Clinical value of color Doppler imaging in the diagnosis of acute closed Achilles tendon rupture complicated with deep venous thrombosis of lower extremities
WAN Xin
CHEN Si
LIU Liguo
YUAN Yu
Abstract：Objective To investigate the incidence and related factors of deep venous thrombosis (DVT) in patients with acute closed Achilles tendon rupture.Methods A total of 214 patients with acute closed Achilles tendon rupture in our hospital from January 2014 to August 2016 were collected.There were 188 males and 26 females,aged 19-74 years,with an average age of 38.7±11.3 years.According to the Kuwade classification,the rupture of Achilles tendon was divided into Ⅰ,Ⅱ,Ⅲ,and Ⅳ types.Color Doppler ultrasonography was used as the diagnostic criteria for deep venous thrombosis of lower extremities to analyze the incidence of DVT of lower extremity,the time of thrombosis,and the distribution of thrombus.Chisquare test and rank sum test were used to compare the incidence of thrombosis and the time of thrombus detection among different types of Achilles tendon rupture.Results The total incidence rate of DVT was 10.7％,including peripheral DVT (the thrombus involved below the popliteal vein) in 22 cases,and mixed type DVT (the thrombus involved the entire lower extremity vein) in 1 case.There was no significant difference in the incidence of thrombosis among different types of Achilles tendon rupture (P＞0.05).There was a significant difference in the mean time among the different types of Achilles tendon rupture thrombosis (P＜0.05).The detection times of Type Ⅰ and type Ⅱ thrombosis were the longest,followed by the one of type Ⅲ,the detection time of type Ⅳ was the shortest.Conclusion In patients with acute Achilles tendon rupture complicated with deep venous thrombosis,related examination cannot be ignored.Early detection and early preventive measures can avoid the development of a central type of fatal thrombosis.Color Doppler ultrasound can be used as the first choice method for DVT of lower limbs after Achilles tendon rupture.
Keywords：Achilles tendonAcute ruptureDeep venous thrombosisUltrasonographyDopplercolor
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 670-672 )