Wilson N I, Di Paola M
J Bone Joint Surg Br. 1986 Aug;68(4):584-7. doi: 10.1302/0301-620X.68B4.3733835.
We have reviewed 61 children treated for septic arthritis from 1972 to 1981. The diagnosis in all cases was confirmed by bacteriology or by radiographic changes. Routine arthrotomy was not performed, but most patients had a joint aspiration. The management and outcome are described. We suggest that arthrotomy should be selective rather than mandatory. Septic arthritis of the hip in infants requires arthrotomy, but in the older child an infected hip can be treated by aspiration if the duration of symptoms is less than four days; arthrotomy may be needed if there has been more delay. Infected joints other than the hip can be satisfactorily managed by aspiration.
我们回顾了1972年至1981年间接受化脓性关节炎治疗的61名儿童。所有病例的诊断均通过细菌学或影像学改变得以证实。未进行常规关节切开术，但大多数患者进行了关节穿刺抽吸。描述了治疗方法及结果。我们建议关节切开术应是选择性的而非强制性的。婴儿髋关节的化脓性关节炎需要进行关节切开术，但对于年龄较大的儿童，如果症状持续时间少于四天，感染的髋关节可通过穿刺抽吸进行治疗；如果延误时间更长，则可能需要进行关节切开术。除髋关节外的感染关节可通过穿刺抽吸得到满意的治疗。
