The treatment of Dupuytren's disease in 69 Chinese cases
HUANG Yi xiong,HOU Ming zhong JIA Wan xin,HUANG Yan qing,TENG ke ying,SHEN zhun li(Institute of Orthopedics,The first Hospital of Shanghai city,Shanghai 20080,China)
Objective To investigate the incidence of Dupuytrens contracture and its treatment result. Methods Clinical data in 69 Chinese cases were collected and systematic review from its incidence, patients family history,association with chronic pulmonary heart disease,the habit of smoking or drinking,examination of pathological tissue and operative results.Results In recent years,the incidence of Dupuytrens contracture tends to rise.There were a few patients with inherited history.The patients used to associate with chronic pulmonary heart disorder,which affected oxyenic exchange.39 1% patients were found of smoking and drinking.The myofibroblast connected cell to cell and the type Ⅲ collagen tibers appeared in the lesion tissues in the active stage of Dupuytrens contracture.There was no significant difference from treament result between plam total aponeurectomy and segmental aponeurectomy.Conclusion To stop smoking and drinking have great significance of preventing Dupuytrens contracture.The chronic pulmonary heart disease must be treated.The pathological base of Dupuytrens contracture are the connection of myofibroblast and the formation of type Ⅲ collagen.To dissect the lesion tissues of palm and fingers thorougthly with microsurgical technique can prevent recurrence of disease.
【CateGory Index】： R686