| 摘要: |
| 目的探讨超声检查对踝关节结核的诊断价值。方法使用日本TOSHIBA Xario 660实时超声诊断仪对8例踝关节结核进行扫查,分析超声声像图特点。结果8例踝关节结核的超声表现:(1)滑膜增厚,8例,表现为关节表面的低回声带增厚,厚度不均,彩色多普勒内可见丰富血流信号; (2)关节积液,6例,表现为关节腔内深浅不一的无回声区;(3)骨质破坏,7例,表现为正常骨质光滑强回声带连续性中断或呈“虫蚀样”破坏;(4)软组织肿胀,8例,表现为关节周围局部软组织增厚,边缘不清,内部呈不均质增强回声;(5)软组织脓肿,6例,表现为关节周围软组织内无回声区,内透声差,可见点状强回声浮动,无回声区周围血流信号丰富,破溃者可见有窦道与皮肤相通。结论踝关节结核超声表现有相对特征性,具有良好的临床应用价值。 |
| 关键词: 踝关节 结核 超声检查 |
| DOI：10.3724/SP.J.1008.2011.0345 |
| 投稿时间：2010-10-29修订日期：2011-01-12 |
| 基金项目: |
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| Diagnostic value of ultrasound for ankle joint tuberculosis: a preliminary study |
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| Abstract: |
| Objective :To investigate the diagnostic value of ultrasonography in tuberculosis of the ankle joint. Methods: Clinical informations and ultrasonic manifestation of 8 patients with ankle tuberculosis were retrospectively analyzed.Results: Ultrasound examination of 8 cases with tuberculosis of the ankle joint synovial thickening, 8 patients；joint effusion, 6 patients； bone destruction,7patients；soft tissue swelling ,8 patients.；soft tissue abscess,6 patients.Conclusion；Ultrasonic manifestation of ankle tuberculosis has the relative characteristics ,and has good value of clinical applications. |
| Key words: ankle joint Tuberculosis Ultrasonography |
