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COMBINED METHOD FOR TREATING III-IV STAGE DUPUYTREN CONTRACTURE CASES

机译:治疗III-IV期Dupuytren合同病例的组合方法

摘要

FIELD: medicine.;SUBSTANCE: method involves making skin incision, subtotal excision of cicatricial palmar aponeurosis, wound closure, splint application over hand and fingers, administering medical training exercises, physiotherapy, antibioticotherapy and removing stitches. Z-shaped cut over palmar finger surface is applied as the skin incision beginning from external boundary of distal interphalangeal skin fold, going further towards external boundary of the proximal one, and then the incision is continued as arc-shaped curve along the internal boundary of hypotenor or tenor. Dosed cicatricial tendon sheath wall excision is done near the proximal interphalangeal articulation on 2.0-2.5 cm long strip is carried out and the first bandage is applied in 2-4 h after the surgical intervention. Splint is applied for the first 3 days. Medical training exercises are administered at the third day after operation. Physiotherapeutic procedures are performed by exposing postoperative wound zone to low intensity broadband electromagnetic radiation in extremely high frequency bandwidth with noise spectrum of 53.57-78.33 GHz, radiation power of 1.0-1.2 mcW beginning from the second day after the surgical intervention during 30 min daily in the amount of 7 sessions.;EFFECT: reduced risk of postoperative complications; reduced hospital stay; reduced disability period.;1 dwg
机译:领域:药物;方法:该方法涉及进行皮肤切口,瘢痕状掌部腱膜的大体切除,伤口闭合,手和手指上的夹板应用,进行医学培训,理疗,抗生素治疗和去除缝线。从远端指间皮肤褶皱的外部边界开始向皮肤切口应用Z形切开的手掌手指表面,进一步向近端指间皮肤褶皱的外部边界延伸,然后沿弧形的内部边界以弧形曲线的形式继续切口次要或次中。在2.0-2.5cm长的带上在近端指间关节附近进行定量瘢痕肌腱鞘壁的切除,并在外科手术后2-4小时内应用第一绷带。夹板适用于前3天。术后第三天进行医学培训。物理治疗程序是通过将术后伤口区暴露于极高带宽的低强度宽带电磁辐射中进行的,噪声频谱为53.57-78.33 GHz,辐射功率为1.0-1.2 mcW,从手术干预后第二天开始,每天30分钟。 7次疗程。效果:降低术后并发症的风险;减少住院时间;减少残疾时间。; 1 dwg

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