作　　者： (林炯同）; (杨伟毅）; (潘建科）; (罗明辉）; (曹学伟）; (刘军）;

机构地区： 广州中医药大学第二临床医学院,广州510405

出　　处： 《中国修复重建外科杂志》 2017年第9期1127-1130,共4页

摘　　要： 目的对人工全膝关节置换术(total knee arthroplasty,TKA)后结核感染的诊治策略进行回顾总结。方法检索近年国内外有关TKA术后结核感染诊断和治疗方案的研究报道,并进行总结分析。结果 TKA术后结核感染诊断难度较大,应结合患者病史、症状、体征、血液检查以及影像学检查等分析,其中细菌培养和组织病理检查为诊断金标准。在治疗方面,主要根据患者自身情况,选择抗结核药物联合各种手术治疗。结论目前国内外尚无针对TKA术后结核感染的诊治规范和指南,有待进一步研究完善。 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.

关 键 词： 人工全膝关节置换术 术后感染 结核 并发症