人工关节置换术后假体周围感染诊断的研究进展  

Advances in the diagnosis of periprosthetic joint infection

作　　者：刘康[1] 赵建宁[1] 

机构地区：[1]南京大学医学院附属金陵医院(南京军区南京总医院)骨科,南京医学硕士研究生210002

出　　处：《医学研究生学报》2015年第9期995-1000,共6页Journal of Medical Postgraduates

基　　金：江苏省临床医学科技专项基金(BL2012002);南京市科技计划项目(201402007)

摘　　要：人工关节置换术后假体周围感染作为关节外科灾难性并发症之一,由于缺乏良好的生物学指标及分子病原学检测技术使之诊断依旧困难。文中总结近年来国内外关于人工关节置换术后感染诊断的一些进展,从血清学指标、关节滑液指标、术前关节腔穿刺与培养、影像和核医学检查、术中组织病理学和细菌学检查以及细菌学检查新技术等方面作一综述。As one of the most catastrophic complications, prosthetic joint infection remains one of the most stubborn medical problems. However, the biomarkers and laboratory tests commonly used often exhibit either a low sensitivity or a low specificity, which makes it still difficult to diagnose. Therefore, we summarize a number of recent new developments home and abroad, and overview from the aspects of serological markers, synovial fluid markers, radionuclide imaging methods, preoperative periprosthetic tissue biopsy, intraoperative periprosthetic tissue culture, histological analysis of periprosthetic tissue and new molecular technology.

关 键 词：关节置换术 假体周围感染 诊断 

分 类 号：R687[医药卫生—骨科学]