摘要
目的探讨老年膝关节化脓性感染的相关影响因素,观察采用关节镜诊治的临床效果。方法回顾性分析2009年1月至2013年1月150例老年膝关节感染临床病例,对发生膝关节化脓性感染的80例患者的病例进行影响因素分析,并采取关节镜诊治治疗;另外随机选取同期70例采用开放手术加术后持续灌注治疗为对照组,比较两组治疗后的临床效果。结果外伤手术史、侵袭性操作、抗生素使用不规范、既往有膝关节封闭治疗、存在易感性、并发基础疾病是老年膝关节化脓性感染的影响因素,关节镜治疗老年膝关节化脓性感染较开放手术治疗效果明显,两组比较差异有统计学意义(P<0.05)。结论关节镜治疗老年膝关节化脓性感染临床效果满意,安全性好。
Objective To study the effect of arthroscope diagnosis and treatment of knee pyogenic infection in old patients .Methods 80 old patients with knee pyogenic infection receiving arthroscope diagnosis and treatment （ar-throscope group） and 70 patients receiving open surgery and postoperative continuous infusion treatment （control group） in this hospital from Jan .2009 to Jan .2013 were enrolled and the therapeutic effect was compared . Results Trauma surgery history ,invasive operation ,abuse of antibiotics ,history of knee seal treatment ,susceptibility and combination with basic diseases were influencing factors of knee purulent infection in old patients .The therapeu-tic of arthroscope group was more significantly obvious than control group （P〈 0 .05） .Conclusion Arthroscopy treatment of senile knee pyogenic infection might be with clinical effect and fine safety .
出处
《检验医学与临床》
CAS
2013年第20期2696-2697,2699,共3页
Laboratory Medicine and Clinic
关键词
老年
膝关节
化脓性感染
相关因素
关节镜
临床效果
elderly
knee pyogenic infection
related factors
arthroscopy
clinical effect
