摘要
目的 探讨掌腱膜挛缩症的治疗体会.方法 对我院2004年10月至2013年12月收治的78例掌腱膜挛缩症患者的发病特点、手术方法、术后并发症及远期疗效进行回顾性分析.结果 本组患者111只手,99只手Ⅰ期愈合,12只手术后出现不同程度的早期并发症,发生率10.81％.其中68例患者98只手术后平均随访3.9年,6只手复发,术后复发率为6.12％.依据中华医学会手外科学会上肢部分功能评定试用标准评定：优81只手,良11只手,差6只手;优良率为93.88％.结论 早期手术、精细操作将极大降低掌腱膜挛缩症术后出现早期及远期并发症的机会.
Objective To introduce the clinical experiences of treating Dupuytren＇s disease.Methods A retrospective study was conducted of 78 cases of Dupuytren＇s disease treated from October 2004 to December 2013 to analyze the clinical characteristics,surgical methods,postoperative complications,and long-term results.Results Of the 111 hands in this group,99 hands had primary healing of the wound,while 12 had various degrees of early postoperative complicatiom.The incidence of complications was 10.81%.Among them,98 hands of 68 patients were follow-up for a mean of 3.9 years after the surgery.Recurrence of Dupuytren＇s was seen in 6 hands,the rate of postoperative recurrence being 6.12%.According to the upper limb functional evaluation criteria issued by the Hand Surgery Society of the Chinese Medical Association,the results were excellent in 81 hands,good in 11 hands and poor in 6 hands.The overall satisfactory rate was 93.88%.Conclusion Early surgery and careful operation will significantly reduce the incidence of early postoperative and long-term comphcations in the treatment of Dupuytren＇s contracture.
出处
《中华手外科杂志》
CSCD
北大核心
2015年第1期31-33,共3页
Chinese Journal of Hand Surgery
关键词
回顾性研究
外科手术
掌腱膜挛缩症
Retrospective studies
Surgical procedures,operative
Dupuytren＇s disease
