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化脓性关节炎的治疗:针吸术与手术作为关节引流初始方式的比较。

Treatment of septic arthritis: comparison of needle aspiration and surgery as initial modes of joint drainage.

作者信息

Goldenberg D L, Brandt K D, Cohen A S, Cathcart E S

出版信息

Arthritis Rheum. 1975 Jan-Feb;18(1):83-90. doi: 10.1002/art.1780180116.

DOI:10.1002/art.1780180116
PMID:1115748
Abstract

Surgery and needle aspiraton have been evaluated as initial modes of drainage in 59 patients with acute septic arthritis. Full recovery was noted in 42% treated surgically at the outset. On the other hand, 67% of those treated by needle aspiration recovered without sequelae, despite the greater prevalence in this group of adverse host factor-eg, serious underlying illness, concommitant extraarticular infection, prior arthritis in the infected joint, and recent antibiotic or immunosuppressive therapy.

摘要

对59例急性化脓性关节炎患者的手术引流和针吸引流作为初始引流方式进行了评估。一开始接受手术治疗的患者中,42%完全康复。另一方面,针吸治疗的患者中有67%康复且无后遗症,尽管该组中不良宿主因素更为普遍,如严重的基础疾病、合并关节外感染、感染关节既往有过关节炎以及近期使用抗生素或免疫抑制治疗。

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