摘要
目的探讨采用抗生素骨水泥假体二期翻修治疗人工髋关节感染的疗效。方法自1999年6月至2004年10月,14例初次髋关节置换术后感染患者行二期手术。术前 Harris 评分平均23分。一期手术中将取出的假体彻底清洗,骨水泥垫临时旷置,关节内引流管引流,术后静脉输入抗生素3周后,改为口服抗生素1个月。二期手术于6个月后进行,植入带抗生素骨水泥型假体。结果14例患者均获得随访,随访时间7～26个月,平均18个月。14例患者术后均无感染复发。术后Harris 评分平均70分。结论彻底清创、足够间隔期以及二期手术采用抗生素骨水泥假体是有效控制感染复发的有效措施。
Objective To investigate the effect of two-stage revision for infected total hip arthroplasty （THA） using antihiotic-loaded cement prosthesis. Methods From June 1999 to October 2004, 14 patients who admitted for infected primary total hip arthroplasty surgeries were performed revision surgery with antibiotic-loaded cement prosthesis in two-stage. The mean Harris score of pre-operation was 23. In the first stage operation, the following steps were performed, complete debridement, removal of infected prosthesis, implantation of cement spacer with antibiotics, treatment involved concomitant administration of 3 weeks of intravenous （Ⅳ） and 1 month of oral. After 6 months, antibiotic-loaded prosthesis was implanted in the second stage. Results The mean follow-up was 18 months （7-26 months）, no recurrent infection occurred in all 14 patients. The mean pest-operation Harris score was 70. Conclusions The success of the protocol to control the delayed infection after THA are complete debridement, enough interval and using antibiotic-loaded cement prosthesis in two stage revision.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2007年第4期246-248,共3页
Chinese Journal of Surgery
关键词
关节成形术
置换
髋
感染
翻修术
抗生素骨水泥假体
Arthroplasty, replacement, hip
Infection
Revision
Antibiotic-loaded cement prosthesis
