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本文引用的文献

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Host Factors Affect the Outcome of Arthroscopic Lavage Treatment of Septic Arthritis of the Knee.宿主因素影响膝关节化脓性关节炎关节镜灌洗治疗的结果。
Orthopedics. 2018 Mar 1;41(2):e184-e188. doi: 10.3928/01477447-20180102-01. Epub 2018 Jan 9.
2
Similar 30-Day Complications for Septic Knee Arthritis Treated With Arthrotomy or Arthroscopy: An American College of Surgeons National Surgical Quality Improvement Program Analysis.关节切开术或关节镜治疗脓毒性膝关节炎的 30 天内相似并发症：美国外科医师学会国家手术质量改进计划分析。
Arthroscopy. 2018 Jan;34(1):213-219. doi: 10.1016/j.arthro.2017.06.046. Epub 2017 Aug 31.
3
Open Compared with Arthroscopic Treatment of Acute Septic Arthritis of the Native Knee.开放手术与关节镜手术治疗原发性膝关节急性化脓性关节炎的比较。
J Bone Joint Surg Am. 2017 Mar 15;99(6):499-505. doi: 10.2106/JBJS.16.00110.
4
Surgical Procedures Needed to Eradicate Infection in Knee Septic Arthritis.根除膝关节化脓性关节炎感染所需的外科手术
Orthopedics. 2016 Jan-Feb;39(1):50-4. doi: 10.3928/01477447-20151222-05. Epub 2015 Dec 30.
5
Arthrotomy versus arthroscopy in the treatment of septic arthritis of the knee in adults: a randomized clinical trial.关节切开术与关节镜检查治疗成人膝关节化脓性关节炎的随机临床试验
Knee Surg Sports Traumatol Arthrosc. 2016 Oct;24(10):3155-3162. doi: 10.1007/s00167-015-3918-8. Epub 2015 Dec 24.
6
Treatment of septic arthritis of the knee: a comparison between arthroscopy and arthrotomy.膝关节化脓性关节炎的治疗：关节镜检查与关节切开术的比较。
Knee Surg Sports Traumatol Arthrosc. 2016 Oct;24(10):3147-3154. doi: 10.1007/s00167-015-3659-8. Epub 2015 May 28.
7
Risk factors for failure of a single surgical debridement in adults with acute septic arthritis.成人急性化脓性关节炎单次手术清创失败的危险因素。
J Bone Joint Surg Am. 2015 Apr 1;97(7):558-64. doi: 10.2106/JBJS.N.00593.
8
Efficacy of arthroscopic treatment for resolving infection in septic arthritis of native joints.关节镜治疗在解决原发性关节化脓性关节炎感染方面的疗效。
Orthop Traumatol Surg Res. 2015 Feb;101(1):61-4. doi: 10.1016/j.otsr.2014.11.010. Epub 2015 Jan 23.
9
Septic arthritis.脓毒性关节炎。
Best Pract Res Clin Rheumatol. 2011 Jun;25(3):407-21. doi: 10.1016/j.berh.2011.02.001.
10
The relation between the arthroscopic findings and functional outcomes in patients with septic arthritis of the knee joint, treated with arthroscopic debridement and irrigation.膝关节化脓性关节炎患者经关节镜清创冲洗治疗后，关节镜检查结果与功能预后之间的关系。
Acta Orthop Traumatol Turc. 2011;45(2):94-9. doi: 10.3944/AOTT.2011.2258.

关节镜检查与切开手术治疗化脓性膝关节炎的对比

Arthroscopy versus arthrotomy for the treatment of septic knee arthritis.

作者信息

Johnson Daniel J, Butler Bennet A, Hartwell Matthew J, Fernandez Claire E, Nicolay Richard W, Selley Ryan S, Terry Michael A, Tjong Vehniah K

机构信息

Northwestern University Feinberg School of Medicine, Department of Orthopedic Surgery, USA.

出版信息

J Orthop. 2019 Nov 27;19:46-49. doi: 10.1016/j.jor.2019.11.031. eCollection 2020 May-Jun.

DOI:10.1016/j.jor.2019.11.031
PMID:32021035
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6994809/
Abstract

PURPOSE

To compare complications following arthroscopy and arthrotomy for treatment of septic knee arthritis.

METHODS

Patients undergoing arthroscopy and arthrotomy for a diagnosis of septic knee arthritis were identified in National Surgical Quality Improvement Program and placed in a multivariate analysis to determine if type of surgery contributed to postoperative complications.

RESULTS

Knee arthrotomy was associated with an increased risk for increased operative time [Parameter estimate 4.555 (95% CI:3.023-6.085); p < 0.0001], minor morbid events [OR 2.064 (95% CI: 1.447-2.943); p < 0.0001], and any morbidity [OR 2.285 (95% CI:1.527-3.419); p < 0.0001].

CONCLUSIONS

Knee arthrotomy was associated with a higher risk of complications.

摘要

目的

比较关节镜检查和切开手术治疗化脓性膝关节炎后的并发症。

方法

在国家外科质量改进计划中确定接受关节镜检查和切开手术以诊断化脓性膝关节炎的患者，并进行多因素分析，以确定手术类型是否会导致术后并发症。

结果

膝关节切开手术与手术时间延长的风险增加相关[参数估计值4.555（95%可信区间：3.023 - 6.085）；p < 0.0001]，轻微不良事件[比值比2.064（95%可信区间：1.447 - 2.943）；p < 0.0001]，以及任何不良事件[比值比2.285（95%可信区间：1.527 - 3.419）；p < 0.0001]。

结论

膝关节切开手术与更高的并发症风险相关。