高频超声检查成人足背侧Lisfranc韧带的图像特征  

High frequency ultrasonic imaging of the dorsal Lisfranc ligament in the adults

作　　者：陈佩瑾 玛依努尔.买买提明 侯霞[1] 张爱红[1] 刘纯红[1] 

机构地区：[1]新疆医科大学第二附属医院超声科,新疆维吾尔自治区乌鲁木齐市830063

出　　处：《中国组织工程研究》2016年第24期3609-3614,共6页Chinese Journal of Tissue Engineering Research

基　　金：自治区科技支疆项目计划(指令性)项目;新疆维吾尔自治区科技厅项目(2013911112)~~

摘　　要：背景:高频超声作为无创性检查手段应用于骨骼肌肉系统检查已得到广泛的认识与认可。目的:通过高频超声对正常成人背侧Lisfranc韧带、内侧楔骨与第2跖骨基底部之间距离(以下简称C1-M2)的检查,评价超声检查Lisfranc关节的可行性,并探讨其临床应用价值。方法:应用高频超声对100例健康志愿者双足进行检查,观察背侧Lisfranc韧带的声像图特征,并测量C1与M2之间距离。结果与结论:(1)高频超声对100例志愿者(200个)背侧Lisfranc韧带的显示率为100%;(2)正常成人背侧Lisfranc韧带厚度右足与左足比较差异无显著性意义(P>0.05);(3)男性背侧Lisfranc韧带右足、左足厚度与女性背侧Lisfranc韧带右足、左足厚度比较差异无显著性意义(P>0.05);(4)C1与M2之间距离右足与左足比较差异无显著性意义(P>0.05),C1与M2之间距离男性右足、左足与女性右足、左足比较差异无显著性意义(P>0.05);(5)结果说明,高频超声对背侧Lisfranc韧带具有良好的显示效果;测量C1与M2之间的距离也较方便、准确,是一种可行、无创、价廉的检查方法,可作为Lisfranc关节损伤早期诊断的间接征象指标的影像学检查方法。BACKGROUND：As a novel noninvasive method,high frequency ultrasound has been used for the detection of skeletal muscle widely.OBJECTIVE：To detect the thickness of the dorsal Lisfranc ligament between the first（medial） cuneiform（C1） and second metatarsal（M2） using high frequency ultrasound to evaluate the feasibility and clinical application value of high frequency ultrasound for the detection of the Lisfranc joint.METHODS：Both feet of 100 healthy volunteers were included and the thickness of dorsal Lisfranc ligament and the distance between C1 and M2 were examined using high frequency ultrasound.RESULTS AND CONCLUSION：The display rate of high frequency ultrasound for the dorsal Lisfranc ligament in the 100 healthy volunteers was 100%.There was no significant difference in the thickness of the dorsal Lisfranc ligament between both feet or sexes in adults（P〈0.05）;as did the distance between C1 and M2（P〈0.05）.These findings suggest that visual dorsal Lisfranc ligament is detected by high frequency ultrasound.The measurement of the distance between C1 and M2 by high frequency ultrasound may be a feasible,noninvasive,low-cost,and early diagnostic method for Lisfranc injuries.

关 键 词：足关节 韧带 关节 超声检查 组织构建 软骨组织工程 高频超声 LISFRANC关节 背侧Lisfranc韧带 C1-M2间距 

分 类 号：R394.2[医药卫生—医学遗传学]