人工髋关节感染翻修的探讨
冯宗权;邹勇根;潘耀成;
摘要(Abstract)：
[目的]分析人工髋关节感染采用一期或二期翻修治疗的选择及疗效。[方法]自2006年1月~2010年1月本院收治的15例人工髋关节置换术后感染患者中,采用一期翻修4例(4髋);二期翻修术治疗11例(11髋)。一期翻修组,彻底清创,取出感染假体,置入含万古霉素骨水泥型假体。二期翻修组,一期手术彻底清创,取出感染假体,置入含有万古霉素骨水泥占位器,3~6个月后二期手术,再次清创,取出骨水泥占位器后,置入骨水泥型或非骨水泥型假体。术后随访24~56个月,平均31个月。[结果]15例患者均未发现感染复发,Harris评分术前一期翻修组为40.5分,翻修后为88.2分(85~95分);二期翻修组术前为46.3分(22~55分),二期翻修后为87.1分(80~94分)。[结论]根据患者全身情况、实验室检查以及髋部骨质和软组织情况等综合因素,一期翻修术对于感染程度轻,无窦道形成的患者,临床效果满意。二期翻修则适用于感染程度严重,有窦道形成,关节腔内大量脓液的病例。
关键词(KeyWords)： 翻修术;人工关节;感染
基金项目(Foundation):
作者(Author): 冯宗权;邹勇根;潘耀成;
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参考文献(References)：
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