摘要
目的评价应用Ⅱ期翻修手术治疗人工髋关节置换术后感染的临床疗效,为该类患者选择治疗方法提供依据。方法选取2009年4月-2011年7月进行Ⅱ期翻修手术治疗的28例人工髋关节置换术后感染患者为观察组,并将同期采用Ⅰ期翻修手术进行治疗的28例患者作为对照组,将两组患者的再次感染发生率和治疗前后的血沉、C反应蛋白及髋关节功能评分进行比较。结果观察组的再次感染发生率为0,低于对照组,治疗后的血沉、C反应蛋白分别为(18.15±2.07)mm/h及(3.17±0.83)mg/L,均低于对照组,而髋关节功能评分优良率为92.86%,高于对照组,差异均有统计学意义(P<0.05)。结论Ⅱ期翻修手术在人工髋关节置换术后感染患者中的应用效果优于Ⅰ期翻修手术。
OBJECTIVE To evaluate the clinical effect of two-stage revision operation in the patients with infectionsafter the artificial hip joint replacement, in order to provide evidence for the selection of treatment methods.METHODS Totally 28 patients with infections after the artificial hip joint replacement who were treated with two-stage revision operation were the observation group,and 28 patients who were treated with one-stage revision operation were the control group,then the secondary infection rate,erythrocyte sedimentation rate and CRP before andafter the treatment,Hip function scores of two groups were compared. RESULTS The secondary infection rate ofobservation group was 0,which was higher than that of the control group, erythrocyte sedimentation rate and CRPwere （18. 15 ± 2. 07）mm/h and （3. 17± 0. 83） mg/L,which were lower than those of the control group,excellentand good rate of Hip function score was 92. 86%,which was higher than that of the control group, all the differences were statistically significant（P〈C0. 05）. CONCLUSION The application effect of two-stage revision operationin the patients with infections after the artificial hip joint replacement is better.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第17期4176-4177,4180,共3页
Chinese Journal of Nosocomiology
基金
南京军医重大科研项目(11MB007)
关键词
Ⅱ期翻修手术
人工髋关节置换术
感染
Two-stage revision operation ~ Artificial hip joint replacement
Infection
