摘要
目的分析踝关节侧副韧带损伤的超声图像特征并评价其诊断价值。方法采用7～13MHz线阵探头探查136例临床怀疑踝关节侧副韧带损伤患者,观察胫舟、胫距前、胫跟、距腓前、跟腓、胫距后、距腓后韧带,共计952条韧带,其中,51例的超声结果与手术比较。结果46例侧副韧带完全及部分撕裂伤的超声诊断与手术结果符合。侧副韧带挫伤以肿胀为主,部分撕裂伤超声表现为韧带局部连续性中断(跟腓韧带)和不规则低-无回声区内见丝状结构相连,完全撕裂伤超声表现为韧带连续性中断,断端挛缩(跟腓韧带)和不规则低-无回声区贯穿整条韧带,无明显断端挛缩征。结论高频超声对踝关节侧副韧带损伤的诊断无创、较准确、廉价,具有较高的临床应用价值。
Objective To evaluate the ultrasound（US） imaging appearance of ankle ligament injury and its diagnostic value.Methods Ultrusonography with 7 -13 MHz liner prober was prospectively performed in 136 patients： with clinically suspected ankle ligament injury. Each ankle joint was evaluated for 7 ligament, and total of 952 ligaments were examined. 51 patients＇ ultrasonographic manifestations of ankle ligaments injury were compared with those of the surgery. Results Among the 51 patients, 46 cases were found by ultrasenography and confirmed by operation. The sonogram feature of ankle ligament contused wound was tumefaction. The ankle ligament partial tear was that part of ligament interruption （calcaneofibular ligament） and threadlike fibers in irregular hypo - echo or no - echo region were connected with each other. The ankle ligament complete tear was that wholly ligament interruption, broken ends of fractured bone contraction （calcaneofibular ligament） and irregular hypo- echo or no- echo region penetrate the deltoid ligament and not contracture. Concision High frequency ultrusonography is a non - invasive, accurate and low cost method for detecting the presence of rupture of ankle ligament in the clinical setting of the ankle injury.
出处
《实用医学影像杂志》
2007年第3期188-189,192,共3页
Journal of Practical Medical Imaging
基金
广东省佛山市卫生局医学科研立项(编号2006083)
关键词
超声
踝关节
侧副韧带
Ultrasonography
Ankle
Lateral accessory ligament
