布病脊柱炎诊疗新进展

New Progress in the Diagnosis and Treatment of Brucellosis Spondylitis

布鲁氏杆菌病(brucellosis)是由布鲁氏杆菌引起的一种以牛、羊、猪等动物为传染源的人畜共患病,对人类健康构成重大威胁,其中以青中年男性发病率较高。布氏杆菌可以侵犯人体任何组织或器官,包括神经系统、心血管系统、骨肌系统等,在骨肌系统中布鲁氏杆菌最易累及脊柱,尤其是腰椎和胸椎,从而引起布病脊柱炎(brucella spondylitis)。布病脊柱炎(brucellosis spondylitis, BS)是布鲁氏杆菌侵入患者椎体或椎间盘从而引起的器质性病变。布鲁氏杆菌病不仅是非洲、南美洲、东欧和中东等一些国家的公共卫生问题,而且也好发于我国西部牧区及黑龙江、吉林等地。其发病的主要原因是接触患有布病的牛、羊等家畜及其乳、肉制品等。

Brucellosis is a zoonotic disease caused by brucellosis in cattle, sheep, pigs and other animals. Brucellosis is a major threat to human health, and the incidence of brucellosis is higher in young and middle-aged men. Brucella can invade any tissue or organ of the human body, including the nervous system, cardiovascular system, osteomuscular system, etc. In the osteomuscular system, brucella is most likely to involve the spine, especially the lumbar and thoracic vertebrae, thereby causing brucella spondylitis. Brucellosis spondylitis (BS) is an organic disease caused by brucella bacilli invading the vertebral body or intervertebral disc of patients. Brucellosis is not only a public health problem in some countries in Africa, South America, Eastern Europe and the Middle East, but also in China’s western pastoral areas and Heilongjiang, Jilin and other places. The main cause of the disease is contact with cattle, sheep and other domestic animals with brucellosis and their milk and meat products.