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中华关节外科杂志(电子版) ›› 2021, Vol. 15 ›› Issue (03) : 329 -333. doi: 10.3877/cma.j.issn.1674-134X.2021.03.011

综述

人工髋膝关节置换术后感染治疗进展
程永刚1, 周胜虎2,(), 刘军2, 张浩强2, 乔永杰2, 涂鹏1, 李聪1   
  1. 1. 730050 兰州,解放军联勤保障部队第九四〇医院(原兰州军区总院);730030 兰州,西北民族大学
    2. 730050 兰州,解放军联勤保障部队第九四〇医院(原兰州军区总院)
  • 收稿日期:2020-11-03 出版日期:2021-06-01
  • 通信作者: 周胜虎
  • 基金资助:
    全军后勤科研计划面上项目(CWH17J009); 全军医学科技青年培育计划项目(19QNP047); 甘肃省自然科学基金项目(18JR3RA409); 甘肃省卫生行业科研计划项目(GSWSKY2018-21); 兰州市人才创新创业项目(2019-RC-65); 陕西省自然科学基金(2020JM-339)

Progress in treatment of infection after artificial hip and knee arthroplasties

Yonggang Cheng1, Shenghu Zhou2,(), Jun Liu2, Haoqiang Zhang2, Yongjie Qiang2, Peng Tu1, Cong Li1   

  1. 1. The 940th Hospital of PLA Joint Logistics Support Force, Lanzhou 730050, China; Northwest Minzu University, Lanzhou 730030, China
    2. The 940th Hospital of PLA Joint Logistics Support Force, Lanzhou 730050, China
  • Received:2020-11-03 Published:2021-06-01
  • Corresponding author: Shenghu Zhou
引用本文:

程永刚, 周胜虎, 刘军, 张浩强, 乔永杰, 涂鹏, 李聪. 人工髋膝关节置换术后感染治疗进展[J/OL]. 中华关节外科杂志(电子版), 2021, 15(03): 329-333.

Yonggang Cheng, Shenghu Zhou, Jun Liu, Haoqiang Zhang, Yongjie Qiang, Peng Tu, Cong Li. Progress in treatment of infection after artificial hip and knee arthroplasties[J/OL]. Chinese Journal of Joint Surgery(Electronic Edition), 2021, 15(03): 329-333.

假体周围感染作为人工关节置换术后最严重的并发症之一,其治疗方式的选择一直未有明确标准。目前临床上关节置换术后感染的治疗方法,以二期翻修术最为常见,其感染清除率可达到82%~92%,但该术式需要的时间比较长,花费高,而且可能会增加患者术后并发症的发生率和病死率。本文就人工髋关节、膝关节置换术后感染治疗现状进行了综述,旨在提供治疗的理论依据及研究进展。

Periprosthetic infection is one of the most serious complications after artificial joint replacement, and there has been no clear standard for the choice of treatment.Two-stage revision surgery is the most common treatment for postoperative infection after joint replacementat present. The infection clearance rate can reach 82%-92%, but it takes a long time and many costs, Moreover, it may increase the incidence of postoperative complications and mortality of patients.This article reviewed the current status of infection treatment after artificial hip joint and knee joint replacement, aiming to provide theoretical basis for treatment and research progress.

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