Hall P N, Fitzgerald A, Sterne G D, Logan A M
Department of Plastic Surgery, West Norwich Hospital, UK.
J Hand Surg Br. 1997 Apr;22(2):193-7. doi: 10.1016/s0266-7681(97)80061-7.
We have reviewed 90 rays in 67 patients who had undergone radical digital dermofasciectomy. Follow-up was from 24 to 100 months. Problems with skin grafts, moving two-point discrimination and active range of joint movement were noted. The recurrence rate in this series was 8%, a very much better figure for disease control than has been reported for standard approaches for Dupuytren's disease. Radical digital dermofasciectomy is strongly recommended for all cases of recurrent Dupuytren's disease requiring reoperation and as a primary procedure when there is significant skin involvement.
我们回顾了67例接受根治性手指皮肤筋膜切除术患者的90条射线。随访时间为24至100个月。记录了皮肤移植、移动两点辨别觉和关节活动范围的问题。该系列的复发率为8%，对于疾病控制而言，这一数字比报道的Dupuytren病标准治疗方法要好得多。对于所有需要再次手术的复发性Dupuytren病病例，以及当有明显皮肤受累时作为初次手术，强烈推荐根治性手指皮肤筋膜切除术。
