全膝关节置换术后结核感染的诊断与治疗策略
[Diagnosis and treatment strategy of tuberculosis infection after total knee arthroplasty].
作者信息
Lin Jiongtong, Yang Weiyi, Pan Jianke, Luo Minghui, Cao Xuewei, Liu Jun
机构信息
Second Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou Guangdong, 510405, P.R.China.
Department of Orthopaedics, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou Guangdong, 510120, P.R.China.
出版信息
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2017 Sep 15;31(9):1127-1130. doi: 10.7507/1002-1892.201703074.
OBJECTIVE
To review the diagnosis and treatment of tuberculosis infection after total knee arthro-plasty (TKA).
METHODS
The recent literature concerning the diagnosis and treatment of tuberculosis infection after TKA were extensively reviewed and summarized.
RESULTS
The diagnosis of tuberculosis infection after TKA is difficult. It should be combined with the patient's medical history, symptoms, signs, blood examinations, and imaging examinations, among which the bacterial culture and histopathological examination are the gold standard of diagnosis. Treatment strategy is combined with the drug treatment and a variety of surgical procedures that depends on the clinical situation.
CONCLUSION
At present, there is no guideline for the diagnosis and treatment of tuberculosis infection after TKA, it still needs further study and improvement.
目的
回顾全膝关节置换术（TKA）后结核感染的诊断与治疗。
方法
广泛查阅并总结近期有关TKA后结核感染诊断与治疗的文献。
结果
TKA后结核感染的诊断较为困难。应结合患者病史、症状、体征、血液检查及影像学检查，其中细菌培养和组织病理学检查是诊断的金标准。治疗策略需结合药物治疗及根据临床情况选择的多种手术方法。
结论
目前，尚无TKA后结核感染诊断与治疗的指南，仍需进一步研究与完善。
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