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<?xml version="1.0" encoding="UTF-8" standalone="no"?><merged xmlns:dita-ot="http://dita-ot.sourceforge.net/ns/201007/dita-ot" id="GUID-8734f9e1-a984-4565-9d3d-df253a2f779b-en" xml:lang="zh" xtrf="file:/mnt/crx/author/crx-quickstart/profiles/ditamaps/ditamap8241043626620701179/hecs-ccms/zh_cn/HIL/conditions/d-f/dupuytren-contracture/dupuytren-contracture.ditamap"> <displayTitle>掌腱膜挛缩症</displayTitle> <featureTitle>掌腱膜挛缩症：该手部状况的治疗方法取决于其严重程度</featureTitle> <listTitle/> <hecsConcept contentType="http://ontology.mayo.edu/ContentCategories/Overview" policy="did:mcid:PDkv3FCzsA4FPiHVvT1zRc;did:mcid:7AmKpSty59qW9PRkXPDxNB" reviewedOn="2023-09-28T05:00:00.000-05:00" workId="did:mcid:C4CMiaPbEvaoFvGq8nPJMV:2026-10-09" xml:lang="zh"> <title>overview dupuytren contracture</title> <titlealts> <titleSimple keyref="titleSimple-overview">概述</titleSimple> </titlealts> <conbody> <p product="mayoclinic.org"> <xref href="https://www.mayoclinic.org/about-this-site/meet-our-medical-editors" keyref="attrib-mayo-clinic-staff-link" scope="external">来自妙佑医疗国际员工</xref> </p> <conbodydiv platform="richtext"> <section> <p>掌腱膜挛缩症是一种会导致一根或多根手指弯向手掌的状况。随着时间的推移，受累手指无法完全伸直。这是因为手掌皮肤下的坚韧组织逐渐增厚、缩短，形成条索，将手指向下牵拉。</p> <p>该状况通常会在数年内缓慢恶化。该状况最常累及无名指和小指，但任何手指都可能受累。活动受限会使日常活动变得困难，例如戴手套、握手或伸手进口袋等。</p> <p>掌腱膜挛缩症尚无治愈方法。但治疗可以缓解症状，减缓状况恶化的速度。</p> <fig> <title>掌腱膜挛缩症</title> <desc> <p>掌腱膜挛缩症是一种会导致一根或多根手指总是弯向手掌的疾病。受累手指无法完全伸直。此病症主要影响离拇指最远的两根手指。</p> </desc> <image href="https://assets.mayoclinic.org/content/dam/hecs-ccms/global/images/hil-ccgs/DS00732-IM01142-ans7-dupuytrensthu-en.jpg" placement="inline"> <alt>掌腱膜挛缩症</alt> </image> </fig> </section> </conbodydiv> </conbody> </hecsConcept> <hecsConcept contentType="http://ontology.mayo.edu/ContentCategories/Symptoms" policy="did:mcid:PDkv3FCzsA4FPiHVvT1zRc;did:mcid:7AmKpSty59qW9PRkXPDxNB" reviewedOn="2023-09-28T05:00:00.000-05:00" workId="did:mcid:CAPknJJhAS3cYPo5CnWLKY:2026-10-09" xml:lang="zh"> <title>symptoms dupuytren contracture</title> <titlealts> <titleSimple keyref="titleSimple-symptoms">症状</titleSimple> </titlealts> <conbody> <conbodydiv platform="richtext"> <section> <p>掌腱膜挛缩症患者最先出现的症状通常是手掌上的皮肤增厚。随着时间的推移，手掌皮肤可能出现皱缩或凹陷，并可能形成坚实的组织肿块。这个肿块通常无痛，但有时也会疼痛。</p> <p>随着时间推移，该肿块可能形成一条坚硬的条索并延伸至手指，将手指牵拉至弯曲位置。掌腱膜挛缩症通常会累及双手。</p> </section> </conbodydiv> </conbody> </hecsConcept> <hecsConcept contentType="http://ontology.mayo.edu/ContentCategories/WhenToSeekCare" policy="" reviewedOn="" workId="did:mcid:Twxvg6KECwyvS8uBbX9oM2:2026-10-09" xml:lang="zh"> <title>when to see a doctor dupuytren contracture</title> <titlealts> <titleCustom/> <titleSimple keyref="titleSimple-when-to-see-doctor">何时就医</titleSimple> </titlealts> <conbody> <p>如果发现以下情况，请前往医务人员处就诊：</p> <ul> <li>手掌出现不消退的肿块。