超高频超声检查对手指肌腱断裂诊断及预后评估的价值

发布时间：2018-09-11 16:09

【摘要】：目的探讨超高频超声检查对手指肌腱断裂诊断及预后评估的临床价值。方法对37例因外伤怀疑肌腱断裂的患者进行超声检查,术前进行肌腱断端的定位,并随访手术结果。术后定期复查肌腱修复情况,指导患者适时进行康复训练。结果(1)37例患者中有28例超声检查诊断为完全性肌腱断裂,其中24例行手术治疗,术中所见与超声诊断结果相符;(2)术后超声定期复查,19例为腱性连接,5例为瘢痕连接。5例瘢痕连接中有2例瘢痕形成明显,并与周围组织明显粘连,进行了二次手术,余3例进行系统的康复训练后手部功能基本恢复;(3)9例超声诊断为部分性肌腱断裂患者结合磁共振检查后,行外固定非手术治疗后,手部功能基本恢复。结论超声检查在手指肌腱断裂诊断中有重要价值,还可以动态观察肌腱愈合情况,鉴别腱性连接还是瘢痕连接,指导患者进行适时、适量的康复训练。
[Abstract]:Objective to evaluate the clinical value of UHF ultrasonography in the diagnosis and prognosis of finger tendon rupture. Methods 37 patients with suspected rupture of tendon were examined by ultrasound before operation, and the results were followed up. The repair of tendon was reviewed regularly after operation to guide the patients to carry out rehabilitation training in good time. Results (1) among 37 cases, 28 cases were diagnosed as complete tendon rupture by ultrasound, 24 cases were treated by operation. The intraoperative findings were consistent with the diagnostic results of ultrasound. (2) after operation, 19 cases were diagnosed as tendinous junctions, 5 cases were scar connections, 2 cases were marked scar formation, and there was obvious adhesion with surrounding tissue, and secondary operation was carried out. (3) 9 cases with partial tendon rupture diagnosed by ultrasound combined with magnetic resonance examination, after external fixation and non-operative treatment, the hand function basically recovered. Conclusion Ultrasonic examination has important value in the diagnosis of finger tendon rupture. It can also dynamically observe the healing of tendon, distinguish tendon connection from scar connection, and guide the patients to carry out timely and proper rehabilitation training.
【作者单位】：安徽医科大学第二附属医院超声科;
【分类号】：R658.2;R445.1

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