高频超声与MRI对陈旧性跟腱断裂诊断价值对比

Comparison of the Diagnostic Value of High-Frequency Ultrasound and MRI in Chronic Achilles Tendon Rupture

目的探讨陈旧性跟腱断裂的高频超声及MRI诊断价值,为临床诊断提供最佳依据。方法对73例临床怀疑为陈旧性跟腱断裂患者进行超声及MRI检查,归纳总结二者的图像特征及检查结果,并与手术结果对照。结果手术确诊陈旧性跟腱完全断裂44例,部分断裂9例。超声诊断完全断裂40例,部分断裂3例。MRI诊断完全断裂43例,部分断裂8例。超声与MRI诊断陈旧性跟腱完全断裂无明显差别,而对于陈旧性跟腱部分断裂,超声诊断价值低于MRI。结论超声检查可作为陈旧性跟腱断裂的首选筛查方式,术前结合MRI检查更有利于明确诊断。

Objective To explore the diagnostic value of High frequency ultrasound and MRI in old achilles tendon rupture,to provide the best basis for clinical diagnosis.Methods Ultrasonography and MRI were performed in 73 patients with suspected old rupture of Achilles tendon,summarized the image features and inspection results of the two methods,compared with the surgical results.Results 44 cases of old complete rupture of Achilles tendon and 9 cases of partial rupture were confirmed by operation.40 cases of old complete rupture of Achilles tendon and 3 cases of partial rupture were confirmed by ultrasound.43 cases of old complete rupture of Achilles tendon and 8cases of partial rupture were confirmed by MR.There was no statistical significance between the two methods for old complete rupture of Achilles tendon;For old partial rupture of Achilles tendon,the diagnostic value of ultrasound is lower than MRI.Conclusion Ultrasound can be used as the first screening method for old achilles tendon rupture,especially combined with MRI examination is more conducive to definite diagnosis.