彩色多普勒超声在手屈指肌腱损伤急诊手术中的应用  

Application of high frequency color Doppler ultrasonography in emergency operation of flexor tendon injuries in the hand

作　　者：李雯[1] 齐杰[1] 刘艳杰[1] 梁剑虹[1] 王晨生[2] 

机构地区：[1]中国石油中心医院整形手外科,河北廊坊065000 [2]中国石油中心医院超声科,河北廊坊065000

出　　处：《中国介入影像与治疗学》2010年第2期167-170,共4页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的探讨高频彩色多普勒超声在手屈指肌腱损伤急诊手术中的应用价值。方法采用高频探头对21例急诊手屈指肌腱损伤患者行术中探查,观察肌腱损伤程度、回缩部位及血运状况。结果高频探头可以准确清晰判断肌腱损伤程度、判定断裂部位和两端肌腱的位置,完全断裂表现为连续的肌腱纤维层状高回声和腱周腱鞘薄层低回声在伤口处连续性完全中断,为低回声、无回声所替代。结论肌腱损伤术中超声对缩短手术时间、减少对周围组织的损伤、减轻局部粘连、确保术后血管再通有重要意义。Objective To observe the value of the high frequency color Doppler ultrasonography in emergency operation of flexor tendon injuries in the hand.Methods Totally 21 patients of flexor tendon injuries in the hand underwent surgical exploration with high frequency probe.The extent of the tendon injuries,the retracted parts of the ruptured tendon and the blood supply were observed.Results The extent of the tendon injuries,the poison of broken ends were clearly distinguished with high frequency probe.The continuous tendon fibrous of layered high echo and sheath thin layer low echo complete broke and replaced with low or no echo.Conclusion Intraoperative ultrasonography of flexor tendon injuries is important to shorten operation time,reduce the injury of surrounding tissues,relieve local adhesion and ensure vascular recanalization after operation.

关 键 词：超声检查 多普勒 彩色 屈指肌腱损伤 手 

分 类 号：R445.1[医药卫生—影像医学与核医学] R658.2[医药卫生—诊断学]