中国骨科临床与基础研究杂志
中國骨科臨床與基礎研究雜誌
중국골과림상여기출연구잡지
CHINESE JOURNAL OF CLINICAL AND BASIC ORTHO[AEDIC RESEARCH
2015年
2期
108-113
,共6页
区永亮(综述)%黄华扬(审校)
區永亮(綜述)%黃華颺(審校)
구영량(종술)%황화양(심교)
关节镜检查%前交叉韧带%膝关节%关节炎,感染性%流行病学%诊断%感染控制%功能恢复
關節鏡檢查%前交扠韌帶%膝關節%關節炎,感染性%流行病學%診斷%感染控製%功能恢複
관절경검사%전교차인대%슬관절%관절염,감염성%류행병학%진단%감염공제%공능회복
Arthroscopy%Anterior cruciate ligament%Knee joint%Arthritis,infectious%Epidemiology%Diagnosis%Infection control%Recovery of function
关节镜下前交叉韧带（ACL）重建术临床应用广泛，疗效良好，但术后关节感染往往导致关节软骨破坏、关节强直、慢性骨髓炎等破坏性结局，临床医师需高度重视。导致关节镜下ACL重建术后关节感染的因素多种多样，诊断标准仍未统一，早期诊断及治疗方案的合理选择对于提高韧带保留率和关节稳定性具有重要意义，如处理不当或延误治疗，往往导致关节功能恢复不佳。该文围绕关节镜下ACL重建术后关节感染的流行病学、病因、诊断、治疗及预后等方面的现状和研究热点进行综述。
關節鏡下前交扠韌帶（ACL）重建術臨床應用廣汎，療效良好，但術後關節感染往往導緻關節軟骨破壞、關節彊直、慢性骨髓炎等破壞性結跼，臨床醫師需高度重視。導緻關節鏡下ACL重建術後關節感染的因素多種多樣，診斷標準仍未統一，早期診斷及治療方案的閤理選擇對于提高韌帶保留率和關節穩定性具有重要意義，如處理不噹或延誤治療，往往導緻關節功能恢複不佳。該文圍繞關節鏡下ACL重建術後關節感染的流行病學、病因、診斷、治療及預後等方麵的現狀和研究熱點進行綜述。
관절경하전교차인대（ACL）중건술림상응용엄범，료효량호，단술후관절감염왕왕도치관절연골파배、관절강직、만성골수염등파배성결국，림상의사수고도중시。도치관절경하ACL중건술후관절감염적인소다충다양，진단표준잉미통일，조기진단급치료방안적합리선택대우제고인대보류솔화관절은정성구유중요의의，여처리불당혹연오치료，왕왕도치관절공능회복불가。해문위요관절경하ACL중건술후관절감염적류행병학、병인、진단、치료급예후등방면적현상화연구열점진행종술。
Nowadays arthroscopic anterior cruciate ligament (ACL) reconstruction has been used widely due to its good therapeutic efficacy, but the following joint infection after ACL reconstruction often causes destructive outcomes such as articular cartilage destruction, joint stiff and chronic osteomyelitis, which should be paid much attention for clinician. There existed varied of factors resulted in joint infection after arthroscopic ACL reconstruction with non-unified diagnosis standards. Early diagnosis and reasonable choice of therapeutic protocol are of important significance for enhancing ligament reservation rate and joint stability. Once given incorrect or delayed treatment, the rehabilitation of joint function would not be very ideal. Current situation and research hot spots of epidemiology, etiology, diagnosis, treatment and prognosis of joint infection after arthroscopic ACL reconstruction were reviewed in this paper.
