Möllenhoff G, Walz M, Muhr G
Chirurgische Universitätsklinik, Bergmannsheil Bochum.
Chirurg. 1995 Mar;66(3):188-91.
Clinical diagnosis of early postoperative complications remains a major issue in patients undergoing total hip replacement. Early diagnosis is essential because (clinical) signs of inflammations as fever or elevated white blood count already reflecting late complications. The goal of our study was to evaluate postoperative monitoring for early detection and treatment of hematoma and abscess following total hip replacement. 308 patients undergoing total hip replacement were postoperatively monitored for the development of hematoma and abscess, comparing routine ultrasound to on demand ultrasound in case of clinical signs of infection. The diagnostic puncture was 6.5% (10/154) in group A (on demand ultrasound) versus 11.7% (18/154) in group B (routine ultrasound). Infections were seen in 5.2% (8/154) of patients in group A compared to 0.6% (1/154) in group B, leading to surgical intervention in 3.3% (5/154) group A, respectively 0.6% (1/154) in group B.
全髋关节置换术后早期并发症的临床诊断仍是该手术患者面临的一个主要问题。早期诊断至关重要，因为炎症的（临床）体征如发热或白细胞计数升高已反映出晚期并发症。我们研究的目的是评估全髋关节置换术后对血肿和脓肿的监测，以便早期发现并治疗。对308例行全髋关节置换术的患者术后监测血肿和脓肿的发生情况，在出现感染临床体征时，将常规超声检查与按需超声检查进行比较。A组（按需超声检查）的诊断性穿刺率为6.5%（10/154），而B组（常规超声检查）为11.7%（18/154）。A组5.2%（8/154）的患者出现感染，而B组为0.6%（1/154），A组分别有3.3%（5/154）、B组有0.6%（1/154）的患者因此接受了手术干预。
