CAJ | 학술논문

目的探讨掌腱膜挛缩症与腕管综合征的相关性及一次完成两种手术的治疗效果.方法 2003年3月至2011年8月,对8例掌腱膜挛缩症合并腕管综合征的患者,其中右手5例、左手3例,设计手掌部“M”形切口,或同时加手指的“Y”形切口,同时切除部分掌腱膜,行屈肌支持带切开、正中神经松解术.结果术后全部伤口均Ⅰ期愈合,无皮瓣边缘坏死及血肿形成,术后拇、示、中指麻木逐渐减轻,术后3个月手指麻木全部消失.术后随访时间为6个月至2年,掌腱膜挛缩无复发.结论掌腱膜挛缩症与腕管综合征两种疾病的诱发因素较多地发生在同一个体时,两种疾病同时并发的几率明显增加,可通过一次手术完成.
목적 탐토장건막련축증여완관종합정적상관성급일차완성량충수술적치료효과.방법 2003년3월지2011년8월,대8례장건막련축증합병완관종합정적환자,기중우수5례、좌수3례,설계수장부“M”형절구,혹동시가수지적“Y”형절구,동시절제부분장건막,행굴기지지대절개、정중신경송해술.결과 술후전부상구균Ⅰ기유합,무피판변연배사급혈종형성,술후무、시、중지마목축점감경,술후3개월수지마목전부소실.술후수방시간위6개월지2년,장건막련축무복발.결론 장건막련축증여완관종합정량충질병적유발인소교다지발생재동일개체시,량충질병동시병발적궤솔명현증가,가통과일차수술완성.
Objective To investigate the correlation of Dupuytren's contracture and carpal tunnel syndrome and evaluate the clinical outcomes of treating both diseases in one surgery. Methods From March 2003 to August 2011,8 cases of Dupuytren's contracture combined with carpal tunnel syndrome were surgically treated.Through an M-shaped palm incision and a Y-shaped incision extended to the finger,the palmar aponeurosis was partially removed and the flexor retinaculum was cut open to release the median nerve at the same time. Results Primary wound healing was achieved in all of the eight cases.There were no flap edge necrosis and hematoma formation.Numbness of the thumb,index finger and middle finger gradually reduced postoperatively.The numbness disappeared after 3 months.All patients were follow-up for 6 months to 2 years with no recurrence. Conclusion When more predisposing factors of both diseases occur in one patient,the probability of the occurrence of both Dupuytren' s contractue and carpal tunnel syndrome in one patient also increases significantly.The two diseases can be treated in one surgery.