CAJ | 학술논문

人工关节置换术后假体周围感染作为关节外科灾难性并发症之一，由于缺乏良好的生物学指标及分子病原学检测技术使之诊断依旧困难。文中总结近年来国内外关于人工关节置换术后感染诊断的一些进展，从血清学指标、关节滑液指标、术前关节腔穿刺与培养、影像和核医学检查、术中组织病理学和细菌学检查以及细菌学检查新技术等方面作一综述。
인공관절치환술후가체주위감염작위관절외과재난성병발증지일，유우결핍량호적생물학지표급분자병원학검측기술사지진단의구곤난。문중총결근년래국내외관우인공관절치환술후감염진단적일사진전，종혈청학지표、관절활액지표、술전관절강천자여배양、영상화핵의학검사、술중조직병이학화세균학검사이급세균학검사신기술등방면작일종술。
As one of the most catastrophic complications, prosthetic joint infection remains one of the most stubborn medical problems.However, the biomarkers and laboratory tests commonly used often exhibit either a low sensitivity or a low specificity, which makes it still difficult to diagnose.Therefore, we summarize a number of recent new developments home and abroad, and overview from the aspects of serological markers, synovial fluid markers, radionuclide imaging methods, preoperative periprosthetic tissue biopsy, in-traoperative periprosthetic tissue culture, histological analysis of periprosthetic tissue and new molecular technology.