高频超声在急性踝关节扭伤患者中的应用价值
The application value of high-frequency ultrasound in patients with acute ankle sprain
单国鑫 1王鹏 1王蕾蕾1
作者信息
- 1. 潍坊市中医院超声科,山东潍坊 261041
- 折叠
摘要
目的 探讨高频超声在急性踝关节扭伤患者中的应用价值.方法 收集2021年1月～2023年10月在我院就诊的95例急性外踝扭伤患者,均进行踝关节高频超声、MRI检查并手术治疗,记录踝关节的损伤情况,对距腓前韧带厚度及损伤情况进行分层诊断,比较高频超声与MRI的诊断效能,分析高频超声诊断与手术结果的一致性.结果 ①急性外踝扭伤患者距腓前韧带的厚度比健侧增加,差异有统计学意义(P＜0.05),高频超声与MRI两种检查方法对距腓前韧带厚度的测值差异无统计学意义(P＞0.05).②高频超声在撕脱骨折中的检查率高于MRI,差异有统计学意义(P＜0.05);普通骨折MRI检查率高于超声,差异有统计学意义(P＜0.05);其他韧带、肌腱损伤、关节腔积液情况,两者均无统计学差异(P＞0.05).③距腓前韧带损伤的超声分层诊断结果与MRI诊断结果比较,差异无统计学意义(P＞0.05).高频超声诊断结果与手术结果比较,高度一致(Kappa值=0.719,P＜0.001).结论 高频超声能够明确诊断踝关节损伤情况,并能够准确的分层诊断,有重要的临床意义.
Abstract
Objective To explore the application value of high-frequency ultrasound in patients with acute ankle sprain.Methods A total of 95 patients with ankle sprains who visited Weifang Hospital of Traditional Chinese Medicine from January 2021 to October 2023 were collected.All patients underwent high-frequency ultrasound and MRI examination of the ankle joint and underwent surgical treatment.The injury of the ankle joint was recorded,and the thick-ness and injury of the anterior talofibular ligament were stratified for diagnosis of degree Ⅰ,degree 11,and degree Ⅲ.The diagnostic efficacy of high-frequency ultrasound and MRI was compared,and the consistency between high-frequency ultrasound diagnosis and surgical results was analyzed.Results ①The thickness of the anterior talofibular ligament in patients with acute lateral ankle sprainwas increased compared to the healthy side,and the difference was statistically sig-nificant(P＜0.05).There was no statistically significant difference in the measurement of anterior talofibular ligament thickness between high-frequency ultrasound and MRI examination methods(P＞0.05).②The detection rate of high-fre-quency ultrasound in avulsion fractures was higher than that of MRI,and the difference was statistically significant(P＜0.05);The examination rate of MRI for common fractures was higher than that of ultrasound,and the difference was statisti-cally significant(P＜0.05);There was no statistically significant difference(P＞0.05)in other ligament and tendon inju-ries,as well as joint cavity effusion.③There was no statistically significant difference(P＞0.05)between the ultrasound stratified diagnosis of anterior fibular ligament injury and the MRI diagnosis.The high-frequency ultrasound diagnosis re-sults were highly consistent with the surgical results(Kappa value=0.719,P＜0.001).Conclusion High frequency ul-trasound can clearly diagnose ankle joint injuries and accurately stratify the diagnosis,which has important clinical signif-icance.
关键词
高频超声/踝关节扭伤/距腓前韧带/分层诊断Key words
High-frequency ultrasound/Ankle joint sprain/Anterior talofibular ligament/Hierarchical diag-nosis引用本文复制引用
出版年
2024
NETL
NSTL
万方数据