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目的研究布氏杆菌和结核性脊柱炎患者的鉴别诊断以及治疗方法与效果。方法选取我院2013年7月~2015年6月收治的经保守治疗无效,进而采取手术治疗的布氏杆菌和结核性脊柱炎患者60例为研究对象,其中30例为布氏杆菌脊柱炎,将其归为布氏杆菌脊柱炎组,30例为结核性脊柱炎,将其归为结核性脊柱炎组,研究其诊断以及治疗效果。结果结核性脊柱炎复发2例,布什杆菌脊柱炎组复发2例,伤口均一期愈合。结论在对布氏杆菌和结核性脊柱炎进行鉴别诊断时,要结合患者的病史、实验室检查,影像学检查结果以及临床特点进行鉴别诊断,必要时穿刺活检确诊。
Objective To study the differential diagnosis of patients with brucellosis and tuberculous spondylitis, as well as treatment methods and effects. Methods A total of 60 cases of brucellosis and tuberculous spondylitis treated by conservative treatment were selected from July 2013 to June 2015 in our hospital. Among them, 30 cases were caused by brucellosis, Will be classified as brucellosis spondylitis group, 30 cases of tuberculous spondylitis, will be classified as tuberculous spondylitis group, to study its diagnosis and treatment. Results Two cases of recurrent tuberculous spondylitis and two cases of recurrent spontaneous recurrent paroxysm. The wounds were healed in one time. Conclusion In the differential diagnosis of brucellosis and tuberculous spondylitis, the patients’ medical history, laboratory tests, imaging findings and clinical features should be used for differential diagnosis and puncture biopsy if necessary.