Pham Diane V, Scott Kendall G
Perm J. 2007 Spring;11(2):65-8. doi: 10.7812/TPP/06-119.
Osteitis pubis is the most common inflammatory condition of the pubic symphysis and may present as acute abdominal, pelvic, or groin pain. Osteomyelitis pubis can occur concurrently and spontaneously with osteitis pubis. Primary care physicians should consider these conditions in patients presenting with abdominal and pelvic pain. A thorough history, including type of physical activity, and a focused physical examination will be useful, and imaging modalities may be helpful. A biopsy and culture of the pubic symphysis will usually confirm the diagnosis. Treatment for osteitis pubis generally involves rest and anti-inflammatory medications. Failure with this conservative treatment should alert the physician to the possibility of osteomyelitis, which needs treatment with antibiotics. Prognosis for recovery is excellent with definitive diagnosis and treatment.
耻骨炎是耻骨联合最常见的炎症性疾病，可能表现为急性腹痛、盆腔痛或腹股沟痛。耻骨骨髓炎可与耻骨炎同时并发且自发出现。初级保健医生在诊治出现腹痛和盆腔痛的患者时应考虑到这些病症。详细的病史，包括体育活动类型，以及针对性的体格检查会有所帮助，影像学检查手段也可能有用。耻骨联合的活检和培养通常能确诊。耻骨炎的治疗一般包括休息和使用抗炎药物。这种保守治疗失败应提醒医生注意骨髓炎的可能性，骨髓炎需要使用抗生素治疗。明确诊断并治疗后，恢复预后良好。
