| “Z”字成形术与游离植皮术治疗掌腱膜挛缩症的比较 |
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Received:March 22, 2006
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| 期刊信息：《中国骨伤》2007年20卷，第2期，第113-114页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:讨论掌腱膜挛缩症的病因、发病机制及治疗方法。
方法:总结和分析经手术治疗的掌腱膜挛缩症31例(46只手)。行掌腱膜大部切除、手掌及手指挛缩皮肤“Z”字成形术9例(14只手),男8例,女1例;年龄24-78岁,平均(57.2±14.6)岁。行掌腱膜及受累皮肤一并切除加游离植皮术22例(32只手),男20例,女2例;年龄23-64岁,平均(53.7±8.9)岁。
结果:随访3个月-14年,平均5年8个月。单纯掌腱膜切除组术后复发率为42.9%(6/14),掌腱膜切除加受累皮肤切除组术后复发率12.5%(4/32),两组术后复发率比较2χ=5.275,P<0.05(P=0.022),差异有显著性统计学意义。
结论:彻底切除病变组织,有利于降低手术后的复发率。 |
| [关键词]:手畸形,先天性 皮肤移植 外科手术 |
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| Comparison of Z-shape plasty with free flap transplantation for treating Dupuytren’s contracture |
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Abstract:
Objective:To explore pathogenesis and therapeutic methods of Dupuytren’s contracture.
Methods:Thirty-one patients(46 hands) with Dupuytren’s contracture treated by operation were reviewed.Among 9 patients(14 hands) treated with palmar aponeurosis excision plus and "Z" shape skin plasty,8 patients were male and 1 patient was female,wtih an average age of(57.2±14.6) years ranging from 24 to 78 years.Within other 22 patients(32 hands) treated with palmar aponeurosis and skin resection combined with free skin grafting,20 patients were male and 2 patients were female,with an average age of(53.7±8.9) years ranging from 23 to 64 years.
Results:All the patiemts were followed up averagely for 5 years and 8 months,ranging from 3 months to 14 years.The postoperative recurrence rates were 42.9%(6/14) and 12.5%(4/32) in the patients treated with simple palmar aponeurosis excision and those treated with palmar aponeurosis in combination with skin resection respectively.The Chi-square test was used to compare statistically the recurrence rate between the two groups and the result showed the χ2 was 5.275,P value was less than 0.05(P=0.022).
Conclusion:Complete resection of affected tissues is effective to decrease postoperative recurrence rate in the treatment of Dupuytren’s contracture. |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 薛旦,黄宗坚.“Z”字成形术与游离植皮术治疗掌腱膜挛缩症的比较[J].中国骨伤,2007,20(2):113~114 |
| 英文格式: | XUE Dan,HUANG Zong-jian.Comparison of Z-shape plasty with free flap transplantation for treating Dupuytren’s contracture[J].zhongguo gu shang / China J Orthop Trauma ,2007,20(2):113~114 |
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