35例布氏杆菌性脊柱炎的诊治体会

Clinical Observation of 35 Cases with Brucellar Spondylodiscitis

目的通过对35例布氏杆菌性脊柱炎的影像、化验结果明确诊断,并给予联合药物治疗,观察其治疗疗效,提高对布氏杆菌性脊柱炎的认识水平。方法对35例布氏杆菌性脊柱炎的X线、CT片及MRI片等影像资料进行分析,结合流行病接触史及化验结果,通过联合药物治疗,并观察其临床症状缓解程度,以及化验水平,确定其治疗效果。结果本组病例,其中30例行多西环素片、利福平胶囊、左氧氟沙星联合药物治疗,5例行前路或后路病灶清除植骨固定治疗,本组治疗结束后症状完全消失者19例,治愈率54.28%(19/35例),好转率45.72%(16/35例),化验血常规、血沉、肝功等恢复正常,手术病例植骨处已骨性融合。结论布氏杆菌性脊柱炎诊断应根据病史、化验检查及影像资料,结合流行学接触史,尽早明确诊断,采用联合药物治疗,辅以外科治疗,并能取得满意的治疗效果。

Objective To consider enhance level of diagnosis＇and therapeutic with 35 eases with brucellar spondylodiscitis. Methods 35 cases with brucellar spondylodiscitis underwent X-ray, CT Scanning and MRI Examination were analyzed, combined epidemiolagical exposure history and tests results, joint medicine treatment was used and clinic degree was observed, in order to define the treatment results. Results 30 cases with brueeUar spondylodiscitis were observed the curative effect after the combination of drug, 5 eases with brucellar spondylodiscitis were observed the curative effect after surgery and the fusion effect, 19 eases of symptoms were cured after treatment, the rate of cure was 54.28%（19/35）, the rate of improvement was 45.72%（16/35）, blood routine tests, blood sedimentation and liver function were normal, graft hone was fused. Conclusion According to the history taking, physical examination, image data, in combination with the history of epidemiology, it should be early diagnosis of treatment of patient with brueellar spondylodiscitis, and it could achieve to clinical effect of satisfaction.