Dermofasciectomy in the management of Dupuytren's disease
Dermofasciectomy in the management of Dupuytren's disease
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DOI：
10.1302/0301-620x.82b1.9808
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发表时间：
2000-01-01
影响因子：
--
通讯作者：
Logan, AM
中科院分区：
文献类型：
--
作者：
Armstrong, JR;Hurren, JS;Logan, AM
Dupuytren病可表现为边界清楚的皮下索或累及皮肤的弥漫性病变。筋膜切除术是治疗各种疾病的常用手术，但复发率高达66%，我们回顾了103名因累及皮肤的弥漫性疾病接受皮筋膜切除术的患者的143张X线照片，我们发现12张X线照片复发（8.4%的射线; 11.6%的患者）在平均5.8年的随访中，8例为索状，4例为结节。我们认为，对于累及皮肤的更弥漫型疾病，皮筋膜切除术是一种比筋膜切除术更好的疾病控制方法。
Dupuytren's disease may present with well-defined subcutaneous cords or as more diffuse disease with involvement of the skin. Fasciectomy is the procedure commonly carried out for the full range of disease, but is associated with rates of recurrence of up to 66%, We reviewed 143 rays in 103 patients undergoing dermofasciectomy for diffuse disease with involvement of the skin, We found recurrence in 12 rays (8.4% of rays; 11.6% of patients) during a mean follow-up of 5.8 years, eight as cords and four as nodules, We suggest that dermofasciectomy is a better method of disease control than fasciectomy for the more diffuse type of disease with involvement of the skin.