Aspelin P, Ekberg O, Thorsson O, Wilhelmsson M, Westlin N
Department of Diagnostic Radiology, Malmö General Hospital, Sweden.
Am J Sports Med. 1992 Sep-Oct;20(5):601-3. doi: 10.1177/036354659202000519.
We performed ultrasonography on 32 athletes complaining of intense pain in a swollen and tender thigh or calf after a contusion or stretching trauma. The ultrasonogram was used to visualize the presence and size of a suspected hematoma. The findings included the following: 7 patients with a circumscribed, anechoic lesion compatible with a liquefied hematoma; 10 patients with a circumscribed lesion of mixed echogenicity compatible with areas of liquefied hematoma, coagulated blood, and edema; and 15 patients with a diffuse change in echogenicity of the whole muscle. The circumscribed liquefied, and mixed hematoma were more common after contusion trauma, while the diffuse type was more common after injury caused by stretching. Ultrasonography is useful in localizing the hematoma and in characterizing the different types. Differentiation is important in diagnosis and choice of treatment.
我们对32名在挫伤或拉伸创伤后出现大腿或小腿肿胀且疼痛剧烈的运动员进行了超声检查。超声检查用于观察疑似血肿的存在及大小。检查结果如下：7例患者有边界清晰的无回声病变，符合液化血肿；10例患者有边界清晰的混合回声病变，符合液化血肿、凝血和水肿区域；15例患者整个肌肉的回声有弥漫性改变。边界清晰的液化血肿和混合血肿在挫伤后更为常见，而弥漫型在拉伸损伤后更为常见。超声检查有助于血肿的定位及不同类型的特征描述。鉴别对于诊断和治疗选择很重要。
