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1 病例报告患者,男,24岁。无诱因性腰痛3个月入院。不伴有结核中毒症状。查体:腰椎曲线、活动度正常。腰:棘突深叩痛(+),局限,无放散。双下肢正常。拾物试验(一)。血常规、血沉正常。x线片:胸部正常;第2腰椎体右缘骨质破坏,界限不清,未见死骨形成。B超示右腰椎旁混合性肿物。诊断:腰椎体结核。抗结核治疗2周,手术清除病灶。术中见为松脆组织。术后腰痛消失。病理报告为骨巨细胞瘤Ⅰ-Ⅱ级。随访2年未复发。
1 case report patient, male, 24 years old. No cause of low back pain was admitted to hospital for 3 months. Not accompanied by symptoms of tuberculosis poisoning. Physical examination: The lumbar curve and activity are normal. Waist: Spinous process deep pain (+), limited, no emission. The lower limbs are normal. Pickup test (1). Blood routine, erythrocyte sedimentation rate is normal. X-ray: normal chest; bone destruction of the right edge of the second lumbar spine, unclear boundaries, no formation of sequestrum. B ultrasound shows the right lumbar paraspinal mixed mass. Diagnosis: lumbar body tuberculosis. Anti-tuberculosis treatment for 2 weeks, surgical removal of lesions. Seen in the surgery as crispy tissue. Low back pain disappeared after surgery. The pathology report was giant bone cell tumor grade I-II. Followed up for 2 years without recurrence.