正常成人Lisfranc关节高频超声检查及其临床意义

发布时间：2018-03-01 01:21

本文关键词： 高频超声 Lisfranc关节背侧Lisfranc韧带 C1-M2间距　出处：《新疆医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:通过高频超声对正常成人足背侧lisfranc韧带、内侧楔骨(the first cuneiform)与第二跖骨(the second metatarsal)基底部之间距离(以下简称C1-M2)的检查评价超声检查lisfranc关节的可行性,并探讨其临床应用价值。方法:应用高频超声对100例健康志愿者双足进行检查,观察背侧Lisfranc韧带的声像图特征,并测量C1与M2之间距离。结果:高频超声对100例志愿者(200个)背侧Lisfranc韧带的显示率为100%。正常成人背侧Lisfranc韧带厚度右足(0.824±0.174)mm与左足(0.823±0.166)mm比较无显著性统计学差异(P0.05);男性背侧Lisfranc韧带厚度右足:(0.874±0.161)mm,左足:(0.881±0.165)mm与女性背侧Lisfranc韧带厚度右足:(0.779±0.174)mm,左足:(0.772±0.151)mm比较无显著性统计学差异(P0.05);C1与M2之间距离右足(0.862±0.139)mm与左足(0.865±0.142)mm比较无显著性统计学差异(P0.05),C1与M2之间距离男性右足:(0.877±0.154)mm,左足:(0.868±0.111)mm与女性右足:(0.849±0.125)mm,左足:(0.862±0.167)mm比较无显著性统计学差异(P0.05)。结论:高频超声对足背侧Lisfranc韧带具有良好的显示效果;测量C1与M2之间的距离也较方便、准确,是一种可行、无创、价廉的检查方法,可作为Lisfranc韧带损伤早期诊断的间接征象指标的影像学检查方法,为临床Lisfranc韧带损伤的诊断提供更多影像学资料。
[Abstract]:Objective: to evaluate the feasibility of detecting the lisfranc joint by high-frequency ultrasound on the distance between the medial wedge of the first cuneiform and the base of the second metatarsal bone (C1-M2). Methods: 100 healthy volunteers were examined with high frequency ultrasound to observe the ultrasonographic characteristics of the dorsal Lisfranc ligament. The distance between C1 and M2 was measured. Results: the display rate of dorsal Lisfranc ligament in 100 volunteers (200) was 100. The thickness of Lisfranc ligament in right foot was 0.824 卤0.174 mm in normal adults and 0.823 卤0.166 mm in left foot. There was no significant difference between male and male. The thickness of the dorsal Lisfranc ligament is 0.874 卤0.161 mm in the right foot, 0.881 卤0.165 mm in the left foot, 0.779 卤0.174 mm in the right foot and 0.772 卤0.151 mm in the female dorsal Lisfranc ligament. There is no significant difference in the distance between the right foot (0.862 卤0.139mm) and the right foot (0.865 卤0.142mm). There is no significant difference between the right foot (0.862 卤0.139mm) and the left foot (0.865 卤0.142mm). The distance between male right foot and female right foot was 0.877 卤0.154mm, 0.868 卤0.111mm, 0.849 卤0.125mm and 0.862 卤0.167mm, respectively. Measuring the distance between C1 and M2 is also convenient and accurate. It is a feasible, non-invasive and inexpensive method. It can be used as an imaging examination method for the early diagnosis of Lisfranc ligament injury. To provide more imaging data for the diagnosis of Lisfranc ligament injury.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R445.1

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