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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感染 被引量:1

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方法及疗效。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个月KOOS评分[1](67.3±9.8分)较术前(26.4±6.8分)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 in the 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 underwent and effective antibiotics and rehabilitation program was 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 preoperative one ( P 〈 0.01 ). Conclusion ArthroscopicaUy - assisted debridement and continuous irrigation has the advantages of minimal injury, less pain and fast recovery and should be considered feasible in treating inflammation of the knee with osteoarthrifts.
出处 《南华大学学报(医学版)》 2007年第5期732-734,共3页 Journal of Nanhua University(Medical Edition)
关键词 关节镜 膝关节 骨性关节炎 感染 arthroscopy knee joint osteoarthritis infection
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