Bouza E, Winston D J, Hewitt W L
Urology. 1978 Dec;12(6):663-9. doi: 10.1016/0090-4295(78)90428-4.
Osteitis pubis is a well-recognized painful inflammation involving the structures of the anterior half of the pelvic girdle, but its cause remains controversial. Biopsy and culture of the pubic bone in 3 patients with osteitis pubis after implantation of a urinary anti-incontinence device were consistent with pubic osteomyelitis which responded to antibiotic therapy. Infection was also found in almost all previously reported cases of osteitis pubis subjected to similar biopsy and culture. Bone biopsy and culture should be strongly considered before initiating frequently unsuccessful empirical therapy in patients with osteitis pubis.
耻骨炎是一种公认的涉及骨盆带前半部分结构的疼痛性炎症，但其病因仍存在争议。3例植入尿失禁装置后发生耻骨炎的患者，耻骨骨活检及培养结果符合耻骨骨髓炎，对抗生素治疗有反应。在几乎所有先前报道的接受类似活检和培养的耻骨炎病例中也发现了感染。对于耻骨炎患者，在开始通常效果不佳的经验性治疗之前，应强烈考虑进行骨活检和培养。
