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手腕关节的感染:当前概念的审查

Mohit Singh¹, Madhan Jeyaraman², Naveen Jeyaraman²

¹Department of Orthopaedics, Atal Bihari Vajpayee Institute of Medical Sciences, Dr Ram Manohar Lohia Hospital, New Delhi, 110001, India.

Journal of clinical orthopaedics and trauma

|October 16, 2023

概括

手腕骨关节结核病很少见,但可能导致残疾. 通过成像和PCR的早期诊断,结合抗结核疗法和手术,改善了结果.

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
放射学放射学是一门学科.

背景情况:

手腕骨关节结核病 (TB) 是一种罕见的疾病,由*Mycobacterium tuberculosis*引起.
它经常被误诊,并可能导致严重的残疾和发病率.
本综述综合了关于诊断和管理手腕关节结核病的当前文献.

研究的目的:

要总结有关 * Mycobacterium tuberculosis * 手腕关节感染的诊断和治疗的当前文献.
突出早期检测和治疗功能结果的重要性.

主要方法:

在PubMed,谷歌学者和科学网 (1967-2022) 上进行了全面的文献搜索.
PEO框架指导了搜索策略,使用关键词如"*Mycobacterium tuberculosis*","骨关节"和"手腕".
提取了关于临床表现,诊断和管理趋势的数据,不包括病例报告.

主要成果:

手腕关节结核病占所有骨结核病例的不到1%.
磁共振成像 (MRI) 是有效的早期疾病检测.
交尾液分析有助于微生物诊断;治疗包括抗结核疗法 (ATT) 和手术选择.

结论:

早期诊断和治疗对于手腕结核病的良好功能结果至关重要.
像PCR和GeneXpert这样的先进诊断技术提高了检测*Mycobacterium tuberculosis* (MTB) 和抗利芬素耐药性的准确性.
ATT是基本的,手术干预改善了临床结果.

关键词:

诊断诊断诊断诊断诊断结核病菌菌菌的结核病菌的结核病菌.骨关节的骨关节的情况治疗方法治疗方法结核病是一种疾病.他们的手腕.

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