切换至 "中华医学电子期刊资源库"

中华实验和临床感染病杂志(电子版) ›› 2018, Vol. 12 ›› Issue (02) : 110 -113. doi: 10.3877/cma.j.issn.1674-1358.2018.02.002

所属专题: 文献

综述

布鲁杆菌性骨关节炎治疗进展
何杰1, 张强1,(), 李鑫1   
  1. 1. 100015 北京,首都医科大学附属北京地坛医院骨科
  • 收稿日期:2017-10-15 出版日期:2018-04-15
  • 通信作者: 张强

Progress on the treatment of Brucellar osteoarthritis

Jie He1, Qiang Zhang1,(), Xin Li1   

  1. 1. Department of Orthopedics, Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China
  • Received:2017-10-15 Published:2018-04-15
  • Corresponding author: Qiang Zhang
  • About author:
    Corresponding author: Zhang Qiang, Email:
引用本文:

何杰, 张强, 李鑫. 布鲁杆菌性骨关节炎治疗进展[J/OL]. 中华实验和临床感染病杂志(电子版), 2018, 12(02): 110-113.

Jie He, Qiang Zhang, Xin Li. Progress on the treatment of Brucellar osteoarthritis[J/OL]. Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition), 2018, 12(02): 110-113.

布鲁菌病是一种全球性分布的人畜共患病,可表现为全身多系统损害,其中布鲁杆菌性骨关节炎为布鲁菌病常见的临床表现之一。本文旨在对布鲁杆菌性骨关节炎的治疗进展作一综述。目前国内外文献中报道的治疗方式主要包括药物治疗和手术治疗,其中药物治疗国外普遍试行WHO推荐的药物治疗方案,而我国遵循的为2012年由首都医科大学附属北京地坛医院制定的《布鲁氏菌病诊疗指南(试行)》药物治疗方案,主要包括多西环素、利福平、链霉素类、喹诺酮类和头孢类。对于布鲁杆菌性骨关节炎,早期诊断以及早期、足量、足疗程药物治疗可取得良好的疗效,而对于存在严重脊柱、关节破坏的布鲁杆菌性骨关节炎则应采取手术治疗。

Brucellosis is a globally distributed zoonotic disease, which can be expressed as multiple systems damage, among which Brucellar osteoarthritis is the common clinical manifestation. This review summarized the progress of treatment for Brucellar osteoarthritis. At present, the treatment of Brucellar osteoarthritis mainly include drug treatment and surgical treatment which were reported in domestic and foreign literatures. Drug treatment plan recommended by WHO is widely selected abroad and in our country we follow the "Brucellosis Medical treatment program (trial edition)" drug treatment program developed by Beijing Ditan Hospital, Capital Medical University in 2012, which mainly includes doxycycline, rifampicin, streptomycin, quinolones and cephalosporins. Early diagnosis and early, sufficient, adequate course of drug treatment for Brucellar osteoarthritis may achieve good curative effect. Surgical treatment should be applied for brucellar osteoarthritis patients with severe spinal and joint destruction.

