摘要
目的探讨在关节镜辅助下对膝关节结核进行微创治疗围手术期的护理要点及康复要点。方法2006年1月至2007年12月，共治疗膝关节结核合并膝关节感染、伴窦道形成等共47例。所有患者术前均采用四联抗痨治疗2周以上，血沉降至40mm／h以下或呈明显下降趋势并行常规行术前检查后，在关节镜辅助下行关节镜探查、关节腔清理术。术后行有效的护理，抬高患肢，患处持续冰敷，遵循全身抗痨药物和支持疗法原则，最后做好出院及康复锻炼指导。结果所有患者在术后3个月门诊随访无1例关节结核复发，Lysholm评分72～97分，平均90．5分。结论关节镜下治疗和诊断膝关节结核，手术创伤小，减少关节僵直发生率，及时有效的围手术期护理和康复能对手术疗效和预防手术并发症起到了积极重要的促进作用。
Objective To investigate perioperative nursing care and rehabilitation points for patients undergoing treatment of tuboculosis of knee joint by arthroscopy. Methods From Jan. 2006 to Dec. 2007,47 cases of tuboculosis of knee joint who suffered from infection or sinus reseaved joint cavity debriding by arthroscopy. Before the operation,all patients had received four association anti-tuberculosis medicine treatment at least 2 weeks when the ESR is less than 40mm/h and the routine preoperative examination is normal. Medicine treatment was continued. The affected limb was raised and the ice compress was used after operation. All patients was guided to discharge and to do rehabilitation exerses. Results All cases who were followed up at least 3 months after operation had good function of recovery with no recurrence. The Lysholm score was 72 to 97（ average 90.5）. Conclusion To diagnosis and treat tubocurosis of knee joint by arthroscopy is limited invasion, low incidence rate of joint stiffness. Prompt and effective perioper ative nursing care and rehabilitation is important to promote curative effect and decrease related complications.
出处
《重庆医学》
CAS
CSCD
2008年第19期2183-2184,共2页
Chongqing medicine
关键词
膝
关节镜
结核
护理
knee
arthroscopy
tuboculosis
nursing
