骶髂关节化脓性感染

On Pyogenic Infection of the Sacroiliac Joints

分析 7例骶髂关节化脓性感染病例 ,发现两种临床类型的存在 (急性 5例 ,慢性 2例 ) .其临床表现隐匿多样 ,易与腰椎间盘突出症、髋关节疾病、臀肌及骨盆疾病、下腹部疾病相混淆 .作者认为骶髂关节化脓性感染虽然少见 ,但并非罕见 .由于其较少地表现为单纯的局部症状和体征加之认识不足 ,临床上常常出现误诊或延迟诊断 .同位素扫描及关节穿刺检查被证明是早期诊断该疾病有效可靠的方法 .

In 7 cases of pyogenic infection of the sacroiliac joints, two types if clinical infections were found, acute ( 5cases ) and chronic (2 cases ). The symptoms were vague and poorly localized, which could be confused with other diseases, like prolapse of lumbar intervertebal disc hernaiaton ,hip-joint diseases, and hip muscle and pelvis diseases. Pyogenic infection of the sacroiliac joint was uncommon but not rare. The disease was often delayed and misdiagnosed because of the poor symptom localization and the lack of its enough understanding. It was proved that radionuclide scanning and arthrocentesis are useful and reliable methods in diagnosing the disease.