大理大学学报 ›› 2022, Vol. 7 ›› Issue (4): 60-62.

• 临床医学 • 上一篇    下一篇

腰椎布鲁氏菌病临床治疗分析

高国玺,连星烨,刘韦兵,张 俊,胡建华,雷云坤,杨 召,张 超   

  1. 1.云南省第一人民医院骨科,昆明 6500322.云南省数字骨科重点实验室,昆明 650032

  • 收稿日期:2020-11-24 修回日期:2021-02-10 出版日期:2022-04-15 发布日期:2022-05-27
  • 通讯作者: 张超,副主任医师,博士,E-mail:chaozhang2015@sina.com。
  • 作者简介:高国玺,主治医师,主要从事脊柱外科临床及基础研究。

Analysis of Clinical Treatment of Lumbar Brucellosis

Gao Guoxi Lian Xingye Liu Weibing Zhang Jun Hu Jianhua Lei Yunkun Yang Zhao Zhang Chao   

  1. 1.Department of Orthopedics The First People's Hospital of Yunnan Province Kunming 650032 China2.Yunnan Key Laboratory of Digital Orthopedics Kunming 650032 China

  • Received:2020-11-24 Revised:2021-02-10 Online:2022-04-15 Published:2022-05-27

摘要:

[摘要] 目的:腰椎布鲁氏菌感染比较少见,容易误诊,通过病例分析总结腰椎布鲁氏菌病的治疗经验。方法:回顾性分析20151月至20191月云南省第一人民医院腰椎布鲁氏菌病的病例资料。结果:共11例患者纳入研究,所有患者均接受药物治疗和手术治疗,患者术前视觉模拟评分法(VAS)评分为(6.00±0.77)分,末次随访VAS评分为(0.64±0.50)分;术前腰椎Oswestry功能障碍指数(ODI)评分为(37.64±6.90)分,末次随访ODI评分为(13.73±4.05)分,与术前比较差异有统计学意义(P<0.05)。结论:腰椎布鲁氏菌病通过药物治疗和手术治疗可以获得良好的治疗效果。

关键词:

"> ">[关键词] ">腰椎, 布鲁氏菌感染, 手术治疗

Abstract:

Abstract Objective The lumbar Brucella infection is relatively rare and easy to be misdiagnosed. The treatment experience of lumbar brucellosis is summarized through case analysis. Methods The case data of lumbar brucellosis in the First People's Hospital of Yunnan Province from January 2015 to January 2019 were retrospectively analyzed. Results A total of 11 patients were included in the study. All patients received drug therapy and surgery. The preoperative visual analogue scaleVAS score was6.00±0.77 points and the last follow-up VAS score was0.64±0.50 points The preoperative lumbar Oswestry disability indexODI score was 37.64±6.90 points and the final follow-up ODI score was13.73±4.05 points and the differences were statistically significantP<0.05.Conclusion Lumbar brucellosis can achieve good therapeutic effect through drug therapy and surgical treatment.

Key words:

"> ">〔Key words">〕 lumbar">, Brucella infection">, surgical treatment

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