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目的:探讨创伤性膝关节病变超声表现。方法:收治创伤性膝关节病变患者38例,回顾性分析其临床资料。结果:①外伤、运动伤中以胫骨平台骨折伴随内外侧副韧带、髌支持带、髌腱、股四头肌腱撕裂及髌上囊脂血症为多见。②膝关节周围滑囊积液、胫骨粗隆撕脱骨折、软组织血肿高频彩超诊断与MRI诊断一致。③对前后交叉韧带撕裂、半月板撕裂高频彩超可做间接提示诊断,确诊靠MRI。结论:高频彩超对创伤性膝关节表浅结构病变的诊断具有一定优越性,但对于部分位置较深的病变应结合MRI检查,以进一步提高诊断准确率。
Objective: To investigate the ultrasound manifestations of traumatic knee joint disease. Methods: Thirty-eight patients with traumatic knee joint disease were treated. The clinical data were retrospectively analyzed. Results: ①The tibial plateau fractures with traumatic medial and lateral collateral ligaments, the patella support band, the patellar tendon, the tendon of the quadriceps tendon and the suprapatellar lecithin were more common in traumatic and sports injuries. ② synovial fluid around the knee, tibial tuberosity avulsion fracture, soft tissue hematoma high-frequency ultrasound diagnosis and MRI consistent. ③ anterior cruciate ligament tear, torn meniscus high frequency ultrasound can be indirectly prompted to diagnose, confirmed by MRI. Conclusion: High-frequency color Doppler ultrasound has some advantages in the diagnosis of superficial structural lesions of traumatic knee, but MRI should be combined with MRI to further improve the diagnostic accuracy.