Damert H-G, Altmann S, Schneider W
Klinik für Plastische, Wiederherstellungs- und Handchirurgie, Otto-von-Guericke-Universität Magdeburg.
Handchir Mikrochir Plast Chir. 2006 Apr;38(2):109-12. doi: 10.1055/s-2006-923968.
Sonography of the hand is frequently used for diagnostics of hand diseases. Advantages are the lack of side effects (e. g., X-ray contamination) and easy accessibility. Soft tissues of the hand are easily examined using a linear-array transducer with a high frequency (7.5 to 15 MHz) and, in some cases, a pre-positioned device (water or gel). Also there is the possibility to record functional motility of ligaments or joints non-invasively. The beneficial use of sonography is demonstrated on patients with injured flexor tendons of the hand or fingers. Ultrasound was used to examine ligaments after suture, for the diagnosis of suspected re-ruptures and in cases of fibrotic adhesions. In this study, the sonomorphology of previously injured flexor tendons with consecutive surgical reconstruction was examined in 47 patients. The average observation period was eight months post-operatively. 15 patients were submitted to a second operation. In 86.5 % of the cases, the sonographic results acquired prior to surgery were in agreement with macroscopic morphology seen during the operation.
手部超声检查常用于手部疾病的诊断。其优点是无副作用（如X射线辐射）且易于操作。使用高频（7.5至15兆赫兹）的线性阵列换能器，在某些情况下结合预定位装置（水或凝胶），可轻松检查手部软组织。此外，还能够无创记录韧带或关节的功能活动。手部或手指屈肌腱损伤患者已证实超声检查具有良好的应用价值。超声用于检查缝合后的韧带，诊断疑似再次断裂以及纤维化粘连情况。在本研究中，对47例先前有屈肌腱损伤并接受连续手术重建的患者进行了超声形态学检查。术后平均观察期为8个月。15例患者接受了二次手术。在86.5%的病例中，术前获得的超声检查结果与手术中观察到的宏观形态相符。
