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[1]耿豐勤,付卓,陳超,等.高頻超聲在急性踝關(guān)節(jié)扭傷致分歧韌帶損傷診斷中的應(yīng)用[J].中醫(yī)正骨,2021,33(11):50-52.
 GENG Fengqin,FU Zhuo,CHEN Chao,et al.Application of high-frequency ultrasonography to diagnosis of bifurcate ligament injury caused by acute ankle sprain[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(11):50-52.
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高頻超聲在急性踝關(guān)節(jié)扭傷致分歧韌帶損傷診斷中的應(yīng)用()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期數(shù):
2021年11期
頁碼:
50-52
欄目:
影像診斷
出版日期:
2021-11-20

文章信息/Info

Title:
Application of high-frequency ultrasonography to diagnosis of bifurcate ligament injury caused by acute ankle sprain
作者:
耿豐勤付卓陳超戚偉華張要麗沈素紅
(河南省洛陽正骨醫(yī)院/河南省骨科醫(yī)院,河南 洛陽 471002)
Author(s):
GENG FengqinFU ZhuoCHEN ChaoQI WeihuaZHANG YaoliSHEN Suhong
關(guān)鍵詞:
超聲檢查多普勒 踝關(guān)節(jié) 扭傷和勞損 分歧韌帶 跟舟韌帶 跟骰韌帶
摘要:
目的:探討高頻超聲在急性踝關(guān)節(jié)扭傷致分歧韌帶損傷診斷中的應(yīng)用價值。方法:采用美國GE公司的LOGIQ E9彩色多普勒超聲診斷儀對85例臨床疑似為急性踝關(guān)節(jié)扭傷致分歧韌帶損傷患者的足踝部進(jìn)行高頻超聲檢查,詳細(xì)觀察分歧韌帶的位置、走行及損傷情況,并根據(jù)其聲像圖特征總結(jié)分歧韌帶損傷的類型。結(jié)果:85例患者中超聲共檢出分歧韌帶損傷79例,其中跟骰韌帶及跟舟韌帶復(fù)合損傷57例、跟骰韌帶單獨損傷8例、跟舟韌帶單獨損傷14例(均跟骰韌帶缺如); 分歧韌帶正常6例,其中跟骰韌帶缺如2例。按照《肌骨超聲診斷》中韌帶損傷的超聲診斷分型,跟骰韌帶損傷65例,其中Ⅰ型18例、Ⅱ型6例、Ⅲ型8例、Ⅳ型33例; 跟舟韌帶損傷71例,其中Ⅰ型19例、Ⅱ型9例、Ⅲ型8例、Ⅳ型35例。19例Ⅳ型跟骰韌帶及跟舟韌帶復(fù)合損傷者因合并撕脫骨折塊較大、移位明顯及其他踝關(guān)節(jié)周圍韌帶嚴(yán)重?fù)p傷而進(jìn)行手術(shù)治療,術(shù)中探查發(fā)現(xiàn)分歧韌帶損傷情況及撕脫骨折塊位置、與母骨分離情況與超聲檢查結(jié)果完全吻合。結(jié)論:高頻超聲可清晰顯示分歧韌帶的位置、走行及損傷情況,并可對韌帶損傷進(jìn)行分型診斷,為臨床后續(xù)治療提供可靠的參考依據(jù),可作為急性踝關(guān)節(jié)扭傷致分歧韌帶損傷的篩查方法。

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備注/Memo

備注/Memo:
基金項目:河南省二〇一八年科技發(fā)展計劃項目(182102310491); 洛陽市科技計劃醫(yī)療衛(wèi)生項目(1830002A)
通訊作者:沈素紅 E-mail:[email protected]
更新日期/Last Update: 1900-01-01