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来源：百度知道 编辑：UC知道 时间：2024/06/17 21:52:12
超声检查在闭合性跟腱断裂中的临床价值

贺英

摘要 目的 探讨超声在闭合性跟腱断裂中的运用价值 方法 回顾性分析16例经我院骨科临床证实的闭合性跟腱断裂的超声检查结果，结合术中探查所见及保守治疗效果，做术前超声检查与术中探查结果及临床保守治疗效果的对比分析，探讨超声在闭合性跟腱断裂中的运用价值。 结果 16例闭合性跟腱断裂患者中，完全性断裂10例，不完全性断裂6例中，估测断裂程度大于50—70% 者4例，断裂程度小于30%者2例（该2例患者未行手术治疗，经骨科保守治疗后痊愈出院），超声诊断符合率100%（16例/16例）。 结论 超声检查能够为临床提供比较准确的病况信息及诊断依据，值得临床推广应用。
关键词 闭合性跟踺断裂；超声检查；临床价值。
跟腱闭合性断裂在骨科临床上比较常见，可能与跟腱急性创伤或过度劳损导致的慢性炎性病变有关，开放性跟腱断裂诊断并不困难，而闭合性跟腱断裂有时因患者尚存在踝关节跖屈功能而被漏诊[1]，尤以跟腱纤维断裂小于50%者多见，骨科同仁们若能将疑似闭合性跟腱断裂的患者均行常规超声检查，就可获得比较可靠的诊断依据，从而降低漏诊率。

Ultrasonography in blunt rupture of Achilles tendon in the clinical value

Heying

Abstract Objective To study the ultrasound in blunt rupture of Achilles tendon in the use of the value of Methods A retrospective analysis of 16 cases by clinical orthopedics in our hospital confirmed Closed rupture of Achilles tendon ultrasonography results, combined with intraoperative findings and conservative exploration treatment effect, so preoperative ultrasonography and intraoperative findings and clinical exploration of the effect of conservative treatment of comparative analysis to explore the ultrasound in blunt rupture of Achilles tendon in the use of value. The results of 16 cases of closed Achilles tendon rupture patients, 10 cases of complete fracture, incomplete fracture of six cases, the estimation of fracture is greater than the extent of 50-70% in four cases, the degree of fault is less than 30% 2 cases (2 cases the patients did not undergo surgery, after ortho