关节镜下清理加镜下置管灌洗术治疗化脓性膝关节炎

Debridement and programmed irrigation-drainage under arthroscope for treatment of suppurative arthritis of knee joint.

目的 探讨关节镜术和置管灌洗术在诊治化脓性膝关节炎中的应用。方法 2 0 0 1年 6～ 12月用关节镜下清理术治疗化脓性膝关节炎 5例 ,其中对 3例急性化脓性膝关节炎术后置 2管持续冲洗 5～ 10天 ,平均 7天。结果 随访 1～ 6月 ,5例 (5膝 )手术效果好 ,无术后并发症 ,术后肿胀、疼痛均明显缓解 ,膝关节功能可 ;综合评定 ,3例优 ,1例良 ,1例中。结论 关节镜下清理加镜下置管灌洗术治疗化脓性膝关节炎的方法 ,可以完成切开手术同样的效果 ,且损伤小、恢复快、临床效果好 ,值得推广。

Objective To disscuss treatment of suppurative arthritis with debridement and programmed irrigation and drainage under arthroscope.Methods Five patients (10～57 years) with supprative arthritis were treated in such a way from June 2001 to December 2001. Among those,the programmed irrigation and drainage were used after the treatment in 3 patients with acute suppurative arthritis. The treatment was continued for 5 to 10 days (average,7days).Results All the patients after the follow up from 1～6 months were successfully treated without any complication. The range of motion of the knee joint was restored and the patients became free of pain after surgery. The results in three of the cases were the best,while one was good and another was fair,according to the systematic evaluation.Conclusion Arthroscopic debridement combined with programmed irrigation and drainage has the same therapeutic effect as surgery does. This therapy is worth recommending for it is less invasive and has a better recovery rate.