摘要
目的 研究超声在跟腱断裂术后并发症的应用。方法 对83例跟腱断裂术后中发生并发症的7例患者进行超声扫查, 观察跟腱的的连续性、腱体的形态、内部回声及腱周软组织的回声,跟腱及腱周软组织的彩色血流、跟腱动态活动 情况等指标。结果 7例发生并发症,总的发生率为8.4%,其中术后感染2例,跟腱再断裂2例,腓肠神经损伤2例, 发生率分别均为2.4%,跟腱粘连1例,发生率为1.2%。各种并发症的超声声像图具有一定的特征性。结论 超声可以 应用于跟腱断裂术后并发症的诊断。
Objective To study the application of ultrasound in postoperative complications of Achilles tendon rupture. Methods 7 complications in 83 cases of postoperative of Achilles tendon rupture were examined by ultrasonography. The continuity , shape , the internal echo, soft tissue around, color blood flow and the dynamic behavior of the Achilles tendon were observed. Results Complications occurred in 7 cases, the total incidence was 8.4%. Among them, 2 cases were postoperative infection, 2 cases were Achilles tendon rupture again, 2 cases were sural nerve injury, the incidence for each was 2.4%, 1 case was Achilles tendon adhesion , the incidence was 1.2%.The sonographic features of various complications have some characteristics. Conclusion Ultrasonography can be used for the diagnosis of postoperative complications of Achilles tendon rupture.
【关键词】跟腱断裂术后;并发症;超声
【中图分类号】R619
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2017.04.023
前言
跟腱断裂是一种常见的运动损伤,手术治疗是目 前最常用的治疗方法。而术后并发症是跟腱功能恢复 的主要影响因素,尽早明确诊断术后并发症,及时采 取合理治疗对其功能恢复具有重要意义。超声是一种 简便经济、准确快捷的检查方法,本文旨在探讨高频 超声在跟腱断裂术后并发症中的应用。
罕少疾病杂志
第24卷, 第 4 期
2019年11月
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