关节镜联合载药硫酸钙治疗膝关节感染临床效果评价与分析
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1.青岛大学附属医院;2.青岛大学

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国家自然科学基金资助项目


Clinical efficacy and analysis of arthroscopic combined with calcium sulfate in the treatment of suppurative knee arthritis
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Affiliation:

1.The Affiliated Hospital of Qingdao University;2.Qingdao University

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National Natural Science Foundation of China

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    摘要:

    目的:评价关节镜联合载药硫酸钙治疗膝关节感染的临床效果。方法:回顾性分析2017年1月至2019年2月,采用关节镜联合载药硫酸钙治疗的膝关节感染性患者9例,其中男6例,女3例,均为单膝发病。比较患者术前、术后1周及术后1月时CRP、ESR、WBC和术前、术后1月及末次随访时膝关节疼痛视觉模拟评分(VAS)、Lysholm膝关节功能评分、judet膝关节屈曲度等,评估关节镜联合载药硫酸钙治疗膝关节感染性疾病的临床效果。结果:患者均获得10~24个月的随访,平均随访14.8个月。术后 Lysholm膝关节功能评分和judet膝关节屈曲度评价均明显高于术前(P<0.05);术后疼痛视觉模拟评分(VAS)明显低于术前(P<0.05)。术后患者CRP、ESR降低较术前明显(P<O.05)。结论:运用关节镜联合载药硫,可有效改善患膝临床症状,提高膝关节功能。

    Abstract:

    [objective] To evaluate clinical efficacy of arthroscopic combined with calcium sulfate in the treatment of suppurative knee arthritis. [methods] A retrospective study was done in 9 patients with suppurative knee arthritis who underwent arthroscopic combined with calcium sulfate from January , 2017 to February, 2019 in our hospital. Of the 9 patients, 6 were male and 3 were female. All patients were a single knee joint disease. WBC, CRP, erythrocyte sedimentation rate (ESR), visual analog scale (VAS) score, knee joint function Lysholm score and Judet knee flexion score were compared at different follow-up times.[results] 9 patients were followed up for 10 to 24 months, with an average of 14.8 months. The Lysholm score and Judet knee flexion score were significantly higher than preoperative (P<0.05). The VAS score were significantly lower than preoperative (P<0.05). The CRP、ESR score were significantly lower than preoperative (P<0.05). [conclusion] Arthroscopic combined with calcium sulfate is an effective method,which can effectively improve the clinical symptoms and enhance the joint function

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  • 收稿日期:2019-12-11
  • 最后修改日期:2019-12-11
  • 录用日期:2020-03-16
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