术中超声辅助微创修复急性跟腱断裂

Intraoperative ultrasound-assisted minimally invasive repair of acute Achilles tendon rupture

[目的]探讨术中超声辅助微创修复急性跟腱断裂的临床疗效。[方法]2017—2020年手术治疗急性跟腱断裂66例(66足)。根据医患沟通结果,36例采用超声辅助微创修复(微创组),30例采用常规开放手术(常规组)。比较两组早期结果及随访结果。[结果]微创组手术时间、切口长度、平均住院时间、术中失血量、术后下地负重时间显著优于常规组(P<0.05)。术后随访(12.34±3.45)个月,微创组完全负重时间显著早于常规组(P<0.05)。术后随时间推移,两组VAS评分均显著减少(P<0.05),AOFAS、ARTS评分及踝关节主动ROM均显著增加(P<0.05)。相应时间点,两组间上述指标的差异均无统计学意义(P>0.05)。[结论]术中超声辅助微创修复急性跟腱断裂具有手术时间短、创伤小、失血量少、术后恢复快的优点。

[Objective]To evaluated the clinical outcomes of ultrasound-assisted minimally invasive repair of acute Achilles tendon rupture.[Methods]A total of 66 patients(66 feet)received surgical repair of acute Achilles tendon rupture from 2017 to 2020.Based on pa⁃tient-doctor communication,36 patients underwent ultrasound-assisted minimally invasive surgery(MI group),while the remaining 30 pa⁃tients had the tendon repaired by conventional open surgery(CO group).The documents of perioperative period and follow-up were com⁃pared between the two groups.[Results]The MI group proved significantly superior to the CO group in terms of operative time,incision length,hospital stay,intraoperative blood loss and postoperative walking time(P<0.05).Postoperative follow-up lasted for(12.34±3.45)months on a mean.The MI group resumed full weight bearing activity significant early than CO group(P<0.05).The VAS score significantly decreased(P<0.05),while AOFAS and ARTS scores,as well as range of motion(ROM)significantly increased in both groups over time(P<0.05),whereas which proved not statistically significant between the two groups at any matching time points(P>0.05).[Conclusion]Intra⁃operative ultrasound-assisted minimally invasive repair of acute Achilles tendon rupture has the advantages of shortening operation time,re⁃ducing trauma,decreasing blood loss and improving postoperative recovery.