何秀珍,周伟生,梁峭嵘,石星,陈君洁,刘照宏,梁彤.超声对踝关节侧副韧带损伤治疗效果观察的价值[J].中国医学影像技术,2008,24(3):416~418
超声对踝关节侧副韧带损伤治疗效果观察的价值
The value of ultrasound to evaluate therapeutic effect of lateral accessory ligament injury of ankle
投稿时间:2007-12-18  修订日期:2008-01-14
DOI:
中文关键词:  超声检查  踝关节  侧副韧带
英文关键词:Ultrasonography  Ankle  Lateral accessory ligament
基金项目:广东省佛山市卫生局医学科研立项(2006083)。
作者单位E-mail
何秀珍 广州中医药大学附属佛山中医院超声科,广东 佛山 528000 mrslin603@yahoo.com.cn 
周伟生 广州中医药大学第一附属医院放射科,广东 广州 510405  
梁峭嵘 广州中医药大学附属佛山中医院超声科,广东 佛山 528000  
石星 广州中医药大学附属佛山中医院超声科,广东 佛山 528000  
陈君洁 广州中医药大学附属佛山中医院超声科,广东 佛山 528000  
刘照宏 广州中医药大学附属佛山中医院超声科,广东 佛山 528000  
梁彤 广州中医药大学附属佛山中医院超声科,广东 佛山 528000  
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中文摘要:
      目的 评价高频超声对踝关节侧副韧带损伤治疗效果观察的应用价值。 方法 采用7~13 MHz线阵探头对33例踝关节侧副韧带损伤在保守或手术治疗后1个月、3~6个月和其中14例治疗6~18个月的患者进行高频超声检查,观察胫舟、胫距前、胫跟、距腓前、跟腓韧带。 结果 高频超声能直接观察韧带损伤治疗前、后的恢复情况。高频超声对踝关节侧副韧带损伤治疗评价的标准分为:0、Ⅰ、Ⅱ、Ⅲ级。距腓前韧带是踝关节各侧副韧带中最常损伤、最难恢复的韧带,胫舟、胫距前韧带通过治疗较快恢复。 结论 高频超声对踝关节侧副韧带损伤治疗效果观察是一种直接、无创、较廉价的客观影像手段,值得临床广泛开展使用。
英文摘要:
      Objective To explore the possibility of ultrasound (US) using on evaluating therapeutic effect of lateral accessory ligament injury of ankle. Methods Ultrasonography with 7-13 MHz liner prober was performed in 33 patients with lateral accessory ligament injury, who were given by conservation or operation treatment one month, three to six months ago. Fourteen of those patients were given by conservation or operation treatment six to eighteen months ago. We observed tibionavicular ligament, anterior tibiotalar ligament, tibiocalcanean ligament, anterior talofibular ligament and calcaneofibular ligament. Results The recovery condition about ankle ligament prior-treatment and post-treatment can be observed directly by US. The ultrasonographic standard for therapeutic review of lateral accessory ligament injury of ankle was divided into 4 classes: 0, Ⅰ, Ⅱ,Ⅲ. The anterior talofibular ligament was the most frequent injury and difficult reablement of those ligaments. The tibionavicular ligament and anterior tibiotalar ligament were recuperated quickly by treatment. Conclusion Ultrasonography is a direct, non-invasive and low price method for evaluating therapeutic effect of lateral accessory ligament injury of ankle.
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