摘要
目的:探讨膝关节镜下清理及术后关节腔内置管持续灌注冲洗配合中药治疗急性化脓性膝关节炎的作用。方法:对42例42膝急性化脓性关节炎行膝关节镜下清理及术后关节腔内置管持续灌注冲洗治疗,配合中药内服,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12~24h患者体温明显下降,2~4d恢复正常。切口均Ⅰ期愈合,无窦道形成。术后2周患者伸膝功能恢复正常,膝关节屈曲达90度。根据Neer等功能评分:优33例,良7例,差2例。结论:通过关节镜技术配合中药可有效地早期治疗化脓性膝关节炎。该方法清创彻底,创伤小,可及时控制感染,最大限度保持膝关节功能。
Objective:To explore the effect of arthroscopy combined Chinese medicine for treatment of acute septic arthritis of knee. Methods: 42 knees of 42 cases with acute septic arthritis of knee cases were carried out the cleaning up and tube infusion washing under the arthroscopy combined the oral administration of Chinese Medicine, antibiotics as well as rehabilitation training. Results:After operation,the temperature of patients decreased remarkably in 12-24 h. and recovered in 2-4 days. The cut cured well without channel formed. At two weeks after operation, knee function recovered to normal with the knee curve rate reaching 90 degree. According to the Neer's score: superior was 33, good 7 and inferior 2. Conclusion: Arthroscopy combined Chinese medicine may be effective method to treat early septic arthritis of knee. This method shows the characteristics of cleaning well, small wound, controlling infection in time and keeping knee function.
出处
《华夏医学》
CAS
2011年第3期326-328,共3页
Acta Medicinae Sinica