较小的手术，以限制与广泛解剖相关的伤口并发症和僵硬的发生率。对晚期结果的分析表明，该手术能持久矫正挛缩。在未出现疾病进展迹象的手部，随访值甚至略优于术后即刻测量值。研究还表明，复发、病情进展和手部痊愈的比例与其他手术相似，而且手术方式似乎与杜普伊特伦挛缩症的进展无关。
