关节吸收用于诊断慢性周围假肢关节感染:何时,如何,以及哪些测试?
Nicole Durig Quinlan1, Jason M Jennings2,3
1Colorado Joint Replacement, 2535 S. Downing Street, Ste 100, Denver, CO, 80210, USA.
Arthroplasty (London, England)
|September 1, 2023
概括
由于缺乏黄金标准测试,诊断慢性周围假肢关节感染 (PJI) 是一个挑战. 本综述详细介绍了诊断工作,强调了综合性方法,将临床评估与各种突液测试相结合,以有效管理PJI.
科学领域:
- 整形外科 整形外科 整形外科
- 传染性疾病 传染性疾病
- 诊断医学 诊断医学 诊断医学
背景情况:
- 慢性周假肢关节感染 (PJI) 的诊断是复杂的.
- 对于PJI,没有单一的最终诊断测试.
- 准确的诊断对于指导PJI治疗至关重要.
研究的目的:
- 审查慢性PJI的诊断工作报告.
- 讨论PJI的临床评估考虑因素.
- 为了指导PJI的治疗策略.
主要方法:
- 对PJI的诊断测试的审查.
- 血清学和突液测试的分析.
- 临床怀疑与实验室发现的整合.
主要成果:
- 有多种可用于PJI的诊断测试.
- 测试包括突白细胞计数,克拉姆染色,培养,α-defensin和多重PCR.
- 每个测试都有限制和好处.
结论:
- 诊断PJI需要临床怀疑和诊断测试的组合.
- 在临床背景下解释试验结果至关重要.
- 一种多方面的方法指导有效的PJI管理.
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