彩色多普勒超声在老年患者足踝部手术伤口预后中应用的临床研究  

Clinical Study on the Application of Color Doppler Ultrasound in the Prognosis of Ankle Surgery Wounds in Elderly Patients

作　　者：顾悦[1] 钱骧 季勇[1] 袁晓东[1] GU Yue;QIAN Xiang;JI Yong;YUAN Xiao-dong(Hand and Foot Surgery Department of Changshu Second People’s Hospital,Jiangsu Changshu 215500)

机构地区：[1]常熟市第二人民医院手足外科,江苏常熟215500

出　　处：《中国医疗器械信息》2024年第18期20-23,共4页China Medical Device Information

摘　　要：目的:探究在对开展老年患者足踝部手术过程中术前开展彩色多普勒超声对于预测伤口愈合的价值。方法:在2022年3月~2023年4月常熟市第二人民医院老年足踝部手术患者中选择60例为对象,数字表随机排序划分对照组(30例,常规方案进行治疗)和观察组(30例,开展彩色多普勒超声检查,包括患肢第一跖背动脉检查测定其动脉内径,动脉内膜厚度及峰值流速检测等)。对比两组患者手术效果。结果:对比两组术后足踝部关节功能恢复情况,观察组关节功能评分高于对照组(P<0.05)。对比患者术后下床时间、愈合时间、疼痛程度,观察组均低于对照组(P<0.05)。对比两组术口愈合优良率,观察组高于对照组(P<0.05)。对比两组患肢第一跖背动脉检查测定其动脉内径,动脉内膜厚度及峰值流速,术后恢复过程中,观察组动脉内径,动脉内膜厚度高于对照组,峰值流速低于对照组(P<0.05)。结论:足踝部手术治疗患者在术前使用彩超检查,可以有效检测第一跖背动脉血流动力学参数,由此对手术方案进行完善,可以有效提升患者术口愈合优良率,加快患者恢复速度,促进患者损伤部位关节功能恢复。Objective:To explore the value of color Doppler ultrasound in predicting wound healing in the process of ankle surgery for elderly patients.Methods:From March 2022 to April 2023,60 elderly patients who underwent ankle surgery in Changshu Second People’s Hospital were selected as subjects,and randomly divided into control group(30 cases were treated by conventional scheme)and observation group(30 cases were examined by color Doppler ultrasound,including the first dorsal metatarsal artery of the affected limb to determine its artery diameter,intimal thickness and peak velocity,etc.).The surgical effects of the two groups were compared.Results:Comparing the recovery of ankle joint function between the two groups after operation,the joint function score of the observation group was higher than that of the control group(P<0.05).Comparing the time of getting out of bed,healing time and pain degree,the observation group was lower than the control group(P<0.05).Comparing the excellent and good rate of operation mouth healing between the two groups,the observation group was higher than the control group(P<0.05).The arterial diameter,intima thickness and peak velocity of the first dorsal metatarsal artery of the two groups were compared.During the postoperative recovery,the arterial diameter and intima thickness of the observation group were higher than those of the control group,and the peak velocity was lower than that of the control group(P<0.05).Conclusion:Color Doppler ultrasound examination can effectively detect the hemodynamic parameters of the first dorsal metatarsal artery in patients undergoing ankle surgery before operation,so as to improve the surgical plan,which can effectively improve the excellent and good rate of surgical healing,speed up the recovery of patients and promote the recovery of joint function at the injured site.

关 键 词：老年患者足踝部手术 彩色多普勒超声 伤口 预后 

分 类 号：R445.1[医药卫生—影像医学与核医学]