人工关节置换术后假体周围感染的病原学诊断研究进展  

Etiological diagnosis of periprosthetic joint infection

作　　者：袁俊[1] 冯建民[1] 

机构地区：[1]上海交通大学医学院附属瑞金医院上海市伤骨科研究所,200025

出　　处：《中华关节外科杂志（电子版）》2016年第4期69-72,共4页Chinese Journal of Joint Surgery(Electronic Edition)

摘　　要：人工关节置换术后假体周围感染的诊断对于临床医师而言是一个颇具挑战性的难题,一方面因其临床症状多变,另一方面抗生素的应用可能会干扰对病原微生物的检测。该病的诊断方法分为实验室检测、影像学检查及病原学检测三大类。其中,从组织或关节液中分离出病原菌作为假体周围感染的一项直接证据,促使研究制定出一种快速准确的培养方法成为众多学者们的关注焦点。本文就近年来有关髋、膝关节置换术后假体周围感染病原学诊断方面的相关文献予以综述,以期为临床医师在选择合适的检测手段时提供一定参考价值。Diagnosis of periprosthetic joint infection is a challenging matter for surgeons,by reasons of the various symptoms and the interference of antibiotics to detect the pathogens. Methods to diagnose this disease include： laboratory tests,imaging and microorganism culture. Among these,isolating infective organisms from the periprosthetic tissues or synovial fluid is a direct evidence for infection. Many researchers are focusing on exploring a quick and precise culture technique. This thesis reviewed the literatures concerning the etiological diagnosis of peirprosthetic joint infection after total joint arthroplasty,so as to provide reference value for clinicians when choosing the proper methods.

关 键 词：关节成形术 置换 假体相关感染 诊断技术和方法 微生物学技术 

分 类 号：R687.4[医药卫生—骨科学] R318.17[医药卫生—外科学]