8例布鲁氏菌病合并腰椎滑脱病例的调查报告

A survey on 8 cases of brucellosis merge a survey of the lumbar spine

目的了解布鲁氏菌病合并腰椎滑脱患者的临床特殊表现、临床诊断、各项辅助检查及药物治疗效果。方法采用回顾性调查法。结果布鲁氏菌病合并腰椎滑脱患者,临床表现以长期固定的腰胯疼痛困为主,部分患者疼痛严重时,需用杜冷丁注射液止疼痛,核磁共振成像及CT检查,腰椎L2,L3,L4,L5呈轻度或中度滑脱,且常伴有腰椎间盘突出症,椎间盘后缘均匀后膨,硬膜囊前缘轻度均匀受压,椎体边缘毛糙,、变尖,椎体对位不佳,有骨赘形成。临床药物治疗应口服药结合静脉点滴,要有足够的治疗疗程。结论布鲁氏菌病合并腰椎滑脱患者早期临床表现以发冷、发烧、出汗为主,后期表现为相对固定的长期腰胯疼痛;声像学检查:腰椎有轻中度滑脱;患者病程时间长、治疗难度大,医生和患者应有充分的治愈信心。

Objective Understanding of combined lumbar olisthe patient clinical, in clinical diagnosis condition, the auxiliary examination and the effect of drug treatment. Methods Use the retrospective investigation method. Results Combined lumbar oils- the patient, clinical expression is given priority to with long - term fixed his hips ache trapped, part of the patients with severe pain, need demerol injection pain killer, mri and CT examination, lumbar L2, L3 and IA, L5 are mild or moderate slippage, and, often accompanied by lumbar intervertebral disc protrusion of intervertebral disc after trailing edge uniform expansion, dural sac front light uniform compression, on the edge of the vertebral body is coarse, taper, para vertebral bodies, and osteophyte for- mation. Clinical drug treatment should be for oral administration combined with intravenous drips, want to have enough treat- ment. Conclusion brucella combined lumbar olisthe patients with early clinical performance of chills, fever, sweating, late show the relatively fixed long - term waist hip pain, audio - visual learning examination, lumbar have mild - to - moderate slippage, patients with long duration time, treatment is difficult, doctors and patients should be fully cured the confidence.