摘要
目的探讨Ⅰ期翻修术对髋关节置换术合并感染的临床治疗。方法自1999年6月-2005年10月，共治疗全髋术后感染病例18例，其中男12例，女6例；年龄39-72岁，平均46岁。18例均晚期感染。11例致病菌为金黄色葡萄球菌，7例细菌培养阴性。所有病例都采用彻底清创、假体取出后Ⅰ期翻修的治疗方法。结果18例病例在清创假体取出，用含万古霉素抗生素的骨水泥及假体Ⅰ期翻修，伤口均Ⅰ期愈合。翻修术后随访平均18个月，17例未出现感染征象，关节活动功能优良；1例感染复发，需再次手术，Ⅱ期翻修。结论全髋关节置换术后感染Ⅰ期翻修，虽具有一定的风险，如果处理得当，成功率同样很高。
Objective To discuss the therapy method of the infection after hip replacement, Method Eighteen operative treated cases of infected hip replacement, including men and women with an mean age of 46 years （ 39 to72）,Preoperative and intraoperative microorganism culture and sensitive test were both carried out. Eighteen of one stage revision were performed for septic failure of hi replacement. Results There were 11 positive of microorganism culture in the operative which were mainly staphylococcus epidermidis 7 negative cases. No recurrence was found after 18 months follow up ESR and CRP after operative decreased to normal range. The function of hip joint decreased to normal. The X-ray pictures show that there were no displacement between bone and prosthesis. 1 case was recurrence and need tow-stage replacement. Conclusion first, selection one stage revision are performed for treating the infection after hip replacement when the one-stage was failure or worse of general conditions of patient stronge of bacteria. Local conditions of soft tissue and bone stock.
出处
《国际医药卫生导报》
2007年第1期12-14,共3页
International Medicine and Health Guidance News
关键词
髋关节置换
感染
翻修
Hip replacement Infection Revision