[1]
Turan H, Serefhanoglu K, Karadeli E, et al. A case of brucellosis with abscess of the iliacus muscle, olecranon bursitis, and sacroiliitis[J]. Int J Infect Dis,2009,13(6):e485-e487.
[2]
张耀, 张强, 赵昌松. 布氏菌性脊柱炎临床治疗方法的研究进展[J]. 中华医学杂志,2016,96(3):237-240.
[3]
中华人民共和国卫生部. 布鲁氏菌病诊疗指南(试行)[J]. 传染病信息,2012,25(6):323-324, 359.
[4]
Köse Ş, Serin Senger S, Akkoçlu G, et al. Clinical manifestations, complications, and treatment of brucellosis: evaluation of 72 cases[J]. Turk J Med Sci,2014,44(2):220-223.
[5]
Reşorlu H, Saçar S, Inceer BŞ, et al. Cervical spondylitis and epidural abscess caused by brucellosis: a case report and literature review[J]. Folia Medica,2016,58(4):289-292.
[6]
Jacob NR, Rodríguez CG, Binaghi MA, et al. Brucellosis complicating chronic non-infectious disorders: diagnostic and therapeutic dilemmas[J]. J Med Microbiol,2008,57(Pt 9):1161-1166.
[7]
Jalan D, Elhence A, Elhence P. A case of acute septic arthritis hip caused by Brucella melitensis in an adolescent child[J]. Brit Med J,2015,16(7):367-368
[8]
Jia B, Zhang F, Lu Y, et al. The clinical features of 590 patients with brucellosis in Xinjiang, China with the emphasis on the treatment of complications[J]. PLoS Neglect Trop D,2017,11(5):e0005577.
[9]
张国军, 颜国飞, 劳阿力, 等. 单纯药物治疗不典型骨关节布氏杆菌病临床疗效观察[J]. 河北医学,2013,19(3):422-424.
[10]
Mancarella L, De Santis M, Magarelli N, et al. Septic sacroiliitis: an uncommon septic arthritis[J]. Clin Exp Rheumatol,2009,27(6):1004- 1008.
[11]
Colmenero JD, Reguera JM, Fernández-Nebro A. Osteoarticular complications of brucellosis[J]. Ann Rheum Dis,1991,50(1):23-26.
[12]
Rotes-Querol J. Osteo-articular sites of brucellosis[J]. Ann Rheum Dis,1957,16(1):63-68.
[13]
章鹏. 一期前路手术治疗颈椎布鲁杆菌性脊柱炎的相关研究[D]. 河北北方学院,2015.
[14]
Yaldz C, Özdemir N, Yaman O, et al. A retrospective study of 39 patients treated with anterior approach of thoracic and lumbar spondylodiscitis: clinical manifestations, anterior surgical treatment, and outcome[J]. Medicine,2015,94(47):e2110.
[15]
苏菲, 吴子祥, 桑宏勋, 等. 脊柱布氏杆菌感染的临床特征表现及其治疗[J]. 中国骨与关节杂志,2017,6(7):544-550.
[16]
杨新明, 左宪宏, 贾永利, 等. 两种术式治疗胸腰椎布鲁杆菌性脊柱炎的疗效比较[J]. 中国修复重建外科杂志,2014,28(10):1241-1247.
[17]
张国军, 颜国飞, 劳阿力, 等. 一期前后路联合手术治疗腰椎布氏杆菌性脊柱炎[J]. 河北医学,2013,19(4):585-587.
[18]
Kaptan F, Gulduren HM, Sarsilmaz A, et al. Brucellar spondylodiscitis: comparison of patients with and without abscesses[J]. Rheumatol Int,2013,33 (4):985-992.
[19]
杨新明, 孟宪勇, 张瑛, 等. 手术治疗胸腰椎布鲁杆菌性脊柱炎[J]. 中国脊柱脊髓杂志,2012,22(7):600-606.
[20]
它依尔江·举来提, 哈巴西·卡肯, 徐江波, 等. 手术治疗腰椎布鲁杆菌病性脊椎炎17例临床分析[J]. 中华实用诊断与治疗杂志,2016,30(11):1078-1079.
[21]
Chen Y, Yang JS, Li T, et al. One-stage surgical management for lumbar brucella spondylitis by posterior debridement, autogenous bone graft and instrumentation: a case series of 24 patients[J]. Spine,2017,42(19):1112-1118.
[22]
张耀, 张强, 赵昌松, 等. 腰椎布氏菌性脊柱炎的外科治疗[J]. 颈腰痛杂志,2017,38(4):330-334.
[23]
张治, 杨新明, 王耀一, 等. 建立布鲁杆菌病性脊椎炎的影像学分型及临床意义[J]. 河北医药,2014,(16):2426-2429,2430.
[24]
