Expert consensus on prevention and management of orthopedic surgical site infection wounds (2026 edition)
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摘要: 骨科手术部位感染（SSI）是骨科术后的重要并发症,其发生率因具体手术类型不同而存在差异,通常为0.4%~16.1%,在高危病例中甚至超过50%。当骨科SSI发展到需要干预的阶段,即表现为切口裂开、组织坏死或内植入物外露时,不仅会显著延长恢复期,还会加重医疗负担。目前国内外均缺乏针对此类创面的标准化的预防和管理方案,导致临床实践存在较大差异。为提高骨科患者术后安全性,降低骨科SSI创面的发生率,提升该类创面的诊断与治疗质量,中国医师协会创面修复专业委员会组织多学科专家制订了该共识。该共识涵盖多个主题,包括骨科SSI创面的预防策略、临床表现、诊断评估、创面处理与修复、功能重建及康复治疗,旨在为此类创面的预防与治疗提供全面参考。Abstract: Orthopedic surgical site infection (SSI) represents a major complication post-orthopedic surgery, with incidence rates differing based on the specific procedure, typically ranging from 0.4% to 16.1%, and potentially exceeding 50% in high-risk scenarios. When orthopedic SSI advances to a stage necessitating intervention—characterized by wound dehiscence, tissue necrosis, or exposed implants—it not only substantially extends the recovery duration but also escalates the healthcare burden. Presently, there is an absence of standardized prevention and management protocols for such wounds both nationally and internationally, resulting in significant variability in clinical practice. In order to augment postoperative safety for orthopedic patients, diminish the incidence of orthopedic SSI wounds, and enhance the quality of diagnosis and treatment for these wounds, the Wound Repair Professional Committee of Chinese Medical Doctor Association has convened a multidisciplinary panel of experts to formulate this consensus. This consensus encompasses a range of topics, including prevention strategies, clinical manifestations, diagnostic evaluation, wound management and repair, functional reconstruction, and rehabilitation therapy for orthopedic SSI wounds. The objective is to furnish a comprehensive reference for the prevention and treatment of these wounds.
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Key words:
- Surgical wound infection /
- Therapy /
- Orthopedics /
- Infected wounds /
- Preventive measures /
- Wound repair /
- Expert consensus
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参考文献
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Table 1. 2011版牛津大学循证医学中心证据等级标准
证据等级 具体描述 1级 基于随机对照试验或单人交叉临床试验的系统性文献回顾,对随机性研究的系统综述 2级 随机对照试验或效果显著的观察性研究 3级 非随机性、对照性队列研究或随访研究 4级 病例系列、病例对照研究或历史对照研究 5级 基于机制的推论 
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