摘要
目的 探讨剪切波弹性成像(SWE)对闭合性跟腱完全断裂的硬度研究。方法 选取2021年7月~2024年1月中国科学技术大学附属第一医院经超声诊断为闭合性跟腱完全断裂患者53例,超声测量跟腱断裂的分离长度、断裂处距离附着处长度及跟腱厚度,并测量跟腱断裂近端、远端及健侧跟腱剪切波速(SWV),同时测量患侧及健侧比目鱼肌SWV。结果 53例闭合性跟腱完全断裂患者,62.26%(33/53)跟腱断裂发生于左侧,37.73%(20/53)跟腱断裂发生于右侧。患侧跟腱断裂厚度、健侧跟腱厚度、断裂处距离附着处长度及患侧跟腱分离长度的侧别比较均无统计学意义(P>0.05);患侧跟腱断裂远端与健侧跟腱的厚度分别为8.36±3.07 mm、5.01±0.97 mm,差异有统计学意义(P<0.05),患侧跟腱断裂近端与健侧跟腱的SWV、患侧跟腱断裂近端与患侧跟腱断裂远端的SWV比较差异均有统计学意义(P<0.05),健侧跟腱比目鱼肌与患侧断裂跟腱比目鱼肌的SWV比较差异无统计学意义(P>0.05)。结论 闭合性跟腱完全断裂大多累及左侧跟腱,患侧跟腱的弹性变化发生在游离跟腱,并不累及比目鱼肌近端的肌腱结构,SWE技术可用于定量评估患侧跟腱的术前硬度。
Objective To explore the hardness study of shear wave elastography(SWE)on closed complete Achilles tendon rupture.Methods Fifty-three patients with closed complete Achilles tendon rupture diagnosed by ultrasound in the First Hospital of the University of Science and Technology of China from July 2021 to January 2024 were selected,and the separation length of the Achilles tendon rupture,the length of the rupture site from the attachment site and the thickness of the Achilles tendon were measured ultrasonographically,as well as the proximal and distal Achilles tendon rupture and the healthy Achilles tendon shear wave velocity(SWV),and the SWV of the flounder muscle of both the affected and the healthy side were measured simultaneously.Results The 53 cases of closed patients with complete Achilles tendon rupture,62.26%(33/53)of the Achilles tendon ruptures occurred on the left side and 37.73%(20/53)of the Achilles tendon ruptures occurred on the right side.Side-by-side comparisons of the thickness of the ruptured Achilles tendon on the affected side,the thickness of the Achilles tendon on the healthy side,the length of the rupture from the attachment,and the length of the separation of the Achilles tendon on the affected side were not statistically significant(P>0.05);the thicknesses of the distal part of the rupture of the Achilles tendon on the affected side and that of the Achilles tendon on the healthy side were 8.36±3.07 mm and 5.01±0.97 mm,respectively,with statistically significant differences(P<0.05),the thicknesses of the proximal part of the rupture of the Achilles tendon on the affected side and the Achilles tendon on the healthy side,the The differences in SWV between the proximal part of the affected Achilles tendon rupture and the proximal part of the affected Achilles tendon rupture and the distal part of the affected Achilles tendon rupture were statistically significant(P<0.05),and the differences in SWV between the healthy Achilles tendon flounder muscle and the affected ruptured Achilles tendon flounder muscle were not statistically significant(P>0.05).Conclusion Closed complete rupture of the Achilles tendon mostly involves the left Achilles tendon,and the elastic changes of the affected Achilles tendon occur in the free Achilles tendon and do not involve the proximal tendon structures of the flounder muscle,and the SWE technique can be used to quantitatively assess the preoperative stiffness of the affected Achilles tendon.
作者
杨文娴
王雨豪
刘卫勇
YANG Wenxian;WANG Yuhao;LIU Weiyong(Graduate School of Bengbu Medical University,Bengbu 233000,China;Department of Ultrasound,The First Affiliated Hospital of University of Science and Technology of China,Hefei 230000,China)
出处
《分子影像学杂志》
2024年第7期702-706,共5页
Journal of Molecular Imaging
基金
安徽省重点研究与开发计划项目(201904a07020095)。
关键词
超声
闭合性跟腱完全断裂
剪切波速
ultrasound
closed complete Achilles tendon rupture
shear wave velocity
