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摘要 目的 应用超声显像对腘绳肌腱进行术前测量,并与手术重建韧带时的测量值进行对比验证。方法 2017年9月至2018年9月对24例单侧前交叉韧带重建的患者进行前瞻性研究,男18例,女6例;平均年龄(28.8±7.3)岁。对24例患者行半腱肌肌腱和股薄肌肌腱超声测量,然后行同侧半腱肌肌腱和股薄肌肌腱移植,行前交叉韧带重建手术,术中自体移植物大小用标准移植物测量工具测定。结果 超声测量与术中测量半腱肌肌腱直径、股薄肌肌腱直径、半腱肌肌腱与股薄肌肌腱直径之和的结果,差异无统计学意义(P>0.05)。超声测量半腱肌肌腱直径、股薄肌肌腱直径、半腱肌肌腱与股薄肌肌腱直径之和与术中测量半腱肌肌腱与股薄肌肌腱直径之和有正相关性,分别为0.484、0.469、0.481(P<0.05),与术中最终移植物直径有正相关性,分别为0.589、0.556、0.579(P<0.01)。结论 在用腘绳肌腱重建前交叉韧带的患者中,腘绳肌腱的超声测量是预测肌腱最终移植物直径的一种有效方法。
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关键词 :
超声,
预测,
腘绳肌腱,
前交叉韧带重建
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通讯作者:
伊力哈木·托合提
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作者简介: 阿布都萨拉木·阿布都克力木(1992- ),男,医师,新疆医科大学第六附属医院运动损伤科,830002。 |
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