手术显微镜下切除掌腱膜治疗掌腱膜挛缩症  

The Palmar Fascial Excision under Microscopic Surgery for Treatment of Dupuytren's Contracture

作　　者：史仲初[1] 

机构地区：[1]首钢总医院骨科,北京100041

出　　处：《中国临床医学》1999年第1期38-39,共2页Chinese Journal of Clinical Medicine

摘　　要：目的：手术显微镜下掌腱膜切除术，治疗掌腱膜挛缩症，避免血管神经束的损伤，彻底切除病变的筋膜，防止术后复发。方法：在手术显微镜下施行掌腱膜切除21例，其中男性18例，女性3例；全部切除术16例，部分切除术5例。结果：无血管神经束的损伤，无血肿及皮瓣坏死。随访1-18年，无复发，手指功能良好。结论：在手术显微镜下切除掌腱膜，解剖清晰，切除彻底，避免血管神经束的损伤，减少复发。Objective: We apply the palmar fascial exision under microscopy for treatment of Dupuytren's contracture, toperform effective treatment for Dupuytren's contracture, to excise the affected fascia thoroughly and avoid the injury of ner-vous vascular bundle recurrence of the disease after operation. Materials and Methods: 21 cases have been pe formed with thefasciaotomy under microscopy. Eighteen were male, the others were female. Sixteen have been applied with total fasciaotomy,five with selective regional fascieotomy. Results: There were no injury of nervous vascular bundles, no formation ofhematomas and no necrosis of flap. They have been followed - up for one to eighteen years, without recurrance. The finger'sfunctions are well. Conclusion: The advantages of fasciaotomy under microscopy are: clearness of dissection, thorough exci-sion with prevention of nervous vascular bundle injury and reduction of recurrency.

关 键 词：掌腱挛缩 显微镜 外科手术 

分 类 号：R682.240.5[医药卫生—骨科学]