无症状性白细胞尿的回顾性研究及与早期假体周围感染的相关性分析  

Retrospective analysis of the preoperative asymptomatic leucocyturia of the patients undergoing primary joint arthroplasty and correlation analysis with early prosthetic joint infections

作　　者：苟文隆[1] 陈继营[1] 王岩[1] 王继芳[1] 周勇刚[1] 

机构地区：[1]解放军总医院骨科,北京100853

出　　处：《中国矫形外科杂志》2011年第11期908-911,共4页Orthopedic Journal of China

摘　　要：[目的]回顾性分析初次关节置换患者术前存在无症状白细胞尿(asymptomatic leucocyturia,ASL)的情况,明确与早期假体周围感染的相关性,探讨术前ASL患者是否应该推迟关节置换手术。[方法]回顾性分析自2009年6月～2010年6月本院收治的初次髋膝关节置换手术患者739例。其中男性287例,女性452例;年龄16～89岁,平均53.7岁,收集不同性别、原发疾病及伴发疾病患者的病例数及尿常规检验结果,并进行相关性分析。[结果]术后随访时间1～14个月,平均为3.7个月。术前存在无症状白细胞尿患者131例,随访期间发生早期人工膝关节感染2例,无髋关节感染病例,女性患者术前ASL发生率显著高于男性(P<0.05),不同原发疾病之间ASL发生率存在差异(P<0.05),高血压病是发生术前ASL的高危因素(P<0.05),术前ASL不是术后发生早期感染的高危因素。[结论]术前发生ASL的初次关节置换患者,在充分抗生素预防感染的情况下可以不用推迟手术。[ Objective] To retrospective analyze preoperative asymptomatic leucocyturia （ASL） of patients undergoing primary joint arthroplaty, and to determine whether the surgery may be postponed. [ Methods ] Seven hundred and thirty - nine primary joint arthroplasties were performed in our department from Jun. 2009 to Jun. 2010 （ male 287, female 452, average age 53.7, range from 16 to 89） . [Results] The follow -up period was 1 to 14 months , with an average of 3.7 months. A total of 131 cases of preoperative asymptomatic leucocyturia （ 17.7% ） were found. And 2 cases （0. 3% ） of knee prosthetic infection were found. In the primary joint arthroplasty patients, the incidence of the ASL in female was higher than in male （ P 〈 0. 05 ） . The occurrence of ankylosing spondylitis was significantly lower than that of osteoarthritis （ P 〈 0. 05 ） . Hypertension was a high risk factor. [ Conclusion] There is unnecessary to postpone the surgery of paitents with preoperative asymptomatic leucocyturia （P〉 0.05） .

关 键 词：关节置换 感染 尿常规 白细胞尿 

分 类 号：R687.4[医药卫生—骨科学]