| 摘要: |
| 目的 研究高频超声(HFUS)及剪切波弹性成像技术(SWE)在单侧指伸肌腱完全断裂修复术后不同时期的厚度、血流及弹性变化的评估价值。方法 前瞻性收集2022年1月至2023年2月在自贡市第四人民医院创伤中心就诊的33例单侧指伸肌腱断裂患者共41根指伸肌腱,全部经手术修复。在指伸肌腱断裂修复术后1月、3月、6月对修复的指伸肌腱及健侧相同肌腱同一部位进行厚度、血流及剪切波弹性测量。结果 指伸肌腱断裂修复术后1月、3月、6月厚度逐渐降低,两两之间比较差异具有统计学意义(P＜0.05)。指伸肌腱断裂修复术后1月、3月、6月血流分级逐渐降低,两两之间比较差异具有统计学意义(P＜0.05)。指伸肌腱断裂修复术后1月、3月、6月剪切波速度值逐渐升高,两两之间比较差异具有统计学意义(P＜0.05)。结论 HFUS联合SWE可以动态实时监测指伸肌腱断裂修复术后不同时期声像图及弹性变化,评估其结构、功能及硬度的修复效果,为预后提供理论基础。 |
| 关键词: 高频超声 指伸肌腱 修复术 剪切波弹性成像 |
| DOI： |
| 投稿时间：2024-05-11修订日期：2024-06-11 |
| 基金项目:自贡市卫生健康委员会科研课题(编号21yb030) |
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| High frequency ultrasound and shear wave elastography on postoperative evaluation refers to the extensor tendon rupture repair of clinical research |
| ZHU Xiaoling,HE Youcai,SUN Chong,ZENG Jian,QIN Qianyu,MIAO Juan,LI Na |
| (Zigong Fourth People’s Hospital) |
| Abstract: |
| Objective? Study the evaluation value of high-frequency ultrasound (HFUS) and shear wave elastography (SWE)? in assessing thickness, blood flow, and elastic changes at different stages after complete repair of unilateral extensor tendon rupture. Methods Prospective collection of 41 extensor tendons from 33 patients with unilateral extensor tendon rupture who visited the Trauma Center of Zigong Fourth People"s Hospital from January 2022 to February 2023.All of these cases have undergone surgical repair.Measure the thickness, blood flow, and shear wave elasticity of the repaired extensor tendon and the same part of the healthy side tendon at 1 month, 3 months, and 6 months after the repair surgery.Results Refers to the extensor tendon rupture repair 1 month, 3 months, 6 months postoperatively, thickness gradually decreased, comparison between two difference is statistically significant(P＜0.05). Refers to the extensor tendon rupture repair postoperative 1 month, 3 months, 6 months gradually reduced blood flow classification, comparison between two difference is statistically significant(P＜0.05).Refers to the extensor tendon rupture repair postoperative 1 month, 3 months, 6 months increased speed values, between the two comparison difference is statistically significant(P＜0.05).Conclusion HFUS combined with SWE can dynamically monitor the acoustic image and elastic changes at different times after repair of extensor digitulosus tendon rupture, evaluate the repair effect of its structure, function and hardness, and provide a theoretical basis for prognosis. |
| Key words: high frequency ultrasound finger extensor tendon repair surgery shear wave elastography |
