| 梁彤,陈浩宇,涂滨,何秀珍.高频超声诊断指伸肌腱滑脱的应用价值[J].中国医学影像技术,2019,35(9):1389~1391 |
| 高频超声诊断指伸肌腱滑脱的应用价值 |
| Application value of high-frequency ultrasound in diagnosis of finger extensor tendon olisthy |
| 投稿时间：2019-03-21 修订日期：2019-07-15 |
| DOI：10.13929/j.1003-3289.201903157 |
| 中文关键词: 指 伸肌腱 腱帽 滑脱 超声检查 |
| 英文关键词:fingers extensor tendon tendon hood olisthy ultrasonography |
| 基金项目:佛山市科技局医学类科技攻关项目（2018AB001071）。 |
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| 中文摘要: |
| 目的 探讨高频超声在诊断指伸肌腱滑脱中的应用价值。方法 对32例掌指关节背侧外伤、临床疑诊指伸肌腱滑脱患者行高频超声检查，判断其指伸肌腱是否有滑脱及其原因，并与手术结果对照。结果 32例患者中，25例接受手术治疗，其中指伸肌腱部分滑脱7例、完全滑脱18例；7例无滑脱，仅腱帽挫伤，接受随访观察。高频超声漏诊1例指伸肌腱完全滑脱，将2例完全滑脱误诊为部分滑脱，与手术结果的一致性好（Kappa=0.85，P<0.01）。结论 高频超声可显示腱帽撕裂及指伸肌腱滑脱，能通过动态观察判断损伤程度，为临床治疗提供重要依据。 |
| 英文摘要: |
| Objective To explore the application value of high-frequency ultrasound in diagnosis of finger extensor tendon olisthy. Methods A total of 32 dorsal trauma in metacarpophalangeal joint patients with clinically suspected finger extensor tendon olisthy underwent high-frequency ultrasound. Olisthy in finger extensor tendon and causes of injuries were observed, and the results were compared with those of surgical operations. Results Among all 32 cases, surgery treatment was performed in 25 patients, including 7 patients of partial olisthy in extensor tendon and 18 patients of complete olisthy, while 7 patients were found without olisthy (only tendon hood injury) and were followed up for observation. Utrasound missed 1 case with complete olisthy in finger extensor tendon and misdiagnosed 2 cases of complete olisthy as partial olisthy. The consistency of ultrasound examination and surgery results was well (Kappa=0.85, P<0.01). Conclusion Ultrasound can show tendon hood tear and finger extensor tendon olisthy and judge the injury degree through dynamic observation, therefore providing important evidences for clinical treatment. |
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