超声在跟腱断裂术后并发症的应用研究

Application of Ultrasound in Postoperative Complications of Achilles Tendon Rupture

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.