Konychev A V, Kaiukov A V
Vestn Khir Im I I Grek. 1997;156(6):38-41.
New trends in surgical treatment of purulent tendovaginitis of the hand are described on the basis of clinical data of 295 patients with purulent tendovaginitis and its complications. A sparing operation technique was used as well as the fractional bathing of the purulent focus and regional antibacterial therapy at the postoperative period. This method of surgical treatment resulted in a shorter first stage of inflammation, less risk of complications (dermatogenic contracture, limited mobility in the joints of the fingers and toes, trophoneurotic disturbances) and less influence of injurious factors on the tendon in the process of treatment.
基于295例脓性腱鞘炎及其并发症患者的临床资料，阐述了手部脓性腱鞘炎外科治疗的新趋势。采用了一种微创的手术技术，以及在术后对脓性病灶进行分次冲洗和局部抗菌治疗。这种外科治疗方法缩短了炎症的第一阶段，降低了并发症（皮肤源性挛缩、手指和脚趾关节活动受限、营养神经紊乱）的风险，并且在治疗过程中减少了有害因素对肌腱的影响。
