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患者女,44岁,已婚,因月经不规则于1998年2月来我院就诊。查体:子宫大小正常,腹部未触及包块,妊娠实验(-)。给予维生素E胶丸po,50mg,bid。3d后自觉右臀部沿大腿外侧至腘窝及小腿剧烈疼痛,不能下蹲,跛行。再次到我院就诊,患者否认外伤、受寒及风湿病史。经查:右腰部及臀部无明显压病,直腿抬高试验(+)。实验室检查;SR:22mm/h,RF(-),ASO<1:500,WBC7.6×10~9/L,N0.8,L0.18,M0.02,RBC3.85×10~(12)/L,Hb 112g/L。诊断为梨状肌综合症。
Female patient, 44 years old, married, irregular menstruation came to our hospital in February 1998. Physical examination: normal uterine size, abdominal mass did not touch, pregnancy test (-). Give vitamin E capsules po, 50mg, bid. Right hip after 3d along the lateral thigh to popliteal fossa and calf severe pain, can not squat, limp. Once again to our hospital, patients deny trauma, cold and rheumatic history. The investigation: no obvious right lower back and hip pressure, straight leg raising test (+). Laboratory tests: SR: 22mm / h, RF (-), ASO <1: 500, WBC7.6 × 10 ~ 9 / L, N0.8, L0.18, M0.02, RBC3.85 × 10 ~ 12) / L, Hb 112 g / L. Diagnosis of piriformis syndrome.