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MRI和高频超声对踝关节外侧副韧带损伤的诊断价值比较评价 被引量:1

Comparison of MRI and High Frequency Ultrasound in Diagnosis of Lateral Collateral Ligament Injury of Ankle Joint
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摘要 目的探究对比MRI及高频超声对踝关节外侧副韧带损伤的诊断价值。方法将收治于该院的96例疑似踝关节外侧副韧带损伤患者视为研究主体对象,纳入时间为2016年4月—2017年4月,96例患者均先后实行高频超声诊断及MRI诊断,再进行关节镜或手术探查诊断获取病理结果,判断诊断方法的灵敏度、特异性及准确率。结果经统计,96例疑似患者经关节镜或手术探查诊断后证实踝关节外侧副韧带损伤55例,单一性距腓前韧带部分撕裂10例、完全撕裂25例,单一性跟腓韧带部分撕裂2例、完全撕裂5例,距腓前韧带合并跟腓韧带部分撕裂5例、完全撕裂6例,距腓后韧带部分撕裂2例、完全撕裂0例。从部分撕裂及完全撕裂诊断符合率指标来看,MRI及高频超声诊断二者相比差异有统计学意义(P<0.05)。结论踝关节外侧副韧带实行MRI及高频超声联合诊断的优势相对显著,明显优于单一使用MRI诊断或高频超声诊断,大大提高诊断检出率。因此值得在临床诊断中使用及推广。 Objective To explore the diagnostic value of MRI and high-frequency ultrasound in lateral collateral ligament injury of ankle joint. Methods 96 cases of suspected lateral collateral ligament injury in our hospital were considered as the subject of study. The time of indusion is from April 2016 to April 2017. All the 96 patients were diagnosed by high-frequency ultrasound and MRI, and the sensitivity and specificity of arthroscopy or surgical exploration for the diagnosis of pathological Results were obtained. Sex and accuracy. Results According to statistics, 96 cases of suspected patients confirmed 55 cases of lateral collateral ligament injury in ankle joint after arthroscopy or surgical exploration, 10 cases with partial torn of anterior peroneal ligament, 25 cases of complete tear, 2 cases with partial torn of the fibula and 5 cases, 5 cases with partial torn of the fibula ligaments with the anterior fibula and the partial rupture of the peroneal ligament. There were 6 cases of tear, 2 cases of partial posterior cruciate ligament tear and 0 cases of complete tear.From the diagnosis of partial tearing and complete tear, MRI and high frequency ultrasound were respectively. The two groups were statistically significant(P <0.05). Conclusion The advantages of combined MRI and high frequency ultrasound in the lateral collateral ligament of the ankle were significantly better than the single use of MRI or high frequency ultrasound to improve the diagnostic rate. Therefore, it is worth using and popularizing in the clinical diagnosis.
作者 徐福厚
机构地区 兰陵县人民医院
出处 《双足与保健》 2018年第12期5-6,共2页 Biped and Health
关键词 MRI 高频超声 踝关节外侧副韧带损伤 MRI High frequency ultrasound Lateral collateral ligament injury of ankle joint
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