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1病例介绍患者男,15岁。颈背部不适2年,无明显诱因进行性加重并活动受限1月余,于2013年2月入院。患者右手麻木、无力,无明显行走不稳,大小便正常。查体:颈椎生理曲度存在,颈椎屈、伸、侧弯及旋转活动稍受限,棘突及椎旁无明显压痛;左股骨远、近端及右股骨近端、右胫骨近端、右尺桡骨远端均可触及表面光滑、质硬、无活动及轻压痛包块,与周围组织无明显粘连;皮温正常,无静脉怒张;右手感觉麻木,痛觉减
1 case description Patient male, 15 years old. Neck back discomfort for 2 years, no obvious incentive for progressive aggravating and limited activities more than 1 month, in February 2013 admitted. Patients numbness the right hand, weakness, no obvious walking instability, normal urine. Physical examination: cervical physiological curvature exists, cervical flexion, extension, scoliosis and rotation activities slightly limited, no obvious tenderness and spinous process and vertebral paralysis; far left, proximal and proximal femur, proximal right tibia, right Distal radius ulna can reach the surface smooth, hard, no activity and mild tenderness mass, no obvious adhesion with the surrounding tissue; normal skin temperature, no venous tension; right hand feeling numbness, pain reduction