Zerilli M, Lombardi A, Di Giorgio A, Scarpini M, Lotito S, Picchio M, Flammia M
I Istituto di Clinica Chirurgica, Università degli Studi di Roma La Sapienza.
Ann Ital Chir. 1996 Nov-Dec;67(6):837-40.
Total and partial aponeurectomy are the most usual operations performed for the treatment of Dupuytren's disease. Eighteen patients, for a sum of 23 treated hands, were submitted to total aponeurectomy in 20 cases and to partial aponeurectomy in 3 cases. Recurrence was present in 4 cases. Postoperative morbidity was 50% (10/20 cases) following total aponeurectomy and 0% (0/3 cases) following partial aponeurectomy. In patient with recurrence disease postoperative complications were present in 3/4 cases (75%) while in patients, operated for the first time, morbidity rate was 36.8% (7/19 cases). Postoperative complications following total aponeurectomy are extremely frequent, especially if recurrence is present. Partial aponeurectomy allows to achieve functional result as good as total aponeurectomy with significative reduction of postoperative morbidity.
全层和部分腱膜切除术是治疗杜普伊特伦挛缩症最常用的手术方法。18例患者共23只手接受治疗，其中20例进行了全层腱膜切除术，3例进行了部分腱膜切除术。4例出现复发。全层腱膜切除术后的术后发病率为50%（10/20例），部分腱膜切除术后为0%（0/3例）。复发疾病患者术后并发症发生率为3/4例（75%），而首次手术患者的发病率为36.8%（7/19例）。全层腱膜切除术后的术后并发症非常常见，尤其是存在复发的情况。部分腱膜切除术能够获得与全层腱膜切除术一样好的功能效果，同时显著降低术后发病率。
