摘要
目的探讨关节镜下治疗膝关节骨性关节炎并发化脓感染的方法和疗效.方法采用关节镜下膝关节清理术,结合术后持续冲洗引流,敏感抗生素使用及康复治疗等措施治疗13例膝关节骨性关节炎并发化脓感染患者.结果术后疼痛迅速缓解.3~5 d局部红肿明显减退,体温下降.术后6周HSS膝关节功能评分平均提高35分.随访6~36个月,无1例感染复发.结论膝关节骨性关节炎并发化脓感染,采用关节镜清理术,创伤轻,痛苦小,能有效缓解症状,改善功能.
Objective: To investigate the treatment of methods and clinical results of knee osteoarthritis associated with suppurative infection with arthroscopic debridement. Methods: 13 cases of knee osteoarthritis associated with suppurative infection were treated with arthroscopy. Drainage-tubes were placed in the knee joint at the end of operation for continuous douching and draining. The effective antibiotics and rehabilitation programe was used for the patients postoperatively. The clinical effect was evaluated. Results: The temperatures recovered to normal, local swellings and pain regressed in the 3~5 days after operation. Knee joint HSS′s score got a average improvement of 35. the patients were follow up from 6 to 36 months, there was no case reapsed. Conclusion: Arthroscopic debridement and rehabilitation programe has the advantages of minimal injury, less pain and fast recovery.
出处
《中国内镜杂志》
CSCD
2004年第11期18-19,共2页
China Journal of Endoscopy
关键词
膝关节
骨性关节炎
感染
关节镜
knee joint
ostroarthristis
infection
arthroscope