超声在诊断膝关节外侧副韧带损伤中的应用价值  

Application value of ultrasound in the injury of the lateral collateral ligament of the knee joint

作　　者：张红[1] 李海燕[2] 冯海洋[1] 严婷[1] 任燎原 张亮[3] 郑江[3] 常荣 ZHANG Hong;LI Haiyan;FENG Haiyang;YAN Ting;REN Liaoyuan;ZHANG Liang;ZHENG Jiang;CHANG Rong(Department of Ultrasound,Honghui Hospital,Xi’an Jiaotong University College of Medicine,Xi’an 710054,China)

机构地区：[1]西安交通大学医学院附属红会医院超声室,西安市710054 [2]西安交通大学医学院附属红会医院磁共振室,西安市710054 [3]西安交通大学医学院附属红会医院运动膝踝科,西安市710054

出　　处：《临床超声医学杂志》2019年第4期303-305,共3页Journal of Clinical Ultrasound in Medicine

摘　　要：目的探讨超声在诊断膝关节外侧副韧带损伤中的应用价值。方法选取42例经临床、MRI或手术证实的膝关节外侧副韧带损伤患者,超声观察其膝关节外侧副韧带的厚度、内部回声、连续性、韧带附着处骨质情况、韧带周边软组织有无血肿、关节腔有无积液及膝关节其他结构有无伴发损伤,并行侧方应力试验动态观察韧带张力和关节间隙的变化。根据韧带损伤程度将超声图像和MRI对比分析超声诊断情况。结果 42例患者超声和MRI均诊断为韧带损伤。超声诊断挫伤20例,部分撕裂7例,完全撕裂15例;MRI诊断挫伤19例,部分撕裂6例,完全撕裂17例。对超声和MRI均诊断为完全撕裂的15例患者进行手术治疗,超声诊断结果与MRI及手术结果一致。结论超声能准确显示膝关节外侧副韧带的损伤程度,可作为膝关节外侧副韧带损伤的一种重要辅助检查手段。Objective To explore the application value of ultrasound in the injury of the lateral collateral ligament of the knee joint. Methods Forty-two patients with injury of the lateral collateral ligament of the knee joint were selected .The thickness,internal echo,continuity of the lateral collateral ligament of the knee joint,ligament to the bone,hematoma in the soft tissue around the ligament,hydrops in the joint cavity and other structures with or without concomitant injuries were observed. The changes of ligament tension and joint apsce were observed by lateral stress test. The ultrasound and MRI imaging were divided into contusion.partial torn and completely torn according to the degree of ligament damage. Results Both ultrasound and MRI were diagnosed as ligament damage in 42 patients with knee lateral ligament injury. There were 20 cases of contusion diagnosed by ultrasound,7 cases were partial torn,15 cases were completely torn. MRI diagnosed 10 cases of contusion,6 cases of partial torn,and 17 cases of complete torn. Surgical treatment was performed on 15 patients diagnosed with complete torn by both ultrasound and MRI,and the results of ultrasound diagnosis were consistent with those of MRI and surgerys. Conclusion The ultrasonography can judge the degree of the lateral collateral ligament injury of the knee joint,which can be used as an important auxiliary means for the injury of the lateral collateral ligament of the knee joint.

关 键 词：超声检查 膝关节 外侧副韧带 损伤 

分 类 号：R445.1[医药卫生—影像医学与核医学] R686[医药卫生—诊断学]