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患者,女,11岁。4年前因跌倒右小腿疼痛,于当地医院摄X 片诊为骨纤维异常增殖症,予以手术刮除。一年前右小腿有一包块,无痛,来我院就诊。体检:右胫骨中上1/3前方见骨性突起,无叩压痛,无破溃,两下肢等长,活动好,实验室检查:血红蛋白129g/L,白细胞6.2×10~9/L,中性60%,淋巴40%,血沉6mm/小时,AKP266.8单位,肝肾功正常,临床诊断:骨纤维异常增殖症x 线表现:右胫骨中上部及腓骨中下部骨皮质内见多个囊状透亮区,骨皮质膨胀,变薄,囊内密度减低,囊壁光滑,有明显边缘硬化。x 线印象:非骨化性纤维瘤(附图)手术所见:胫骨中上段两处局限性向前凸起,约2×2及2.5×2.5cm~2大小,表面骨皮质尚正常,切
Patient, female, 11 years old. Four years ago, due to a fall in the right calf pain, she was taken from a local hospital and was diagnosed as having dysplasia of bone fibers and was surgically removed. A year ago, there was a mass in the right calf and it was painless. He came to our hospital for treatment. Physical examination: Bone prominences seen in the upper third of the right sacrum, no palpable tenderness, no ulceration, equal length of both legs, good activity, laboratory tests: hemoglobin 129g/L, leukocyte 6.2×10~9/L, middle 60% of sex, lymph 40%, ESR 6mm/hour, AKP 266.8 units, normal liver and kidney function, clinical diagnosis: X-ray manifestation of fibrous dysplasia: multiple capsules in the middle and upper part of the right tibia and in the cortical bone of the lower part of the tibia In the translucent area, the cortical bone expands, becomes thinner, the density in the capsule decreases, the wall of the capsule is smooth, and there is obvious marginal sclerosis. X-ray impression: Non-ossifying fibroids (with photos) Surgical findings: Two limitations of the middle and upper humerus forward convex, about 2 × 2 and 2.5 × 2.5cm ~ 2 size, surface cortical bone is still normal, cut