| 关节镜清理结合灌注冲洗治疗前交叉韧带重建术后关节感染 |
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投稿时间：2014-05-06
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| 作者 | Author | 单位 | Address | E-Mail |
| 魏民 |
WEI Min |
中国人民解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, General Hospital of PLA, Beijing 100853, China |
weim301gk@sina.com |
| 刘玉杰 |
LIU Yu-jie |
中国人民解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, General Hospital of PLA, Beijing 100853, China |
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| 李众利 |
LI Zhong-li |
中国人民解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, General Hospital of PLA, Beijing 100853, China |
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| 王志刚 |
WANG Zhi-gang |
中国人民解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, General Hospital of PLA, Beijing 100853, China |
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| 朱娟丽 |
ZHU Juan-li |
中国人民解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, General Hospital of PLA, Beijing 100853, China |
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| 期刊信息：《中国骨伤》2015年，第28卷，第3期，第279-281页 |
| DOI：10.3969/j.issn.1003-0034.2015.03.020 |
| 基金项目: |
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中文摘要:
目的:探讨膝关节前交叉韧带重建术后关节感染的治疗策略。
方法:2005年3月至2014年2月关节镜下前交叉韧带重建术后关节感染6例,均为男性,年龄18～36岁。患者术后出现膝关节疼痛肿胀,血沉和C-反应蛋白升高,细菌培养均为表皮样葡萄球菌。采用关节镜清理和置管灌注冲洗。按照Lysholm膝关节评分系统和膝关节活动度对患者进行评价。
结果:所有患者的感染均被控制,血沉和C反应蛋白恢复正常,Lysholm膝关节评分85～95分,膝关节活动度120°～135°。
结论:前交叉韧带重建术后关节感染,早期采用关节镜清理和置管灌注冲洗获得满意疗效。 |
| 【关键词】关节镜 前交叉韧带 感染 |
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| Clinical effect of arthroscopic debridement and infusion-drainage on septic arthritis after arthroscopic anterior cruciate ligament reconstruction |
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ABSTRACT
Objective:To investigate therapeutic strategy on septic arthritis after arthroscopic anterior cruciate ligament reconstruction.
Methods:The clinical data of 6 cases of septic arthritis after arthroscopic anterior cruciate ligament reconstruction in our department from March 2005 to February 2014 were analyzed. All the patients were male,ranging in age from 18 to 36 years old. After operation,the knee joint became painful and swollen,and ESR and CRP were both increased. Culture of joint fluid allowed the recovery of staphylococcus epidermidis. The patients were dealt with arthroscopic debridement and infusion-drainage. The clinical results were evaluated by Lysholm rating system and range of motion.
Results:The infection of all the patients was controlled. The ESR and CRP both recovered to normal level. The score of Lysholm rating system ranged from 85 to 95,and the range of motion was 120 to 135 degree.
Conclusion:Arthroscopic debridement combined with infusion-drainage is effective in septic arthritis after arthroscopic anterior cruciate ligament reconstruction. |
| KEY WORDS Arthroscopes Anterior cruciate ligament Infection |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 魏民,刘玉杰,李众利,王志刚,朱娟丽.关节镜清理结合灌注冲洗治疗前交叉韧带重建术后关节感染[J].中国骨伤,2015,28(3):279~281 |
| 英文格式: | WEI Min,LIU Yu-jie,LI Zhong-li,WANG Zhi-gang,ZHU Juan-li.Clinical effect of arthroscopic debridement and infusion-drainage on septic arthritis after arthroscopic anterior cruciate ligament reconstruction[J].zhongguo gu shang / China J Orthop Trauma ,2015,28(3):279~281 |
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