术中超声辅助微创修复急性跟腱断裂

Intraoperative ultrasound-assisted minimally invasive repair of acute Achilles tendon rupture

摘要:

［目的］探讨术中超声辅助微创修复急性跟腱断裂的临床疗效。［方法］2017—2020 年手术治疗急性跟腱断裂 66 例 （66 足）。根据医患沟通结果，36 例采用超声辅助微创修复（微创组），30 例采用常规开放手术（常规组）。比较两组早期结果及随访结果。［结果］微创组手术时间、切口长度、平均住院时间、术中失血量、术后下地负重时间显著优于常规组（P<0.05）。 术后随访 （12.34±3.45） 个月，微创组完全负重时间显著早于常规组 （P<0.05）。术后随时间推移，两组 VAS 评分均显著减少 （P<0.05），AOFAS、ARTS 评分及踝关节主动 ROM 均显著增加（P<0.05）。相应时间点，两组间上述指标的差异均无统计学意义 （P>0.05）。［结论］ 术中超声辅助微创修复急性跟腱断裂具有手术时间短、创伤小、失血量少、术后恢复快的优点。

Abstract:

[Objective] To evaluated the clinical outcomes of ultrasound-assisted minimally invasive repair of acute Achilles tendon rupture. [Methods] A total of 66 patients (66 feet) received surgical repair of acute Achilles tendon rupture from 2017 to 2020. Based on pa- tient-doctor communication, 36 patients underwent ultrasound-assisted minimally invasive surgery (MI group) , while the remaining 30 pa- tients had the tendon repaired by conventional open surgery (CO group) . The documents of perioperative period and follow-up were com- pared between the two groups. [Results] The MI group proved significantly superior to the CO group in terms of operative time, incision length, hospital stay, intraoperative blood loss and postoperative walking time (P＜0.05) . Postoperative follow- up lasted for (12.34±3.45) months on a mean. The MI group resumed full weight bearing activity significant early than CO group (P＜0.05) . The VAS score significantly decreased (P＜0.05) , while AOFAS and ARTS scores, as well as range of motion (ROM) significantly increased in both groups over time (P＜ 0.05) , whereas which proved not statistically significant between the two groups at any matching time points (P＞0.05) . [Conclusion] Intra- operative ultrasound-assisted minimally invasive repair of acute Achilles tendon rupture has the advantages of shortening operation time, re- ducing trauma, decreasing blood loss and improving postoperative recovery.