【摘要】 目的 分析踝关节扭伤患者距腓前韧带（anterior talofibular ligament,ATFL）损伤后的变化。方法 选取2019年1月至2021年12月湖州市中心医院门诊接诊的97例踝关节扭伤超过3个月且存在临床症状的ATFL损伤患者为损伤组，同期征集112名健康者作为对照组，在踝关节自然状态和应力状态下探查纳入者两侧ATFL的回声变化并测量ATFL的长度、宽度和厚度，统计分析两组纳入者的ATFL数据变化。结果 损伤组患者的ATFL边界大部分欠清晰，韧带回声紊乱；对照组纳入者的ATFL边界清晰，回声均匀，两侧ATFL的长度、宽度和厚度比较，差异无统计学意义（P>0.05）。损伤组患者两侧的ATFL比较，损伤侧ATFL的长度和厚度均增加，差异有统计学意义（P<0.05），宽度差异无统计学意义（P>0.05）。在自然状态下损伤组患者的ATFL长度和宽度均较对照组增加，差异有统计学意义（P<0.01），厚度差异无统计学意义（P>0.05）；在应力状态下损伤组患者的ATFL长度和宽度均较对照组增加，差异有统计学意义（P<0.01），厚度比较差异无统计学意义（P>0.05）。在非应力和应力状态下两组纳入者的ATFL长度、宽度和厚度差值比较，结果显示损伤组患者的ATFL长度和厚度变化差值有统计学意义（P<0.01），宽度变化差值无统计学意义（P>0.05）。结论 踝关节扭伤后患者的ATFL长度在应力和自然状态下均明显变长，且ATFL长度变化的差值也更明显。更多还原

【Abstract】 Objective To analyze the changes in the anterior talofibular ligament(ATFL) after injury in patients with ankle sprains. Methods A total of 97 ATFL injury patients with ankle sprains exceeding 3 months and clinical symptoms were selected as injury group from the outpatient department of Huzhou Central Hospital from January 2019 to December 2021. During the same period, A total of 112 healthy individuals were recruited as control group. The echo changes of ATFL on both sides of the enrolled patients were explored under the natural and stress states of the ankle joint, the length, width, and thickness of ATFL were measured. The ATFL data changes of the two groups of enrolled patients were statistically analyzed. Results The ATFL boundaries of patients in injury group were mostly unclear, and the ligament echoes were disordered; The ATFL boundaries of control group participants were clear, with uniform echoes. There were no statistically significant differences in the length, width,and thickness of ATFL on both sides(P>0.05). The comparison of ATFL on both sides of injury group patients showed an increase in the length and thickness of ATFL on the injured side, with statistical significance(P<0.05), while the difference in width was no statistically significant(P>0.05). The length and width of ATFL increased in injury group of patients with natural injury than those in control group, and the differences were statistically significant(P<0.01), while the difference in thickness was not statistically significant(P>0.05); The length and width of ATFL in injury group of patients increased under stress than those in control group, and the differences were statistically significant(P<0.01), while the difference in thickness was no statistically significant(P>0.05). The comparison of the difference in length, width, and thickness of ATFL between the two groups of participants under non stress and stress states showed that the differences in length and thickness of ATFL in injury group were statistically significant(P<0.01), while the difference in width change was no statistically significant(P>0.05).Conclusion The length of ATFL in patients with ankle sprains significantly increases under stress and natural conditions, and the difference in ATFL length changes was also more pronounced.更多还原