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关节镜下清理及术后持续灌洗引流治疗膝骨性关节炎并化脓感染

Debridement and Continuous Irrigation for the Treatment of Pyogenic Arthritis in the Osteoarthritic Knee
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摘要 【目的】探讨膝关节镜下清理及术后持续灌洗引流治疗膝关节骨性关节炎并化脓性感染的疗效。【方法】25例膝关节骨性关节炎并化脓感染患者,通过关节镜技术,行滑膜切除、坏死组织清除,术后置管持续灌洗引流,给予有效抗生素,指导康复治疗。【结果】25例均获随访,24例治愈;1例复发,经再次手术治愈。术后6月KOOS评分较术前显著提高(P<0.01)。【结论】关节镜下清理及术后持续灌洗引流治疗膝关节骨性关节炎并发化脓性感染具有创伤轻、痛苦小的优点,能有效缓解症状,改善功能。 [Objective]To investigate the therapeutic outcomes of synovectomy, debridement, and continuous irrigation for the treatment of pyogenic arthritis in patients with osteoarthritis of knee. [Methods]Records of 25 patients with osteoarthritis suffered pyogenic infection in the knee presented to our hospital from 2002 were reviewed. Synovectomy, debridement, and continuous irrigation were undergone and effective antibiotics and rehabilitation program were used postoperatively. [Results]The infection was successfully treated in 24 patients and there was one case relapsed and cured after second operation. According to KOOS scoring system, the postoperative score was (67. 3±9.8) points, which increased more significantly compared with the preop- erative ones ( P 〈0. 01). [Conclusion]Arthroscopically assisted debridement and continuous irrigation have the advantages of minimal injury, less pain and fast recovery and should be considered feasible in treating inflammation of the knee with osteoarthritis.
出处 《医学临床研究》 CAS 2007年第5期766-768,共3页 Journal of Clinical Research
关键词 骨关节炎 膝/治疗 冲洗法 引流 化脓 感染 关节镜检查 osteoarthritis,knee/TH irrigation drainage suppuration infection arthroscopy
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参考文献7

  • 1Roos EM,Roos HP,Lohmander LS,et al.Knee Injury and Osteoarthritis Outcome Score (KOOS)-development of a self-administered outcome measure[J].J Orthop Sports Phys Ther,1998,28(2):88-96.
  • 2Ogilvie-Harris DJ,Fitsialos DP.Arthroscopic management of the degenernative knee[J].Arthroscopy,1991,7(2):151-157.
  • 3林志雄,余楠生,卢伟杰.关节镜诊断和治疗膝关节骨关节炎[J].中华骨科杂志,1998,18(4):199-202. 被引量:343
  • 4Wirtz DC,Marth M,Miltner O,et al.Septic arthritis of the knee in adults:treatment by arthroscopy or arthrotomy[J].Int Orthop,2001,25(4):239-241.
  • 5Johnson MW.Acute knee effusions:a systematic approach to diagnosis[J].Am Fam Physician,2000,15,61 (8):2391-2400.
  • 6Vispo Seara JL,Barthel T,Schmitz H,et al.Arthroscopic treatment of septic joints:prognostic factors[J].Arch Orthop Trauma Surg,2002,122(4):204-211.
  • 7唐康来,杨柳,李起鸿.关节镜下清理及术后持续灌洗治疗化脓性膝关节炎[J].中国矫形外科杂志,2003,11(3):204-206. 被引量:22

二级参考文献11

  • 1[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.
  • 2[2]Yoshio T,Masuyama J,Kano S.Two cases of pneumococcal septic arthritis complicating rheumatoid arthritis [J].Ryumachi,1993,33(2):169~174.
  • 3[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.
  • 4[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.
  • 5[5]Perkins MD,Edwards KM,Heller RM,et al.Neonatal group B streptococcal osteomyelitis and suppurative arthritis.Outpatient therapy[J].Clin Pediatr (Phila),1989,28(5):229~230.
  • 6[6]Grinev MV,Iusupov IN.Treatment procedure in suppurative arthritis[J].Vestn Khir Im II Grek,1981,126(5):81~84.
  • 7[7]Gerard Y,Lamarque B,Segal P,et al.Synovectomy in acute suppurative arthritis[J].Rev Chir Orthop Reparatrice Appar Mot,1977,63 Suppl 2:69~78.
  • 8[8]Kelly PJ,Martin WJ,Coventry MB.Bacterial(suppurative)arthritis in the adult[J].J Bone Joint Surg Am.1970,52(8):1595~1602.
  • 9[9]Renner JB,Agee MW.Treatment of suppurative arthritis by percutaneous catheter drainage[J].AJR Am J Roentgenol,1990,154(1):135~138.
  • 10娄思权,中华骨科杂志,1996年,16卷,56页

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