摘要
目的评估全髋置换和半髋置换术后手术部位感染（SSI）发生率及与主要危险因素的相关度。方法对564例人工髋关节置换病例进行临床资料的收集和治疗过程的监测。结果术后随访12-18个月，平均14个月。564例发生SSI9例：220例全髋置换术中发生SSI2例，344例人工半髋置换术中发生SSI7例；8例为外伤后手术病例。9例中4例感染金黄色葡萄球菌，其中3例对甲氧苯青霉素类耐药。多元分析显示患者年龄、一般状况、创伤程度、手术持续时间是重要、独立的SSI危险因素。结论全面认识人工髋关节置换术SSI相关的危险因素对是否采取适当的预防措施，减少SSI的发生率有着深远的意义。
Objective To estimate the incidence of surgical-site infection（SSI） after total hip replacement and hemiar- throplasty and it strength of association with major risk factors. Methods Clinical data were gathered and supervised on 564 inpatients with hip arthroplasty replacement cases. Results The patients were followed up for 12 - 18 months （mean 14 months）. The overall incidence of SSI were 9 cases（2 cases in 220 total hip replacements and 7 cases in 334 hemiarthroplasty procedures）. 8 cases with SSI had their procedures performed because of trauma. Staphylococcus aureus was identified in 4 cases with SSI, and three fourths of these isolates were methicillin-resistant （ methicillin-resistant staphylococcus aureus, MRSA）. The multivariate analysis identified age, physical status trauma and duration of operation as significant and independent risk factors for SSI. Conclusions Comprehensive understanding the risk factors associated with SSI is important for reduce the incidence of SSI after hip arthroplasty replacement.
出处
《临床骨科杂志》
2007年第2期134-136,共3页
Journal of Clinical Orthopaedics
关键词
关节成形术
置换
髋
外科伤口感染
arthroplasty, replacement, hip
surgical wound infection
