关节镜下清理及术后持续灌洗治疗化脓性膝关节炎

The Treatment of Suppurative Arthritis with Debndement under Arthroscopy and Persistent Irrigation after Operation

目的:探讨关节镜下清理及术后持续灌洗对化脓性膝关节炎治疗作用。方法:作者自2000年9月～2001年3月采用关节镜下清理及术后持续灌洗治疗化脓性膝关节炎6例,随访20～26个月。结果:6例化脓性膝关节炎全部治愈,关节功能优秀5例,良好1例,无复发。平均治疗时间15.8d。结论:关节镜下清理及术后持续灌洗治疗化脓性膝关节炎效果好,损伤小,时间短,恢复快,是一种理想的治疗方法。

Objective: To investigate the treatment of suppurative arthritis with debridement under arthroscopy and persistent irrigation after operation. Method: Six patients with suppurative arthritis were treated by debridement under arthroscopy and persistently irrigated after operation. Result: All cases follow-up(range 20 to 26 months)results were cured, 5 of the cases were excellent, while 1 was fair. No patient relapsed. The average treatment time were 15.8 days. Conclusion:Debridement under arthroscopy and persistent irrigation after operation has better therapeutic effect than surgery during which the joint cavity is opened. It is less invasive, has better recovery,costs less time;So it is an ideal therapeutic method.