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关节镜下清理术治疗急性化脓性膝关节炎的疗效观察 被引量:1

ARTHROSCOPY DEBRIDEMENT IN TREATMENT OF SEPTIC ARTHRITIS OF THE KNEE
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摘要 目的探讨早期关节镜下清理术加持续冲洗术在急性化脓性膝关节炎中的作用. 方法 1998年10月~2003年10月对21例21膝急性化脓性关节炎在关节镜下行关节清理术,术后置管行持续冲洗术,同时结合全身使用抗生素,以及术后系统的康复训练. 结果术后24~48 h患者体温明显下降,3~6 d恢复正常.血常规检查:术后5~8 d白细胞计数和分类恢复正常,血沉和C反应蛋白2~3周恢复正常.术后8周,膝关节伸膝为0°,膝关节屈曲超过110~135°,平均120.1°,部分患者稍差于健侧.本组均获随访1~3年,无一例再感染,X线片检查未发现明显的关节间隙变窄.根据膝关节Noyes最终功能表评分:优19 例,良和可各1例,优良率为95.2%. 结论早期诊断、关节镜下清理术结合术后持续冲洗术是治疗急性化脓性膝关节炎的有效手段,安全简便,创伤小,术后恢复快,能够迅速控制病情的发展,有利于关节功能的康复. Objective To investigate the effect of arthroscopy debridement and drainage on treating septic arthritis of the knee. Methods Twenty-one cases of acute knee septic arthritis were treated by debridement and synovectomy under arthroscopy and combined with intravenous antibiotics and systematic postoperative rehabilitation. Results The temperature resumed to normal after 3 days of operation. All the knees achieved the normal extension and more than 120 degree of flexion 8 weeks after operation. The clinical results were evaluated through examination of temperature and range of motion of the knee joint. All patients had excellent result. All the cases were followed for 1 to 3 years. No major complications related to the arthroscopy of the knee resulted. According to the Noyes, the rate of excellence and the good was 95.2%. Conclusion Early diagnosis and treatment are mandatory for patients with septic arthritis of the knee. The success of arthroscopy treatment of septic arthritis with diminished morbidity makes arthroscopy an excellent alternative to open surgery.
出处 《中国修复重建外科杂志》 CAS CSCD 北大核心 2005年第12期1022-1023,共2页 Chinese Journal of Reparative and Reconstructive Surgery
关键词 膝关节 化脓性关节炎 关节镜 清理术 Knee Septic arthritis Arthroscopy Debridement
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  • 1过邦辅.坎贝尔骨科手术大全[M].上海:上海远东出版社,1991.996-1004.
  • 2Yoshio T, Masuyama J, Kano S. Two cases of pneumococcai septic arthritis complicating rheumatoid arthritis [ J ]. Ryumachi, 1993,33 (2):169 ~ 174.
  • 3Porat S, Goitien K, Saperia BS, et al. Complications of suppurative arthritis and osteomyelitis in children [ J ]. Int Orthop, 1991,15 (3) :205~ 208.
  • 4Iusupov IN, Epifanov MV. Programmed irrigation and drainage in the treatment of patients with suppurative arthritis and intramedullary phlegmons[ J]. Vestn Khir Im I I Grek,2000,159(3) :55 ~58.
  • 5Obana M,Hanada T,Ohta S,et al. Case report:suppurative arthritis due to group B Streptococcus in a patient with rheumatoid arthritis[ J ]. Kansenshogaku Zasshi, 1993,67 (4) :349 ~ 354.
  • 6Perkins MD, Edwards KM, Heller RM, et al. Neonatal group B streptococcal osteomyelitis and suppurative arthritis [ J ]. Outpatient therapy.Clin Pediatr( Phila), 1989,28 ( 5 ) :229 ~ 230.
  • 7[1]Iusupov IN,Epifanov MV.Programmed irrigation and drainage in the treatment of patients with suppurative arthritis and intramedullary phlegmons[J].Vestn Khir Im II Grek,2000,159(3):55~58.
  • 8[2]Yoshio T,Masuyama J,Kano S.Two cases of pneumococcal septic arthritis complicating rheumatoid arthritis [J].Ryumachi,1993,33(2):169~174.
  • 9[3]Obana M,Hanada T,Ohta S,et al.Case report:suppurative arthritis due to group B Streptococcus in a patient with rheumatoid arthritis[J].Kansenshogaku Zasshi,1993,67(4):349~354.
  • 10[4]Porat S,Goitien K,Saperia Bs,et al.Complications of suppurative arthritis and osteomyelitis in children[J].Int Orthop,1991,15(3):205~208.

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  • 1艾山江,肖东,张建军.套管针穿刺持续冲洗引流术治疗早期化脓性关节炎[J].中国骨伤,2005,18(3):176-177. 被引量:2
  • 2黄建荣,李卫平,沈慧勇,林道贤,宋卫东,刘尚礼,王志勇,马文谱,程志安.老年人膝关节化脓性关节炎的关节镜下治疗[J].中华老年医学杂志,2006,25(7):531-533. 被引量:4
  • 3DINJASKI N, FERNANDEZ - GUTItRREZ M, SELVAM S, et al. PHACOS, a functionalized bacterial polyester with bactericidal activity against methicillin resistant staphylococcus aureus [ J ]. Biomaterials, 2014, 35 (1) : 14 - 24.
  • 4ZHANG P, LI C, LI Y, et al. Proteomic identification of differentially expressed proteins in sea cucumber Apostichopus japonicus coelomocytes after Vibrio splendidus infection [ J ]. Dev Comp Inmmnol, 2014, 44 (2): 370-377.
  • 5JUDD D, BOTYONI C, KIM D, et al. Infections following arthroscopic anterior cruciateligament reconstruction [ J ]. Arthroscopy, 2006, 22 (4): 375-384.
  • 6YOUSIF E A, AHMED B H, ABDALLA A A, et al. Knee joint diseases diagnosed by ultrasound and magnetic resonance imaging [J]. Sudan Medical Monitor, 2014, 9 (1) :, 1 -4.
  • 7HUNTER J G, GROSS J M, DAHL J D, et al. Risk factors for failure of a single surgical debridement in adults with acute septic arthritis [J]. J Bone Joint Surg Am, 2015, 97 (7) : 558 -564.
  • 8WESTON A, GOLAN Y, HOLCROFT C, et al. The efficacy of daptomycin versus vancomycin for methicillin - resistant Staphylococcus aureus bloodstream infection in patients with impaired renal function [J]. Clin Infect Dis, 2014, 58 (11): 1533 - 1539.
  • 9宣涛,徐斌,徐洪港,王浩.关节镜下清理及术后持续灌洗引流治疗化脓性膝关节炎[J].中国修复重建外科杂志,2008,22(12):1525-1527. 被引量:13
  • 10董贺福,陈春生.玻璃酸钠注射液致化脓性关节炎1例分析[J].中国误诊学杂志,2010,10(22):5457-5457. 被引量:2

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