| 关节镜下治疗急性化脓性膝关节炎 |
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| 引用本文： | 周保军,胡开泰,祁志轶,李国军,陈力援.关节镜下治疗急性化脓性膝关节炎[J].临床骨科杂志,2011,14(1):65-66. |
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| 作者姓名： | 周保军 胡开泰 祁志轶 李国军 陈力援 |
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| 作者单位： | 白银市第一人民医院骨科,甘肃,白银,730900 |
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| 摘 要： | 目的探讨关节镜下病灶清除结合术后抗生素持续滴注引流对化脓性膝关节炎的治疗效果。方法对18例膝关节化脓性关节炎患者采用关节镜下病灶清除结合术后抗生素持续滴注引流治疗,患者术后积极康复训练。结果住院时间14～21 d。18例均获随访,时间2～24个月。患者均一次性治愈,无复发。关节功能根据HSS评分标准：优16例,良2例。结论关节镜下病灶清除结合术后抗生素持续滴注引流治疗化脓性膝关节炎的优点为：手术创伤小,住院时间短,关节功能恢复快,疗效肯定。
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| 关 键 词： | 膝关节 化脓性关节炎 关节镜检查 清理术 引流术 |
Treatment of acute suppurative knee arthritis with arthrosopy |
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| ZHOU Bao-jun,HU Kai-tai,QI Zhi-yi,LI Guo-jun,CHEN Li-yuan.Treatment of acute suppurative knee arthritis with arthrosopy[J].Journal of Clinical Orthopaedics,2011,14(1):65-66. |
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| Authors: | ZHOU Bao-jun HU Kai-tai QI Zhi-yi LI Guo-jun CHEN Li-yuan |
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| Institution: | ZHOU Bao-jun,HU Kai-tai,QI Zhi-yi,LI Guo-jun,CHEN Li-yuan(Dept of Orthopaedics,the First Hospital of Baiyin,Baiyin,Gansu 730900,China) |
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| Abstract: | Objective To investigate the eflect of arthrnscopy debridement and continous irrigation with anbtibiotics after operation on treating acute suppurative knee arthritis. Methods 18 cases with acute suppurative knee arlhritis were treated by debridement under arthroscopy and coulinous irrigation with antibiotics after＂ operation and rehabilitalion exercise. Results The time of hospital stay was 14 -21 d. 18 caes were followed up for 2 - 24 months. All patients were cured one time without recurrence According to the HSS,the joint function were excellent in 16 cases, good in 12 eases. Conclusions The advantages of dehridement under arthroscopy arid eontinous irrigation with antibiotics on treating acute suppurative knee arihrilis are mini operation wound, shorter hospital stay, rapid .joint function recovery,and good curative effeet. |
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| Keywords: | knee joint pyogenic arthritis arthroscopy debridement drainage |
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