摘要
目的探讨全膝关节置换术后感染的治疗方法。方法2003～2007年间治疗全膝置换术后感染病例11例，其中2例急性感染，9例慢性感染。感染细菌：表皮葡萄球菌3例，金葡菌4例，川崎杆菌1例，近平滑假丝酵母菌1例。结果4例感染采用保留假体清创术，其中2例感染复发。4例Ⅱ期翻修，术后随访3～48个月，无感染复发，KSS评分平均83分。3例膝关节融合，其叶1例术后伤口不愈，术后6～12个月随访膝关节均融合。结论全膝关节置换术后感染是十分严重的并发症，一旦发生感染应及早进行诊断，同时根据病情选择合适的治疗方案，从临床治疗效果观察，Ⅱ期翻修是首选的治疗方法。
Objective To discuss the treatment of infection after total knee replacement （TKR）. Methods From 2003 to 2007. 11 patients with TKA were treated, of whom 2 were diagnosed as having acute infection and 9 as having chronic infectinn, Infectinns bacteria included Staphylococcus epidermidis （n=3）, Staphylococcus aureus （n=4）, Kawasaki bacilli （n=1） and Candida parapsilosis （n=1）. Results Of the 11 patients, 4 were treated with debridement and retention of prosthesis, and infection recnrred in 2 of them; 4 were treated with stage Ⅱ revision, in whom no recurrence of infection was observed during a 3-48 months follow-up and the mean KSS score was 83; and the remaining 3 patients were treated with Knee fusion, whose knee joints were fused completely during a 1 6-12 months follow-up, although the wound failed to heal after operation in one patient. Conclusions Post TKR infection is a severe complication. Early diagnosis and proper treatment is necessary once it is confirmed. Stage Ⅱ revision is the clinical treatment of ehoic.e for post TKR infection.
出处
《老年医学与保健》
CAS
2007年第6期351-353,共3页
Geriatrics & Health Care
关键词
关节成形术
置换
膝
感染
修复外科手术
Arthroplasty, replacement, knee
Infection
Reconstructive surgical procedures