</li> <li>手指开始向手掌方向弯曲。</li> <li>手掌无法平放于桌面。</li> <li>影响日常活动，如戴手套、握手或伸手进口袋等。</li> </ul> </conbody> </hecsConcept> <hecsConcept contentType="http://ontology.mayo.edu/ContentCategories/Causes" policy="did:mcid:PDkv3FCzsA4FPiHVvT1zRc;did:mcid:7AmKpSty59qW9PRkXPDxNB" reviewedOn="2023-09-28T05:00:00.000-05:00" workId="did:mcid:NiNnV8Ci5Hff9dNSK97wRT:2026-10-09" xml:lang="zh"> <title>causes dupuytren contracture</title> <titlealts> <titleSimple keyref="titleSimple-causes">病因</titleSimple> </titlealts> <conbody> <conbodydiv platform="richtext"> <section> <p>掌腱膜挛缩症的病因尚不清楚，但往往具有家族遗传倾向。</p> </section> </conbodydiv> </conbody> </hecsConcept> <hecsConcept contentType="http://ontology.mayo.edu/ContentCategories/RiskFactors" policy="did:mcid:PDkv3FCzsA4FPiHVvT1zRc;did:mcid:7AmKpSty59qW9PRkXPDxNB" reviewedOn="2023-09-28T05:00:00.000-05:00" workId="did:mcid:UyLtTt6TPvckYR48zLhthD:2026-10-09" xml:lang="zh"> <title>risk factors dupuytren contracture</title> <titlealts> <titleSimple keyref="titleSimple-risk-factors">风险因素</titleSimple> </titlealts> <conbody> <conbodydiv platform="richtext"> <section> <p>患有某些疾病或健康状况的人，可能更容易患上掌腱膜挛缩症。风险因素包括：</p> <ul> <li> <b>年龄。</b> 掌腱膜挛缩症最常见于 50 岁以上人群。</li> <li> <b>性别。</b> 男性比女性更容易患掌腱膜挛缩症。在男性中，症状可能更严重，进展更快。</li> <li> <b>血统。</b> 北欧血统的人患该疾病的风险更高。</li> <li> <b>家族史。</b> 掌腱膜挛缩症通常会在家族中遗传。</li> <li> <b>职业。</b> 一些研究显示，掌腱膜挛缩症与使用振动工具的人之间存在相关性。</li> <li> <b>糖尿病。</b> 糖尿病患者患掌腱膜挛缩症的风险增加。</li> <li> <b>吸烟和酒精使用。</b> 一些研究显示，吸烟和饮酒均与掌腱膜挛缩症风险增加有关。</li> </ul> </section> </conbodydiv> </conbody> </hecsConcept> <hecsConcept contentType="http://ontology.mayo.edu/ContentCategories/Diagnosis" policy="did:mcid:PDkv3FCzsA4FPiHVvT1zRc;did:mcid:7AmKpSty59qW9PRkXPDxNB" reviewedOn="2023-09-28T05:00:00.000-05:00" workId="did:mcid:8U2PHyXnAMaZfRxQHytzcY:2026-10-09" xml:lang="zh"> <title>diagnosis dupuytren contracture</title> <titlealts> <titleSimple keyref="titleSimple-diagnosis">诊断</titleSimple> </titlealts> <conbody> <conbodydiv platform="richtext"> <section> <p>在大多数情况下，仅通过观察和触摸双手即可诊断掌腱膜挛缩症。很少需要做其他检查。</p> <p>在检查过程中，医务人员会：</p> <ul> <li>比较双手，观察手掌皮肤是否有凹陷或皱缩等变化。</li> <li>轻按双手及手指，触摸有无硬结或紧绷的组织条索。</li> </ul> <p>还可进行一项名为桌面试验的简单检查。将双手平放在桌面上。如果手指无法完全伸直、平贴桌面，则可能需要治疗。