关节镜清理结合改良置管对冲治疗化脓性膝关节炎

Arthroscopic Debridement Combined with Improved Catheter Flushing for Suppurative Knee Arthritis

目的探讨关节镜清理结合改良置管对冲灌洗治疗化脓性膝关节炎的效果。方法对32例化脓性膝关节炎患者予以关节镜清理结合改良置管对冲灌洗。结果 32例膝关节感染患者均获得随访,其中2例复发,经再次手术后治愈,30例患者一期治愈,术后6个月Lysholm膝关节功能评分从术前的（37.2±2.5）分提高到（89.5±3.2）分（P〈0.05）。随访12~24个月未见复发,未发现明显并发症。结论关节镜下膝关节清理结合改良置管对冲灌洗治疗化脓性膝关节炎的疗效确切,其创伤小、恢复快,能较快改善患者膝关节功能并提高患者生活质量。

Objective To investigate the effect of arthroscopic debridement combined with improved catheter flushing on suppurative knee arthritis.Methods Thirty-two patients with suppurative knee arthritis were treated with arthroscopic debridement and improved catheter flushing.Results Among the 32 patients,30had first intention healing,and 2were cured by reoperation for recurrence.The Lysholm knee score increased from（37.2±2.5）before operation to（89.5±3.2）at 6months after operation（P〈0.05）.After 12-24 months of follow-up,no recurrence and complications were found in all patients.Conclusion Arthroscopic debridement combined with improved catheter flushing can reduce trauma,promote recovery,improve knee joint function and enhance quality of life in patients with suppurative knee arthritis.