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中华关节外科杂志(电子版) ›› 2018, Vol. 12 ›› Issue (06) : 821 -825. doi: 10.3877/cma.j.issn.1674-134X.2018.06.014

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综述

人工关节置换术后假体周围感染的临床分类
何人可1, 王津1, 王俏杰1, 沈灏1, 张先龙1,()   
  1. 1. 200233 上海交通大学附属上海市第六人民医院骨科
  • 收稿日期:2018-03-10 出版日期:2018-12-01
  • 通信作者: 张先龙

Clinical classification of periprosthetic joint infection following arthroplasty

Renke He1, jin Wang1, Qiaojie Wang1, Hao Shen1, Xianlong Zhang1,()   

  1. 1. Department of Orthopaedics, Shanghai 6th People’s Hospital Affiliated of Shanghai Jiaotong University, Shanghai 200233, China
  • Received:2018-03-10 Published:2018-12-01
  • Corresponding author: Xianlong Zhang
  • About author:
    Corresponding author: Zhang Xianlong, Email:
引用本文:

何人可, 王津, 王俏杰, 沈灏, 张先龙. 人工关节置换术后假体周围感染的临床分类[J/OL]. 中华关节外科杂志(电子版), 2018, 12(06): 821-825.

Renke He, jin Wang, Qiaojie Wang, Hao Shen, Xianlong Zhang. Clinical classification of periprosthetic joint infection following arthroplasty[J/OL]. Chinese Journal of Joint Surgery(Electronic Edition), 2018, 12(06): 821-825.

假体周围感染(PJI)是关节外科领域临床处理上最为棘手的问题之一。PJI的发生可以出现在关节置换术后任何时期,并且有着复杂多样的临床表现。同时PJI的病情迁延难愈,严重时可以导致截肢甚至危及生命。在针对PJI的治疗中,合理的临床分类能够帮助医生迅速判断病情,搭建对病情综合性评估的框架,进而做出合理化治疗方案选择。目前国际上关于PJI的临床分类还没有足够清晰的划分。毫无疑问,明确的临床分期和分型会对PJI的治疗有重大的意义。本综述旨在总结文献中PJI的不同临床分类角度,常见的临床分类,探讨其合理性,并进一步归纳其与治疗的关系,为PJI的临床分类及治疗策略选择提供参考。

Periprosthetic joint infection (PJI) is one of the most intractable clinical problems in the field of joint surgery. PJI appears in any period after the arthroplasty and has diverse and complex clinical manifestations.Meanwhile, PJI is hard to recover and often recurrent, which can lead to amputation or even life-threatening injures.For better treatment of PJI, a reasonable clinical classification can help doctors understand the condition of infection quickly, set up the framework of comprehensive assessment, and then make a reasonable treatment option. The clinical classification of PJI is not yet clear enough in the world .There is no doubt that clear clinical stages and types of PJI have great significance in the choice of treatment strategies towards PJI. This review aimed to summarize different clinical classified angles and common clinical classifications of PJI in the literature, explore its rationality and its relationship with the treatment, and provided reference for the clinical classification and treatment strategies.

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