</p> </section> </conbodydiv> </conbody> </hecsConcept> <hecsConcept contentType="http://ontology.mayo.edu/ContentCategories/Treatment" policy="did:mcid:PDkv3FCzsA4FPiHVvT1zRc;did:mcid:7AmKpSty59qW9PRkXPDxNB" reviewedOn="2023-09-28T05:00:00.000-05:00" workId="did:mcid:EC3xPDhheo7edeEpyWEQ86:2026-10-09" xml:lang="zh"> <title>treatment dupuytren contracture</title> <titlealts> <titleSimple keyref="titleSimple-treatment">治疗</titleSimple> </titlealts> <conbody> <conbodydiv platform="richtext"> <section> <p>如果掌腱膜挛缩症程度轻微，没有引起疼痛，且未限制您的日常活动，则可能无需治疗。医务人员可能会建议先观察，看看病情是否会加重。您也可以在家通过桌面试验自行检查。将手掌平放在桌面上，看看手指能否完全伸直。</p> <p>如果症状轻微，一些小改变就能让日常活动更轻松：</p> <ul> <li>用缓冲胶带缠绕手柄，使其更粗大、更易握持。</li> <li>进行抓握操作时佩戴带衬垫的手套。</li> </ul> <p>如果需要治疗，目标是松解或切除将手指拉向手掌的紧绷条索。但没有任何治疗方法能永久根治。随着时间的推移，条索可能会重新生长，手指可能再次弯曲。最佳治疗方案取决于症状的严重程度和整体健康状况。</p> </section> <section> <title>针刺</title> <p>该程序也称为针刺腱膜切开术。将一根细针穿入经过麻醉的皮肤，刺穿并切断牵拉手指的组织条索。该状况往往会复发，但这项程序可以重复进行。</p> <p>针刺法有几个优点。没有需要愈合的大伤口。可以在几根手指上同时进行。可以在诊室环境而非手术室中进行。缺点则是不能用于手指某些部位，因为可能会损伤神经或肌腱。</p> </section> <section> <title>注射剂</title> <ul> <li> <b>类固醇。</b> 向硬结内注射药物可能有助于使其软化并缓解疼痛，尤其在疾病早期。</li> <li> <b>胶原酶，也称酶疗法。</b> 注射一种名为胶原酶的特殊酶可以削弱条索。几天后的随访中，医务人员会活动您的手部，以松解或切断条索，使手指伸直。这可以改善甚至矫正该状况，效果可持续数月乃至数年。</li> </ul> </section> <section> <title>放射疗法</title> <p>放射疗法有时可在掌腱膜挛缩症早期使用。也可以在医疗程序或手术后使用该疗法，以帮助预防该状况复发。</p> </section> <section> <title>手术</title> <p>对于更严重的症状，可能会建议手术。在手术过程中，外科医生会切除或松解增厚的组织。如果症状非常严重，可能也需要切除皮肤。此时会通过皮肤移植来覆盖创面。</p> <p>与针刺或酶疗法相比，手术通常可以实现更完全、更持久的松解效果。但恢复时间更长。</p> </section> </conbodydiv> </conbody> </hecsConcept> <hecsConcept contentType="http://ontology.mayo.edu/ContentCategories/SelfCare" policy="did:mcid:PDkv3FCzsA4FPiHVvT1zRc;did:mcid:7AmKpSty59qW9PRkXPDxNB" reviewedOn="2023-09-28T05:00:00.000-05:00" workId="did:mcid:NBHroSegt1hdq8XwtGvxaY:2026-10-09" xml:lang="zh"> <title>lifestyle and home remedies dupuytren contracture</title> <titlealts> <titleSimple keyref="titleSimple-lifestyle-and-home-remedies">自我护理</titleSimple> </titlealts> <conbody> <conbodydiv platform="richtext"> <section> <p>如果您患有轻微的掌腱膜挛缩症，可通过以下方式保护手部：</p> <ul> <li>用衬垫（如缓冲胶带）加粗工具手柄，避免紧握。</li> <li>进行抓握操作时佩戴手套。</li> </ul> </section> </conbodydiv> </conbody> </hecsConcept> <hecsConcept contentType="http://ontology.mayo.edu/ContentCategories/AppointmentPreparation" policy="did:mcid:PDkv3FCzsA4FPiHVvT1zRc;did:mcid:7AmKpSty59qW9PRkXPDxNB" reviewedOn="2023-09-28T05:00:00.000-05:00" workId="did:mcid:Rc8d6Ympz7B8twDsoSUwUL:2026-10-09" xml:lang="zh"> <title>preparing for your appointment dupuytren contracture</title> <titlealts> <titleSimple keyref="titleSimple-prep-for-appt">就诊准备</titleSimple> </titlealts> <conbody> <conbodydiv platform="richtext"> <section> <p>医务人员可能会将您转诊给专门诊治骨骼和关节疾病的医生（骨外科医生）。</p> </section> <section> <title>您能做些什么</title> <p>就诊前，请思考并准备好与医务人员讨论以下内容：</p> <ul> <li>您的家人中是否有人患有此状况。</li> <li>您目前已尝试过的治疗方法及其效果。