周围假肢部感染:超声波的可能作用
L Di Sante1, F Agostini2, D De Meo2
1Unit of Physical and Rehabilitation Medicine, University Hospital Umberto I of Rome, Italy.
超声波有效地检测关节周围假肢关节感染 (PJI) 通过识别通道和排泄物. 将超声波与CRP和ESR等实验室测试相结合,可以改善早期PJI诊断.
科学领域:
- 整形外科手术 整形外科手术
- 诊断成像 诊断成像 诊断成像
- 传染性疾病 传染性疾病
背景情况:
- 周围假肢关节感染 (PJI) 是关节整形术的严重并发症.
- 由于非特异性症状,早期PJI诊断具有挑战性.
- PJI显著增加了发病率和医疗保健成本.
研究的目的:
- 分析部PJI患者的特定超声波图案.
- 为了将超声波发现与PJI诊断的实验室标记相关联.
主要方法:
- 30名患有部PJI的患者接受了盲目超声波器的超声波检查.
- 评估了关节输出,液体收集,突结,状通道和高血压 (多普勒).
- 与C反应蛋白 (CRP),红细胞沉积率 (ESR),D-二次体和白细胞计数 (WBC) 相关联的发现.
主要成果:
- 内/周关节通道 (80%) 和关节输液 (73.33%) 是最常见的超声波发现.
- 多普勒显示,在50%的患者中出现了假肢性高血压,在20%的患者中出现了组织性高血压.
- 观察到CRP (80%),ESR (93.33%),WBC (100%) 和D-二次体 (83.33%) 的升高.
结论:
- 使用多普勒超声波对部PJI评估有价值.
- 关节内/周关节通道和关节输液是超声波的关键指标.
- 将超声波与实验室测试相结合,有助于准确,及时的PJI诊断.
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