高频超声测量前交叉韧带厚径与前交叉韧带损伤的相关性

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摘要目的探讨应用高频超声测量前交叉韧带(anterior cruciate ligament, ACL)厚径与ACL损伤的相关性。方法选择单侧非接触性ACL损伤现役男性军人患者30例为ACL损伤组,另选择现役男性健康军人30名为对照组。应用高频超声测量ACL胫骨止点端厚径,ACL损伤组检查健侧ACL,对照组检查双侧ACL。对比分析对照组左侧、右侧ACL厚径,再对比分析ACL损伤组健侧、对照组ACL厚径。结果对照组左侧、右侧ACL厚径分别为(8.11±0.64)mm、(8.03±0.61)mm,差异无统计学意义(P<0.05)。ACL损伤组健侧ACL厚径为(6.25±0.37)mm,小于对照组(8.07±0.61) mm,差异有统计学意义(P<0.05)。结论 ACL厚径小会增加ACL损伤的风险,高频超声测量ACL厚径可作为一项评估ACL损伤风险的筛查指标。

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	席晓萍
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关键词 ：前交叉韧带, 高频超声, 危险因素

Abstract：Objective To investigate the relationships between anterior cruciate ligament(ACL) diameter measured by high frequency ultrasound and ACL injuries.Methods Thirty young male soldiers with unilateral non-contact ACL injuries were divided into the injury group, while another thirty healthy young male soldiers were assigned to the control group. The thickness of ACL near the tibial insertion site was measured by high frequency ultrasound. Healthy ACL was examined in the injury group. Both types of ACL were examined in the control group. The left and right ACL thickness near the tibial insertion site was compared and analyzed in the control group. The thickness of healthy ACL in the injury group and both types of ACL in the control group were compared and analyzed.Results There was no statistically significant difference between the left and right ACL thickness near the tibial insertion site in the control group (8.11±0.64) mm versus (8.03±0.61)mm, P>0.05. There was also no significant difference between the two groups in height, weight or age (P>0.05). The thickness of healthy ACL near the tibial insertion site in the injury group was significantly smaller than in the control group (6.25±0.37) mm versus (8.07±0.61)mm, P<0.05.Conclusions The smaller the thickness of ACL, the higher the risk of ACL injury. The thickness of ACL measured by high frequency ultrasound can be used as an indicator for assessment of ACL injury risk.

Key words： anterior cruciate ligament high frequency ultrasound risk factor

收稿日期: 2017-09-20

ZTFLH:

R445.1

通讯作者: 徐大伟,E-mail:xudawei73@163.com

作者简介: 席晓萍,本科学历,副主任医师。

引用本文:

席晓萍, 徐闻, 张怡靓, 丁雪, 闫玮, 李文红, 徐大伟. 高频超声测量前交叉韧带厚径与前交叉韧带损伤的相关性[J]. 武警医学, 2018, 29(2): 188-190. XI Xiaoping, XU Wen, ZHANG Yiying, DING Xue, YAN Wei, LI Wenhong, XU Dawei. Relationships between anterior cruciate ligament diameter measured by high frequency ultrasound and injuries to the anterior cruciate ligament. Med. J. Chin. Peop. Armed Poli. Forc., 2018, 29(2): 188-190.

链接本文:

http://journal08.magtechjournal.com/Jwk_wjyx/CN/ 或 http://journal08.magtechjournal.com/Jwk_wjyx/CN/Y2018/V29/I2/188

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