软骨骨折的超声诊断  

Ultrasonic diagnosis of cartilage fracture

作　　者：常洪波[1] 巩丽丽[1] 刘颖[1] 曹红梅[1] 刘伟[1] 史建玲[1] 

机构地区：[1]山东省淄博市临淄区人民医院超声科,255400

出　　处：《中华医学超声杂志（电子版）》2008年第1期41-42,共2页Chinese Journal of Medical Ultrasound(Electronic Edition)

摘　　要：目的探讨高频超声诊断软骨骨折的临床价值。方法使用频率为6～12MHz线阵探头对67例软骨骨折患者行高频超声、X线拍片及CT检查(41例)。结果高频超声检出软骨骨折67例(67/67,100.0%),其中甲状软骨骨折5例,环状软骨骨折2例,剑突软骨骨折3例,肋软骨骨折57例;X线拍片仅检出1例肋软骨骨折(1/67,1.5%);CT检出39例(39/41,95.1%)软骨骨折。在软骨骨折的检出上,高频超声检出率明显高于X线拍片(P<0.01),高频超声与CT检出率比较差异无统计学意义(P>0.05)。结论高频超声能够较清晰显示软骨骨折并能动态观察其愈合过程,是一种较好的软骨骨折诊断方法。Objective To discuss the clinical value of ultrasound diagnosis of cartilage fracture （CF） . Methods With the frequency between 6 to 12 MHz linear probe, 67 cases with CF were diagnosed. Then all these patients were checked by X-ray, and 41 patients by CT. Results Sixty-seven cases with CF （ 67/67 ） were diagnosed on ultrasound, （thyroid cartilage fracture was in 5 cases; cricoid cartilage, 2 cases; xiphoid cartilage, 3 cases; costal cartilage, 57 cases） . Only one costal cartilage fracture （1/67） was diagnosed by X-ray and thiry-nine cases （39/41,95.1% ） on CT. The detectable rate of CF by high-frequency ulerasound （ 100.0% ） was higher than by-X-ray （ 1.5% ） and by CT （95.1%） , but there was no significant difference （ P 〉 0. 05 ） of the detectable rate between CT and high-frequency ultrasound. Conclusions The high-frequency ultrasound not only can reveal CF clearly, but also can depict the concrescence process dynamically. It＇s a preferable way for diagnosing CF.

关 键 词：超声检查 骨折 软骨 

分 类 号：R445.1[医药卫生—影像医学与核医学]