CAJ | 학술논문

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.
목적 탐토고빈채색다보륵초성재수굴지기건손상급진수술중적응용개치.방법 채용고빈탐두대21례급진수굴지기건손상환자행술중탐사,관찰기건손상정도、회축부위급혈운상황.결과 고빈탐두가이준학청석판단기건손상정도、판정단렬부위화량단기건적위치,완전단렬표현위련속적기건섬유층상고회성화건주건초박층저회성재상구처련속성완전중단,위저회성、무회성소체대.결론 기건손상술중초성대축단수술시간、감소대주위조직적손상、감경국부점련、학보술후혈관재통유중요의의.
Objective To observe the value of the high frequency color Doppler uItrasonography 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 uhrasonography of flexor tendon iniuries is important tO shorten operation time,reduce the injury of surrounding tissues,relieve local adhesion and ensure vascular recanalization after operation.