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中华肩肘外科电子杂志 ›› 2022, Vol. 10 ›› Issue (01) : 79 -81. doi: 10.3877/cma.j.issn.2095-5790.2022.01.014

病例报告

关节镜下肩袖损伤修补术后肩关节结核菌感染一例报告
陈俊1, 王维凯1, 楼珏翔1, 申屠国建1, 徐国红1,()   
  1. 1. 322100 浙江省东阳市人民医院关节与运动医学科
  • 收稿日期:2020-07-29 出版日期:2022-02-05
  • 通信作者: 徐国红
  • 基金资助:
    浙江省自然科学基金(LGF18H060001); 浙江省医药卫生科技项目(2021KY1190); 金华市科技项目(2020-4-136)
  • Received:2020-07-29 Published:2022-02-05
引用本文:

陈俊, 王维凯, 楼珏翔, 申屠国建, 徐国红. 关节镜下肩袖损伤修补术后肩关节结核菌感染一例报告[J]. 中华肩肘外科电子杂志, 2022, 10(01): 79-81.

图1 患者右肩可见1个主要窦道(黑色箭头)和2个隐匿性窦道(红色箭头)
图2 患者右肩活动明显受限(患者既往左肘关节僵硬因此图中未能完全伸直)
图3 右肩关节磁共振成像(T2序列)可见三角肌下滑囊和皮肤之间形成窦道,大结节处骨质破坏
图4 术中可见锚钉松动,周围大量感染及坏死组织(图A);术中彻底清创后见大结节处局部骨质缺损(图B)
图5 HE染色可见慢性肉芽肿形成伴多核巨细胞反应
图6 抗酸染色阳性
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