Abstract:
Objective To evaluate the value of ultrasound in the diagnosis, interventional therapy and postoperative monitoring and follow-up of soft tissue injury caused by military training.
Methods From June 2015 to June 2018, 198 officers or soldiers with soft tissue injury caused by military training who were examined at the First Affiliated Hospital of Air Force Military Medical University were selected. All patients underwent ultrasound examination of the injured sites. According to the patients' condition and wishes, one group received conservative treatment and the other group received ultrasound-guided interventional treatment. All patients were followed for 1~3 months after treatment. According to the results of ultrasound examination and the improvement of clinical symptoms, the patients were divided into three groups: cured, improved, and unchanged. Total effective rate was calculated ascure rate+ improvement rate. The therapeutic effects of the two methods were compared, and the ultrasonic manifestations and follow-up results of soft tissue injury caused by military training were analyzed.
Results Among 198 patients with soft tissue injury caused by military training, 131 received ultrasound-guided interventional therapy and 67 received conservative treatment. Among 131 patients who received ultrasound-guided interventional therapy, 99 were cured, 30 improved, and 2 unchanged; the total effective rate was 98.5%. Among 67 patients who received conservative therapy, 26 were cured, 24 improved, and 17 unchanged; the total effective rate was 74.6%. The total effective rate was significantly higher in the ultrasound-guided interventional treatment group than in the conservative treatment group (χ2=29.05, P<0.05). In patients with various types of soft tissue injuries that were effectively treated, ultrasound follow-up showed that the thickness, echo, and blood flow were improved or returned to normal.
Conclusion High frequency ultrasound can accurately diagnose soft tissue injury caused by military training, locate and guide the minimally invasive treatment in real time, and dynamically monitor the rehabilitation situation, which is worthy of clinical application.
Key words:
Military medicine,
Ultrasonography, interventional,
Soft tissue injuries
Jing Wang, Dingzhang Chen, Minjuan Zheng, Yunan Jia. Application of ultrasound-guided interventional therapy for soft tissue injury caused by military training[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2020, 17(06): 558-562.