掌筋膜挛缩症:1例报告和综述

Dupuytren’s contracture: A case report and review

摘要:

掌筋膜挛缩症是一种掌筋膜纤维增生性疾病，特征是手指进行性屈曲畸形。掌筋膜挛缩症的病因仍然未知，但遗传、免疫和环境因素可能相互作用以促进这种疾病的发展。早期进行药物、物理治疗以及其他一些干预措施可能会控制疾病的进一步发展，以防止屈曲畸形，但还缺少有力的客观证据，晚期最常见的治疗方法是手术切除。本文报告 1 例掌筋膜挛缩症患者，行掌筋膜部分切除术取得良好效果，并对相关文献进行综述。

Abstract:

Palmar fascial contracture, also termed as Dupuytren’s contracture, is a fibrous hyperplastic disease of the palmar fascia char- acterized by progressive flexion deformity of the fingers with unknown etiology. Medication, physical therapy and some other interventions in the early stages may limit further progression of the disease to prevent flexion deformity, whereas without strong objective evidence. The most common treatment in the late stages is surgical excision. In this paper, we report a case of palmar fascial contracture who underwent partial palmar fasciotomy with good results and review the relevant literature.