小儿急性化脓性髋关节炎治疗体会

摘要

作者报告54例小儿急性化脓性髋关节炎治疗体会.按感染途径分为血源性和邻近感染蔓延二种.对比关节穿刺注药和关节切开、骨开窗灌洗治疗的结果,主张血源性者以非手术治疗为主,邻近感染蔓延者则应尽早作关节切开和股骨粗隆下开窗灌洗引流.并对股骨近端骨髓炎容易并发化脓性髋关节炎的原因以及二种感染途径的早期鉴别等问题进行了讨论.%Fifty-four cases of acute suppurative arthritis of the hip in children werereported. Aecording to the source of infection, cases in th is series were divided into two types:hemotogenic type(24 cases)and osteogenic type(30 cases), the latter means infection from the adjacent bone. Two methods of treatment were used respectively for the two types. Based on an average follow up of 4 years and 4 months(2-7 years), it is concluded that the surgical drainage is preferable for osteogenic type of osteomyelitis. while the conservative puncture and asperation ought to be faverable for hemogenic type.