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患者女性,14岁,因右髋部胀痛不适半年,渐感活动后加重1周就诊。1年前运动中曾有臀部外伤史,约有1周不适感,后未作任何检查及处理。查体:精神尚好,发育佳,心肺无异常,四肢活动正常。实验室检查:血、尿及大便常规均正常,血清碱性磷酸酶值正常,胸片、心电图及B超(肝、胆、脾、胰、肾)均未见异常,血液生化检查末见异常。 X线表现及诊断:X线骨盆平片示右耻骨支呈囊性膨胀性骨质破坏改变,皮质变薄,边缘线连续,下缘骨皮质局限蛋壳样硬化,其内可见多条骨嵴分隔,略呈皂泡状,未见明显骨膜反应,无软组织肿块,耻骨联合间隙尚清晰规则,余骨盆诸构成骨未见异常,双髋关节关系正常。诊断:考虑右耻骨动脉瘤样骨囊肿。
A 14-year-old female patient complained of pain and discomfort in her right hip for six months. 1 year ago had a history of hip trauma during exercise, about 1 week discomfort, after no inspection and treatment. Physical examination: the spirit is still good, good development, no abnormal heart and lungs, limbs normal. Laboratory tests: blood, urine and stool routine were normal, normal serum alkaline phosphatase value, chest X-ray, ECG and ultrasound B (liver, gallbladder, spleen, pancreas, kidney) were no abnormalities, abnormal blood biochemical tests . X-ray findings and diagnosis: X-ray showed pelvic plain right pubic branch was cystic expansion of bone destruction change, cortical thinning, continuous edge line, lower edge of cortical bone-like sclerosis, which can be seen in multiple bone ridge separation , A little soapy shape, no obvious periosteal reaction, no soft tissue mass, pubic symphysis clearance is still clear rules, the composition of the rest of the pelvis no abnormalities, normal bilateral hip joint. Diagnosis: Consider the right pubis aneurysmal bone cyst.