蓝旭, 高杰, 许建中, 等. 布氏杆菌性脊柱炎的影像学分型与治疗方案选择[J]. 中国骨与关节损伤杂志,2017,32(1):40-43.
[25]
Eren S, Büyükavci M, Ezirmik N. Spinal brucellosis with paraspinal abscess formation treated with CT guided percutaneous abscess drainage[J]. Interv Neuroradiol,2004,10(4):329-334.
[26]
段力军, 武永刚, 阿尔宾, 等. 布氏菌性脊柱炎的微创手术治疗[J]. 中华骨与关节外科杂志,2015,8(1):78-80.
[27]
杨新明, 石蔚, 杜雅坤, 等. 布氏杆菌性脊柱炎临床影像学表现及外科治疗[J]. 中国矫形外科杂志,2007,15(19):1463-1466.
[28]
Papastergiou SG, Koukoulias NE, Koumis P, et al. Brucella arthritis of the knee, 1 year after revision of anterior cruciate ligament reconstruction[J]. Brit Med J,2011,14(3):3783-3786.
[29]
Cerit ET, Aydın M. A case of brucellar monoarthritis and review of the literature [J]. Rheumatol Int,2012,32(5):1465-1468.
[30]
Wünschel M, Olszowski AM, Weissgerber P, et al. Chronic brucellosis: a rare cause of septic loosening of arthroplasties with high risk of laboratory-acquired infections[J]. Z Orthop Unfall,2011,149(1):33-36.
[31]
魏建仝, 苏秦柳晔, 王雄, 等. 布氏杆菌性关节炎二例报道并文献回顾[J/CD]. 中华临床医师杂志(电子版),2014,(14):2758-2760.
[32]
Porat S. Brucella arthritis of the sacro-iliac joint[J]. Infection,1984,12(3):205-207.
[33]
Brennan JL. A case of brucella arthritis in the wrist[J]. J Clin Pathol,1972,25(11):1002.
[34]
Eder L, Zisman D, Rozenbaum M. Clinical features and aetiology of septic arthritis in northern Israel[J]. Rheumatology,2005,44(12):1559- 1563.
[1] 王博冉, 乔春梅, 李春歌, 王欣, 王晓磊. 超声造影评估类风湿关节炎亚临床滑膜炎疾病进展的价值[J/OL]. 中华医学超声杂志(电子版), 2024, 21(08): 802-808.
[2] 许银峰, 盛璞义, 余世明, 张阳春. 偏心性髋臼旋转截骨术治疗发育性髋关节发育不良[J/OL]. 中华关节外科杂志(电子版), 2024, 18(05): 568-574.
[3] 刘鹏, 罗天, 许珂媛, 邓红美, 李瑄, 唐翠萍. 八段锦对膝关节炎疗效的初步步态分析[J/OL]. 中华关节外科杂志(电子版), 2024, 18(05): 590-595.
[4] 蒲彦婷, 吴翠先, 兰玉梅. 类风湿关节炎患者骨质疏松症风险预测列线图模型构建[J/OL]. 中华关节外科杂志(电子版), 2024, 18(05): 596-603.
[5] 苏介茂, 齐岩松, 王永祥, 魏宝刚, 马秉贤, 张鹏飞, 魏兴华, 徐永胜. 关节镜手术在早中期膝骨关节炎治疗的应用进展[J/OL]. 中华关节外科杂志(电子版), 2024, 18(05): 646-652.
[6] 谢佳乐, 李琦, 芦升升, 姜劲松. 内侧膝骨关节炎伴胫股关节冠状半脱位的手术治疗[J/OL]. 中华关节外科杂志(电子版), 2024, 18(05): 653-657.
[7] 王振宇, 张洪美, 荆琳, 何名江, 闫奇. 膝骨关节炎相关炎症因子与血浆代谢物间的因果关系及中介效应[J/OL]. 中华损伤与修复杂志(电子版), 2024, 19(06): 467-473.
[8] 严华悦, 刘子祥, 周少波. 磷酸烯醇式丙酮酸羧激酶-1在恶性肿瘤中的研究进展[J/OL]. 中华普通外科学文献(电子版), 2024, 18(06): 452-456.
[9] 陈浩, 王萌. 胃印戒细胞癌的临床病理特征及治疗选择的研究进展[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 108-111.
[10] 刘柏隆. 女性压力性尿失禁阶梯治疗之手术治疗方案选择[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(01): 126-126.
[11] 邱小原, 刘雨馨, 李珂璇, 林国乐, 邱辉忠, 安燚. 直肠肿瘤术后直肠阴道瘘的外科治疗[J/OL]. 中华结直肠疾病电子杂志, 2024, 13(05): 423-430.
[12] 宋庆成, 郑占乐, 王天瑞, 王宇钏, 张凯旋, 纳静, 蔚佳昊, 杨思繁, 宋九宏, 张英泽. “人老膝不老”:膝关节健康管理的全方位探索与实践[J/OL]. 中华老年骨科与康复电子杂志, 2024, 10(06): 321-324.
[13] 郑占乐, 王宇钏, 蔚佳昊, 宋庆成, 张凯旋, 纳静, 王天瑞, 宋九宏, 张英泽, 王娟. 保膝须“开膝”——“开膝”在膝骨关节炎中的临床应用价值[J/OL]. 中华老年骨科与康复电子杂志, 2024, 10(06): 325-330.
[14] 吴天宇, 刘子璇, 杨浦鑫, 贾思明, 丁凯, 程晓东, 李泳龙, 陈伟, 吕红芝, 张奇. 腰椎间盘突出症保守治疗进展[J/OL]. 中华老年骨科与康复电子杂志, 2024, 10(06): 379-384.
[15] 马豆豆, 丁艳, 古今, 王丽芳, 石连杰. 以发热为首发表现的强直性脊柱炎合并潜伏性结核感染一例[J/OL]. 中华临床医师杂志(电子版), 2024, 18(08): 791-794.
阅读次数
全文


摘要


AI


AI小编
你好!我是《中华医学电子期刊资源库》AI小编,有什么可以帮您的吗?