</li> <li>您定期使用的药物、维生素或补充剂。</li> </ul> </section> <section> <title>就医预期</title> <p>可能向您询问以下问题：</p> <ul> <li>您何时开始出现症状？</li> <li>症状是否越来越严重？</li> <li>手部是否疼痛？</li> <li>这种状况对您的日常活动有何影响，如穿衣、工作或使用双手？</li> </ul> </section> </conbodydiv> </conbody> </hecsConcept> <hecsReference contentType="http://ontology.mayo.edu/ContentCategories/References" policy="did:mcid:PDkv3FCzsA4FPiHVvT1zRc;did:mcid:7AmKpSty59qW9PRkXPDxNB" reviewedOn="2023-09-28T05:00:00.000-05:00" workId="did:mcid:5655DWzs8smPXcCnMbbGuy:2026-10-09" xml:lang="zh"> <title>references dupuytren contracture</title> <titlealts> <titleSimple keyref="titleSimple-references">参考文献</titleSimple> </titlealts> <prolog> <footnotes> <fn>Frontera WR, et al., eds. Dupuytren contracture. In: Essentials of Physical Medicine and Rehabilitation: Musculoskeletal Disorders, Pain, and Rehabilitation. 4th ed. Elsevier; 2019. https://www.clinicalkey.com. Accessed Aug. 28, 2025.</fn> <fn>Ferri FF. Dupuytren contracture. In: Ferri's Clinical Advisor 2026. Elsevier; 2026. https://www.clinicalkey.com. Accessed Aug. 28, 2025.</fn> <fn>Dupuytren contracture. Merck Manual Professional Version. https://www.merckmanuals.com/professional/musculoskeletal-and-connective-tissue-disorders/hand-disorders/dupuytren-contracture?query=dupuytren. Accessed Aug. 28, 2025.</fn> <fn>Aggarwal R, et al. Dupuytren's contracture. https://www.uptodate.com/contents/search. Accessed Aug 28, 2025.</fn> <fn>Medical review (expert opinion). Mayo Clinic. Sept. 10, 2025.</fn> </footnotes> </prolog> </hecsReference> <metadata> <hasPoCID>CON-20371927</hasPoCID> <primaryIdentifier>did:mcid:5QkNWQaPvQaAdX5t7a27it:1.14</primaryIdentifier> <workId>did:mcid:41wJQMWETEpKqvtAriRiBu:2026-10-09</workId> <language>zh_cn</language> <publicationStatus>Done</publicationStatus> <issuedOn>2006-05-18T00:00:00.000-05:00</issuedOn> <reissuedOn>2026-05-28T00:00:00.000-05:00</reissuedOn> <mapPath>/content/dam/hecs-ccms/zh_cn/HIL/conditions/d-f/dupuytren-contracture/dupuytren-contracture.ditamap</mapPath> <manifestationID>did:mcid:7RoeSRkCMxbG4CK5yLU9Kq:2026-10-13-0322</manifestationID> <seoDescription>这种状况会导致一根或多根手指弯向手掌。受累手指无法完全伸直。</seoDescription> <seoUrlKeyword>dupuytrens-contracture</seoUrlKeyword> <policy>did:mcid:7AmKpSty59qW9PRkXPDxNB;did:mcid:PDkv3FCzsA4FPiHVvT1zRc</policy> <reviewedOn>2025-10-24T00:00:00.000-05:00</reviewedOn> <contentType>http://ontology.mayo.edu/ContentCategories/GeneralAudienceConditionGuide</contentType> <seoTitle/> <hideAppointmentButton>false</hideAppointmentButton> <hideThirdPartyAds>false</hideThirdPartyAds> <index>true</index> </metadata> </merged>