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

席晓萍; 徐闻; 张怡靓; 丁雪; 闫玮; 李文红; 徐大伟

PDF(1947 KB)

武警医学 ›› 2018, Vol. 29 ›› Issue (2) : 188-190.

论著

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

席晓萍¹, 徐闻¹, 张怡靓¹, 丁雪¹, 闫玮¹, 李文红¹, 徐大伟²

作者信息 +

Relationships between anterior cruciate ligament diameter measured by high frequency ultrasound and injuries to the anterior cruciate ligament

XI Xiaoping¹, XU Wen¹, ZHANG Yiying¹, DING Xue¹, YAN Wei¹, LI Wenhong¹, XU Dawei²

Author information +

文章历史 +

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。

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.

导出引用

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[J]. Medical Journal of the Chinese People Armed Police Forces. 2018, 29(2): 188-190

中图分类号： R445.1

参考文献

[1] 苏巍,任德玉,张邵军,等.军训致膝前交叉韧带损伤的流行病学研究[J]. 武警医学,2011,22(4):294-295,299.
[2] 徐诚堂. 武术运动员膝关节损伤综述[J]. 体育科技文献通报,2014,22(11):122-123.
[3] Sutton K M, Bullock J M. Anterior cruciate ligament rupture: differences between males and females [J]. J Am Acad Orthop Surg, 2013, 21(1): 41-50.
[4] 席晓萍,闫玮,丁雪,等. 正常前交叉韧带高频超声和MRI测量对照分析[J]. 武警医学,2016, 27(3): 277-280.
[5] 陈君洁,梁峭嵘,刘照宏,等. 高频超声膝关节前交叉韧带损伤分级诊断与关节镜对比研究[J].中国中西医结合影像学杂志, 2012, 10(4): 314-315.
[6] 曹炜. 从解剖学角度分析篮球运动中膝关节损伤及预防[J]. 湖北科技学院学报,2013, 33(12): 162-163.
[7] 郑荣强,周静怡. 非接触性前交叉韧带损伤的生物力学风险评估及预防[J]. 中国组织工程研究,2014,18(24): 3919-3924.
[8] 晓宇,杨柳,陈伟,等. 膝关节前交叉韧带解剖测量和MRI测量对照分析[J].重庆医学,2006, 35(13): 1171-1173.
[9] 何国超,汪青春,向孝兵,等. 前交叉韧带胫骨附着处临床解剖学研究[J]. 中国临床解剖学杂志, 2011, 29(2): 155-158.
[10] Sullivan J P, Cook S, Gao Y, et al. Radiographic anatomy of the native anterior cruciate ligament: a systematic review[J].HSS J, 2015, 11(2): 154-165.
[11] Chaudhari A M, Lindenfeld T N, Andriacchi T P, et al. Knee and hip loading patterns at different phases in the menstrual cycle: implications for the gender difference in anterior cruciate ligament injury rates [J]. Am J Sports Med, 2007, 35(5): 793-800.
[12] 封旭华,蔡叶华,华英汇,等. 高频超声在跟腱腱病诊断与康复疗效评估中的应用[J]. 上海体育学院学报,2014, 38(5):56-60.