摘要
目的探讨关节镜技术在化脓性膝关节炎早期治疗中的应用价值。方法对13例化脓性关节炎患者的症状、体征、辅助检查以及关节镜下行关节清理灌洗术、滑膜次全切除术、置管冲洗引流,同时结合全身性抗生素的应用和术后系统的康复训练等治疗进行总结分析;并通过体温、皮温、关节积液、关节活动度以及膝关节功能的检查评价治疗效果。结果平均术后2d,体温恢复正常;术后4周,无伸膝功能受限者,屈膝活动度均超过110°。术后3个月,90%患者的患侧屈膝活动度恢复正常,Lysholm膝关节功能评分为(89±5)分,与术前相比其差异具有显著性(P<0.01)。结论采用关节镜技术早期治疗膝关节化脓性关节炎创伤小,清创彻底,有利于炎症的消除和膝关节功能的恢复。
[Objective] To introduce the way of arthroscopy treatment of purulent knee arthritis, and to evaluate the applicationvalue. [Methods] Thirteen cases of purulent knee arthritis were treated arthroscopically, for debridement and subtotal synoveetomy, combined with introvenious antibiotics and systemic postoperative rehabilitation. Through examination of temperature, joint effusion, rang of motion and total knee function, to evaluate the clini- cal results. [Results] Averagely two days after operation, the temperature resumed to normal. Four weeks after operation, in all eases the suffered knees regain normal extension, and flexion degree were more than 110. Three months after operation, in 90% cases knee flexion resume to normal, and Lysholm knee function score was 89±5 in average. Compared with the Lysholm knee score before operation, the differences statistically had prominent significance （P 〈0.01）. [Conclusion] Arthroscopy treatment of purulent knee arthritis is minimally invasivc, easy to get thorough debridement, and is good to control infection and restore knee function.
出处
《中国内镜杂志》
CSCD
北大核心
2007年第1期65-67,共3页
China Journal of Endoscopy
