[Objective] To explore the clinical outcomes of arthroscopic debridement and drainage with continuous suction irrigation for hip brucellosis. [Methods] From February 2009 to December 2018, 8 patients with brucella arthritis of the hip were arthroscopically treated in Department of Orthopedics, General Hospital of CPLA. Synovial resection, debridement and catheterization were conducted dur- ing arthroscopy. After that, continuous suction irrigation was maintained to the inflammatory reaction subsided. In addition, doxycycline combined with rifampicin, or streptomycin was given for 1.5~3 months. [Results] All the 8 patients were successfully operated without seri- ous complications. The irrigation- drainage tubes were removed at (9.5±2.21) days on average. The positive rate of brucella proved of 8/8 (100%) in bacterial culture, and 8/8 (100%) in pathological observation. All patients were followed up for more than 24 months. No infec- tion recurrence and revision surgery occurred in anyone of them to the latest follow-up. The VAS scores decreased significantly (P＜0.05) , while the mHHS score increased significantly over time in the 8 patients (P＜0.05) . There were no significant changes in radiographically measured hip space at the latest follow-up compared with those preoperatively (P＞0.05) . The ESR and CPR were significantly decreased postoperatively compared with those before operation (P＜0.05) , and remained within the normal range at 12 and 24 months postoperatively. [Conclusion] Arthroscopic debridement and drainage with continuous suction irrigation does effectively treat hip brucellosis.