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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 To understand the clinical manifestations, clinical diagnosis, various auxiliary examinations and drug treatment of brucellosis patients with spondylolisthesis. Methods Using retrospective investigation. Results Brucellosis patients with lumbar spondylolisthesis, the clinical manifestations of long-term fixed pain in the waist and hip pain, some patients with severe pain, the need for puerarin injection pain, MRI and CT examination, lumbar spine L2, L3 , L4, L5 showed mild or moderate spondylolisthesis, and often accompanied by lumbar disc herniation, posterior disc posterior uniform dilatation, the dural edge of the mild uniform pressure, the edge of the vertebral rough, sharp, vertebral body Bad alignment, osteophyte formation. Clinical drug treatment should be combined with intravenous intravenous drip, there must be adequate treatment. Conclusions The early clinical manifestations of brucellosis with lumbar spondylolisthesis are chills, fever and sweating, while the latter shows relatively long-term lumbar and hip pain. The sonographic findings are mild and moderate spondylolisthesis, Long, difficult to treat, doctors and patients should have full cure confidence.