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目的总结布鲁氏菌病性脊柱炎的临床表现、诊断方法和药物治疗效果。方法采用回顾性总结分析法,分析布鲁氏菌病性脊柱炎的流行病学特点、临床症状和体征,声像学检查的病理变化。结果布鲁氏菌病性脊柱炎有一定的流行病学特点,临床表现以腰部疼痛、发热、发冷、出汗症状为主;所有患者实验室特异性布鲁氏菌病抗体滴度均在1∶100++以上;声影像学显示椎体和腰椎间盘都有明显的骨质破坏和软组织病变;治疗宜采用中西医综合疗法。结论布鲁氏菌病性脊柱炎的流行病学特点与以往报道的一致,临床症状以腰疼为主,且腰疼重、病程长,CT和核磁共振声像学检查显示椎体和腰椎间盘有明显的病理改变,药物治疗时间长、见效慢,应中西医结合用药,并根据病情酌情使用止疼药和外科手术治疗。
Objective To summarize the clinical manifestations, diagnosis and drug treatment of brucellosis with spondylitis. Methods The retrospective analysis method was used to analyze the epidemiological characteristics, clinical symptoms and signs of brucellosis and the pathological changes of sonography. Results Brucellosis spondylitis has some epidemiological features, clinical manifestations of lumbar pain, fever, chills, sweating symptoms; laboratory-specific brucellosis antibody titer in all patients were 1: 100 + + above; acoustic imaging showed that the vertebral and lumbar intervertebral disc have obvious bone destruction and soft tissue lesions; treatment should adopt integrated traditional Chinese and Western therapies. Conclusion The epidemiological characteristics of brucellosis spondylitis consistent with previous reports, the main clinical symptoms of back pain, and heavy back pain, longer duration, CT and MRI showed that the vertebral body and lumbar intervertebral disc were significantly Of the pathological changes, drug treatment for a long time, slow, should be combined with traditional Chinese and Western medicine, and use of painkillers and surgical treatment, as appropriate, depending on the condition.