摘要
目的对人工全膝关节置换(total knee arthroplasty,TKA)术后疼痛的原因进行分析,综述其诊断和治疗方法。方法广泛查阅近年国内外TKA术后疼痛的相关文献,并进行总结与分析。结果 TKA术后疼痛分为关节内和关节外两种因素,系统评估和恰当的影像学、实验室检查有助于明确诊断,针对性的手术可有效缓解疼痛。结论 TKA术后疼痛原因复杂多样,首先要排除关节内感染,病因明确者可进行相应手术并可获得良好效果。疼痛原因不明时禁忌盲目翻修,保守治疗可一定程度缓解疼痛。
Objective To analyze the causes of pain after total knee arthroplasty（TKA）,and to review its diagnosis and treatment methods.Methods Domestic and abroad literature concerning pain after TKA was extensively reviewed and thoroughly analyzed.Results Pain after TKA was divided into intra-articular and extra-articular factors,systematic assessment,appropriate imaging,and laboratory tests were useful to confirm the diagnosis;targeted surgery could effectively relieve the pain.Conclusion The causes of pain after TKA are complex and diverse,the first step is to exclude intraarticular infection,for patients having a clear cause the appropriate surgery is effective.Otherwise revision should be carried out cautiously under condition of unexplained pain and conservative treatment can relieve pain to some degree.
出处
《中国修复重建外科杂志》
CAS
CSCD
北大核心
2010年第6期708-713,共6页
Chinese Journal of Reparative and Reconstructive Surgery
关键词
人工全膝关节置换
疼痛
诊断
治疗
研究进展
Total knee arthroplasty Pain Diagnosis Treatment Research development
