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l 病例介绍 患者,男,13岁,左大腿上段间歇性疼痛伴跛行2个月,疼痛以夜间为主,服阿司匹林症状稍有所缓解。外院曾以“低毒化脓性骨髓炎”给予抗炎治疗,因病情未见好转而转来我院。体检:一般情况良好,左大腿中上段内侧可扪及一骨性突起,质硬,压痛(+),局部皮肤无红,热,肿胀。实验室检查属正常。1.1 X线检查:股骨正位片示股骨中上段内侧皮质增厚,密度均匀,边缘光滑,髓腔狭窄,软组织未见肿块(图1)。CT平扫:左股骨上段前内侧呈不均匀骨
l Case description Patients, male, 13 years old, with intermittent pain in the upper left thigh for 2 months, pain mainly at night, and aspirin symptoms slightly relieved. The hospital had given anti-inflammatory treatment with “low-toxic suppurative osteomyelitis,” and it was transferred to our hospital because the condition did not improve. Physical examination: The general condition is good. The medial upper leg of the left thigh may be palpable with a bony prominence, hard and tender (+), and the local skin is non-red, hot and swollen. Laboratory tests are normal. 1.1 X-ray examination: The femoral anteroposterior film shows that the medial and superior femoral medial cortex is thickened with uniform density, smooth edges, narrow medullary cavity, and no lumps in the soft tissue (Figure 1). CT scan: the anterior medial aspect of the left femur is uneven