布氏杆菌脊柱炎中西医诊疗研究进展

Progress in Traditional Chinese and Western Medicine Diagnosis and Treatment of Brucella Spondylitis

布氏杆菌病性脊柱炎(Brucellosis Spondylitis, BS)是一种危害极大的人畜共患性疾病,可以侵袭脊柱、棘突间隙、椎旁组织等部位导致严重的感染,从而危及人类的健康和生命安全。临床诊断BS需结合临床症状、流行病学特点、血清学检验;目前,BS治疗主要依靠联合应用抗菌药物,对于那些非手术治疗无效、椎体受损严重、神经根受压明显的患者,手术治疗仍然是最佳选择。中医药在临床上的单独使用或与抗菌药物的联合应用中均取得了不错的疗效。本文目的在于总结目前临床上的中西医诊疗研究进展,为本病在临床中的诊治提供参考。

Brucellosis Spondylitis (BS) is a very harmful zoonotic disease, which can invade the spine, spike space, paravertebral tissue and other parts and lead to serious infection, thus endangering human health and life safety. Clinical diagnosis of BS requires clinical symptoms, epidemiological charac-teristics and serological test;at present, BS treatment mainly relies on the combination of antimi-crobial drugs, and surgical treatment is still the best choice for patients with ineffective non-surgical treatment, severe vertebral damage and obvious nerve root compression. Traditional Chinese medicine has achieved good results in clinical use alone or in combination with antibiotics. The purpose of this paper is to summarize the current clinical progress of diagnosis and treatment of Chinese and western medicine, and to provide reference for the clinical diagnosis and treatment of this disease.