中国人工关节感染诊断与治疗指南  

Guidelines for the diagnosis and treatment of prosthetic joint infection

作　　者：中华医学会骨科学分会关节外科学组 《中国PJI诊断和治疗指南》编写委员会 张先龙[2] 王坤正[3] 张文明[4] 周一新[5] 沈灏 邵宏翊[5] 黄子达[4] 王俏杰 Workgroup on the Guidelines for the Diagnosis and Treatment of Prosthetic Joint Infection;Joint Surgery Committee of the Chinese Orthopaedic Association;Zhang Xianlong;Wang Kunzheng(不详;Department of Orthopaedic Surgery,Shanghai Jiaotong University Affiliated Shanghai Sixth Peopled Hospital,Shanghai 200233,China;Department of Bone and Joint Surgery,the Second Affiliated Hospital of Xiran Jiaotong University,Xi'an 710004,China)

机构地区：[1]不详 [2]上海交通大学附属第六人民医院骨科,200233 [3]西安交通大学第二附属医院骨关节外科,710004 [4]福建医科大学附属第一医院 [5]北京积水潭医院 [6]上海交通大学附属第六人民医院

出　　处：《中华外科杂志》2021年第6期430-442,共13页Chinese Journal of Surgery

摘　　要：人工关节感染(PJI)是人工关节置换术后的严重并发症,准确的诊断与合理规范的治疗是提高PJI治愈率、降低复发率与致残率、恢复肢体功能的关键。尽管近年来关于PJI的诊断与治疗方面的研究进展迅速,但仍有许多问题尚未得到很好的理解与阐释,许多方面存在较大的意见分歧与争议,临床医师的诊疗工作存在诸多困惑。为了使国内PJI的诊疗工作更加规范,中华医学会骨科学分会关节外科学组组织国内相关领域专家,检索文献资料,整合专家意见,制定本指南,就PJI的诊断标准、规范化诊断流程、重要辅助检查的合理应用、治疗原则及各类治疗方案的选择等重点、难点问题进行阐述,并提出具有针对性和可操作性的建议,希望为国内同道在PJI的诊治方面提供参考。Prosthetic joint infection is one of the most serious complications after artificial joint replacement.Accurate diagnosis and proper standardized treatment are the keys to improve the cure rate of prosthetic joint infection,reduce the rate of recurrence and disability,and restore limb function.Regarding the diagnosis and treatment of prosthetic joint infection,although relevant research has progressed rapidly in recent years,there are still many problems that have not been well understood and explained,and there are still big differences and controversies in many aspects.This has brought a lot of confusion to clinicians during their daily practice.In order to make the diagnosis and treatment of prosthetic joint infection in China more standardized,a group of domestic experts in related fields was organized by the Joint Surgery Committee of the Chinese Orthopaedic Association to search the literature and integrate expert opinions,and compiled the"Guidelines for the diagnosis and treatment of prosthetic joint infection".Those most important and clinically concerned issues are elaborated,including the diagnostic criteria,standardized diagnostic algorithm,proper application of important tests,treatment principles,and the correct selection of various treatment options.Targeted and actionable recommendations are proposed.This guideline is expected to provide references for domestic colleagues in the diagnosis and treatment of prosthetic joint infection.

关 键 词：假体相关感染 指南 人工关节置换术 诊断标准 规范化治疗 

分 类 号：R687.4[医药卫生—骨科学]