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例1,女,20岁。因“间歇性双小腿上端疼痛1年,加重半个月”入院。查体:双下肢皮肤色泽正常,右大腿下段内侧、双小腿上段内侧压痛。X线片示:双膝关节骨质疏松、骨皮质变薄,间或有多发囊状影,右胫骨近端内侧呈凹陷状,考虑“双下肢多发骨纤维瘤”。入院行CT检查示:两侧髋臼上缘、耻骨支多发不规则溶骨性改变,结合双下肢股骨远端和胫骨近端多发椭圆形病灶,诊断考虑多发骨纤维瘤病。超声示:双肾多发小结石。化验:碱性磷酸酶317 IU/L,血磷、血钙未查。行右股骨、胫骨,左股骨下段、左胫骨上端病变刮除自体髂骨植骨,
Example 1, female, 20 years old. Due to “intermittent double upper leg pain for 1 year, increased half a month ” admission. Physical examination: normal skin color of both lower extremities, medial lower right thigh, medial upper humerus tenderness. X-ray showed: double knee osteoporosis, cortical thinning, or between multiple cystic shadow, the medial of the right tibia was hollow, consider “multiple lower extremity osteofibroma.” CT examination of admission showed: the upper edge of the acetabulum on both sides of the pubic symphysis multiple irregular osteolytic changes, combined with the lower extremity distal femur and proximal tibia multiple oval lesions, the diagnosis of multiple fibromatoid disease. Ultrasound showed: multiple kidneys small stones. Assay: alkaline phosphatase 317 IU / L, phosphorus, calcium did not check. Row right femur, tibia, left femur lower left tibia lesions curettage autologous iliac bone graft,