精品文档---下载后可任意编辑一期及二期翻修治疗 TKA 术后感染的疗效及对比的开题报告【摘要】目的：比较一期和二期翻修治疗 TKA 术后感染的疗效，探讨其优缺点。方法：回顾性分析 2024 年至 2024 年间治疗 TKA 术后感染的病例资料，共纳入 70 例，其中一期翻修治疗 31 例，二期翻修治疗 39 例。比较两组病例的手术时间、手术后并发症、切口愈合情况、感染复发率、功能恢复情况等指标。结果：两组病例手术时间差异不显著，但二期翻修组手术时间略长。两组病例切口愈合情况无明显差异，但一期翻修组术后并发症发生率略高。两组病例的感染复发率、功能恢复情况无明显差异。结论：虽然二期翻修治疗 TKA 术后感染的手术时间稍长，但其优点是能够更全面的清洗感染部位、更彻底的清除感染源，并且手术后并发症发生率较低，尤其适合患者感染部位复杂或存在其他并发症的情况。【关键词】TKA；术后感染；一期翻修；二期翻修；疗效比较【Abstract】Objective: To compare the efficacy of one-stage and two-stage revision for the treatment of postoperative infection after TKA, and explore their advantages and disadvantages.Methods: A retrospective analysis was conducted on the cases of TKA postoperative infection treated between 2024 and 2024. A total of 70 cases were included, of which 31 cases were treated with one-stage revision and 39 cases were treated with two-stage revision. The surgical time, postoperative complications, wound healing, infection recurrence rate, and functional recovery were compared between the two groups.Results: There was no significant difference in surgical time between the two groups, but the surgical time was slightly longer in the two-stage revision group. There was no significant difference in wound healing between the two groups, but the incidence of postoperative complications was slightly higher in the one-stage revision group. There was no 精品文档---下载后可任意编辑significant difference in infection recurrence rate and functional recovery between the two groups.Conclusion: Although the surgical time for two-stage revision of postoperative infection after TKA is slightly longer, its advantage is that it can more comprehensively clean the infection site, more thoroughly remove the infection source, and has a lower incidence of postoperative complications, especially suitable for patients with complicated infection sites or other complications.【Keywords】TKA; postoperative infection; one-stage revision; two-stage revision; efficacy comparison
