LONG-TERM RESULTS AFTER TENOSYNOVECTOMY TO TREAT THE RHEUMATOID HAND
LONG-TERM RESULTS AFTER TENOSYNOVECTOMY TO TREAT THE RHEUMATOID HAND
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DOI：
10.1016/s0363-5023(88)80129-1
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发表时间：
1988-09-01
影响因子：
1.9
通讯作者：
BROWN, ML
中科院分区：
文献类型：
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作者：
BROWN, FE;BROWN, ML
作为一种有效的预防性手术，腱鞘切除术治疗类风湿性手必须在有显着的肌腱损伤之前进行。腱鞘切除术通常被认为是为了防止随后的肌腱断裂和复发性腱鞘炎。我们回顾了1968年至1983年在达特茅斯-希区柯克医学中心进行的所有腱鞘切除术的结果。对125名患者进行了173例手术。50%的预防性腱鞘切除术的患者表现出肌腱侵犯。129例手术后平均70个月的检查显示，44例肌腱正常的患者中有1例出现伸肌肌腱失效，42例肌腱受侵的患者中有1例出现伸肌肌腱失效，43例初次手术时肌腱断裂的患者中有3例出现伸肌肌腱失效。7例患者复发性腱鞘炎。
To be effective as a prophylactic procedure, tenosynovectomy to treat rheumatoid hand has to be done before there is significant tendon damage. Tenosynovectomy is usually considered to prevent subsequent tendon rupture and recurrent tenosynovitis. We reviewed the results of all tenosynovectomies done at the Dartmouth-Hitchcock Medical Center from 1968 to 1983. One hundred seventy-three procedures were done for 125 patients. Fifty percent of patients who had prophylactic tenosynovectomy demonstrated tendon invasion. Examination at a mean of 70 months after 129 procedures showed extensor tendon failure in 1 patient of 44 who had normal tendons, 1 of 42 with invaded tendons, and in 3 of 43 who had ruptured tendons at the time of original surgery. Seven patients had recurrent tenosynovitis.