高频超声对手部肌腱损伤断裂修复术后粘连及手功能恢复的评估价值  

Value of high-frequency ultrasound in evaluating adhesion after repair for tendon rupture of hand

作　　者：青香 张小芳 陈敏 QING Xiang;ZHANG Xiao-fang;CHEN Min(Department of Ultrasound,Sichuan Modern Hospital,Sichuan 610000,Chengdu,China)

机构地区：[1]四川现代医院超声科,四川成都610000

出　　处：《川北医学院学报》2025年第3期389-392,共4页Journal of North Sichuan Medical College

摘　　要：目的:探讨高频超声对手部肌腱断裂修复术后粘连及手功能恢复的评估价值。方法:选取270例行断裂修复术的手部肌腱断裂患者为研究对象,依据患者术后功能康复方案不同分为研究组(n=150)和对照组(n=120)。研究组患者行高频超声进行功能康复;对照组患者行常规方式进行功能恢复。比较两组患者术后粘连、功能恢复锻炼及手部功能恢复情况,分析高频超声对手部肌腱断裂修复术后粘连及手功能恢复的评估价值。结果:术后3个月,两组患者粘连程度均较术后1个月改善(P<0.05);PPT手功能评定中的患手操作、双手配合及组装评分均较术后1个月提高(P<0.05),放置时间、翻转时间等MMDT时间均较手术后1个月下降(P<0.05);研究组患者PPT与MMDT等手功能较对照组改善(P<0.05)。相关性分析显示,患手、双手、组装等PPT指标均与患者粘连情况负相关(P<0.05);放置时间、翻转时间等MMDT时间与患者粘连情况正相关(P<0.05)。结论:手部肌腱断裂修复术治疗后患者应用高频超声可准确评估患者术后粘连情况,且与患者手部功能情况关系密切,依据高频超声检测结果制定手部功能恢复方案可促进患者手部功能恢复,临床应用价值较好。Objective:To explore the value of high-frequency ultrasound in evaluating adhesion after repair for tendon rupture of hand.Methods:The relevant data of 270 patients with tendon rupture of hand were retrospectively analyzed.According to the postoperative functional rehabilitation plan,they were divided into study group(functional rehabilitation based on high-frequency ultrasound,n=150) and control group(conventional functional rehabilitation,n=120).Value of high-frequency ultrasound in postoperative adhesion evaluation,functional rehabilitation exercise and hand function recovery was analyzed.Results:Compared with 1 month after operation,adhesion was improved,PPT scores for dominant hand,bilateral coordination,and assembly tasks were improved,and the MMDT time was significantly shortened at 3 months after operation(P<0.05).Meanwhile,PPT and MMDT of the study group were significantly better than those of the control group at 3 months after operation(P<0.05).PPT indicators were negatively correlated with adhesion status(P<0.05),while MMDT time was positively correlated with adhesion status(P<0.05).Conclusion:High-frequency ultrasound can clearly display adhesion in patients with tendon rupture of hand after repair,which is closely related to hand function.The hand function rehabilitation plan developed based on high-frequency ultrasound results can promote hand function recovery.

关 键 词：高频超声 手部肌腱断裂 断裂修复术 术后粘连 手功能恢复 

分 类 号：R445.1[医药卫生—影像医学与核医学]