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相關文獻
- Total Hip Arthroplasty in Salmonella Coxitis:Four Cases Report
- Salmonella Colitis with Massive Lower Gastrointestinal Bleeding in a One-Year-Old Boy--A Case Report and Literature Review
- 沙門氏菌
- 寵物與沙門氏菌
- 全人工髖關節置換術最近發展趨勢
- 沙門氏菌的污染
- Posterior Capsulorrhaphy in Primary Total Hip Arthroplasty
- 豬的沙門氏菌病
- Multidrug-Resistant Non-typhoid Salmonella Infections in a Medical Center
- Duration of Antimicrobial Therapy for Non-typhoid Salmonella Bacteremia in Healthy Children
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題名 | Total Hip Arthroplasty in Salmonella Coxitis:Four Cases Report=用全人工髖關節置換重建沙門氏菌感染後之髖關節之臨床經驗:四例報告 |
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作者 | 傅再生; 翁文能; 施俊雄; 羅淑芬; Fu, Tsai-sheng; Ueng, Wen-neng; Shih, Chun-hsiung; Luo, Shue-fen; |
期刊 | 長庚醫學 |
出版日期 | 19980300 |
卷期 | 21:1 1998.03[民87.03] |
頁次 | 頁109-118 |
分類號 | 416.61 |
語文 | eng |
關鍵詞 | 沙門氏菌; 髖關節炎; 全人工髖關節置換術; Salmonella; Septic hip; Total hip arthroplasty; |
中文摘要 | 沙門氏茵所導致的髖關節炎,在臨床上並不多見,而用全人工髖關節置換術重 建沙門氏茵感染後之髖關節,在文獻上則未被報告過。本研究報告4個病例,患者年齡從 6歲到61歲,其中包括2位伴有全身紅斑性狼瘡的女性病患和2位無任何宿疾的男性病人。 疼痛,腫脹和活動限制最常見的症狀,2位男性病患皆有發燒現象,另2位伴有全身紅斑性 狼瘡病患則沒有明顯發燒情形,所有病患皆沒有異常的皮膚斑點或胃腸道症狀發生。白血 球數,紅血球沈降速率及C反應蛋白質在4位病患身上皆明顯昇高,沙門氏茵所造成的菌血 症則只發生在2位女性病患,X光照像檢查結果與其他菌類所造成的髖關節炎表現上並無差 異。從這4位病患的髖關節抽取夜和開刀中所做得細菌培養皆長出B群沙門氏茵,其中3位 病患經由清創手術加上抗生素注射治療而另l位只接受抗生素注射治療而得到感染控制。 所有病患在感染控制後皆以全人工髖關節置換術重建髖關節,經過至少2年以上的追蹤治 療,4位病患皆達到令人滿意的結果,而且無復發感染,疼痛或人工髖關節鬆脫現象發生 。作者認為全人工髖關節直換術對於重建沙門氏茵感染後之髖關節並非非適應症,只要感 染真正能達到控制後,再施行全人工髖關節置換術,將可達到令人滿意的療效,而且得到 好的功能恢復。 |
英文摘要 | Suppurative coxitis induced by salmonella is rarely reported in the literature. Furthermore, reconstruction with a total hip arthroplasty (THA) in such patients has never been reported. However, in this study, we present 4 cases; 2 normal male patients and 2 female patients with underlying systemic lupus erythematosus (SLE). The ages range from 26 to 61 years. All 4 cases revealed growth of group B salmonella from the cultures of synovial fluid. They all received THA after the infections were eradicated. The functional assessment of pain, range of motion, walking ability together with the radiographic assessment were used according to the new hip score system. After a minimum follow-up of 2 years, all of the reconstructed hips showed good to excellent results since no infections recurred during this period. Although the long-term results are uncertain, the short-term clinical advantage of THA in the treatment of quiescent salmonella coxitis is encouraging. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。