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髋关节假体周围感染的早期诊断——现状、进展与展望

Early Diagnosis of Periprosthetic Joint Infection of the Hip-Current Status, Advances, and Perspectives.

作者信息

Gomes Luiz Sérgio Marcelino

机构信息

Faculdade de Medicina de Uberaba, Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brasil.

Centro de Estudos do Serviço de Cirurgia e Reabilitação Ortopédico-Traumatológica de Batatais, Batatais, SP, Brasil.

出版信息

Rev Bras Ortop (Sao Paulo). 2019 Jul;54(4):368-376. doi: 10.1055/s-0039-1693138. Epub 2019 Aug 20.

DOI:10.1055/s-0039-1693138
PMID:31435100
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6701967/
Abstract

Periprosthetic joint infection (PJI) has devastating consequences on joint function and the morbidity and mortality rate of patients who are victims of this serious complication. Although early diagnosis is one of the consensuses with well-established importance, routine workup is still conducted on an empirical, inconsistent, and nonobjective basis in many centers around the world. The present article seeks to contextualize the current state of knowledge about the early diagnosis of PJIs, as well as to discuss the advances and perspectives, within a scenario of its routine use by the healthcare team responsible for managing this dreaded complication.

摘要

人工关节周围感染（PJI）会对关节功能以及罹患这种严重并发症的患者的发病率和死亡率产生毁灭性影响。尽管早期诊断是已确立重要性的共识之一，但在全球许多中心，常规检查仍基于经验、不一致且不客观的基础进行。本文旨在阐述关于PJI早期诊断的当前知识状况，并在负责处理这种可怕并发症的医疗团队常规使用的背景下讨论进展和前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/994d/6701967/3b529a9ef34c/10-1055-s-0039-1693138-i180183pt-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/994d/6701967/9bb02b213dec/10-1055-s-0039-1693138-i180183en-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/994d/6701967/0ab5fcf33e45/10-1055-s-0039-1693138-i180183en-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/994d/6701967/9b7f26854fd1/10-1055-s-0039-1693138-i180183pt-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/994d/6701967/3b529a9ef34c/10-1055-s-0039-1693138-i180183pt-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/994d/6701967/9bb02b213dec/10-1055-s-0039-1693138-i180183en-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/994d/6701967/0ab5fcf33e45/10-1055-s-0039-1693138-i180183en-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/994d/6701967/9b7f26854fd1/10-1055-s-0039-1693138-i180183pt-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/994d/6701967/3b529a9ef34c/10-1055-s-0039-1693138-i180183pt-2.jpg

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Serum D-Dimer Test Is Promising for the Diagnosis of Periprosthetic Joint Infection and Timing of Reimplantation.
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