Luan Zhiyong,Gao Fengqi,Yao Dalu,et al.Mini-invasive treatment of pyogenic hip arthritis in children under ultrasonic guidance[J].Journal of Clinical Pediatric Surgery,,20():469-473.[doi:10.12260/lcxewkzz.2021.05.014]
Mini-invasive treatment of pyogenic hip arthritis in children under ultrasonic guidance
- Keywords:
- Ultrasonography; Osteoarthritis; Hip/ET; Paracentesis/MT; Osteoarthritis; Hip/RH; Treatment Outcome; Chind
- CLC:
- R445;684.3
- Abstract:
- Objective To apply ultrasound-guided puncture drainage lavage plus mini-invasive surgery for pediatric suppurative arthritis so as to improve the clinical curative rate and safety. Methods From December 2015 to December 2018,a total of 10 children with unilateral pyogenic arthritis of the hip were admitted.There were 6 boys and 4 girls with an age range of (1-8) years.The involved side was left (n=7) and right (n=3).The treatments included intravenous dosing of sufficient sensitive antibiotics,general anesthesia,ultrasound-guided catheterization,continuous lavage & drainage and extubation at around 1 week.The evaluation items included body temperature,blood routine,erythrocyte sedimentation rate (ESR),C-reactive protein (CRP),three times of joint fluid bacterial culture and symptoms. Results The success rate of ultrasound-guided puncture drainage for lavatory catheter placement was 100%.There was no intraoperative onset of adverse reactions.The catheter retention time was 5-7 days and the clinical symptom relief rate 100%.All pains disappeared,joint activity,body temperature,blood routine,ESR and C-reactive protein normalized.The bacterial culture of joint fluid remained negative thrice in a row.During a follow-up period of (6-12) months,there were limited hip joint activity (n=1),imaging changes of femoral head (n=1) and an excellent recovery of hip joint (n=8).And the clinical curative rate was 90%. Conclusion Ultrasound-guided puncture drainage lavatory treatment of children with suppurative arthritis has a significant effect.Compared with traditional open incision drainage,it is safe,simple,less traumatic and more sterile.
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Memo
收稿日期:2020-04-27。
基金项目:吉林省卫生与健康技术创新项目（编号：2020J083）
作者简介:栾志勇,Email:284288854@qq.com