›› 2010, Vol. 30 ›› Issue (6): 726-.

• 论著(临床研究) • 上一篇    下一篇

距腓前韧带损伤的高频超声表现

蔡叶华, 杨永明, 秦茜淼, 王 怡   

  1. 复旦大学附属华山医院超声医学科, 上海 200040
  • 出版日期:2010-06-25 发布日期:2010-06-28
  • 通讯作者: 王 怡, 电子信箱: y_wang1111@hotmail.com。
  • 作者简介:蔡叶华(1980—), 男, 住院医师, 硕士生;电子信箱: sunnei@msn.com。

Appearance of anterior talofibular ligament injury on ultrasound

CAI Ye-hua, YANG Yong-ming, QIN Qian-miao, WANG Yi   

  1. Department of Medical Ultrasound, Huashan Hospital, Fudan University, Shanghai 200040, China
  • Online:2010-06-25 Published:2010-06-28

摘要:

目的 分析距腓前韧带损伤的超声图像特征,并评价其临床应用价值。方法 采用5~17 MHz线阵探头,对90例外踝损伤患者进行超声检查,观察距腓前韧带损伤的超声图像特征;对31例手术治疗患者的超声检查结果与手术结果进行比较。结果 90例患者中,距腓前韧带Ⅰ类损伤(挫伤)32例,超声图像表现为韧带增粗,回声减低;Ⅱ类损伤(部分撕裂)15例,表现为部分韧带纹理连续性中断或变薄;Ⅲ类损伤(完全撕裂)34例,表现为韧带连续性完全中断,断端回缩。31例手术治疗患者中,28例超声诊断结果与手术结果一致。结论 高频超声检查距腓前韧带损伤操作简便,准确率高,具有较高的临床应用价值。

关键词: 超声, 踝关节, 距腓前韧带

Abstract:

Objective To analyse the appearance of anterior talofibular ligament injury on ultrasound, and evaluate its clinical diagnostic value. Methods Ninety patients suspected of ankle ligament injury were examined with 5-17 MHz liner prober, and the appearance of anterior talofibular ligament injury on ultrasound was observed. The ultrasonographic diagnosis was compared with surgical findings in 31 patients undergoing operations. Results In these 90 patients, 32 experienced GradeⅠ sprains (contusions) with enlargement and low echo of the ligament on ultrasound, 15 suffered from Grade Ⅱ sprains (partial rupture) with interruption of partial ligamnent's continuity on ultrasound, and 34 had Grade Ⅲ sprains (complete rupture) with interruption of whole ligament and contraction of the broken end on ultrasound. Among the 31 patients with operations, the ultrasonographic diagnosis of 28 was in line with surgical findings. Conclusion High frequency ultrasonography is a simple and effective method for detecting injuries of anterior talofibular ligament.

Key words: ultrasonography, ankle, anterior talofibular ligament