关节整形术后的周围假肢关节感染:进展和未来前景
Xianghua Xiong1,2, Jiongnan Xu3,4, Bin Zhou1,2
1Zunyi Medical University, Zunyi, 563000, Guizhou, China.
Journal of orthopaedic surgery and research
|September 27, 2025
概括
预防和管理周围假肢关节感染 (PJIs) 在整形外科手术中至关重要. 本综述综合了PJI预防,诊断和治疗的策略,为改善患者的治疗结果提供了见解.
科学领域:
- 整形外科手术 整形外科手术
- 传染性疾病 传染性疾病
- 生物材料科学 生物材料科学
背景情况:
- 周围假肢关节感染 (PJI) 在骨科手术中是一个重大挑战.
- 有效的预防,诊断和管理对于患者的治疗结果至关重要.
- 由于不断变化的挑战,目前的战略需要不断改进.
研究的目的:
- 综合分析PJI目前的预防,诊断和管理策略.
- 为管理PJI的临床医生提供新的见解和参考.
- 解决与PJI相关的持续挑战.
主要方法:
- 综合最新的国内和国际研究成果.
- 对多维预防策略的深入分析.
- 评估诊断标准和PJI管理中的技术进步.
主要成果:
- 预防PJI是最重要的,并整合到外科手术期间.
- 2011年MSIS标准被广泛采用用于PJI诊断,需要多方面的评估.
- PJI治疗涉及结合抗生素和手术干预,有各种可用的选择.
结论:
- 标准化协议,合理的抗生素使用,外科创新和生物材料的进步已经减少了PJI的发生率.
- 细菌耐药性和多抗药性生物体构成了重大挑战.
- 未来的方向包括新型抗菌材料,生物膜控制和PJI的精密医学.
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