肩围假肢关节感染的诊断:一项全球调查
Oscar Dorrestijn1, Nick Smeitink2, Eoghan T Hurley3
1Department of Orthopedic Surgery, Sint Maartens Clinic, Ubbergen, Gelderland, The Netherlands.
JSES international
|February 24, 2026
概括
诊断肩围假肢关节感染是复杂的. 外科医生使用多种测试,不同的方法和依赖于基于修订量和地理位置的培养.
科学领域:
- 整形外科手术 整形外科手术
- 传染病诊断 传染病诊断 传染病诊断
- 医疗设备感染 医疗设备感染
背景情况:
- 诊断肩围假肢关节感染存在重大挑战.
- 目前针对这些感染的诊断测试具有可变且往往具有较差的预测价值.
- 肩部外科医生之间诊断方法的国际差异没有得到充分记录.
研究的目的:
- 评估肩膀外科医生之间肩围假肢关节感染的国际诊断实践.
- 调查这些诊断方法的大学间和大陆间的差异.
主要方法:
- 一项在线调查分发给全球的肩部外科医生,包括欧洲协会和其他国际肩部和肘部协会的成员.
- 该调查收集了有关使用各种诊断测试和外科医生的专业经验水平的数据.
- 完成了239项调查,并纳入了分析.
主要成果:
- 大多数外科医生 (≥65%) 使用至少九种诊断测试来检测肩围假肢关节感染.
- 进行更少修订的外科医生使用了更多的培养物,并且不太可能仅仅依赖它们.
- 观察到重要的洲际差异:欧洲以外的外科医生使用冷切割和超声波较少,但红细胞沉积率和金属人工物减少序列MRI频率更高.
结论:
- 大多数肩部外科医生使用至少九项诊断检查周围假肢关节感染的综合面板.
- 手术经验影响诊断策略,经验较少的外科医生使用更多的培养物.
- 在肩围假肢关节感染的诊断工作中存在明显的洲际变异.
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