摘要
目的 :探讨应用关节镜微创手术治疗早期化脓性膝关节炎的效果及价值。方法 :对 2 3例早期化脓性膝关节炎病人 ,通过关节镜技术 ,行关节内变性及坏死清理。术后置冲洗引流管 3d ,用含抗生素生理盐水持续冲洗引流。全身应用抗生素 ,辅以功能锻炼 ,并对术前术后特有体征对比 ,评价该方法效果。结果 :术后 3～ 4d。体温即恢复正常 ,肿胀明显消退 ,局部皮温下降。 6～ 8周功能可恢复正常Lysholm评分平均 86 .4分。平均随访 6月～ 1年 ,无 1例复发。结论 :对早期化脓性膝关节炎 ,采用关节镜下关节清理 ,术后抗生素盐水持续冲洗 ,创伤小 ,清创彻底 ,可早期行关节功能锻炼。对防止炎症复发 。
Objective:To explore the effect and the value of mini-invasive operation with arthroscope for early stage knee joint pyogenic ar thritis.Methods:Twenty-three cases of early stage knee joint pyo genic arthritis we re treated with arthroscope technique. Degenerated and necrotic tissues were cl e ared under arthroscope. Drainage-tubes were placed in the joint space at the end of operations for 3 days' continuous douching (using antibiotic saline) and dra ining. Antibiotics were applyed systemicly and knee joint movement exercises were carried on early after operation. The specific signs of knee joint pyogenic arthritis before and after operation were compared in order to evaluate the effe ct of this method.Results:Body temperatures recovered to normal, local swelling s regressed obviously and skin temperature lowered in just 3～4 days after opera tion. Knee joint movement can recover to normal in 6～8 weeks and Lysholm's Sco re got an average of 86.4. No recurrence and relapse in the 23 patients in 6 mon ths to 1 year's follow-up. Conclusions:Treatment of early stage knee joint pyogenic arthrit is with arthroscope technique is characterized by its minimizing injury and thor ough going debridement and thus, will be advantageous in preventing relapse of p yogenic arthritis and be beneficial for knee joint functional recovery.
出处
《中国内镜杂志》
CSCD
2003年第6期8-10,共3页
China Journal of Endoscopy
