实时剪切波弹性成像对运动性跟腱断裂类型及手术效果的判断价值  

The Value of Real-time Shear Wave Elastography in Determining the Type and Surgical Outcome of Athletic Achilles Tendon Rupture

作　　者：乔花 沈素红 王红丽 沈泽航 QIAO Hua;SHEN Suhong;WANG Hongli;SHEN Zehang(Nursing College,Luoyang Polytechnic,Luoyang 471000,Henan,P.R.China;Inspection Section,Luoyang Orthopedic-Traumatological Hospital of Henan Province(Henan Provincial Orthopedic Hospital),Luoyang 471000,Henan,P.R.China;Operating Room,Luoyang Orthopedic-Traumatological Hospital of Henan Province(Henan Provincial Orthopedic Hospital),Luoyang 471000,Henan,P.R.China;Rehabilitation Hospital Area,Luoyang Orthopedic-Traumatological Hospital of Henan Province(Henan Provincial Orthopedic Hospital),Luoyang 471000,Henan,P.R.China)

机构地区：[1]洛阳职业技术学院护理学院,河南洛阳471000 [2]河南省洛阳正骨医院(河南省骨科医院)功能检查科,河南洛阳471000 [3]河南省洛阳正骨医院(河南省骨科医院)手术室,河南洛阳471000 [4]河南省洛阳正骨医院(河南省骨科医院)康复院区,河南洛阳471000

出　　处：《影像科学与光化学》2023年第1期173-176,共4页Imaging Science and Photochemistry

摘　　要：本研究旨在分析实时剪切波弹性成像(SWE)对运动性跟腱断裂类型及手术效果的判断价值。选取65例运动性跟腱断裂患者为研究对象,包括45例不完全断裂患者和20例完全断裂患者。通过实时剪切波弹性成像系统测量患者跟腱纵切面的平均弹性值(Emean)。通过美国足踝外科协会(AOFAS)评分对术后疗效进行评价。结果显示,与不完全断裂组相比,完全断裂组患者的跟腱纵切面Emean明显降低(P<0.01)。以跟腱纵切面Emean≤89.434 kPa为截断值,跟腱纵切面Emean诊断跟腱完全断裂的敏感性、特异性和曲线下面积分别为95.00%、73.33%和0.832。与治疗效果优良患者相比,治疗效果可差患者的跟腱纵切面Emean明显降低(P<0.05)。以跟腱纵切面Emean≤184.81 kPa为截断值,跟腱纵切面Emean诊断治疗效果优良的敏感性、特异性和曲线下面积分别为93.33%、58.00%和0.760。本研究表明,跟腱纵切面Emean可用于评估跟腱断裂类型和术后跟腱的恢复情况。This study aimed to analyze the value of real-time shear wave elastography(SWE)in determining the type and surgical outcome of athletic Achilles tendon rupture.65 patients with athletic Achilles tendon rupture were selected as the research objects,including 45 patients with incomplete rupture and 20 patients with complete rupture.The mean elastic value(Emean)of Achilles tendon in longitudinal section was measured by real-time SWE.The American Orthopedic Foot and Ankle Society(AOFAS)score was used to evaluate the postoperative efficacy.The results showed that the Emean value of Achilles tendon in longitudinal section of was significantly lower in the complete rupture group than in the incomplete rupture group(P<0.01).With Emean≤89.434 kPa as the cut-off value,the sensitivity,specificity and area under the curve of Emean in the longitudinal section of Achilles tendon were 95.00%,73.33%and 0.832,respectively.Compared with the patients with good treatment effect,the Emean of the Achilles tendon in longitudinal section of the patients with poor treatment effect was significantly reduced(P<0.05).With Emean≤184.81 kPa as the cut-off value,the sensitivity,specificity and area under the curve of Emean in the longitudinal section of Achilles tendon were 93.33%,58.00%and 0.760.This study showed that Emean longitudinal section of Achilles tendon could be used to evaluate the type of Achilles tendon rupture and the recovery of Achilles tendon after surgery.

关 键 词：运动性跟腱断裂 实时剪切波弹性成像 平均弹性值 疗效 

分 类 号：R445.1[医药卫生—影像医学与核医学] R687.2[医药卫生—诊断学]