全髋置换术后感染处理之浅见

Disposal about infection after total hip replacement

摘要:

目的对人工全髋关节置换的病例进行分析总结,探讨手术后感染的处理.方法回顾调查1995年1月～2001年6月我院进行人工全髋关节置换术152例(157髋)患者.男73例,女89例;平均年龄56.2岁.对感染患者术前、术后和随访期间的症状、体征、X线照片进行总结评价.结果 152例(157髋)患者其中5例现已死亡,失访5例,其余142例(143髋)患者随访1.5～8.0年,平均4.1年.伤口感染3例,均为浅表感染,未发现有深部感染.所有感染患者经治疗后治愈.结论完善的术前准备,严格的术中无菌操作,合理的术后处理,可降低全髋术后感染的发生率.

Abstract:

Objective: To analyse and evaluate the treatment of total hip replacement(THR), to evaluate the diposal about infection after total hip replacement. Methods: 152 patients (157 hips) underwent THR from January 1995 to June 2001 in Xiangya Hospital. The series of patients included 73 male and 89 female, with an average age of 56 years. To evaluate the symptom,sign and X-ray in preoperation,postoperation and follow up. Results: Of the 152 cases(153 hip), 5 cases were dead, 5 cases lost follow-up, the other were followed up for mean 4.1 years (from 1.5 years to 8.0 years). Infection of the wound 3 cases, all were superficial infection, after systemaatical treatment, all cured. Conclusion: Through preoperational preparation, strict aseptic manipulation, reasonable postoperational disposal can decrease rate of infection.