髋关节结核占全身骨与关节结核的第三位。仅次于脊椎及膝关节。一般发病隐渐,奔马性髋关节结核实属罕见,现报告1例如下。患者,女,22岁,粮库化验员。因左髋关节剧痛、肿胀,逐渐功能障碍1月余。于1986年2月20日入院。于1986年元月1日晨起自觉左髋关节疼痛行走困难。以后疼痛逐渐加剧,休息后疼痛不缓解。元月15日在某医院拍片,骨质无异常仅关节间隙狭窄。不仅疼痛继续加重而且髋关节周围软组织肿胀。某医院检查诊断:“风湿症”给予针灸治疗,不见好转。1986年2月14日拍片复查结果,髋臼及股骨头骨质均破坏但无脱位。诊断:“髋关节结核。”住院后给予抗痨治疗。1986年2月20日再次拍片复查髋臼 Hip tuberculosis accounts for the third of whole body bone and joint tuberculosis. Second only to the spine and knee. The general incidence of gradual, Benma sexual hip tuberculosis is rare, a report is as follows. Patient, female, 22 years old, grain depot laborer. Left hip pain, swelling, progressive dysfunction more than 1 month. Admitted to hospital on February 20, 1986. On January 1, 1986 morning conscious left hip pain walking difficult. After the gradual increase in pain, rest after the pain does not ease. January 15 in a hospital film, no abnormal bone only narrow joint space. Not only did the pain continue to aggravate but also soft tissue swelling around the hip joint. A hospital diagnosis: “rheumatism” given acupuncture treatment, no improvement. February 14, 1986 film review results, acetabular and femoral head bone are destroyed but no dislocation. Diagnosis: “Tuberculosis of the hip.” Anti-tuberculosis treatment after hospitalization. February 20, 1986 again review film acetabulum